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

## Logical Model: 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型

Official URL: http://dental-ig.fhir.tw/StructureDefinition/TWDentalPeriodontalSelfPayConsent | Version: 0.0.1
Active as of 2025-06-10 | Computable Name: TWDentalPeriodontalSelfPayConsentModel

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。

Usage:

- This Logical Model Profile is not used by any profiles in this Implementation Guide

### 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
--- | --- | --- | --- | ---
TWDentalPeriodontalSelfPayConsent |  | 0..* | Base | 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型
patientName |  | 1..1 | HumanName | 姓名
birthDate |  | 1..1 | date | 出生日期
medicalRecordNumber |  | 1..1 | Identifier | 病歷號碼
organizationName |  | 1..1 | string | 醫院(診所)名稱
consentDescription |  | 1..1 | string | 同意說明
selfPayReasons |  | 1..* | CodeableConcept | 自費原因
selfPayOtherReason |  | 0..1 | string | 其他自費原因
selfPayItems |  | 1..* | BackboneElement | 自費項目明細 ele-1: All FHIR elements must have a @value or children
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations 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
modifierExtension | ?!Σ | 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
itemName |  | 1..1 | string | 品項名稱
unitPrice |  | 0..1 | Money | 單價
quantity |  | 0..1 | integer | 數量
amount |  | 0..1 | Money | 自付金額
notes |  | 0..* | string | 附註
consentPersonName |  | 1..1 | HumanName | 立同意書人姓名
consentPersonId |  | 1..1 | string | 身分證統一編號
consentRelation |  | 1..1 | string | 與病人之關係
contactPhone |  | 0..1 | string | 聯絡電話
contactMobile |  | 0..1 | string | 手機
contactAddress |  | 0..1 | string | 通訊地址
consentSignature |  | 1..1 | Signature | 簽名
consentDate |  | 1..1 | date | 同意日期
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
TWDentalPeriodontalSelfPayConsent |  | 0..* | Base | 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型
patientName |  | 1..1 | HumanName | 姓名
birthDate |  | 1..1 | date | 出生日期
medicalRecordNumber |  | 1..1 | Identifier | 病歷號碼
organizationName |  | 1..1 | string | 醫院(診所)名稱
consentDescription |  | 1..1 | string | 同意說明
selfPayReasons |  | 1..* | CodeableConcept | 自費原因
selfPayOtherReason |  | 0..1 | string | 其他自費原因
selfPayItems |  | 1..* | BackboneElement | 自費項目明細
itemName |  | 1..1 | string | 品項名稱
unitPrice |  | 0..1 | Money | 單價
quantity |  | 0..1 | integer | 數量
amount |  | 0..1 | Money | 自付金額
notes |  | 0..* | string | 附註
consentPersonName |  | 1..1 | HumanName | 立同意書人姓名
consentPersonId |  | 1..1 | string | 身分證統一編號
consentRelation |  | 1..1 | string | 與病人之關係
contactPhone |  | 0..1 | string | 聯絡電話
contactMobile |  | 0..1 | string | 手機
contactAddress |  | 0..1 | string | 通訊地址
consentSignature |  | 1..1 | Signature | 簽名
consentDate |  | 1..1 | date | 同意日期
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
TWDentalPeriodontalSelfPayConsent |  | 0..* | Base | 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型
patientName |  | 1..1 | HumanName | 姓名
birthDate |  | 1..1 | date | 出生日期
medicalRecordNumber |  | 1..1 | Identifier | 病歷號碼
organizationName |  | 1..1 | string | 醫院(診所)名稱
consentDescription |  | 1..1 | string | 同意說明
selfPayReasons |  | 1..* | CodeableConcept | 自費原因
selfPayOtherReason |  | 0..1 | string | 其他自費原因
selfPayItems |  | 1..* | BackboneElement | 自費項目明細
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
itemName |  | 1..1 | string | 品項名稱
unitPrice |  | 0..1 | Money | 單價
quantity |  | 0..1 | integer | 數量
amount |  | 0..1 | Money | 自付金額
notes |  | 0..* | string | 附註
consentPersonName |  | 1..1 | HumanName | 立同意書人姓名
consentPersonId |  | 1..1 | string | 身分證統一編號
consentRelation |  | 1..1 | string | 與病人之關係
contactPhone |  | 0..1 | string | 聯絡電話
contactMobile |  | 0..1 | string | 手機
contactAddress |  | 0..1 | string | 通訊地址
consentSignature |  | 1..1 | Signature | 簽名
consentDate |  | 1..1 | date | 同意日期
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from Base

Summary

Mandatory: 0 element(13 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
TWDentalPeriodontalSelfPayConsent |  | 0..* | Base | 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型
patientName |  | 1..1 | HumanName | 姓名
birthDate |  | 1..1 | date | 出生日期
medicalRecordNumber |  | 1..1 | Identifier | 病歷號碼
organizationName |  | 1..1 | string | 醫院(診所)名稱
consentDescription |  | 1..1 | string | 同意說明
selfPayReasons |  | 1..* | CodeableConcept | 自費原因
selfPayOtherReason |  | 0..1 | string | 其他自費原因
selfPayItems |  | 1..* | BackboneElement | 自費項目明細 ele-1: All FHIR elements must have a @value or children
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations 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
modifierExtension | ?!Σ | 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
itemName |  | 1..1 | string | 品項名稱
unitPrice |  | 0..1 | Money | 單價
quantity |  | 0..1 | integer | 數量
amount |  | 0..1 | Money | 自付金額
notes |  | 0..* | string | 附註
consentPersonName |  | 1..1 | HumanName | 立同意書人姓名
consentPersonId |  | 1..1 | string | 身分證統一編號
consentRelation |  | 1..1 | string | 與病人之關係
contactPhone |  | 0..1 | string | 聯絡電話
contactMobile |  | 0..1 | string | 手機
contactAddress |  | 0..1 | string | 通訊地址
consentSignature |  | 1..1 | Signature | 簽名
consentDate |  | 1..1 | date | 同意日期
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
TWDentalPeriodontalSelfPayConsent |  | 0..* | Base | 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型
patientName |  | 1..1 | HumanName | 姓名
birthDate |  | 1..1 | date | 出生日期
medicalRecordNumber |  | 1..1 | Identifier | 病歷號碼
organizationName |  | 1..1 | string | 醫院(診所)名稱
consentDescription |  | 1..1 | string | 同意說明
selfPayReasons |  | 1..* | CodeableConcept | 自費原因
selfPayOtherReason |  | 0..1 | string | 其他自費原因
selfPayItems |  | 1..* | BackboneElement | 自費項目明細
itemName |  | 1..1 | string | 品項名稱
unitPrice |  | 0..1 | Money | 單價
quantity |  | 0..1 | integer | 數量
amount |  | 0..1 | Money | 自付金額
notes |  | 0..* | string | 附註
consentPersonName |  | 1..1 | HumanName | 立同意書人姓名
consentPersonId |  | 1..1 | string | 身分證統一編號
consentRelation |  | 1..1 | string | 與病人之關係
contactPhone |  | 0..1 | string | 聯絡電話
contactMobile |  | 0..1 | string | 手機
contactAddress |  | 0..1 | string | 通訊地址
consentSignature |  | 1..1 | Signature | 簽名
consentDate |  | 1..1 | date | 同意日期
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
TWDentalPeriodontalSelfPayConsent |  | 0..* | Base | 牙周炎病人自費同意書 (TW Periodontal Self-Pay Consent) 之邏輯模型
patientName |  | 1..1 | HumanName | 姓名
birthDate |  | 1..1 | date | 出生日期
medicalRecordNumber |  | 1..1 | Identifier | 病歷號碼
organizationName |  | 1..1 | string | 醫院(診所)名稱
consentDescription |  | 1..1 | string | 同意說明
selfPayReasons |  | 1..* | CodeableConcept | 自費原因
selfPayOtherReason |  | 0..1 | string | 其他自費原因
selfPayItems |  | 1..* | BackboneElement | 自費項目明細
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
itemName |  | 1..1 | string | 品項名稱
unitPrice |  | 0..1 | Money | 單價
quantity |  | 0..1 | integer | 數量
amount |  | 0..1 | Money | 自付金額
notes |  | 0..* | string | 附註
consentPersonName |  | 1..1 | HumanName | 立同意書人姓名
consentPersonId |  | 1..1 | string | 身分證統一編號
consentRelation |  | 1..1 | string | 與病人之關係
contactPhone |  | 0..1 | string | 聯絡電話
contactMobile |  | 0..1 | string | 手機
contactAddress |  | 0..1 | string | 通訊地址
consentSignature |  | 1..1 | Signature | 簽名
consentDate |  | 1..1 | date | 同意日期
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |

This structure is derived from Base

Summary

Mandatory: 0 element(13 nested mandatory elements)

Other representations of profile: CSV, Excel