NGS IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: 基因定序檢測證明文件-Composition TWNGS

此基因定序檢測證明文件-Composition TWNGSS Profile說明本IG如何進一步定義FHIR的Condition Resource以呈現健保次世代基因定序檢測報告之證明文件

Usage:

• Use this Resource Profile: 次世代基因定序檢測-Bundle TWNGS
• Examples for this Resource Profile: Composition/com-min

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
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated 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-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
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	?!N	0..*	Extension	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。 Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣN	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；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
type	SΣN	1..1	CodeableConceptTW	申報類別 Binding: NHI-申報類別值集 (required): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
category	SΣN	1..*	CodeableConceptTW	案件分類 Binding: NHI-案件分類 (required): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(TW Core Patient | Group | Device | Substance | TW Core Location)	Composition是關於誰和/或什麼 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
date	SΣ	1..1	dateTime	申報日期 ele-1: All FHIR elements must have a @value or children
author	SΣCN	1..*	Reference(醫事機構-Organization TWNGS)	誰和/或什麼創建了這個Composition ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
title	SΣ	1..1	string	人類可讀的名稱/標題 ele-1: All FHIR elements must have a @value or children Required Pattern: 次世代基因定序檢測報告證明文件
attester	SN	0..*	BackboneElement	證明Composition的準確性 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	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
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；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
custodian	SΣCN	0..1	Reference(TW Core Organization)	維護Composition的機構 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
event	ΣN	0..*	BackboneElement	正在記錄的臨床服務 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	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
code	ΣN	0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
section	SCN	1..*	BackboneElement	Composition被分成一個或數個小節 ele-1: All FHIR elements must have a @value or children cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!ΣN	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
code	SN	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (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。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
text	SCN	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 ele-1: All FHIR elements must have a @value or children
orderedBy	N	0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
Slices for entry	SCN	3..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:diagnosticReport	SCN	1..1	Reference(基因定序檢測報告-DiagnosticReport TWNGS)	基因定序檢測報告-DiagnosticReport TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:condition	SCN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	基因定序檢測報告之疾病資訊-Condition TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:gene-organization	SCN	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構-Organization Gene TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:specimen	SCN	0..*	Reference(基因檢測檢體-Specimen TWNGS)	基因檢測檢體-Specimen TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:device	SCN	0..*	Reference(基因定序檢測裝置-Device TWNGS)	基因定序檢測裝置-Device TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:documentReference	SCN	0..*	Reference(基因報告-DocumentReference TWNGS)	基因報告-DocumentReference TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:observation	SCN	0..*	Reference(基因資訊-Observation TWNGS)	基因資訊-Observation TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:serviceRequest	SCN	0..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目-ServiceRequest TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
emptyReason	CN	0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	NHIApplyType (a valid code from NHI-申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-apply-type from this IG
Composition.category	required	NHICaseClassification (a valid code from NHI-案件分類) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-case-classification from this IG
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()
ref-1	error	Composition.subject, Composition.author, Composition.custodian, Composition.section.entry, Composition.section.entry:diagnosticReport, Composition.section.entry:condition, Composition.section.entry:gene-organization, Composition.section.entry:specimen, Composition.section.entry:device, Composition.section.entry:documentReference, Composition.section.entry:observation, Composition.section.entry:serviceRequest	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition			TWCoreComposition
type				申報類別 Binding: NHI-申報類別值集 (required)
category	S	1..		案件分類 Binding: NHI-案件分類 (required)
subject		1..
date				申報日期
author			Reference(醫事機構-Organization TWNGS)
title				Required Pattern: 次世代基因定序檢測報告證明文件
section		1..
Slices for entry		3..		Slice: Unordered, Open by profile:$this.resolve()
entry:diagnosticReport		1..1	Reference(基因定序檢測報告-DiagnosticReport TWNGS)	基因定序檢測報告-DiagnosticReport TWNGS
entry:condition		1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	基因定序檢測報告之疾病資訊-Condition TWNGS
entry:gene-organization		1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構-Organization Gene TWNGS
entry:specimen			Reference(基因檢測檢體-Specimen TWNGS)	基因檢測檢體-Specimen TWNGS
entry:device			Reference(基因定序檢測裝置-Device TWNGS)	基因定序檢測裝置-Device TWNGS
entry:documentReference			Reference(基因報告-DocumentReference TWNGS)	基因報告-DocumentReference TWNGS
entry:observation			Reference(基因資訊-Observation TWNGS)	基因資訊-Observation TWNGS
entry:serviceRequest			Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目-ServiceRequest TWNGS
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	required	NHIApplyType (a valid code from NHI-申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-apply-type from this IG
Composition.category	required	NHICaseClassification (a valid code from NHI-案件分類) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-case-classification from this IG

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id	Σ	0..1	string	不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta	ΣN	0..1	Meta	此Composition 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Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text	N	0..1	Narrative	Composition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的(contained)、行內的Resources
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	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。 Slice: Unordered, Open by value:url
identifier	SΣN	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。
type	SΣN	1..1	CodeableConceptTW	申報類別 Binding: NHI-申報類別值集 (required): 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	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
category	SΣN	1..*	CodeableConceptTW	案件分類 Binding: NHI-案件分類 (required): 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	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
subject	SΣCN	1..1	Reference(TW Core Patient | Group | Device | Substance | TW Core Location)	Composition是關於誰和/或什麼 ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣCN	0..1	Reference(TW Core Encounter)	Composition的情境 ref-1: SHALL have a contained resource if a local reference is provided
date	SΣ	1..1	dateTime	申報日期
author	SΣCN	1..*	Reference(醫事機構-Organization TWNGS)	誰和/或什麼創建了這個Composition ref-1: SHALL have a contained resource if a local reference is provided
title	SΣ	1..1	string	人類可讀的名稱/標題 Required Pattern: 次世代基因定序檢測報告證明文件
confidentiality	Σ	0..1	code	根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester	SN	0..*	BackboneElement	證明Composition的準確性
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time		0..1	dateTime	此Composition被證明的時間
party	CN	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰證明了此Composition ref-1: SHALL have a contained resource if a local reference is provided
custodian	SΣCN	0..1	Reference(TW Core Organization)	維護Composition的機構 ref-1: SHALL have a contained resource if a local reference is provided
relatesTo	N	0..*	BackboneElement	與其他Composition/文件之間的關係
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x]	N	1..1		此關係的目標文件
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	ΣN	0..*	BackboneElement	正在記錄的臨床服務
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣN	0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
period	ΣCN	0..1	Period	文件所涵蓋的時間區間 per-1: If present, start SHALL have a lower value than end
detail	ΣCN	0..*	Reference(Resource)	在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。 ref-1: SHALL have a contained resource if a local reference is provided
section	SCN	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC)
code	SN	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
author	CN	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson)	誰和/或什麼人撰寫了該小節 ref-1: SHALL have a contained resource if a local reference is provided
focus	CN	0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。 ref-1: SHALL have a contained resource if a local reference is provided
text	SCN	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy	N	0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
Slices for entry	SCN	3..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:$this.resolve() ref-1: SHALL have a contained resource if a local reference is provided
entry:diagnosticReport	SCN	1..1	Reference(基因定序檢測報告-DiagnosticReport TWNGS)	基因定序檢測報告-DiagnosticReport TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:condition	SCN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	基因定序檢測報告之疾病資訊-Condition TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:gene-organization	SCN	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構-Organization Gene TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:specimen	SCN	0..*	Reference(基因檢測檢體-Specimen TWNGS)	基因檢測檢體-Specimen TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:device	SCN	0..*	Reference(基因定序檢測裝置-Device TWNGS)	基因定序檢測裝置-Device TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:documentReference	SCN	0..*	Reference(基因報告-DocumentReference TWNGS)	基因報告-DocumentReference TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:observation	SCN	0..*	Reference(基因資訊-Observation TWNGS)	基因資訊-Observation TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:serviceRequest	SCN	0..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目-ServiceRequest TWNGS ref-1: SHALL have a contained resource if a local reference is provided
emptyReason	CN	0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
section	C	0..*	See section (Composition)	嵌套的小節
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	NHIApplyType (a valid code from NHI-申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-apply-type from this IG
Composition.category	required	NHICaseClassification (a valid code from NHI-案件分類) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-case-classification from this IG
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()
per-1	error	Composition.event.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Composition.subject, Composition.encounter, Composition.author, Composition.attester.party, Composition.custodian, Composition.event.detail, Composition.section.author, Composition.section.focus, Composition.section.entry, Composition.section.entry:diagnosticReport, Composition.section.entry:condition, Composition.section.entry:gene-organization, Composition.section.entry:specimen, Composition.section.entry:device, Composition.section.entry:documentReference, Composition.section.entry:observation, Composition.section.entry:serviceRequest	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreComposition

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• 醫事機構-Organization TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Organization-twngs)
• 基因定序檢測報告-DiagnosticReport TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/DiagnosticReport-twngs)
• 基因定序檢測報告之疾病資訊-Condition TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Condition-twngs)
• 基因檢測機構-Organization Gene TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Organization-gene-twngs)
• 基因檢測檢體-Specimen TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Specimen-twngs)
• 基因定序檢測裝置-Device TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Device-twngs)
• 基因報告-DocumentReference TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/DocumentReference-twngs)
• 基因資訊-Observation TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-twngs)
• 基因定序檢測申請項目-ServiceRequest TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/ServiceRequest-twngs)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section.entry

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated 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-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
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	?!N	0..*	Extension	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。 Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣN	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。 ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；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
type	SΣN	1..1	CodeableConceptTW	申報類別 Binding: NHI-申報類別值集 (required): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
category	SΣN	1..*	CodeableConceptTW	案件分類 Binding: NHI-案件分類 (required): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(TW Core Patient | Group | Device | Substance | TW Core Location)	Composition是關於誰和/或什麼 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
date	SΣ	1..1	dateTime	申報日期 ele-1: All FHIR elements must have a @value or children
author	SΣCN	1..*	Reference(醫事機構-Organization TWNGS)	誰和/或什麼創建了這個Composition ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
title	SΣ	1..1	string	人類可讀的名稱/標題 ele-1: All FHIR elements must have a @value or children Required Pattern: 次世代基因定序檢測報告證明文件
attester	SN	0..*	BackboneElement	證明Composition的準確性 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	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
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；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
custodian	SΣCN	0..1	Reference(TW Core Organization)	維護Composition的機構 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
event	ΣN	0..*	BackboneElement	正在記錄的臨床服務 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	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
code	ΣN	0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
section	SCN	1..*	BackboneElement	Composition被分成一個或數個小節 ele-1: All FHIR elements must have a @value or children cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!ΣN	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
code	SN	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (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。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
text	SCN	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。 ele-1: All FHIR elements must have a @value or children
orderedBy	N	0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
Slices for entry	SCN	3..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:diagnosticReport	SCN	1..1	Reference(基因定序檢測報告-DiagnosticReport TWNGS)	基因定序檢測報告-DiagnosticReport TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:condition	SCN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	基因定序檢測報告之疾病資訊-Condition TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:gene-organization	SCN	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構-Organization Gene TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:specimen	SCN	0..*	Reference(基因檢測檢體-Specimen TWNGS)	基因檢測檢體-Specimen TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:device	SCN	0..*	Reference(基因定序檢測裝置-Device TWNGS)	基因定序檢測裝置-Device TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:documentReference	SCN	0..*	Reference(基因報告-DocumentReference TWNGS)	基因報告-DocumentReference TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:observation	SCN	0..*	Reference(基因資訊-Observation TWNGS)	基因資訊-Observation TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
entry:serviceRequest	SCN	0..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目-ServiceRequest TWNGS ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
emptyReason	CN	0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..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	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
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	NHIApplyType (a valid code from NHI-申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-apply-type from this IG
Composition.category	required	NHICaseClassification (a valid code from NHI-案件分類) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-case-classification from this IG
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()
ref-1	error	Composition.subject, Composition.author, Composition.custodian, Composition.section.entry, Composition.section.entry:diagnosticReport, Composition.section.entry:condition, Composition.section.entry:gene-organization, Composition.section.entry:specimen, Composition.section.entry:device, Composition.section.entry:documentReference, Composition.section.entry:observation, Composition.section.entry:serviceRequest	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from TWCoreComposition

Name	Flags	Card.	Type	Description & Constraints
Composition			TWCoreComposition
type				申報類別 Binding: NHI-申報類別值集 (required)
category	S	1..		案件分類 Binding: NHI-案件分類 (required)
subject		1..
date				申報日期
author			Reference(醫事機構-Organization TWNGS)
title				Required Pattern: 次世代基因定序檢測報告證明文件
section		1..
Slices for entry		3..		Slice: Unordered, Open by profile:$this.resolve()
entry:diagnosticReport		1..1	Reference(基因定序檢測報告-DiagnosticReport TWNGS)	基因定序檢測報告-DiagnosticReport TWNGS
entry:condition		1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	基因定序檢測報告之疾病資訊-Condition TWNGS
entry:gene-organization		1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構-Organization Gene TWNGS
entry:specimen			Reference(基因檢測檢體-Specimen TWNGS)	基因檢測檢體-Specimen TWNGS
entry:device			Reference(基因定序檢測裝置-Device TWNGS)	基因定序檢測裝置-Device TWNGS
entry:documentReference			Reference(基因報告-DocumentReference TWNGS)	基因報告-DocumentReference TWNGS
entry:observation			Reference(基因資訊-Observation TWNGS)	基因資訊-Observation TWNGS
entry:serviceRequest			Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目-ServiceRequest TWNGS
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	required	NHIApplyType (a valid code from NHI-申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-apply-type from this IG
Composition.category	required	NHICaseClassification (a valid code from NHI-案件分類) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-case-classification from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	TWCoreComposition	將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
id	Σ	0..1	string	不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
meta	ΣN	0..1	Meta	此Composition 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Composition Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text	N	0..1	Narrative	Composition Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的(contained)、行內的Resources
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	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。 Slice: Unordered, Open by value:url
identifier	SΣN	0..1	Identifier	不分版本的臨床文件架構(Composition)識別碼。
status	?!SΣ	1..1	code	registered | partial | preliminary | final | amended | corrected + Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。
type	SΣN	1..1	CodeableConceptTW	申報類別 Binding: NHI-申報類別值集 (required): 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	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
category	SΣN	1..*	CodeableConceptTW	案件分類 Binding: NHI-案件分類 (required): 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	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
subject	SΣCN	1..1	Reference(TW Core Patient | Group | Device | Substance | TW Core Location)	Composition是關於誰和/或什麼 ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣCN	0..1	Reference(TW Core Encounter)	Composition的情境 ref-1: SHALL have a contained resource if a local reference is provided
date	SΣ	1..1	dateTime	申報日期
author	SΣCN	1..*	Reference(醫事機構-Organization TWNGS)	誰和/或什麼創建了這個Composition ref-1: SHALL have a contained resource if a local reference is provided
title	SΣ	1..1	string	人類可讀的名稱/標題 Required Pattern: 次世代基因定序檢測報告證明文件
confidentiality	Σ	0..1	code	根據特定技術領域的定義 Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
attester	SN	0..*	BackboneElement	證明Composition的準確性
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
time		0..1	dateTime	此Composition被證明的時間
party	CN	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰證明了此Composition ref-1: SHALL have a contained resource if a local reference is provided
custodian	SΣCN	0..1	Reference(TW Core Organization)	維護Composition的機構 ref-1: SHALL have a contained resource if a local reference is provided
relatesTo	N	0..*	BackboneElement	與其他Composition/文件之間的關係
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
target[x]	N	1..1		此關係的目標文件
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	ΣN	0..*	BackboneElement	正在記錄的臨床服務
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣN	0..*	CodeableConceptTW	此代碼表代表了正在被記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
period	ΣCN	0..1	Period	文件所涵蓋的時間區間 per-1: If present, start SHALL have a lower value than end
detail	ΣCN	0..*	Reference(Resource)	在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。 ref-1: SHALL have a contained resource if a local reference is provided
section	SCN	1..*	BackboneElement	Composition被分成一個或數個小節 cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	小節標籤(例如：目錄ToC)
code	SN	0..1	CodeableConceptTW	小節分類(建議) Binding: LOINC Code Document Section值集 (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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
author	CN	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson)	誰和/或什麼人撰寫了該小節 ref-1: SHALL have a contained resource if a local reference is provided
focus	CN	0..1	Reference(Resource)	當小節與composition描述的對象無關時，此小節是關於誰/什麼。 ref-1: SHALL have a contained resource if a local reference is provided
text	SCN	0..1	Narrative	將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
mode		0..1	code	適用於此小節的處理模式 Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
orderedBy	N	0..1	CodeableConceptTW	小節條目的順序 Binding: ListOrderCodes (preferred): 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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
Slices for entry	SCN	3..*	Reference(Resource)	提供一個連結用於參照或查看支持此小節內容的資料 Slice: Unordered, Open by profile:$this.resolve() ref-1: SHALL have a contained resource if a local reference is provided
entry:diagnosticReport	SCN	1..1	Reference(基因定序檢測報告-DiagnosticReport TWNGS)	基因定序檢測報告-DiagnosticReport TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:condition	SCN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	基因定序檢測報告之疾病資訊-Condition TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:gene-organization	SCN	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構-Organization Gene TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:specimen	SCN	0..*	Reference(基因檢測檢體-Specimen TWNGS)	基因檢測檢體-Specimen TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:device	SCN	0..*	Reference(基因定序檢測裝置-Device TWNGS)	基因定序檢測裝置-Device TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:documentReference	SCN	0..*	Reference(基因報告-DocumentReference TWNGS)	基因報告-DocumentReference TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:observation	SCN	0..*	Reference(基因資訊-Observation TWNGS)	基因資訊-Observation TWNGS ref-1: SHALL have a contained resource if a local reference is provided
entry:serviceRequest	SCN	0..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目-ServiceRequest TWNGS ref-1: SHALL have a contained resource if a local reference is provided
emptyReason	CN	0..1	CodeableConceptTW	為什麼此小節是空的原因 Binding: ListEmptyReasons (preferred): 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。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..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	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？
text	SΣ	0..1	string	概念的文字表示法
section	C	0..*	See section (Composition)	嵌套的小節
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	required	NHIApplyType (a valid code from NHI-申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-apply-type from this IG
Composition.category	required	NHICaseClassification (a valid code from NHI-案件分類) https://www.ghd.tw/cdm-fhir/ValueSet/nhi-case-classification from this IG
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	extensible	LOINCDocumentSection https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-doc-section-code
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	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	Composition	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	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	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()
per-1	error	Composition.event.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Composition.subject, Composition.encounter, Composition.author, Composition.attester.party, Composition.custodian, Composition.event.detail, Composition.section.author, Composition.section.focus, Composition.section.entry, Composition.section.entry:diagnosticReport, Composition.section.entry:condition, Composition.section.entry:gene-organization, Composition.section.entry:specimen, Composition.section.entry:device, Composition.section.entry:documentReference, Composition.section.entry:observation, Composition.section.entry:serviceRequest	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreComposition

Summary

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• 醫事機構-Organization TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Organization-twngs)
• 基因定序檢測報告-DiagnosticReport TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/DiagnosticReport-twngs)
• 基因定序檢測報告之疾病資訊-Condition TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Condition-twngs)
• 基因檢測機構-Organization Gene TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Organization-gene-twngs)
• 基因檢測檢體-Specimen TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Specimen-twngs)
• 基因定序檢測裝置-Device TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Device-twngs)
• 基因報告-DocumentReference TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/DocumentReference-twngs)
• 基因資訊-Observation TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-twngs)
• 基因定序檢測申請項目-ServiceRequest TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/ServiceRequest-twngs)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section.entry