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Resource StructureDefinition/FHIR Server from package tw.gov.mohw.emr#0.1.0 (1031 ms)

Package tw.gov.mohw.emr
Type StructureDefinition
Id Id
FHIR Version R4
Source https://twcore.mohw.gov.tw/ig/emr/https://twcore.mohw.gov.tw/ig/emr/0.1.0/StructureDefinition-PMRAllergyIntolerance.html
Url https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRAllergyIntolerance
Version 0.1.0
Status draft
Date 2024-05-06T17:38:33+08:00
Name PMRAllergyIntolerance
Title 門診病歷-過敏史
Experimental False
Realm tw
Authority national
Description 此Profiles用於紀錄病患過敏史
Type AllergyIntolerance
Kind resource

Resources that use this resource

CapabilityStatement
CapabilityStatementEMRClient 電子病歷交換單張-用戶端
CapabilityStatementEMRServer 電子病歷交換單張-伺服端
https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRBundle 門診病歷-Bundle
https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRComposition 門診病歷-報告文件

Resources that this resource uses

StructureDefinition
https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore TW Core AllergyIntolerance
PMRPatient 門診病歷-病人基本資料

Narrative

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. AllergyIntolerance 0..*TWCoreAllergyIntolerance過敏或不耐症（通常指：對某種物質有不良反應的風險）
... code 1..1CodeableConceptTWMajor Illness
.... text 1..1string標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]
... patient 1..1Reference(門診病歷-病人基本資料)誰有此過敏或不耐受？
.... reference S1..1string病人

doco Documentation for this format

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "PMRAllergyIntolerance",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PMRAllergyIntolerance-definitions.html#AllergyIntolerance\">AllergyIntolerance</a><a name=\"AllergyIntolerance\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.2.0/StructureDefinition-AllergyIntolerance-twcore.html\">TWCoreAllergyIntolerance</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">過敏或不耐症（通常指：對某種物質有不良反應的風險）</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PMRAllergyIntolerance-definitions.html#AllergyIntolerance.code\">code</a><a name=\"AllergyIntolerance.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"https://twcore.mohw.gov.tw/ig/twcore/0.2.0/StructureDefinition-CodeableConcept-tw.html\" title=\"CodeableConcept\">CodeableConceptTW</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Major Illness</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PMRAllergyIntolerance-definitions.html#AllergyIntolerance.code.text\">text</a><a name=\"AllergyIntolerance.code.text\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PMRAllergyIntolerance-definitions.html#AllergyIntolerance.patient\">patient</a><a name=\"AllergyIntolerance.patient\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-PMRPatient.html\">門診病歷-病人基本資料</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">誰有此過敏或不耐受？</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PMRAllergyIntolerance-definitions.html#AllergyIntolerance.patient.reference\">reference</a><a name=\"AllergyIntolerance.patient.reference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">病人</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRAllergyIntolerance",
  "version" : "0.1.0",
  "name" : "PMRAllergyIntolerance",
  "title" : "門診病歷-過敏史",
  "status" : "draft",
  "date" : "2024-05-06T17:38:33+08:00",
  "publisher" : "衛生福利部",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.mohw.gov.tw/mp-1.html"
        }
      ]
    }
  ],
  "description" : "æ­¤Profiles用於紀錄病患過敏史",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "AllergyIntolerance",
  "baseDefinition" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "AllergyIntolerance",
        "path" : "AllergyIntolerance",
        "short" : "過敏或不耐症（通常指：對某種物質有不良反應的風險）",
        "definition" : "可能對個人產生有害或不希望的生理反應的風險，這種反應是與暴露於某種物質相關的，並且對每個人來說都是獨特的。",
        "comment" : "物質包括但不限於：適合個人的劑量正確使用的治療性物質、食品、來自植物或動物的材質、或昆蟲叮咬所釋放的毒液。",
        "alias" : [
          "Allergy",
          "Intolerance",
          "Adverse Reaction"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "ait-1",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.",
            "expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').exists() or clinicalStatus.exists()",
            "xpath" : "f:verificationStatus/f:coding/f:code/@value='entered-in-error' or exists(f:clinicalStatus)",
            "source" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
          },
          {
            "key" : "ait-2",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus.coding.where(system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-verification' and code = 'entered-in-error').empty() or clinicalStatus.empty()",
            "xpath" : "not(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(f:clinicalStatus))",
            "source" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
          },
          {
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean" : true
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.`div`.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.id",
        "path" : "AllergyIntolerance.id",
        "short" : "不重複的ID用以識別儲存在特定FHIR Server中的AllergyIntolerance紀錄，通常又稱為邏輯性ID。",
        "definition" : "resource的邏輯ID，在resourceçš„URL中使用。一旦指定，這個值永遠不會改變。",
        "comment" : "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。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "id"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.meta",
        "path" : "AllergyIntolerance.meta",
        "short" : "æ­¤AllergyIntolerance Resourceçš„metadata",
        "definition" : "關於resourceçš„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。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.meta",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Meta"
          }
        ],
        "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.implicitRules",
        "path" : "AllergyIntolerance.implicitRules",
        "short" : "創建此內容所依據的一組規則",
        "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。",
        "comment" : "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。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.implicitRules",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "uri"
          }
        ],
        "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"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary" : true
      },
      {
        "id" : "AllergyIntolerance.language",
        "path" : "AllergyIntolerance.language",
        "short" : "用以表述AllergyIntolerance Resource內容的語言。",
        "definition" : "編寫此resource的語言",
        "comment" : "提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。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:langå’Œhtml lang屬性之間的關係，見HTML5中的規則）。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Resource.language",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "example" : [
          {
            "label" : "Value",
            "valueString" : "zh-TW"
          }
        ],
        "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            }
          ],
          "strength" : "preferred",
          "description" : "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。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id" : "AllergyIntolerance.text",
        "path" : "AllergyIntolerance.text",
        "short" : "AllergyIntolerance Resource之內容摘要以供人閱讀",
        "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。",
        "comment" : "內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則**建議應該（SHOULD）**有敘述。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。",
        "alias" : [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "DomainResource.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Narrative"
          }
        ],
        "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "Act.text?"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.contained",
        "path" : "AllergyIntolerance.contained",
        "short" : "內嵌的（contained）、行內的Resources",
        "definition" : "這些resource內嵌（contains）的resource不會另外存於任何FHIR伺服器，意即它們無法在任何FHIR伺服器中被找到，也無法有自己獨立的資料異動／交易（transaction）範圍。",
        "comment" : "當內容可以從任何FHIR伺服器找到時，不應該以內嵌（contained）resource的方式呈現，因為一旦失去識別，再次恢復它是非常困難的（並且取決於情境）。內嵌（contained）的resource可在它們的meta資料項目中表述profileså’Œtag，但不應該有安全標號（security labels）。",
        "alias" : [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.contained",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Resource"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.extension",
        "path" : "AllergyIntolerance.extension",
        "short" : "擴充的資料項目",
        "definition" : "可用於表示不屬於此resource基本定義的額外資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，**必須（SHALL）** 滿足一系列要求。",
        "comment" : "任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.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" : "AllergyIntolerance.modifierExtension",
        "path" : "AllergyIntolerance.modifierExtension",
        "short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
        "definition" : "可以用來表示不屬於此resource的基本定義的額外資訊，並修改包含它所內嵌（contained）的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充，但在定義擴充時 **必須（SHALL）** 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。  \r\n修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
        "comment" : "任何應用程式、專案或標準使用擴充時，都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
        "requirements" : "修飾用的資料項目擴充允許將不能安全地忽略的擴充，與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性，因為無需禁止實作者使用擴充，想要瞭解更多資訊，請參見[修飾用的資料項目擴充之定義]（http://hl7.org/fhir/R4/extensibility.html#modifierExtension）。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "DomainResource.modifierExtension",
          "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" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary" : false
      },
      {
        "id" : "AllergyIntolerance.identifier",
        "path" : "AllergyIntolerance.identifier",
        "short" : "過敏或不耐症之外部識別碼",
        "definition" : "由執行者或其他系統指定給這個AllergyIntolerance的業務識別碼，隨著resource更新和從伺服器到伺服器的傳送，這些識別碼保持不變。",
        "comment" : "這是過敏或不耐症紀錄的業務識別碼，不是一個 resource 識別碼（請參見討論小節）。最好的做法是該識別碼只出現在單一個resource實例上，但是實務上有時會要求具有相同識別碼的多個resource實例共存，這些 resources 實例甚至可能屬於不同的resource類型。例如：多個 Patient及一個Person resource實例可能共用同一個社會保險碼(此處是指美國民眾會有唯一可識別的社會保險碼)。",
        "requirements" : "允許各參與系統按照一致的方式，在不同伺服器之間確認並識別 AllergyIntolerance。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.identifier",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ],
        "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.clinicalStatus",
        "path" : "AllergyIntolerance.clinicalStatus",
        "short" : "概念（Concept）— 參照一個專門術語或只是文字表述",
        "definition" : "過敏或不耐症的臨床狀態",
        "comment" : "如果 clincalStatus 缺少資料，請查閱討論小節。其資料類型是CodeableConcept，這是因為clinicalStatus涉及到一些臨床判斷，可能需要的具體性超過FHIR值集所要求的範圍。例如：SNOMED代碼可能提供額外的的具體性。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.clinicalStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceClinicalStatus"
            }
          ],
          "strength" : "required",
          "description" : "過過敏或不耐症的臨床狀態；應填入所綁定值集中的其中一個代碼。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.verificationStatus",
        "path" : "AllergyIntolerance.verificationStatus",
        "short" : "概念（Concept）— 參照一個專門術語或只是文字表述",
        "definition" : "一個人對某已識別物質（包括醫藥產品）產生反應的可能性或風險有多確定的陳述",
        "comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.verificationStatus",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceVerificationStatus"
            }
          ],
          "strength" : "required",
          "description" : "一個人對特定物質產生反應的可能性或風險有多確定的陳述；應填入所綁定值集中的其中一個代碼。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.type",
        "path" : "AllergyIntolerance.type",
        "short" : "allergy | intolerance - 根本原因或運作機制（如果知道）。",
        "definition" : "為什麼某人對特定物質（如藥物或食物）會有反應的生理根本原因",
        "comment" : "過敏反應通常是我們身體免疫系統的一種反應，它被認為可能預示著未來有更嚴重的健康風險。然而，現代醫學研究顯示，有些過去被認為是免疫反應的情況實際上可能並不是，但仍然可能對生命造成危害。有時候，醫生難以確定一個特定反應的機制是免疫相關還是非免疫相關的。此外，「過敏」這個詞經常被廣泛地使用，並且可能與「不耐症」這個詞的使用有所重疊。在實際應用中，這兩個概念的界限可能不太清晰或不容易理解。儘管如此，醫療紀錄中仍然包含了有關過敏反應的資訊，因為許多既有的醫療系統都已經收集了這些資料。免疫學檢測可以提供一些證據幫助確定反應的基礎和引起反應的物質，但這些檢測並不總是百分之百準確，無法100％確定對特定物質的敏感性。如果不清楚反應是否由過敏引起還是由不耐症引起，那麼在醫療紀錄中最好不要具體指定反應的類型，即可忽略及不填寫此資料項目。",
        "alias" : [
          "Category",
          "Class"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.type",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceType"
            }
          ],
          "strength" : "required",
          "description" : "確定反應風險的基本生理機制；應填入所綁定值集中的其中一個代碼。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IAM-9"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.category",
        "path" : "AllergyIntolerance.category",
        "short" : "food | medication | environment | biologic",
        "definition" : "被識別的物質的類別",
        "comment" : "這個資料資料項目被包括在內，因為它目前正在一些臨床系統中被採集。這個資料可以從使用編碼系統的物質中得到，在這種情況下實際上是多餘的。當按類別查詢時，考慮沒有類別的AllergyIntoleranceresource的影響。例如，當查詢類別=藥品時，沒有類別價值的藥品過敏將不會被返回。關於如何用:缺失修飾符查詢類別以獲得沒有類別的過敏，請參考查詢的更多資訊。此外，類別應謹慎使用，因為類別可能是基於寄件者的主觀因素。",
        "alias" : [
          "Category",
          "Type",
          "Reaction Type",
          "Class"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.category",
          "min" : 0,
          "max" : "*"
        },
        "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCategory"
            }
          ],
          "strength" : "required",
          "description" : "確定的物質的類別；應填入所綁定值集中的其中一個代碼。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2"
          },
          {
            "identity" : "rim",
            "map" : "value < IntoleranceValue (Agent)"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.criticality",
        "path" : "AllergyIntolerance.criticality",
        "short" : "low | high | unable-to-assess",
        "definition" : "對已識別物質的反應的潛在臨床危害程度，或稱嚴重性估計。",
        "comment" : "對於任何對可能引發不良反應的傾向，預設的危險程度應該設定為「低風險」，這表示 **至少相對不建議** 有意或自願接觸這種物質。如果醫生識別出對更嚴重或可能危及生命的反應，如過敏性休克的傾向，則將其標記為「高風險」，這表示 **絕對不建議** 有意或自願接觸這種物質。如果缺少這個資料項目，則表示危險程度未知（雖然在其他地方可能已知）。取得疾病層次(condition level)危險性(criticality))的現有系統實際上是在表示危險性的概念，而在反應層次(reaction level)記錄的嚴重性(severity)表示真正的反應嚴重性。現有系統同時記錄疾病危險性和反應嚴重性，可能使用「嚴重性(severity)」一詞來表示兩者。危險性是未來可能出現的最糟糕情況（即不考慮具體情境），而嚴重性則依賴於特定情境。",
        "alias" : [
          "Severity",
          "Seriousness",
          "Contra-indication",
          "Risk"
        ],
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.criticality",
          "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : true,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCriticality"
            }
          ],
          "strength" : "required",
          "description" : "對已識別物質的反應的潛在臨床危害程度，或稱嚴重性估計；應填入所綁定值集中的其中一個代碼。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code",
        "path" : "AllergyIntolerance.code",
        "short" : "Major Illness",
        "definition" : "此資料項目是用來代碼化表示有關過敏或不耐症的資訊。它可以表示對某種物質或藥物產品引發不良反應風險的代碼（例如：「乳膠」），也可以表示有關過敏或不耐症的代碼（例如：「乳膠過敏」），或者是表示對特定物質或類別的否定或排除情況的代碼（例如：「無乳膠過敏」），還可以表示一般性的否定性聲明（例如：「無已知過敏」，「無已知藥品過敏」）。需要注意的是：特定反應的物質可能不同於被認為引發風險的物質，但它們之間必須是一致的，在處理這些資訊時，只處理「code」而忽略「reaction.substance」在臨床上必須在是安全的。如果接收系統無法確認AllergyIntolerance.reaction.substance是否符合AllergyIntolerance.code的語義範圍，則應該忽略AllergyIntolerance.reaction.substance。",
        "comment" : "建議在填寫過敏或不耐症相關資料時，儘量使用專業術語。常用的專門術語包括RxNorm、SNOMED CT、DM+D、NDFRT、ICD-9、IDC-10、UNIIå’ŒATC等。如果找不到合適的專業術語，則可以用文字表述。文字表述還可以提供更多詳細資訊。\r\n\r\n當我們為「code」資料項目指定特定物質或產品代碼時，通常意味著該病人對這種物質或產品有過敏或不耐受反應。在SNOMED CT的過敏模型中，這些物質或產品被視為「過敏物質(Causative agent)」。\r\n\r\n另外，還有一個名為「substanceExposureRisk」的擴充資料項目，它比「code」資料項目提供更多靈活性，可以用來描述對特定物質或產品的過敏或不耐受反應，無論是正面還是負面。這個擴充資料項目特別有用於表達「沒有已知過敏」或「沒有不良反應風險」的情況，即使對於那些沒有預先確定「無過敏」概念的物質或產品也適用。如果使用了「substanceExposureRisk」擴充資料項目，則應該省略AllergyIntolerance.code資料項目。",
        "alias" : [
          "Code"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.code",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "binding" : {
          "strength" : "extensible",
          "description" : "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。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-code"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code.id",
        "path" : "AllergyIntolerance.code.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "唯一可識別ID，以供資料項目間相互參照。",
        "definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。",
        "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" : "AllergyIntolerance.code.extension",
        "path" : "AllergyIntolerance.code.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "擴充的資料項目",
        "definition" : "擴充的資料項目",
        "min" : 0,
        "max" : "*",
        "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" : "AllergyIntolerance.code.coding",
        "path" : "AllergyIntolerance.code.coding",
        "short" : "由專門術語系統（terminology system）定義的代碼",
        "definition" : "由專門術語系統（terminology system）所定義之代碼的參照",
        "comment" : "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。",
        "requirements" : "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "CodeableConcept.coding",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Coding",
            "profile" : [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
            ]
          }
        ],
        "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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
          },
          {
            "identity" : "rim",
            "map" : "CV"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.code.text",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean" : true
          }
        ],
        "path" : "AllergyIntolerance.code.text",
        "short" : "標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]",
        "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。",
        "comment" : "很多時候，此文字表述與其中一個代碼的顯示名稱相同。",
        "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。",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "CodeableConcept.text",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "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" : true,
        "mapping" : [
          {
            "identity" : "v2",
            "map" : "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity" : "rim",
            "map" : "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.patient",
        "path" : "AllergyIntolerance.patient",
        "short" : "誰有此過敏或不耐受？",
        "definition" : "患有過敏或不耐症的病人",
        "alias" : [
          "Patient"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.patient",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRPatient"
            ]
          }
        ],
        "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" : true,
        "mapping" : [
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "(PID-3)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.patient.id",
        "path" : "AllergyIntolerance.patient.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" : "AllergyIntolerance.patient.extension",
        "path" : "AllergyIntolerance.patient.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "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.",
        "comment" : "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.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "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,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.patient.reference",
        "path" : "AllergyIntolerance.patient.reference",
        "short" : "病人",
        "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
        "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Reference.reference",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string"
          }
        ],
        "condition" : [
          "ref-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"
          }
        ],
        "mustSupport" : true,
        "isModifier" : false,
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.patient.type",
        "path" : "AllergyIntolerance.patient.type",
        "short" : "Type the reference refers to (e.g. \"Patient\")",
        "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
        "comment" : "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",< }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceSeverity"
            }
          ],
          "strength" : "required",
          "description" : "應填入所綁定值集中的其中一個代碼。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.exposureRoute",
        "path" : "AllergyIntolerance.reaction.exposureRoute",
        "short" : "此對象如何接觸到該物質",
        "definition" : "確認此對象是透過哪種途徑接觸到該物質",
        "comment" : "應盡可能使用專門術語對接觸途徑進行編碼。",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "AllergyIntolerance.reaction.exposureRoute",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept",
            "profile" : [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
            ]
          }
        ],
        "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"
          }
        ],
        "isModifier" : false,
        "binding" : {
          "strength" : "extensible",
          "description" : "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。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "v2",
            "map" : "CE/CNE/CWE"
          },
          {
            "identity" : "rim",
            "map" : "CD"
          },
          {
            "identity" : "orim",
            "map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.reaction.note",
        "path" : "AllergyIntolerance.reaction.note",
        "short" : "其他資料項目未記錄之關於事件的文字表述",
        "definition" : "其他關於不良反應事件的文字表述，這些資訊未在其他資料項目中記錄。",
        "comment" : "使用此資料項目記錄與特定事件間接相關的資訊，但在其他資料項目未記錄的資訊。例如：如果臨床紀錄不再可用，則可根據病人母親提供的資訊來紀錄，儘管病人的母親已經過世。",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "AllergyIntolerance.reaction.note",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Annotation"
          }
        ],
        "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"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "AllergyIntolerance",
        "path" : "AllergyIntolerance"
      },
      {
        "id" : "AllergyIntolerance.code",
        "path" : "AllergyIntolerance.code",
        "short" : "Major Illness"
      },
      {
        "id" : "AllergyIntolerance.code.text",
        "path" : "AllergyIntolerance.code.text",
        "short" : "標識過敏或不耐受的描述。[應填入於門診病歷過敏史History of allergies]",
        "min" : 1
      },
      {
        "id" : "AllergyIntolerance.patient",
        "path" : "AllergyIntolerance.patient",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRPatient"
            ]
          }
        ]
      },
      {
        "id" : "AllergyIntolerance.patient.reference",
        "path" : "AllergyIntolerance.patient.reference",
        "short" : "病人",
        "min" : 1,
        "mustSupport" : true
      }
    ]
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.