@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Composition ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "CompositionTWCM-min"] ; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "1" ] ; fhir:Meta.profile [ fhir:value "https://www.nricm.edu.tw/twcm/StructureDefinition/composition-twcm" ; fhir:index 0 ; fhir:link ], [ fhir:value "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore" ; fhir:index 1 ; fhir:link ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "

中醫門診單

病歷表單版本：1

臨床狀態：Final (CompositionStatus#final)

種類：Outpatient Note ( LOINC#34108-1)

病人：Patient/PatientTWCM-min \"陳美真\"

就醫事件：Encounter/EncounterTWCM-min

文件產生時間：2010-04-21T14:30:00+08:00

醫事機構代碼：OrganizationTWCM-min \"3801012567\"
醫事機構名稱：OrganizationTWCM-min \"捷達世中醫診所\"

文件標題：中醫門診單

文件敏感性：normal ( v3 Code System Confidentiality#N)

病摘小節內容：

section[PatientInformation]：
section[educationlevel]： Observation/ObservationEducationLevelTWCM-min
section[occupation]： Observation/ObservationOccupationTWCM-min
section[bloodtype]： Observation/ObservationBloodtypeTWCM-min

section[AllergyIntolerance]： AllergyIntolerance/AllergyIntoleranceTWCM-min

section[ConditionPastMedicalHistory]： Condition/ConditionPastMedicalHistoryTWCM-min

section[ConditionMajorIllness]： Observation/ObservationMajorIllnessTWCM-min

section[Medication]：
section[medication]： Medication/MedicationTWCM-min
section[medication]： Medication/MedicationTWCM-pro
section[medicationrequest]： MedicationRequest/MedicationRequestTWCM-min
section[medicationrequest]： MedicationRequest/MedicationRequestTWCM-pro

section[ConditionDiagnosis]：
section[conditiondiagnosis]： Condition/ConditionDiagnosisTWCM-min
section[practitioner]： Practitioner/PractitionerTWCM-pro
section[careplan]： CarePlan/CarePlanTWCM-min
section[observationtonguecondition]： Observation/ObservationTongueConditionTWCM-min
section[observationpulsecondition]： Observation/ObservationPulseConditionTWCM-min
section[observationsyndrometype]： Observation/ObservationSyndromeTypeTWCM-min
section[observationtherapeuticprinciples]： Observation/ObservationTherapeuticPrinciplesTWCM-min

section[ConditionChiefComplaint]： Condition/ConditionChiefComplaintTWCM-min

section[ObservationVitalSign]： Observation/ObservationVitalSignTWCM-min

section[Procedure]： Procedure/ProcedureTWCM-min
section[Procedure]： Procedure/ProcedureTWCM-minn
section[Procedure]： Procedure/ProcedureTWCM-pro

section[ObservationLabResults]：
section[observation]： Observation/ObservationTWCM-min
section[observation]： Observation/ObservationTWCM-pro
section[servicerequest]： ServiceRequest/ServiceRequestTWCM-min
section[servicerequest]： ServiceRequest/ServiceRequestTWCM-pro
section[diagnosticreport]： DiagnosticReport/DiagnosticReportTWCM-min
section[organizationinspection]： Organization/OrganizationInspectionTWCM-min

section[DocumentReference]： DocumentReference/DocumentReferenceTWCM-min

" ] ; fhir:Composition.identifier [ fhir:Identifier.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ; fhir:Coding.code [ fhir:value "SNO" ] ] ] ; fhir:Identifier.value [ fhir:value "TW.NRICM.Clinic.ChineseMedicine.1" ] ] ; fhir:Composition.status [ fhir:value "final"] ; fhir:Composition.type [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:34108-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "34108-1" ] ; fhir:Coding.display [ fhir:value "Outpatient Note" ] ] ] ; fhir:Composition.subject [ fhir:link ; fhir:Reference.reference [ fhir:value "Patient/PatientTWCM-min" ] ] ; fhir:Composition.encounter [ fhir:link ; fhir:Reference.reference [ fhir:value "Encounter/EncounterTWCM-min" ] ] ; fhir:Composition.date [ fhir:value "2010-04-21T14:30:00+08:00"^^xsd:dateTime] ; fhir:Composition.author [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Organization/OrganizationTWCM-min" ] ] ; fhir:Composition.title [ fhir:value "中醫門診單"] ; fhir:Composition.confidentiality [ fhir:value "N"] ; fhir:Composition.section [ fhir:index 0 ; fhir:Composition.section.title [ fhir:value "病人資料" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:52460-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "52460-3" ] ; fhir:Coding.display [ fhir:value "Patient Information" ] ] ] ; fhir:Composition.section.section [ fhir:index 0 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:80913-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "80913-7" ] ; fhir:Coding.display [ fhir:value "Highest level of education [US Standard Certificate of Death]" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationEducationLevelTWCM-min" ] ] ], [ fhir:index 1 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:85658-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "85658-3" ] ; fhir:Coding.display [ fhir:value "Occupation [Type]" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationOccupationTWCM-min" ] ] ], [ fhir:index 2 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:882-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "882-1" ] ; fhir:Coding.display [ fhir:value "ABO and Rh group [Type] in Blood" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationBloodtypeTWCM-min" ] ] ] ], [ fhir:index 1 ; fhir:Composition.section.title [ fhir:value "過敏史" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:48765-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "48765-2" ] ; fhir:Coding.display [ fhir:value "Allergies and adverse reactions Document" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "AllergyIntolerance/AllergyIntoleranceTWCM-min" ] ] ], [ fhir:index 2 ; fhir:Composition.section.title [ fhir:value "過去病史" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11348-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11348-0" ] ; fhir:Coding.display [ fhir:value "History of Past illness note" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Condition/ConditionPastMedicalHistoryTWCM-min" ] ] ], [ fhir:index 3 ; fhir:Composition.section.title [ fhir:value "重大傷病" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11338-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11338-1" ] ; fhir:Coding.display [ fhir:value "History of Major illnesses and injuries Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationMajorIllnessTWCM-min" ] ] ], [ fhir:index 4 ; fhir:Composition.section.title [ fhir:value "用藥紀錄" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:10160-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "10160-0" ] ; fhir:Coding.display [ fhir:value "History of Medication use Narrative" ] ] ] ; fhir:Composition.section.section [ fhir:index 0 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:87232-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "87232-5" ] ; fhir:Coding.display [ fhir:value "Medication administration.brief" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Medication/MedicationTWCM-min" ] ] ], [ fhir:index 1 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:87232-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "87232-5" ] ; fhir:Coding.display [ fhir:value "Medication administration.brief" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Medication/MedicationTWCM-pro" ] ] ], [ fhir:index 2 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:57833-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "57833-6" ] ; fhir:Coding.display [ fhir:value "Prescription for medication" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "MedicationRequest/MedicationRequestTWCM-min" ] ] ], [ fhir:index 3 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:57833-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "57833-6" ] ; fhir:Coding.display [ fhir:value "Prescription for medication" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "MedicationRequest/MedicationRequestTWCM-pro" ] ] ] ], [ fhir:index 5 ; fhir:Composition.section.title [ fhir:value "診斷" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:11450-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "11450-4" ] ; fhir:Coding.display [ fhir:value "Problem list - Reported" ] ] ] ; fhir:Composition.section.section [ fhir:index 0 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29548-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29548-5" ] ; fhir:Coding.display [ fhir:value "Diagnosis Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Condition/ConditionDiagnosisTWCM-min" ] ] ], [ fhir:index 1 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:18600-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "18600-7" ] ; fhir:Coding.display [ fhir:value "Primary practitioner identifier" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Practitioner/PractitionerTWCM-pro" ] ] ], [ fhir:index 2 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:101541-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "101541-1" ] ; fhir:Coding.display [ fhir:value "Multidisciplinary Comprehensive plan of care note" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "CarePlan/CarePlanTWCM-min" ] ] ], [ fhir:index 3 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29548-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29548-5" ] ; fhir:Coding.display [ fhir:value "Diagnosis Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationTongueConditionTWCM-min" ] ] ], [ fhir:index 4 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29548-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29548-5" ] ; fhir:Coding.display [ fhir:value "Diagnosis Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationPulseConditionTWCM-min" ] ] ], [ fhir:index 5 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29548-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29548-5" ] ; fhir:Coding.display [ fhir:value "Diagnosis Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationSyndromeTypeTWCM-min" ] ] ], [ fhir:index 6 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29548-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29548-5" ] ; fhir:Coding.display [ fhir:value "Diagnosis Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationTherapeuticPrinciplesTWCM-min" ] ] ] ], [ fhir:index 6 ; fhir:Composition.section.title [ fhir:value "病人主訴" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:10154-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "10154-3" ] ; fhir:Coding.display [ fhir:value "Chief complaint Narrative - Reported" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Condition/ConditionChiefComplaintTWCM-min" ] ] ], [ fhir:index 7 ; fhir:Composition.section.title [ fhir:value "生命徵象" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:8716-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "8716-3" ] ; fhir:Coding.display [ fhir:value "Vital signs note" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationVitalSignTWCM-min" ] ] ], [ fhir:index 8 ; fhir:Composition.section.title [ fhir:value "處置或手術" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:29554-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "29554-3" ] ; fhir:Coding.display [ fhir:value "Procedure Narrative" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Procedure/ProcedureTWCM-min" ] ], [ fhir:index 1 ; fhir:link ; fhir:Reference.reference [ fhir:value "Procedure/ProcedureTWCM-minn" ] ], [ fhir:index 2 ; fhir:link ; fhir:Reference.reference [ fhir:value "Procedure/ProcedureTWCM-pro" ] ] ], [ fhir:index 9 ; fhir:Composition.section.title [ fhir:value "實驗室檢驗檢查紀錄" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:30954-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "30954-2" ] ; fhir:Coding.display [ fhir:value "Relevant diagnostic tests/laboratory data note" ] ] ] ; fhir:Composition.section.section [ fhir:index 0 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:19146-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "19146-0" ] ; fhir:Coding.display [ fhir:value "Referral lab test results" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationTWCM-min" ] ] ], [ fhir:index 1 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:19146-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "19146-0" ] ; fhir:Coding.display [ fhir:value "Referral lab test results" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Observation/ObservationTWCM-pro" ] ] ], [ fhir:index 2 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:77597-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "77597-3" ] ; fhir:Coding.display [ fhir:value "Orders placed Document" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "ServiceRequest/ServiceRequestTWCM-min" ] ] ], [ fhir:index 3 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:77597-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "77597-3" ] ; fhir:Coding.display [ fhir:value "Orders placed Document" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "ServiceRequest/ServiceRequestTWCM-pro" ] ] ], [ fhir:index 4 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:50398-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "50398-7" ] ; fhir:Coding.display [ fhir:value "Narrative diagnostic report [Interpretation]" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "DiagnosticReport/DiagnosticReportTWCM-min" ] ] ], [ fhir:index 5 ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:52482-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "52482-7" ] ; fhir:Coding.display [ fhir:value "Laboratory" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "Organization/OrganizationInspectionTWCM-min" ] ] ] ], [ fhir:index 10 ; fhir:Composition.section.title [ fhir:value "健康問題文件" ] ; fhir:Composition.section.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; a loinc:75310-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "75310-3" ] ; fhir:Coding.display [ fhir:value "Health concerns Document" ] ] ] ; fhir:Composition.section.entry [ fhir:index 0 ; fhir:link ; fhir:Reference.reference [ fhir:value "DocumentReference/DocumentReferenceTWCM-min" ] ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology ; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------