臺灣牙醫實作指引 (Taiwan Dental Implementation Guide)
0.0.1 - ballot
臺灣牙醫實作指引 (Taiwan Dental Implementation Guide) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2025-06-10 |
JSON representation of the TWDentalPeriodontalSelfPayConsent logical model.
{
"resourceType" : "StructureDefinition",
"id" : "TWDentalPeriodontalSelfPayConsent",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition TWDentalPeriodontalSelfPayConsent</b></p><a name=\"TWDentalPeriodontalSelfPayConsent\"> </a><a name=\"hcTWDentalPeriodontalSelfPayConsent\"> </a><a name=\"TWDentalPeriodontalSelfPayConsent-en-US\"> </a><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; padding-top: 3px; padding-bottom: 3px\" 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; padding-top: 3px; padding-bottom: 3px\" 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; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times 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; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & 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_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent\" title=\"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。\">TWDentalPeriodontalSelfPayConsent</a><a name=\"TWDentalPeriodontalSelfPayConsent\"> </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=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型</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_bck10.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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.patientName\" title=\"病患姓名。\">patientName</a><a name=\"TWDentalPeriodontalSelfPayConsent.patientName\"> </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\">1..1</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/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">姓名</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.birthDate\" title=\"病患出生日期。\">birthDate</a><a name=\"TWDentalPeriodontalSelfPayConsent.birthDate\"> </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..1</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=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">出生日期</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_bck10.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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.medicalRecordNumber\" title=\"病患的病歷號碼。\">medicalRecordNumber</a><a name=\"TWDentalPeriodontalSelfPayConsent.medicalRecordNumber\"> </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\">1..1</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/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">病歷號碼</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.organizationName\" title=\"醫療機構名稱。\">organizationName</a><a name=\"TWDentalPeriodontalSelfPayConsent.organizationName\"> </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..1</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=\"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\">醫院(診所)名稱</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.consentDescription\" title=\"自費同意書說明內容。\">consentDescription</a><a name=\"TWDentalPeriodontalSelfPayConsent.consentDescription\"> </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\">1..1</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">同意說明</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_bck10.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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayReasons\" title=\"自費原因（多選）。\">selfPayReasons</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayReasons\"> </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..*</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=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">自費原因<br/></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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayOtherReason\" title=\"其他自費原因說明。\">selfPayOtherReason</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayOtherReason\"> </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\">0..1</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">其他自費原因</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_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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayItems\" title=\"自費項目明細列表。\">selfPayItems</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayItems\"> </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..*</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=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">自費項目明細<br/></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_bck110.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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName\" title=\"自費品項名稱。\">itemName</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName\"> </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\">1..1</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">品項名稱</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_bck110.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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice\" title=\"自費品項單價。\">unitPrice</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice\"> </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\">0..1</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=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">單價</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_bck110.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.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity\" title=\"自費品項數量。\">quantity</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity\"> </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\">0..1</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/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">數量</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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.selfPayItems.amount\" title=\"自費品項自付金額。\">amount</a><a name=\"TWDentalPeriodontalSelfPayConsent.selfPayItems.amount\"> </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\">0..1</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=\"http://hl7.org/fhir/R4/datatypes.html#Money\">Money</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">自付金額</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.notes\" title=\"附註條款內容。\">notes</a><a name=\"TWDentalPeriodontalSelfPayConsent.notes\"> </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\">0..*</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">附註<br/></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_bck10.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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.consentPersonName\" title=\"立同意書人姓名。\">consentPersonName</a><a name=\"TWDentalPeriodontalSelfPayConsent.consentPersonName\"> </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..1</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=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">立同意書人姓名</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.consentPersonId\" title=\"立同意書人身分證統一編號。\">consentPersonId</a><a name=\"TWDentalPeriodontalSelfPayConsent.consentPersonId\"> </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\">1..1</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">身分證統一編號</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.consentRelation\" title=\"立同意書人與病人之關係。\">consentRelation</a><a name=\"TWDentalPeriodontalSelfPayConsent.consentRelation\"> </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..1</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=\"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\">與病人之關係</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.contactPhone\" title=\"聯絡電話。\">contactPhone</a><a name=\"TWDentalPeriodontalSelfPayConsent.contactPhone\"> </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\">0..1</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">聯絡電話</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.contactMobile\" title=\"手機號碼。\">contactMobile</a><a name=\"TWDentalPeriodontalSelfPayConsent.contactMobile\"> </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\">0..1</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=\"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\">手機</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_bck10.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.contactAddress\" title=\"通訊地址。\">contactAddress</a><a name=\"TWDentalPeriodontalSelfPayConsent.contactAddress\"> </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\">0..1</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/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">通訊地址</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_bck10.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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.consentSignature\" title=\"立同意書人簽名。\">consentSignature</a><a name=\"TWDentalPeriodontalSelfPayConsent.consentSignature\"> </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..1</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=\"http://hl7.org/fhir/R4/datatypes.html#Signature\">Signature</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">簽名</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_bck00.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_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalPeriodontalSelfPayConsent-definitions.html#TWDentalPeriodontalSelfPayConsent.consentDate\" title=\"同意書簽署日期。\">consentDate</a><a name=\"TWDentalPeriodontalSelfPayConsent.consentDate\"> </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\">1..1</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/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">同意日期</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" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalPeriodontalSelfPayConsent",
"version" : "0.0.1",
"name" : "TWDentalPeriodontalSelfPayConsentModel",
"title" : "牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型",
"status" : "active",
"date" : "2025-06-10T09:56:59+08:00",
"publisher" : "金屬工業研究發展中心",
"contact" : [
{
"name" : "金屬工業研究發展中心",
"telecom" : [
{
"system" : "url",
"value" : "https://www.mirdc.org.tw/"
}
]
},
{
"name" : "黃怡文",
"telecom" : [
{
"system" : "email",
"value" : "lisaiwh@mail.mirdc.org.tw",
"use" : "work"
}
]
},
{
"name" : "莊世任",
"telecom" : [
{
"system" : "email",
"value" : "renjuang@mail.mirdc.org.tw",
"use" : "work"
}
]
}
],
"description" : "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。",
"fhirVersion" : "4.0.1",
"kind" : "logical",
"abstract" : false,
"type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalPeriodontalSelfPayConsent",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "TWDentalPeriodontalSelfPayConsent",
"path" : "TWDentalPeriodontalSelfPayConsent",
"short" : "牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型",
"definition" : "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。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.patientName",
"path" : "TWDentalPeriodontalSelfPayConsent.patientName",
"short" : "姓名",
"definition" : "病患姓名。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.patientName",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "HumanName"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.birthDate",
"path" : "TWDentalPeriodontalSelfPayConsent.birthDate",
"short" : "出生日期",
"definition" : "病患出生日期。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.birthDate",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.medicalRecordNumber",
"path" : "TWDentalPeriodontalSelfPayConsent.medicalRecordNumber",
"short" : "病歷號碼",
"definition" : "病患的病歷號碼。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.medicalRecordNumber",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.organizationName",
"path" : "TWDentalPeriodontalSelfPayConsent.organizationName",
"short" : "醫院(診所)名稱",
"definition" : "醫療機構名稱。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.organizationName",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentDescription",
"path" : "TWDentalPeriodontalSelfPayConsent.consentDescription",
"short" : "同意說明",
"definition" : "自費同意書說明內容。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.consentDescription",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayReasons",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayReasons",
"short" : "自費原因",
"definition" : "自費原因（多選）。",
"min" : 1,
"max" : "*",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayReasons",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayOtherReason",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayOtherReason",
"short" : "其他自費原因",
"definition" : "其他自費原因說明。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayOtherReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems",
"short" : "自費項目明細",
"definition" : "自費項目明細列表。",
"min" : 1,
"max" : "*",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"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"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.id",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.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" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.extension",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.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" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.modifierExtension",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"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.",
"requirements" : "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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.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 element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName",
"short" : "品項名稱",
"definition" : "自費品項名稱。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice",
"short" : "單價",
"definition" : "自費品項單價。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Money"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity",
"short" : "數量",
"definition" : "自費品項數量。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.amount",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.amount",
"short" : "自付金額",
"definition" : "自費品項自付金額。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.amount",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Money"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.notes",
"path" : "TWDentalPeriodontalSelfPayConsent.notes",
"short" : "附註",
"definition" : "附註條款內容。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.notes",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentPersonName",
"path" : "TWDentalPeriodontalSelfPayConsent.consentPersonName",
"short" : "立同意書人姓名",
"definition" : "立同意書人姓名。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.consentPersonName",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "HumanName"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentPersonId",
"path" : "TWDentalPeriodontalSelfPayConsent.consentPersonId",
"short" : "身分證統一編號",
"definition" : "立同意書人身分證統一編號。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.consentPersonId",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentRelation",
"path" : "TWDentalPeriodontalSelfPayConsent.consentRelation",
"short" : "與病人之關係",
"definition" : "立同意書人與病人之關係。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.consentRelation",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.contactPhone",
"path" : "TWDentalPeriodontalSelfPayConsent.contactPhone",
"short" : "聯絡電話",
"definition" : "聯絡電話。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.contactPhone",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.contactMobile",
"path" : "TWDentalPeriodontalSelfPayConsent.contactMobile",
"short" : "手機",
"definition" : "手機號碼。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.contactMobile",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.contactAddress",
"path" : "TWDentalPeriodontalSelfPayConsent.contactAddress",
"short" : "通訊地址",
"definition" : "通訊地址。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.contactAddress",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentSignature",
"path" : "TWDentalPeriodontalSelfPayConsent.consentSignature",
"short" : "簽名",
"definition" : "立同意書人簽名。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.consentSignature",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Signature"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentDate",
"path" : "TWDentalPeriodontalSelfPayConsent.consentDate",
"short" : "同意日期",
"definition" : "同意書簽署日期。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalPeriodontalSelfPayConsent.consentDate",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "TWDentalPeriodontalSelfPayConsent",
"path" : "TWDentalPeriodontalSelfPayConsent",
"short" : "牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型",
"definition" : "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。"
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.patientName",
"path" : "TWDentalPeriodontalSelfPayConsent.patientName",
"short" : "姓名",
"definition" : "病患姓名。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "HumanName"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.birthDate",
"path" : "TWDentalPeriodontalSelfPayConsent.birthDate",
"short" : "出生日期",
"definition" : "病患出生日期。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.medicalRecordNumber",
"path" : "TWDentalPeriodontalSelfPayConsent.medicalRecordNumber",
"short" : "病歷號碼",
"definition" : "病患的病歷號碼。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.organizationName",
"path" : "TWDentalPeriodontalSelfPayConsent.organizationName",
"short" : "醫院(診所)名稱",
"definition" : "醫療機構名稱。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentDescription",
"path" : "TWDentalPeriodontalSelfPayConsent.consentDescription",
"short" : "同意說明",
"definition" : "自費同意書說明內容。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayReasons",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayReasons",
"short" : "自費原因",
"definition" : "自費原因（多選）。",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayOtherReason",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayOtherReason",
"short" : "其他自費原因",
"definition" : "其他自費原因說明。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems",
"short" : "自費項目明細",
"definition" : "自費項目明細列表。",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.itemName",
"short" : "品項名稱",
"definition" : "自費品項名稱。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.unitPrice",
"short" : "單價",
"definition" : "自費品項單價。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Money"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.quantity",
"short" : "數量",
"definition" : "自費品項數量。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "integer"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.amount",
"path" : "TWDentalPeriodontalSelfPayConsent.selfPayItems.amount",
"short" : "自付金額",
"definition" : "自費品項自付金額。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Money"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.notes",
"path" : "TWDentalPeriodontalSelfPayConsent.notes",
"short" : "附註",
"definition" : "附註條款內容。",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentPersonName",
"path" : "TWDentalPeriodontalSelfPayConsent.consentPersonName",
"short" : "立同意書人姓名",
"definition" : "立同意書人姓名。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "HumanName"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentPersonId",
"path" : "TWDentalPeriodontalSelfPayConsent.consentPersonId",
"short" : "身分證統一編號",
"definition" : "立同意書人身分證統一編號。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentRelation",
"path" : "TWDentalPeriodontalSelfPayConsent.consentRelation",
"short" : "與病人之關係",
"definition" : "立同意書人與病人之關係。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.contactPhone",
"path" : "TWDentalPeriodontalSelfPayConsent.contactPhone",
"short" : "聯絡電話",
"definition" : "聯絡電話。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.contactMobile",
"path" : "TWDentalPeriodontalSelfPayConsent.contactMobile",
"short" : "手機",
"definition" : "手機號碼。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.contactAddress",
"path" : "TWDentalPeriodontalSelfPayConsent.contactAddress",
"short" : "通訊地址",
"definition" : "通訊地址。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentSignature",
"path" : "TWDentalPeriodontalSelfPayConsent.consentSignature",
"short" : "簽名",
"definition" : "立同意書人簽名。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Signature"
}
]
},
{
"id" : "TWDentalPeriodontalSelfPayConsent.consentDate",
"path" : "TWDentalPeriodontalSelfPayConsent.consentDate",
"short" : "同意日期",
"definition" : "同意書簽署日期。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
}
]
}
}