臺灣中醫實作指引
0.1.0 - ci-build
臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_CompositionTWCM-min"> </a><h3><b>中醫門診單</b></h3><p><b>病歷表單版本</b>:1</p><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>:Outpatient Note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#34108-1)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>文件產生時間</b>:2010-04-21T14:30:00+08:00</p><p><b>醫事機構代碼</b>:<a href="Organization-OrganizationTWCM-min.html">OrganizationTWCM-min</a> "3801012567"<br/><b>醫事機構名稱</b>:<a href="Organization-OrganizationTWCM-min.html">OrganizationTWCM-min</a> "捷達世中醫診所"</p><p><b>文件標題</b>:中醫門診單</p><p><b>文件敏感性</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>病摘小節內容:</b></p><blockquote><p><b>section[PatientInformation]</b>: <a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a></p><p><b>section[AllergyIntolerance]</b>: <a href="AllergyIntolerance-AllergyIntoleranceTWCM-min.html">AllergyIntolerance/AllergyIntoleranceTWCM-min</a></p><p><b>section[MedicalHistory]</b>: <a href="Condition-ConditionMedicalHistoryTWCM-min.html">Condition/ConditionMedicalHistoryTWCM-min</a>、<a href="Condition-ConditionMedicalHistoryTWCM-menstrual.html">Condition/ConditionMedicalHistoryTWCM-menstrual</a>、<a href="Condition-ConditionMedicalHistoryTWCM-obstetric.html">Condition/ConditionMedicalHistoryTWCM-obstetric</a>、<a href="Condition-ConditionMedicalHistoryTWCM-pediatric.html">Condition/ConditionMedicalHistoryTWCM-pediatric</a></p><p><b>section[ConditionMajorIllness]</b>: <a href="Observation-ObservationMajorIllnessTWCM-min.html">Observation/ObservationMajorIllnessTWCM-min</a><br/><span style="display: block; margin-left: 20px;"><b>section</b>: <a href="Condition-ConditionMajorIllnessTWCM-min.html">Condition/ConditionMajorIllnessTWCM-min</a></span></p><p><b>section[Medication]</b>:<br/><span style="display: block; margin-left: 20px;"><b>section[medication]</b>: <a href="Medication-MedicationTWCM-min.html">Medication/MedicationTWCM-min</a><br/><b>section[medication]</b>: <a href="Medication-MedicationTWCM-pro.html">Medication/MedicationTWCM-pro</a><br/><b>section[medicationrequest]</b>: <a href="MedicationRequest-MedicationRequestTWCM-min.html">MedicationRequest/MedicationRequestTWCM-min</a><br/><b>section[medicationrequest]</b>: <a href="MedicationRequest-MedicationRequestTWCM-pro.html">MedicationRequest/MedicationRequestTWCM-pro</a></span></p><p><b>section[ConditionDiagnosis]</b>:<br/><span style="display: block; margin-left: 20px;"><b>section[conditiondiagnosis]</b>: <a href="Condition-ConditionDiagnosisTWCM-min.html">Condition/ConditionDiagnosisTWCM-min</a>、<a href="Condition-ConditionSyndromeTypeTWCM-min.html">Condition/ConditionSyndromeTypeTWCM-min</a><br/><b>section[practitioner]</b>: <a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a></span></p><p><b>section[PhysicalFindings]</b>: <a href="Observation-ObservationPulseConditionTWCM-min.html">Observation/ObservationPulseConditionTWCM-min</a>、<a href="Observation-ObservationPulseConditionTWCM-lefthand.html">Observation/ObservationPulseConditionTWCM-lefthand</a></p><p><b>section[PlanOfCare]</b>: <a href="CarePlan-CarePlanTWCM-min.html">CarePlan/CarePlanTWCM-min</a>、<a href="Procedure-ProcedureTherapeuticPrinciplesTWCM-min.html">Procedure/ProcedureTherapeuticPrinciplesTWCM-min</a></p><p><b>section[ConditionChiefComplaint]</b>: <a href="Condition-ConditionChiefComplaintTWCM-min.html">Condition/ConditionChiefComplaintTWCM-min</a></p><p><b>section[PresentIllness]</b>: <a href="Condition-ConditionMedicalHistoryTWCM-present.html">Condition/ConditionMedicalHistoryTWCM-present</a></p><p><b>section[ObservationVitalSign]</b>: <a href="Observation-ObservationVitalSignTWCM-min.html">Observation/ObservationVitalSignTWCM-min</a></p><p><b>section[Procedure]</b>: <a href="Procedure-ProcedureTWCM-min.html">Procedure/ProcedureTWCM-min</a><br/><b>section[Procedure]</b>: <a href="Procedure-ProcedureTWCM-minn.html">Procedure/ProcedureTWCM-minn</a><br/><b>section[Procedure]</b>: <a href="Procedure-ProcedureTWCM-pro.html">Procedure/ProcedureTWCM-pro</a></p><p><b>section[ObservationLabResults]</b>:<br/><span style="display: block; margin-left: 20px;"><b>section[observation]</b>: <a href="Observation-ObservationTWCM-min.html">Observation/ObservationTWCM-min</a><br/><b>section[observation]</b>: <a href="Observation-ObservationTWCM-pro.html">Observation/ObservationTWCM-pro</a><br/><b>section[servicerequest]</b>: <a href="ServiceRequest-ServiceRequestTWCM-min.html">ServiceRequest/ServiceRequestTWCM-min</a><br/><b>section[servicerequest]</b>: <a href="ServiceRequest-ServiceRequestTWCM-pro.html">ServiceRequest/ServiceRequestTWCM-pro</a><br/><b>section[diagnosticreport]</b>: <a href="DiagnosticReport-DiagnosticReportTWCM-min.html">DiagnosticReport/DiagnosticReportTWCM-min</a><br/><b>section[bloodtype]</b>: <a href="Observation-ObservationBloodtypeTWCM-min.html">Observation/ObservationBloodtypeTWCM-min</a></span></p><p><b>section[DocumentReference]</b>: <a href="DocumentReference-DocumentReferenceTWCM-min.html">DocumentReference/DocumentReferenceTWCM-min</a></p><p><b>section[FamilyMemberHistory]</b>: <a href="FamilyMemberHistory-FamilyMemberHistoryTWCM-min.html">FamilyMemberHistory/FamilyMemberHistoryTWCM-min</a></p><p><b>section[SocialHistory]</b>: <a href="Observation-ObservationSocialHistoryTWCM-min.html">Observation/ObservationSocialHistoryTWCM-min</a><br/><span style="display: block; margin-left: 20px;"><b>section[occupation]</b>: <a href="Observation-ObservationOccupationTWCM-min.html">Observation/ObservationOccupationTWCM-min</a><br/><b>section[educationlevel]</b>: <a href="Observation-ObservationEducationLevelTWCM-min.html">Observation/ObservationEducationLevelTWCM-min</a></span></p><p><b>section[Objective]</b>:<br/><span style="display: block; margin-left: 20px;"><a href="ClinicalImpression-ClinicalImpressionTWCM-min.html">ClinicalImpression/ClinicalImpressionTWCM-min</a><br/><a href="Observation-ObservationInspectionTWCM-min.html">Observation/ObservationInspectionTWCM-min</a><br/><a href="Observation-ObservationListeningSmellingTWCM-min.html">Observation/ObservationListeningSmellingTWCM-min</a><br/><a href="Observation-ObservationInquiryTWCM-min.html">Observation/ObservationInquiryTWCM-min</a><br/><a href="Observation-ObservationPalpationTWCM-min.html">Observation/ObservationPalpationTWCM-min</a></span></p></blockquote></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_PatientTWCM-min"> </a><h3><b>病患基本資料</b></h3><blockquote><p><b>識別碼型別</b>:National Person Identifier <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v2-0203">Identifier Type Codes</a>#NNxxx )</span><br/><b>身份證號(official)</b>:H221765234 (http://www.moi.gov.tw/)</p></blockquote><blockquote><p><b>識別碼型別</b>:Medical record number <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v2-0203">IdentifierType</a>#MR)</span><br/><b>病歷號(official)</b>:556789 (https://tpech.gov.taipei/)</p></blockquote><p><b>姓名(usual)</b>:陳美真</p><p><b>住宅電話</b>:(Home)0222600888<br/><b>公司電話</b>:(Work)0222678902#2231<br/><b>行動電話</b>:(Mobile)0911123123<br/><b>病人電子郵件地址</b>:lucky@gmail.com</p><p><b>性別</b>:Female</p><p><b>出生日期</b>:1976-09-06</p><p><b>病人子女數[extension: <a href="StructureDefinition-childnumber-twcm.html">childnumber</a>]</b>:0</p><p><b>病人戶籍地址</b>:(Home)(11492)台北市內湖區基湖路32號</p><p><b>病人聯絡地址</b>:(Billing)(11492)台北市內湖區基湖路32號</p><p><b>婚姻</b>:Never Married <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus">Marital Status Codes</a>#S)</span></p><p><b>緊急聯絡人姓名</b>:郭大鵬<br/><b>緊急聯絡人與病人關係</b>:unrelated friend <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-RoleCode">PatientRelationshipType</a>#FRND)</span></p></div>
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<telecom>
<system value="email"/>
<value value="lucky@gmail.com"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1976-09-06"/>
<address>
<extension
url="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number">
<valueString value="32號"/>
</extension>
<use value="home"/>
<text value="台北市內湖區基湖路32號"/>
<line value="基湖路"/>
<city value="內湖區"/>
<district value="台北市"/>
<postalCode>
<extension
url="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-postal-code">
<valueCodeableConcept>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/postal-code5-tw"/>
<code value="11492"/>
</coding>
</valueCodeableConcept>
</extension>
</postalCode>
</address>
<address>
<extension
url="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number">
<valueString value="32號"/>
</extension>
<use value="billing"/>
<text value="台北市內湖區基湖路32號"/>
<line value="基湖路"/>
<city value="內湖區"/>
<district value="台北市"/>
<postalCode>
<extension
url="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-postal-code">
<valueCodeableConcept>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/postal-code5-tw"/>
<code value="11492"/>
</coding>
</valueCodeableConcept>
</extension>
</postalCode>
</address>
<maritalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
<code value="S"/>
</coding>
</maritalStatus>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FRND"/>
</coding>
</relationship>
<name>
<text value="郭大鵬"/>
</name>
<telecom>
<system value="phone"/>
<value value="0289760000"/>
<use value="home"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="0228825252"/>
<use value="work"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="0922212323"/>
<use value="mobile"/>
</telecom>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Organization/OrganizationTWCM-min"/>
<resource>
<Organization>
<id value="OrganizationTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_OrganizationTWCM-min"> </a><h3><b>醫事機構基本資料</b></h3><p><b>機構名稱</b>:捷達世中醫診所</p><p><b>識別碼型別</b>:Provider number<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v2-0203">IdentifierType</a>#PRN)</span><br/><b>機構代碼(official)</b>:3801012567 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw"/>
<value value="3801012567"/>
</identifier>
<name value="捷達世中醫診所"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Encounter/EncounterTWCM-min"/>
<resource>
<Encounter>
<id value="EncounterTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_EncounterTWCM-min"> </a><h3><b>就醫相關內容</b></h3><p><b>識別碼型別</b>:Serial Number <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v2-0203">Identifier Type Codes</a>#SNO</span><br/><b>掛號序號</b>:0035</p><p><b>病人來源(就醫分類)</b>:ambulatory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://terminology.hl7.org/4.0.0/ValueSet-v3-ActEncounterCode.html">ActEncounterCode</a>#AMB)</span></p><p><b>就醫現況</b>:Finished <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/encounter-status">EncounterStatus</a>#finished)</span></p><p><b>看診科別</b>:中醫科 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw">臺灣健保署就醫科別</a>#60)</span></p><p><b>掛號(報到)時間</b>:2010-10-10 17:30:00-0500</p><p><b>就醫身份[extension: <a href="StructureDefinition-medicalidentity-twcm.html">medicalidentity</a>]</b>:健保</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>看診醫師身分證字號</b>: <a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "A135792648"<br/><b>看診醫師姓名</b>: <a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p></div>
</text>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/medicalidentity-twcm">
<valueCodeableConcept>
<text value="健保"/>
</valueCodeableConcept>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SNO"/>
</coding>
</type>
<system
value="https://www.nricm.edu.tw/twcm/identifiers/encounter"/>
<value value="0035"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<serviceType>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-treatment-department-nhi-tw"/>
<code value="60"/>
<display value="中醫一般科"/>
</coding>
</serviceType>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<participant>
<individual>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</individual>
</participant>
<period>
<start value="2010-10-10T17:30:00-05:00"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationEducationLevelTWCM-min"/>
<resource>
<Observation>
<id value="ObservationEducationLevelTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationeducationlevel-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationEducationLevelTWCM-min"> </a><h3><b>教育程度</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:最高教育程度 <span style="background: LightGoldenRodYellow;">( <a href="http://loinc.org">LOINCCodes</a>#82589-3)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>執行檢查日期</b>:2010-04-01 17:30:00-0500</p><p><b>教育程度</b>:大專</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="82589-3"/>
<display value="Highest level of education"/>
</coding>
<text value="最高教育程度"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-04-01T17:30:00-05:00"/>
<valueCodeableConcept>
<text value="大專"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationOccupationTWCM-min"/>
<resource>
<Observation>
<id value="ObservationOccupationTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationoccupation-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationOccupationTWCM-min"> </a><h3><b>職業</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:History of Occupation <span style="background: LightGoldenRodYellow;">( <a href="http://loinc.org">LOINCCodes</a>#11341-5)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>職業</b>:醫療業</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="social-history"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11341-5"/>
<display value="History of Occupation"/>
</coding>
<text value="History of Occupation"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectivePeriod>
<start value="2005-08-01"/>
</effectivePeriod>
<valueCodeableConcept>
<text value="醫療業"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationBloodtypeTWCM-min"/>
<resource>
<Observation>
<id value="ObservationBloodtypeTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationbloodtype-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationBloodtypeTWCM-min"> </a><h3><b>血型</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:ABO group [Type] in Blood <span style="background: LightGoldenRodYellow;">( <a href="http://loinc.org">LOINCCodes</a>#883-9)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>自述血型</b>:AB</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="883-9"/>
<display value="ABO group [Type] in Blood"/>
</coding>
<text value="ABO group [Type] in Blood"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueCodeableConcept>
<text value="AB"/>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/AllergyIntolerance/AllergyIntoleranceTWCM-min"/>
<resource>
<AllergyIntolerance>
<id value="AllergyIntoleranceTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/allergyintolerance-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_AllergyIntoleranceTWCM-min"> </a><h3><b>過敏或不耐症</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical">AllergyIntoleranceClinicalStatusCodes</a>#active)</span></p><p><b>過敏或不耐症的識別</b>:Penicillin</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<code>
<text value="Penicillin"/>
</code>
<patient>🔗
<reference value="Patient/PatientTWCM-min"/>
</patient>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionMedicalHistoryTWCM-min"/>
<resource>
<Condition>
<id value="ConditionMedicalHistoryTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmedicalhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionMedicalHistoryTWCM-min"> </a><h3><b>過去病史</b></h3><p><b>臨床狀態</b>:Resolved <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#resolved)</span></p><p><b>病情、問題或診斷分類</b>:History of Past illness note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org/">LOINC</a>#11348-0)</span></p><p><b>病情、問題或診斷識別</b>:A型血友病</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="resolved"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="History of Past illness note"/>
</coding>
</category>
<code>
<text value="A型血友病"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionMedicalHistoryTWCM-menstrual"/>
<resource>
<Condition>
<id value="ConditionMedicalHistoryTWCM-menstrual"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmedicalhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionMedicalHistoryTWCM-menstrual"> </a><h3><b>月經史</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:History of Past illness note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org/">LOINC</a>#11348-0)</span><br/>月經史 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-twcm-medicalhistory-category.html">中醫病史分類</a>#月經史)</span></p><p><b>病情、問題或診斷識別</b>:初經13歲,週期約28天,經期5天,經色暗紅夾血塊,經前乳房脹痛 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#血塊)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="History of Past illness note"/>
</coding>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category"/>
<code value="月經史"/>
<display value="月經史"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="血塊"/>
<display value="血塊"/>
</coding>
<text value="初經13歲,週期約28天,經期5天,經色暗紅夾血塊,經前乳房脹痛"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionMedicalHistoryTWCM-obstetric"/>
<resource>
<Condition>
<id value="ConditionMedicalHistoryTWCM-obstetric"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmedicalhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionMedicalHistoryTWCM-obstetric"> </a><h3><b>產科史</b></h3><p><b>臨床狀態</b>:Resolved <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#resolved)</span></p><p><b>病情、問題或診斷分類</b>:History of Past illness note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org/">LOINC</a>#11348-0)</span><br/>產科史 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-twcm-medicalhistory-category.html">中醫病史分類</a>#產科史)</span></p><p><b>病情、問題或診斷識別</b>:G2P2,自然產2胎,第一胎懷孕初期嘔吐明顯 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#妊娠嘔吐)</span></p><p><b>發生時期</b>:第一胎懷孕期間</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="resolved"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="History of Past illness note"/>
</coding>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category"/>
<code value="產科史"/>
<display value="產科史"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="妊娠嘔吐"/>
<display value="妊娠嘔吐"/>
</coding>
<text value="G2P2,自然產2胎,第一胎懷孕初期嘔吐明顯"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<onsetString value="第一胎懷孕期間"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionMedicalHistoryTWCM-pediatric"/>
<resource>
<Condition>
<id value="ConditionMedicalHistoryTWCM-pediatric"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmedicalhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionMedicalHistoryTWCM-pediatric"> </a><h3><b>小兒病史</b></h3><p><b>臨床狀態</b>:Resolved <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#resolved)</span></p><p><b>病情、問題或診斷分類</b>:History of Past illness note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org/">LOINC</a>#11348-0)</span><br/>小兒病史 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-twcm-medicalhistory-category.html">中醫病史分類</a>#小兒病史)</span></p><p><b>病情、問題或診斷識別</b>:小兒氣喘,國小後未再發作(無對應代碼,僅記錄文字)</p><p><b>發生時期</b>:兒童時期</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="resolved"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="History of Past illness note"/>
</coding>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category"/>
<code value="小兒病史"/>
<display value="小兒病史"/>
</coding>
</category>
<code>
<text value="小兒氣喘,國小後未再發作"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<onsetString value="兒童時期"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionMedicalHistoryTWCM-present"/>
<resource>
<Condition>
<id value="ConditionMedicalHistoryTWCM-present"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmedicalhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionMedicalHistoryTWCM-present"> </a><h3><b>現病史</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:History of Present illness Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org/">LOINC</a>#10164-2)</span></p><p><b>病情、問題或診斷識別</b>:第二型糖尿病,三年前於西醫診斷,目前口服降血糖藥控制 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw">臺灣健保署2023年中文版ICD-10-CM</a>#E11.9)</span></p><p><b>發生時間</b>:三年前</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="10164-2"/>
<display value="History of Present illness Narrative"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw"/>
<code value="E11.9"/>
<display value="第二型糖尿病,未伴有併發症"/>
</coding>
<text value="第二型糖尿病,三年前於西醫診斷,目前口服降血糖藥控制"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<onsetString value="三年前"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationMajorIllnessTWCM-min"/>
<resource>
<Observation>
<id value="ObservationMajorIllnessTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationmajorillness-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationMajorIllnessTWCM-min"> </a><h3><b>重大傷病註記資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:History of Major illnesses and injuries Narrative <span style="background: LightGoldenRodYellow;">( <a href="http://loinc.org">LOINC</a>#11338-1)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>重大傷病註記</b>:是</p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11338-1"/>
<display
value="History of Major illnesses and injuries Narrative"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueBoolean value="true"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionMajorIllnessTWCM-min"/>
<resource>
<Condition>
<id value="ConditionMajorIllnessTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmajorillness-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionMajorIllnessTWCM-min"> </a><h3><b>重大傷病</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:History of Major illnesses and injuries Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org/">LOINC</a>#11338-1)</span></p><p><b>重大傷病代碼與病名</b>:遺傳性第Ⅷ凝血因子缺乏症 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw">臺灣健保署2023年中文版ICD-10-CM</a>#D66)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11338-1"/>
<display
value="History of Major illnesses and injuries Narrative"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw"/>
<code value="D66"/>
<display value="遺傳性第Ⅷ凝血因子缺乏症"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Medication/MedicationTWCM-min"/>
<resource>
<Medication>
<id value="MedicationTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/medication-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_MedicationTWCM-min"> </a><h3><b>藥品的詳細資料</b></h3><p><b>藥品藥品碼</b>:衛署藥製字第052494號 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-mohw-dopmac-tcmmedication.html">臺灣衛福部中醫藥品許可證</a>#衛署藥製字第052494號)</span></p><p><b>藥品商品名</b>:“仙豐”浙貝母濃縮散 JEH BEY MUU EXTRACT PULVERES“SHENG FOONG”</p></div>
</text>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/mohw-dopmac-tcmmedication"/>
<code value="衛署藥製字第052494號"/>
<display
value="“仙豐”浙貝母濃縮散 JEH BEY MUU EXTRACT PULVERES“SHENG FOONG”"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Medication/MedicationTWCM-pro"/>
<resource>
<Medication>
<id value="MedicationTWCM-pro"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/medication-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_MedicationTWCM-pro"> </a><h3><b>藥品的詳細資料</b></h3><p><b>藥品健保碼</b>:A061308 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/nhi-medication-ch-herb-tw">臺灣健保署中藥用藥品項</a>#A061308)</span></p><p><b>藥品藥品碼</b>:衛部藥製字第061308號 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-mohw-dopmac-tcmmedication.html">臺灣衛福部中醫藥品許可證</a>#衛部藥製字第061308號)</span></p><p><b>藥品商品名</b>:"順天堂"紅耆濃縮顆粒</p></div>
</text>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/nhi-medication-ch-herb-tw"/>
<code value="A061308"/>
<display value=""順天堂"紅耆濃縮顆粒"/>
</coding>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/mohw-dopmac-tcmmedication"/>
<code value="衛部藥製字第061308號"/>
<display
value="“順天堂”紅耆濃縮顆粒 "Sun Ten" Hong Qi Extract Granules"/>
</coding>
</code>
</Medication>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/MedicationRequest/MedicationRequestTWCM-min"/>
<resource>
<MedicationRequest>
<id value="MedicationRequestTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/medicationrequest-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_MedicationRequestTWCM-min"> </a><h3><b>藥品請求的詳細資料</b></h3><p><b>藥品請求的狀態</b>:Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason">MedicationRequest Status Reason Codes</a>#completed)</span></p><p><b>藥品請求的意圖</b>:Order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/CodeSystem/medicationrequest-intent">medicationRequest Intent</a>#order)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>藥品</b>:<a href="Medication-MedicationTWCM-min.html">Medication/MedicationTWCM-min</a></p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>藥品調劑方式</b>:先煎</p><p><b>藥品使用頻率</b>:一天四次,三餐飯後與睡前 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation">HL7 TimingAbbreviation </a>#QID)</span></p><p><b>用藥開始時間</b>:2010-04-01<br/><b>用藥結束時間</b>:2010-04-03</p><p><b>服藥天數</b>:3d</p><p><b>藥品服用方法</b>:Oral route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></p><p><b>用量</b>:1</p><p><b>用量單位</b>:g</p><p><b>藥品總用量</b>:12g</p><p><b>包數</b>:12</p></div>
</text>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/packagenumber-twcm">
<valueInteger value="12"/>
</extension>
<status value="completed"/>
<intent value="order"/>
<medicationReference>🔗
<reference value="Medication/MedicationTWCM-min"/>
</medicationReference>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<note>
<text value="先煎"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2010-04-01"/>
<end value="2010-04-03"/>
</boundsPeriod>
<duration value="3"/>
<durationUnit value="d"/>
</repeat>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
<code value="QID"/>
<display value="QID"/>
</coding>
<text value="一天四次,三餐飯後與睡前"/>
</code>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="g"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="12"/>
<unit value="g"/>
</quantity>
</dispenseRequest>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/MedicationRequest/MedicationRequestTWCM-pro"/>
<resource>
<MedicationRequest>
<id value="MedicationRequestTWCM-pro"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/medicationrequest-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_MedicationRequestTWCM-pro"> </a><h3><b>藥品請求的詳細資料</b></h3><p><b>藥品請求的狀態</b>:Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason">MedicationRequest Status Reason Codes</a>#completed)</span></p><p><b>藥品請求的意圖</b>:Order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/CodeSystem/medicationrequest-intent">medicationRequest Intent</a>#order)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>藥品</b>:<a href="Medication-MedicationTWCM-pro.html">Medication/MedicationTWCM-pro</a></p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>藥品調劑方式</b>:先煎</p><p><b>藥品使用頻率</b>:QID <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation">HL7 TimingAbbreviation </a>#QID)</span></p><p><b>用藥開始時間</b>:2010-04-01<br/><b>用藥結束時間</b>:2010-04-03</p><p><b>服藥天數</b>:3d</p><p><b>藥品服用方法</b>:Oral route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></p><p><b>用量</b>:1</p><p><b>用量單位</b>:g</p><p><b>藥品總用量</b>:12g</p><p><b>包數</b>:12</p></div>
</text>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/packagenumber-twcm">
<valueInteger value="12"/>
</extension>
<status value="completed"/>
<intent value="order"/>
<medicationReference>🔗
<reference value="Medication/MedicationTWCM-pro"/>
</medicationReference>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<note>
<text value="先煎"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2010-04-01"/>
<end value="2010-04-03"/>
</boundsPeriod>
<duration value="3"/>
<durationUnit value="d"/>
</repeat>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
<code value="QID"/>
<display value="QID"/>
</coding>
<text value="一天四次,三餐飯後與睡前"/>
</code>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="g"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<quantity>
<value value="12"/>
<unit value="g"/>
</quantity>
</dispenseRequest>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionDiagnosisTWCM-min"/>
<resource>
<Condition>
<id value="ConditionDiagnosisTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditiondiagnosis-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionDiagnosisTWCM-min"> </a><h3><b>診斷資料</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:Encounter Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-category">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>診斷代碼</b>:D66 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw">臺灣健保署2023年中文版ICD-10-CM</a>#D66)</span><br/><b>診斷名稱</b>:遺傳性第Ⅷ凝血因子缺乏症 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw">臺灣健保署2023年中文版ICD-10-CM</a>#D66)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw"/>
<code value="D66"/>
<display value="遺傳性第Ⅷ凝血因子缺乏症"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Practitioner/PractitionerTWCM-pro"/>
<resource>
<Practitioner>
<id value="PractitionerTWCM-pro"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_PractitionerTWCM-pro"> </a><h3><b>醫師基本資料</b></h3><p><b>識別碼型別</b>:National Person Identifier <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v2-0203">Identifier Type Codes</a>#NNxxx )</span><br/><b>身份證號(official)</b>:A135792648 (http://www.moi.gov.tw/)</p><p><b>姓名(official)</b>:張正原</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NNxxx"/>
</coding>
</type>
<system value="http://www.moi.gov.tw"/>
<value value="A135792648"/>
</identifier>
<name>
<use value="official"/>
<text value="張正原"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="https://www.nricm.edu.tw/twcm/CarePlan/CarePlanTWCM-min"/>
<resource>
<CarePlan>
<id value="CarePlanTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_CarePlanTWCM-min"> </a><h3><b>關懷計畫</b></h3><p><b>狀態</b>:Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-status">RequestStatus</a>#completed)</span></p><p><b>意圖</b>:Proposal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-intent">Care Plan Intent</a>#proposal)</span></p><p><b>類別</b>:Assessment and Plan of Treatment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw">臺灣衛福部資訊處照護計畫類別 </a>#assess-plan)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>醫師囑咐</b>:多多休息</p></div>
</text>
<status value="completed"/>
<intent value="proposal"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw"/>
<code value="assess-plan"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<note>
<text value="多多休息"/>
</note>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationPulseConditionTWCM-min"/>
<resource>
<Observation>
<id value="ObservationPulseConditionTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationpulsecondition-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationPulseConditionTWCM-min"> </a><h3><b>病人脈象</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Finding of pulse taking by palpation (finding) <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#421608007)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>把脈手別</b>:右腕 <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#9736006)</span></p><p><b>病人脈象</b>:寸:浮脈;關:細脈、滑脈;尺:沉脈</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="421608007"/>
<display value="Finding of pulse taking by palpation (finding)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="9736006"/>
<display value="Structure of right wrist region"/>
</coding>
</bodySite>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#884"/>
<display value="寸脈"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#889"/>
<display value="浮脈"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#885"/>
<display value="關脈"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#896"/>
<display value="細脈"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#885"/>
<display value="關脈"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#900"/>
<display value="滑脈"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#886"/>
<display value="尺脈"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#890"/>
<display value="沉脈"/>
</coding>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationPulseConditionTWCM-lefthand"/>
<resource>
<Observation>
<id value="ObservationPulseConditionTWCM-lefthand"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationpulsecondition-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationPulseConditionTWCM-lefthand"> </a><h3><b>病人脈象</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Finding of pulse taking by palpation (finding) <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#421608007)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>把脈手別</b>:左腕 <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#5951000)</span></p><p><b>病人脈象</b>:弦脈</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="421608007"/>
<display value="Finding of pulse taking by palpation (finding)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#904"/>
<display value="弦脈"/>
</coding>
</valueCodeableConcept>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="5951000"/>
<display value="Structure of left wrist region"/>
</coding>
</bodySite>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionSyndromeTypeTWCM-min"/>
<resource>
<Condition>
<id value="ConditionSyndromeTypeTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionsyndrometype-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionSyndromeTypeTWCM-min"> </a><h3><b>病人證型</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:Encounter Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-category">Condition Category Codes</a>#encounter-diagnosis)</span><br/>Multiple symptoms (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#38276004)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>病人證型</b>:外感風寒,脾失健運</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38276004"/>
<display value="Multiple symptoms (finding)"/>
</coding>
</category>
<code>
<coding>
<system value="http://id.who.int/icd/release/11/mms"/>
<code value="SF8C"/>
<display value="Wind-cold fettering the lung pattern (TM1)"/>
</coding>
<coding>
<system value="http://id.who.int/icd/release/11/mms"/>
<code value="SF70"/>
<display value="Spleen qi deficiency pattern (TM1)"/>
</coding>
<text value="外感風寒,脾失健運"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Procedure/ProcedureTherapeuticPrinciplesTWCM-min"/>
<resource>
<Procedure>
<id value="ProcedureTherapeuticPrinciplesTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/proceduretherapeuticprinciples-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_ProcedureTherapeuticPrinciplesTWCM-min"> </a><h3><b>病人治則</b></h3><p><b>處置或手術狀態</b>:completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/event-status">EventStatus</a>#completed)</span></p><p><b>處置或手術分類</b>:Treatment plan given (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#314705003)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>病人治則</b>:補氣調中,補氣活血</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="314705003"/>
<display value="Treatment plan given (finding)"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#2429"/>
<display value="補氣;益氣;扶正益氣;扶正補氣"/>
</coding>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/who-ictm-terminology"/>
<code value="WGM2#2462"/>
<display value="補益氣血;補氣養血"/>
</coding>
<text value="補氣調中,補氣活血"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Condition/ConditionChiefComplaintTWCM-min"/>
<resource>
<Condition>
<id value="ConditionChiefComplaintTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/conditionchiefcomplaint-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_ConditionChiefComplaintTWCM-min"> </a><h3><b>病人主訴</b></h3><p><b>臨床狀態</b>:Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:Problem List Item <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-category">Condition Category Codes</a>#problem-list-item)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>病人主訴</b>:頭痛,肚子悶痛兩天</p></div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<note>
<text value="頭痛,肚子悶痛兩天"/>
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationVitalSignTWCM-min"/>
<resource>
<Observation>
<id value="ObservationVitalSignTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationvitalsign-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationVitalSignTWCM-min"> </a><h3><b>生命徵象資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Vitals+wt+ht+hc+SaO2+BMI Pnl <span style="background: LightGoldenRodYellow;">( <a href="http://loinc.org">Vital Signs</a>#85353-1)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>執行日期</b>:2010-04-01 10:20:23-0500</p><p><b>檢查者</b>: <a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p><p><b>項目</b>:</p><ul><li><a href="Observation-obs-bloodPressure-example-TWCM.html">血壓(Observation/obs-bloodPressure-example-TWCM)</a></li><li><a href="Observation-obs-heartrate-example-TWCM.html">脈搏(Observation/obs-heartrate-example-TWCM)</a></li><li><a href="Observation-obs-bodyheight-example-TWCM.html">身高(Observation/obs-bodyheight-example-TWCM)</a></li><li><a href="Observation-obs-bodyweight-example-TWCM.html">體重(Observation/obs-bodyweight-example-TWCM)</a></li><li><a href="Observation-obs-bodytemp-example-TWCM.html">體溫(Observation/obs-bodytemp-example-TWCM)</a></li></ul></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85353-1"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-01T10:20:23-05:00"/>
<performer>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</performer>
<hasMember>🔗
<reference value="Observation/obs-bloodPressure-example-TWCM"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/obs-heartrate-example-TWCM"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/obs-bodyheight-example-TWCM"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/obs-bodyweight-example-TWCM"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/obs-bodytemp-example-TWCM"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/obs-bloodPressure-example-TWCM"/>
<resource>
<Observation>
<id value="obs-bloodPressure-example-TWCM"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationbloodpressure-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-bloodPressure-example-TWCM"> </a><h3><b>血壓資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Blood pressure panel with all children optional <span style="background: LightGoldenRodYellow;">( <a href="https://loinc.org/">LOINC</a>#85354-9)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查者</b>:<a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗結果</b></p><blockquote><p><b>檢驗項目</b>:Systolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#8480-6)</span></p><p><b>檢驗值</b>:120 mmHg</p></blockquote><blockquote><p><b>檢驗項目</b>:Diastolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#8462-4)</span></p><p><b>檢驗值</b>:95 mmHg</p></blockquote></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85354-9"/>
<display value="Blood pressure panel with all children optional"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-01"/>
<performer>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</performer>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="120"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</coding>
</code>
<valueQuantity>
<value value="95"/>
<unit value="mmHg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/obs-heartrate-example-TWCM"/>
<resource>
<Observation>
<id value="obs-heartrate-example-TWCM"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationheartrate-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-heartrate-example-TWCM"> </a><h3><b>脈搏資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Heart rate <span style="background: LightGoldenRodYellow;">( <a href="https://loinc.org/">LOINC</a>#8867-4)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查者</b>:<a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:17 /min</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8867-4"/>
<display value="Heart rate"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-01"/>
<performer>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</performer>
<valueQuantity>
<value value="17"/>
<unit value="/min"/>
<system value="http://unitsofmeasure.org"/>
<code value="/min"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/obs-bodyheight-example-TWCM"/>
<resource>
<Observation>
<id value="obs-bodyheight-example-TWCM"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationbodyheight-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-bodyheight-example-TWCM"> </a><h3><b>身高資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Body height <span style="background: LightGoldenRodYellow;">( <a href="https://loinc.org/">LOINC</a>#8302-2)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查者</b>:<a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:162 cm</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8302-2"/>
<display value="Body height"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-01"/>
<performer>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</performer>
<valueQuantity>
<value value="162"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/obs-bodyweight-example-TWCM"/>
<resource>
<Observation>
<id value="obs-bodyweight-example-TWCM"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationbodyweight-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-bodyweight-example-TWCM"> </a><h3><b>體重資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Body weight <span style="background: LightGoldenRodYellow;">( <a href="https://loinc.org/">LOINC</a>#29463-7)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查者</b>:<a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:50 kg</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-01"/>
<performer>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</performer>
<valueQuantity>
<value value="50"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/obs-bodytemp-example-TWCM"/>
<resource>
<Observation>
<id value="obs-bodytemp-example-TWCM"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationbodytemp-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs-bodytemp-example-TWCM"> </a><h3><b>體溫資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Body temperature <span style="background: LightGoldenRodYellow;">( <a href="https://loinc.org/">LOINC</a>#8310-5)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查者</b>:<a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:38 ℃</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8310-5"/>
<display value="Body temperature"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-01"/>
<performer>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</performer>
<valueQuantity>
<value value="38"/>
<unit value="℃"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Procedure/ProcedureTWCM-min"/>
<resource>
<Procedure>
<id value="ProcedureTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_ProcedureTWCM-min"> </a><h3><b>處置或手術基本資料</b></h3><p><b>處置或手術狀態</b>:completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/event-status">EventStatus</a>#completed)</span></p><p><b>處置健保碼</b>:D01 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣健保署醫療服務給付項目</a>#D01)</span></p><p><b>處置說明</b>:一般針灸-另開內服藥</p><p><b>針灸部位</b>:A</p><p><b>處置類別</b>:Acu <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-twcm-procedurecategory.html">中醫處置分類值集</a>#Acu)</span></p><p><b>針灸穴位</b>:承靈</p><p><b>針灸補充說明</b>:下針3公分</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p></div>
</text>
<status value="completed"/>
<category>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-procedurecategory"/>
<code value="Acu"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="D01"/>
<display value="一般針灸-另開內服藥"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<bodySite>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm">
<valueCodeableConcept>
<text value="承靈,下針3公分"/>
</valueCodeableConcept>
</extension>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm">
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-acupuncturepoint"/>
<code value="GB18"/>
<display value="承靈"/>
</coding>
<text value="承靈"/>
</valueCodeableConcept>
</extension>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-treatmentregion"/>
<code value="CA"/>
</coding>
<text value="A"/>
</bodySite>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Procedure/ProcedureTWCM-minn"/>
<resource>
<Procedure>
<id value="ProcedureTWCM-minn"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_ProcedureTWCM-minn"> </a><h3><b>處置或手術基本資料</b></h3><p><b>處置類別</b>:Con <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-twcm-procedurecategory.html">中醫處置分類值集</a>#Con)</span></p><p><b>處置或手術狀態</b>:completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/event-status">EventStatus</a>#completed)</span></p><p><b>處置健保碼</b>:F04 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣健保署醫療服務給付項目</a>#F04)</span></p><p><b>處置說明</b>:一般針灸合併中度複雜性傷科--療程第二至六次-另開內服藥</p><p><b>針灸部位</b>:A<br/><b>針灸穴位</b>:承靈<br/><b>針灸補充說明</b>:承靈,下針4公分</p><p><b>傷科部位</b>:H<br/><b>傷科手法</b>:按摩法</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p></div>
</text>
<status value="completed"/>
<category>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-procedurecategory"/>
<code value="Con"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="F04"/>
<display value="一般針灸合併中度複雜性傷科--療程第二至六次-另開內服藥"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<bodySite>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm">
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-acupuncturepoint"/>
<code value="GB18"/>
<display value="承靈"/>
</coding>
<text value="承靈"/>
</valueCodeableConcept>
</extension>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm">
<valueCodeableConcept>
<text value="承靈,下針4公分"/>
</valueCodeableConcept>
</extension>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-treatmentregion"/>
<code value="CA"/>
</coding>
<text value="A"/>
</bodySite>
<bodySite>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm">
<valueCodeableConcept>
<text value="按摩法"/>
</valueCodeableConcept>
</extension>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-treatmentregion"/>
<code value="CD"/>
</coding>
<text value="H"/>
</bodySite>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Procedure/ProcedureTWCM-pro"/>
<resource>
<Procedure>
<id value="ProcedureTWCM-pro"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_ProcedureTWCM-pro"> </a><h3><b>處置或手術基本資料</b></h3><p><b>處置類別</b>:Dis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-twcm-procedurecategory.html">中醫處置分類值集</a>#Dis)</span></p><p><b>處置或手術狀態</b>:completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/event-status">EventStatus</a>#completed)</span></p><p><b>處置健保碼</b>:E09 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣健保署醫療服務給付項目</a>#E09)</span></p><p><b>處置說明</b>:高度複雜性傷科-起始次-3.脫臼整復復位-起始次-另開內服藥</p><p><b>脫臼整復部位</b>:F</p><p><b>脫臼整復處理方法</b>:端、提法</p><p><b>脫臼整復的補充說明</b>:包紮</p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p></div>
</text>
<status value="completed"/>
<category>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-procedurecategory"/>
<code value="Dis"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="E09"/>
<display value="高度複雜性傷科-起始次-3.脫臼整復復位-起始次-另開內服藥"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<bodySite>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm">
<valueCodeableConcept>
<text value="端、提法"/>
</valueCodeableConcept>
</extension>
<extension
url="https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm">
<valueCodeableConcept>
<text value="包紮"/>
</valueCodeableConcept>
</extension>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-treatmentregion"/>
<code value="CG"/>
</coding>
<text value="F"/>
</bodySite>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/ServiceRequest/ServiceRequestTWCM-min"/>
<resource>
<ServiceRequest>
<id value="ServiceRequestTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_ServiceRequestTWCM-min"> </a><h3><b>服務請求</b></h3><p><b>狀態</b>:Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-status">RequestStatus</a>#completed)</span></p><p><b>類別</b>:Order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-intent">Care Plan Intent</a>#order)</span></p><p><b>請求項目</b>:梅毒試驗 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣健保署醫療服務給付項目</a>#12001C)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>檢驗檢查開單機構代碼</b>:<a href="Organization-OrganizationTWCM-min.html">Organization/OrganizationTWCM-min</a> "3801012567"<br/><b>檢驗檢查開單機構名稱</b>:<a href="Organization-OrganizationTWCM-min.html">Organization/OrganizationTWCM-min</a> "捷達世中醫診所"</p><p><b>檢驗檢查開單日期</b>:2010-04-01 10:09:45-05:00</p></div>
</text>
<status value="completed"/>
<intent value="order"/>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="12001C"/>
<display value="梅毒試驗"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<occurrenceDateTime value="2010-04-01T10:09:45-05:00"/>
<requester>🔗
<reference value="Organization/OrganizationTWCM-min"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/ServiceRequest/ServiceRequestTWCM-pro"/>
<resource>
<ServiceRequest>
<id value="ServiceRequestTWCM-pro"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_ServiceRequestTWCM-pro"> </a><h3><b>服務請求</b></h3><p><b>狀態</b>:Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-status">RequestStatus</a>#completed)</span></p><p><b>類別</b>:Order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-intent">Care Plan Intent</a>#order)</span></p><p><b>請求項目</b>:單純疱疹病毒IgM抗體 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣健保署醫療服務給付項目</a>#14052B)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>檢驗檢查開單機構代碼</b>:<a href="Organization-OrganizationTWCM-min.html">Organization/OrganizationTWCM-min</a> "3801012567"<br/><b>檢驗檢查開單機構名稱</b>:<a href="Organization-OrganizationTWCM-min.html">Organization/OrganizationTWCM-min</a> "捷達世中醫診所"</p><p><b>檢驗檢查開單日期</b>:2010-04-01 10:09:45-05:00</p></div>
</text>
<status value="completed"/>
<intent value="order"/>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="14052B"/>
<display value="單純疱疹病毒IgM抗體"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<occurrenceDateTime value="2010-04-01T10:09:45-05:00"/>
<requester>🔗
<reference value="Organization/OrganizationTWCM-min"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationTWCM-min"/>
<resource>
<Observation>
<id value="ObservationTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationTWCM-min"> </a><h3><b>檢驗檢查資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Laboratory <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#laboratory)</span></p><p><b>檢驗項目</b>:梅毒試驗VDRL <span style="background: LightGoldenRodYellow;">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣醫療服務給付項目</a>#12001C)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查日期</b>:2010-04-11 10:20:23-0500</p><p><b>檢查完成日期</b>:2010-04-11 10:20:23-0500</p><p><b>檢驗檢查機構代碼</b>: <a href="Organization-OrganizationInspectionTWCM-min.html">Organization/OrganizationInspectionTWCM-min</a> "3214567890"</p><p><b>檢驗檢查機構名稱</b>: <a href="Organization-OrganizationInspectionTWCM-min.html">Organization/OrganizationInspectionTWCM-min</a> "捷達世檢驗所"</p><p><b>檢驗結果值</b>:Positive(+)</p><p><b>檢驗結果判斷註記</b>:陽性</p><p><b>檢驗結果備註說明</b>:是</p><p><b>基於請求</b>:<a href="ServiceRequest-ServiceRequestTWCM-min.html">ServiceRequest/ServiceRequestTWCM-min</a></p></div>
</text>
<basedOn>🔗
<reference value="ServiceRequest/ServiceRequestTWCM-min"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="12001C"/>
<display value="梅毒試驗"/>
</coding>
<text value="梅毒試驗VDRL"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-11T10:20:23-05:00"/>
<issued value="2010-04-11T10:20:23-05:00"/>
<performer>🔗
<reference value="Organization/OrganizationInspectionTWCM-min"/>
</performer>
<valueString value="Positive(+)"/>
<interpretation>
<text value="陽性"/>
</interpretation>
<note>
<text value="是"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationTWCM-pro"/>
<resource>
<Observation>
<id value="ObservationTWCM-pro"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationTWCM-pro"> </a><h3><b>檢驗檢查資料</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Laboratory <span style="background: LightGoldenRodYellow;">( <a href="http://hl7.org/fhir/R4/codesystem-observation-category.html">Observation Category Codes</a>#laboratory)</span></p><p><b>檢驗項目</b>:HSV IgM <span style="background: LightGoldenRodYellow;">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣醫療服務給付項目</a>#14052B)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>檢查日期</b>:2010-04-11 10:20:23-0500</p><p><b>檢查完成日期</b>:2010-04-11 10:20:23-0500</p><p><b>檢驗檢查機構代碼</b>: <a href="Organization-OrganizationInspectionTWCM-min.html">Organization/OrganizationInspectionTWCM-min</a> "3214567890"</p><p><b>檢驗檢查機構名稱</b>: <a href="Organization-OrganizationInspectionTWCM-min.html">Organization/OrganizationInspectionTWCM-min</a> "捷達世檢驗所"</p><p><b>檢驗結果值</b>:Negative(-)</p><p><b>檢驗結果判斷註記</b>:陰性</p><p><b>檢驗結果備註說明</b>:否</p><p><b>基於請求</b>:<a href="ServiceRequest-ServiceRequestTWCM-pro.html">ServiceRequest/ServiceRequestTWCM-pro</a></p></div>
</text>
<basedOn>🔗
<reference value="ServiceRequest/ServiceRequestTWCM-pro"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="14052B"/>
<display value="單純疱疹病毒IgM抗體"/>
</coding>
<text value="HSV IgM"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<effectiveDateTime value="2010-04-11T10:20:23-05:00"/>
<issued value="2010-04-11T10:20:23-05:00"/>
<performer>🔗
<reference value="Organization/OrganizationInspectionTWCM-min"/>
</performer>
<valueString value="Negative(-)"/>
<interpretation>
<text value="陰性"/>
</interpretation>
<note>
<text value="否"/>
</note>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/DiagnosticReport/DiagnosticReportTWCM-min"/>
<resource>
<DiagnosticReport>
<id value="DiagnosticReportTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/diagnosticreport-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_DiagnosticReportTWCM-min"> </a><h3><b>診斷報告</b></h3><p><b>診斷狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html">DiagnosticReportStatus</a>#final)</span></p><p><b>診斷分類</b>:Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/valueset-diagnostic-service-sections.html">DiagnosticServiceSectionCodes</a>#LAB)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p><p><b>報告日期</b>:2010-04-10 11:10:20-0800</p><p><b>檢驗檢查名稱</b>:VDRL、HSV IgM</p><p><b>檢驗結果</b>:<a href="Observation-ObservationTWCM-min.html">Observation/ObservationTWCM-min</a></p><p><b>基於請求</b>:<a href="ServiceRequest-ServiceRequestTWCM-min.html">ServiceRequest/ServiceRequestTWCM-min</a></p><p><b>檢驗結果</b>:<a href="Observation-ObservationTWCM-pro.html">Observation/ObservationTWCM-pro</a></p><p><b>基於請求</b>:<a href="ServiceRequest-ServiceRequestTWCM-pro.html">ServiceRequest/ServiceRequestTWCM-pro</a></p></div>
</text>
<basedOn>🔗
<reference value="ServiceRequest/ServiceRequestTWCM-min"/>
</basedOn>
<basedOn>🔗
<reference value="ServiceRequest/ServiceRequestTWCM-pro"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="LAB"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<text value="VDRL、HSV IgM"/>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-04-10T11:10:20+08:00"/>
<result>🔗
<reference value="Observation/ObservationTWCM-min"/>
</result>
<result>🔗
<reference value="Observation/ObservationTWCM-pro"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Organization/OrganizationInspectionTWCM-min"/>
<resource>
<Organization>
<id value="OrganizationInspectionTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/organizationinspection-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_OrganizationInspectionTWCM-min"> </a><h3><b>檢驗檢查機構基本資料</b></h3><p><b>機構名稱</b>:捷達世檢驗所</p><p><b>識別碼型別</b>:Facility ID<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v2-0203">IdentifierType</a>#FI)</span><br/><b>機構代碼(official)</b>:3214567890 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FI"/>
</coding>
</type>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw"/>
<value value="3214567890"/>
</identifier>
<name value="捷達世檢驗所"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/DocumentReference/DocumentReferenceTWCM-min"/>
<resource>
<DocumentReference>
<id value="DocumentReferenceTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_DocumentReferenceTWCM-min"> </a><h3><b>文件參照</b></h3><p><b>狀態</b>:Current <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/codesystem-document-reference-status.html">DocumentReferenceStatus</a>#current)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>紀錄中使用的檔案</b>:</p><blockquote><p><b>檔案</b>:針灸圖.jpeg</p><br/><p><b>檔案</b>:不施行心肺復甦術同意書.pdf</p></blockquote><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="current"/>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<content>
<attachment>
<contentType value="image/jpeg"/>
<data
value="JVBERi0xLjUNCiW1tbW1DQoxIDAgb2JqDQo8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyh6aC1UVykgL1N0cnVjdFRyZWVSb290IDE3IDAgUi9NYXJrSW5mbzw8L01hcmtlZCB0cnVlPj4+Pg0KZW5kb2JqDQoyIDAgb2JqDQo8PC9UeXBlL1BhZ2VzL0NvdW50IDIvS2lkc1sgMyAwIFIgMTQgMCBSXSA+Pg0KZW5kb2JqDQozIDAgb2JqDQo8PC9UeXBlL1BhZ2UvUGFyZW50IDIgMCBSL1Jlc291cmNlczw8L0ZvbnQ8PC9GMSA1IDAgUi9GMiA3IDAgUi9GMyA5IDAgUj4+L1Byb2NTZXRbL1BERi9UZXh0L0ltYWdlQi9JbWFnZUMvSW1hZ2VJXSA+Pi9NZWRpYUJveFsg"/>
<url value="針灸圖.jpeg"/>
<title value="針灸圖.jpeg"/>
</attachment>
</content>
<content>
<attachment>
<contentType value="image/jpeg"/>
<data
value="JVBERi0xLjUNCiW1tbW1DQoxIDAgb2JqDQo8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyh6aC1UVykgL1N0cnVjdFRyZWVSb290IDE3IDAgUi9NYXJrSW5mbzw8L01hcmtlZCB0cnVlPj4+Pg0KZW5kb2JqDQoyIDAgb2JqDQo8PC9UeXBlL1BhZ2VzL0NvdW50IDIvS2lkc1sgMyAwIFIgMTQgMCBSXSA+Pg0KZW5kb2JqDQozIDAgb2JqDQo8PC9UeXBlL1BhZ2UvUGFyZW50IDIgMCBSL1Jlc291cmNlczw8L0ZvbnQ8PC9GMSA1IDAgUi9GMiA3IDAgUi9GMyA5IDAgUj4+L1Byb2NTZXRbL1BERi9UZXh0L0ltYWdlQi9JbWFnZUMvSW1hZ2VJXSA+Pi9NZWRpYUJveFsg"/>
<url value="不施行心肺復甦術同意書.pdf"/>
<title value="不施行心肺復甦術同意書.pdf"/>
</attachment>
</content>
<context>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/FamilyMemberHistory/FamilyMemberHistoryTWCM-min"/>
<resource>
<FamilyMemberHistory>
<id value="FamilyMemberHistoryTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/familymemberhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="FamilyMemberHistory_FamilyMemberHistoryTWCM-min"> </a><h3><b>家族史</b></h3><p><b>狀態</b>:Partial <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/history-status">FamilyHistoryStatus</a>#partial)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>與病人關係</b>:father <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-RoleCode">RoleCode</a>#FTH)</span></p><p><b>家族史</b>:父,兩年前冠心病</p></div>
</text>
<status value="partial"/>
<patient>🔗
<reference value="Patient/PatientTWCM-min"/>
</patient>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FTH"/>
<display value="father"/>
</coding>
</relationship>
<note>
<text value="父,兩年前冠心病"/>
</note>
</FamilyMemberHistory>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationSocialHistoryTWCM-min"/>
<resource>
<Observation>
<id value="ObservationSocialHistoryTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/observationsocialhistory-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationSocialHistoryTWCM-min"> </a><h3><b>個人史</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Social history note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#29762-2)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>紀錄時間</b>:2010-10-10T17:30:00-05:00</p><p><b>個人史</b>:飲食:喜食辛辣;不抽菸;偶爾飲酒</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29762-2"/>
<display value="Social history note"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueString value="飲食:喜食辛辣;不抽菸;偶爾飲酒"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/ClinicalImpression/ClinicalImpressionTWCM-min"/>
<resource>
<ClinicalImpression>
<id value="ClinicalImpressionTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/clinicalimpression-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ClinicalImpression_ClinicalImpressionTWCM-min"> </a><h3><b>中醫辨證評估</b></h3><p><b>狀態</b>:Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/clinicalimpression-status">ClinicalImpressionStatus</a>#completed)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>評估時間</b>:2010-10-10T17:30:00-05:00</p><p><b>望聞問切客觀描述</b>:神清,面色萎黃,形體偏瘦,語聲低微,腹部按之柔軟無壓痛</p><p><b>四診紀錄</b>:<br/>望診:<a href="Observation-ObservationInspectionTWCM-min.html">Observation/ObservationInspectionTWCM-min</a><br/>聞診:<a href="Observation-ObservationListeningSmellingTWCM-min.html">Observation/ObservationListeningSmellingTWCM-min</a><br/>問診:<a href="Observation-ObservationInquiryTWCM-min.html">Observation/ObservationInquiryTWCM-min</a><br/>切診:<a href="Observation-ObservationPalpationTWCM-min.html">Observation/ObservationPalpationTWCM-min</a></p><p><b>辨證結果</b>:<br/>病因:外感風寒,飲食失調<br/>病性:表寒兼脾虛,虛實夾雜<br/>病位:肺、脾<br/>病勢:病程尚短,持續治療中<br/>證型:<a href="Condition-ConditionSyndromeTypeTWCM-min.html">Condition/ConditionSyndromeTypeTWCM-min</a> "外感風寒,脾失健運"</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="118243007"/>
<display value="Finding by inspection (simple observation)"/>
</coding>
</code>
<item>🔗
<reference value="Observation/ObservationInspectionTWCM-min"/>
</item>
</investigation>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="118241009"/>
<display value="Finding by auscultation"/>
</coding>
</code>
<item>🔗
<reference
value="Observation/ObservationListeningSmellingTWCM-min"/>
</item>
</investigation>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418799008"/>
<display
value="Finding reported by subject or history provider"/>
</coding>
</code>
<item>🔗
<reference value="Observation/ObservationInquiryTWCM-min"/>
</item>
</investigation>
<investigation>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="118242002"/>
<display value="Finding by palpation"/>
</coding>
</code>
<item>🔗
<reference value="Observation/ObservationPalpationTWCM-min"/>
</item>
</investigation>
<summary value="神清,面色萎黃,形體偏瘦,語聲低微,腹部按之柔軟無壓痛"/>
<finding>
<itemCodeableConcept>
<text value="病因"/>
</itemCodeableConcept>
<basis value="外感風寒,飲食失調"/>
</finding>
<finding>
<itemCodeableConcept>
<text value="病性"/>
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<basis value="表寒兼脾虛,虛實夾雜"/>
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<finding>
<itemCodeableConcept>
<text value="病位"/>
</itemCodeableConcept>
<basis value="肺、脾"/>
</finding>
<finding>
<itemCodeableConcept>
<text value="病勢"/>
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<basis value="病程尚短,持續治療中"/>
</finding>
<finding>
<itemCodeableConcept>
<text value="證型"/>
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<itemReference>🔗
<reference value="Condition/ConditionSyndromeTypeTWCM-min"/>
</itemReference>
</finding>
</ClinicalImpression>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationInspectionTWCM-min"/>
<resource>
<Observation>
<id value="ObservationInspectionTWCM-min"/>
<meta>
<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationInspectionTWCM-min"> </a><h3><b>望診</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Finding by inspection (simple observation) <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#118243007)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>紀錄時間</b>:2010-10-10T17:30:00-05:00</p><p><b>望診描述</b>:神清,面色萎黃,形體偏瘦</p><p><b>病人舌象</b>:<br/>苔白(Coating of mucous membrane of tongue <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-tonguecondition.html">病人舌象</a>#698193000) </span>)<br/>舌淡紅,舌邊有齒痕(此描述無法對應至單一SNOMED CT代碼,故僅記錄文字)</p><p><b>望診分類紀錄</b>:<br/>精神/意識/行為/情緒/性格(望神):神疲 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#神疲)</span><br/>頭面部(望):面色萎黃 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#面色萎黃)</span></p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="118243007"/>
<display value="Finding by inspection (simple observation)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueString value="神清,面色萎黃,形體偏瘦"/>
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<code>
<coding>
<system
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<code value="望神"/>
<display value="精神/意識/行為/情緒/性格(望神)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
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<code value="神疲"/>
<display value="神疲"/>
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<text value="神疲"/>
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</component>
<component>
<code>
<coding>
<system
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<code value="望頭面"/>
<display value="頭面部(望)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="面色萎黃"/>
<display value="面色萎黃"/>
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<text value="面色萎黃"/>
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<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="249378009"/>
<display value="Tongue finding"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
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<code value="698193000"/>
<display value="Coating of mucous membrane of tongue"/>
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<text value="苔白"/>
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<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="249378009"/>
<display value="Tongue finding"/>
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</code>
<valueCodeableConcept>
<text value="舌淡紅,舌邊有齒痕"/>
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</Observation>
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</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationListeningSmellingTWCM-min"/>
<resource>
<Observation>
<id value="ObservationListeningSmellingTWCM-min"/>
<meta>
<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationListeningSmellingTWCM-min"> </a><h3><b>聞診</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Finding by auscultation <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#118241009)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>紀錄時間</b>:2010-10-10T17:30:00-05:00</p><p><b>聞診描述</b>:語聲低微,口中無異味</p><p><b>聞診分類紀錄</b>:<br/>語音(聞):聲低 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#聲低)</span><br/>氣味(聞):無特殊 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#無特殊)</span></p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="118241009"/>
<display value="Finding by auscultation"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueString value="語聲低微,口中無異味"/>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-fourdiagnosis-category"/>
<code value="聞語音"/>
<display value="語音(聞)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
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<display value="聲低"/>
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<text value="聲低"/>
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</component>
<component>
<code>
<coding>
<system
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<code value="聞氣味"/>
<display value="氣味(聞)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="無特殊"/>
<display value="無特殊"/>
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<text value="無特殊"/>
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</Observation>
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<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationInquiryTWCM-min"/>
<resource>
<Observation>
<id value="ObservationInquiryTWCM-min"/>
<meta>
<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationInquiryTWCM-min"> </a><h3><b>問診</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Finding reported by subject or history provider <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#418799008)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>紀錄時間</b>:2010-10-10T17:30:00-05:00</p><p><b>問診描述</b>:惡寒發熱,鼻塞流清涕,納差,大便溏,夜寐尚可</p><p><b>問診分類紀錄</b>:<br/>寒熱(問):惡寒發熱 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#惡寒發熱)</span><br/>鼻咽部(問):鼻塞 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#鼻塞)</span><br/>飲食/口味(問):納呆(納差、納少) <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#納呆(納差、納少))</span><br/>大便(問):大便溏 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#大便溏)</span></p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418799008"/>
<display value="Finding reported by subject or history provider"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueString value="惡寒發熱,鼻塞流清涕,納差,大便溏,夜寐尚可"/>
<component>
<code>
<coding>
<system
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<code value="問寒熱"/>
<display value="寒熱(問)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="惡寒發熱"/>
<display value="惡寒發熱"/>
</coding>
<text value="惡寒發熱"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-fourdiagnosis-category"/>
<code value="問鼻咽"/>
<display value="鼻咽部(問)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
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<code value="鼻塞"/>
<display value="鼻塞"/>
</coding>
<text value="鼻塞"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-fourdiagnosis-category"/>
<code value="問飲食口味"/>
<display value="飲食/口味(問)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="納呆(納差、納少)"/>
<display value="納呆(納差、納少)"/>
</coding>
<text value="納呆(納差、納少)"/>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-fourdiagnosis-category"/>
<code value="問大便"/>
<display value="大便(問)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="大便溏"/>
<display value="大便溏"/>
</coding>
<text value="大便溏"/>
</valueCodeableConcept>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Observation/ObservationPalpationTWCM-min"/>
<resource>
<Observation>
<id value="ObservationPalpationTWCM-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ObservationPalpationTWCM-min"> </a><h3><b>切診</b></h3><p><b>狀態</b>:Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>項目</b>:Finding by palpation <span style="background: LightGoldenRodYellow;">( <a href="http://snomed.info/sct">SNOMED CT Code</a>#118242002)</span></p><p><b>病人</b>:<a href="Patient-PatientTWCM-min.html">Patient/PatientTWCM-min</a> "陳美真"</p><p><b>紀錄時間</b>:2010-10-10T17:30:00-05:00</p><p><b>切診描述</b>:腹部按之柔軟無壓痛</p><p><b>按診紀錄</b>:<br/>按診(切):腹 <span style="background: LightGoldenRodYellow;">( <a href="CodeSystem-twcm-clinicalfinding.html">中醫臨床表現詞彙</a>#腹)</span></p><p><b>病人脈象</b>:<a href="Observation-ObservationPulseConditionTWCM-min.html">Observation/ObservationPulseConditionTWCM-min</a>(右手)、<a href="Observation-ObservationPulseConditionTWCM-lefthand.html">Observation/ObservationPulseConditionTWCM-lefthand</a>(左手)</p><p><b>就醫事件</b>:<a href="Encounter-EncounterTWCM-min.html">Encounter/EncounterTWCM-min</a></p></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="118242002"/>
<display value="Finding by palpation"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientTWCM-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/EncounterTWCM-min"/>
</encounter>
<effectiveDateTime value="2010-10-10T17:30:00-05:00"/>
<valueString value="腹部按之柔軟無壓痛"/>
<hasMember>🔗
<reference value="Observation/ObservationPulseConditionTWCM-min"/>
</hasMember>
<hasMember>🔗
<reference
value="Observation/ObservationPulseConditionTWCM-lefthand"/>
</hasMember>
<component>
<code>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-fourdiagnosis-category"/>
<code value="按診"/>
<display value="按診(切)"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding"/>
<code value="腹"/>
<display value="腹"/>
</coding>
<text value="腹"/>
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</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://www.nricm.edu.tw/twcm/Provenance/ProvenanceTWCM-min"/>
<resource>
<Provenance>
<id value="ProvenanceTWCM-min"/>
<meta>
<profile
value="https://www.nricm.edu.tw/twcm/StructureDefinition/provenance-twcm"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_ProvenanceTWCM-min"> </a><h3><b>醫師簽章</b></h3><p><b>簽章文件</b>:<a href="Composition-CompositionTWCM-min.html">Composition/CompositionTWCM-min</a> "中醫門診單"</p><p><b>紀錄時間</b>:2010-10-10T18:00:00-05:00</p><p><b>簽章醫師</b>:<a href="Practitioner-PractitionerTWCM-pro.html">Practitioner/PractitionerTWCM-pro</a> "張正原" <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/provenance-participant-type">Provenance participant type</a>#author)</span><br/><b>所屬醫事機構</b>:<a href="Organization-OrganizationTWCM-min.html">Organization/OrganizationTWCM-min</a> "捷達世中醫診所"</p><p><b>簽章種類</b>:Author's Signature <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/valueset-signature-type.html">Signature Type Codes</a>#1.2.840.10065.1.12.1.1)</span><br/><b>簽章時間</b>:2010-10-10T18:00:00-05:00<br/><b>簽章格式</b>:application/signature+xml<br/><b>簽章資料</b>:(Base64編碼之數位簽章)</p></div>
</text>
<target>🔗
<reference value="Composition/CompositionTWCM-min"/>
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<recorded value="2010-10-10T18:00:00-05:00"/>
<agent>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
<code value="author"/>
<display value="Author"/>
</coding>
</type>
<who>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</who>
<onBehalfOf>🔗
<reference value="Organization/OrganizationTWCM-min"/>
</onBehalfOf>
</agent>
<signature>
<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.1"/>
<display value="Author's Signature"/>
</type>
<when value="2010-10-10T18:00:00-05:00"/>
<who>🔗
<reference value="Practitioner/PractitionerTWCM-pro"/>
</who>
<sigFormat value="application/signature+xml"/>
<data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/>
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