此模型說明本 IG 如何定義牙周炎病人自費同意書的資料結構。

病患姓名。

病患出生日期。

病患的病歷號碼。

醫療機構名稱。

自費同意書說明內容。

自費原因（多選）。

其他自費原因說明。

自費項目明細列表。

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

自費品項名稱。

自費品項單價。

自費品項數量。

自費品項自付金額。

附註條款內容。

立同意書人姓名。

立同意書人身分證統一編號。

立同意書人與病人之關係。

聯絡電話。

手機號碼。

通訊地址。

立同意書人簽名。

同意書簽署日期。

此模型說明本 IG 如何定義牙周炎病人自費同意書的資料結構。

病患姓名。

病患出生日期。

病患的病歷號碼。

醫療機構名稱。

自費同意書說明內容。

自費原因（多選）。

其他自費原因說明。

自費項目明細列表。

自費品項名稱。

自費品項單價。

自費品項數量。

自費品項自付金額。

附註條款內容。

立同意書人姓名。

立同意書人身分證統一編號。

立同意書人與病人之關係。

聯絡電話。

手機號碼。

通訊地址。

立同意書人簽名。

同意書簽署日期。

此模型說明本 IG 如何定義牙周炎病人自費同意書的資料結構。

病患姓名。

病患出生日期。

病患的病歷號碼。

醫療機構名稱。

自費同意書說明內容。

自費原因（多選）。

其他自費原因說明。

自費項目明細列表。

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

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.

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

自費品項名稱。

自費品項單價。

自費品項數量。

自費品項自付金額。

附註條款內容。

立同意書人姓名。

立同意書人身分證統一編號。

立同意書人與病人之關係。

聯絡電話。

手機號碼。

通訊地址。

立同意書人簽名。

同意書簽署日期。