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
<Composition xmlns="http://hl7.org/fhir">
<id value="com-surgery-example"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>手術摘要報告</b></h3><p><b>臨床狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://hl7.org/fhir/composition-status">CompositionStatus</a>#final)</span></p><p><b>種類</b>:Medical records <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC</a>#11503-0)</span></p><p><b>分類</b>:Surgical operation note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC</a>#11504-8)</span></p><p><b>病人</b>:<a href="Patient-pat-example.html">Patient/pat-example</a> "陳加玲"</p><p><b>編輯時間</b>:2023-11-05T14:45:00</p><p><b>報告創建者</b>:<a href="Practitioner-pra-dr-example.html">Practitioner/pra-dr-example</a> "王依昇"</p><p><b>根據特定技術領域的定義</b>:normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-Confidentiality/">v3 Code System Confidentiality</a>#N)</span></p><p><b>證明準確性</b>:</p><blockquote><p><b>認證者提供的認證類型</b>:Personal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/composition-attestation-mode/">CompositionAttestationMode</a>#personal)</span></p><p><b>被證明的時間</b>:2023-11-05T15:30:00</p><p><b>負責證明的人員</b>:<a href="Practitioner-pra-dr-example.html">Practitioner/pra-dr-example</a> "王依昇"</p><p><b>負責維護機構</b>:<a href="Organization-org-hosp-example.html">Organization/org-hosp-example</a> "衛生福利部臺北醫院"</p></blockquote><p><b>正在記錄的臨床服務</b>:</p><blockquote><p><b>被記錄的主要臨床行為代碼</b>:Surgical <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-ActCode/">ActCode</a>#SURG)</span></p><p><b>文件所涵蓋的時間區間</b>:2023-11-05T12:00:00 ~ 2023-11-05T16:00:00</p></blockquote><p><b>報告小節內容:</b> <a href="Procedure-pro-appendectomy-example.html">Procedure/pro-appendectomy-example</a></p></div>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="11503-0"/>
<display value="Medical records"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11504-8"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-example"/>
</subject>
<date value="2023-11-05T14:45:00Z"/>
<author>🔗
<reference value="Practitioner/pra-dr-example"/>
<display value="王依昇"/>
</author>
<title value="手術摘要報告"/>
<confidentiality value="N"/>
<attester>
<mode value="personal"/>
<time value="2023-11-05T15:30:00Z"/>
<party>🔗
<reference value="Practitioner/pra-dr-example"/>
<display value="王依昇"/>
</party>
</attester>
<custodian>🔗
<reference value="Organization/org-hosp-example"/>
<display value="衛生福利部臺北醫院"/>
</custodian>
<event>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="SURG"/>
<display value="Surgical"/>
</coding>
</code>
<period>
<start value="2023-11-05T12:00:00Z"/>
<end value="2023-11-05T16:00:00Z"/>
</period>
</event>
<section>
<entry>🔗
<reference value="Procedure/pro-appendectomy-example"/>
</entry>
</section>
</Composition>