臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0

臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

: 病史記錄範例 - XML Representation

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<Condition xmlns="http://hl7.org/fhir">
  <id value="pasport-condition-medical-history-example"/>
  <meta>
    <profile
             value="http://ltc-ig.fhir.tw/StructureDefinition/PASportConditionMedicalHistory"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Condition pasport-condition-medical-history-example</b></p><a name="pasport-condition-medical-history-example"> </a><a name="hcpasport-condition-medical-history-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PASportConditionMedicalHistory.html">運動處方－病史</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>verificationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}">Confirmed</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 10164-2}">History of Present illness Narrative</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 73211009}">第二型糖尿病，已控制</span></p><p><b>subject</b>: <a href="Patient-ltc-patient-chen-ming-hui.html">陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))</a></p><p><b>recordedDate</b>: 2024-01-15</p></div>
  </text>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="active"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="10164-2"/>
      <display value="History of Present illness Narrative"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="73211009"/>
      <display value="Diabetes mellitus"/>
    </coding>
    <text value="第二型糖尿病，已控制"/>
  </code>
  <subject>🔗 
    <reference value="Patient/ltc-patient-chen-ming-hui"/>
  </subject>
  <recordedDate value="2024-01-15"/>
</Condition>