臺灣核心實作指引(TW Core IG)
0.3.1 - Ci-Build Trial Use

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Example Composition: 手術摘要報告

手術摘要報告

臨床狀態:Final (CompositionStatus#final)

種類:Medical records ( LOINC#11503-0)

分類:Surgical operation note ( LOINC#11504-8)

病人Patient/pat-example "陳加玲"

編輯時間:2023-11-05T14:45:00

報告創建者Practitioner/pra-dr-example "王依昇"

根據特定技術領域的定義:normal ( v3 Code System Confidentiality#N)

證明準確性

認證者提供的認證類型:Personal ( CompositionAttestationMode#personal)

被證明的時間:2023-11-05T15:30:00

負責證明的人員Practitioner/pra-dr-example "王依昇"

負責維護機構Organization/org-hosp-example "衛生福利部臺北醫院"

正在記錄的臨床服務

被記錄的主要臨床行為代碼:Surgical ( ActCode#SURG)

文件所涵蓋的時間區間:2023-11-05T12:00:00 ~ 2023-11-05T16:00:00

報告小節內容: Procedure/pro-appendectomy-example