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

: 病史範例(現病史) - JSON Representation

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{
  "resourceType" : "Condition",
  "id" : "ConditionMedicalHistoryTWCM-present",
  "meta" : {
    "profile" : [
      🔗 "https://www.nricm.edu.tw/twcm/StructureDefinition/conditionmedicalhistory-twcm"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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>"
  },
  "clinicalStatus" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
        "code" : "active"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "10164-2",
          "display" : "History of Present illness Narrative"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw",
        "code" : "E11.9",
        "display" : "第二型糖尿病，未伴有併發症"
      }
    ],
    "text" : "第二型糖尿病，三年前於西醫診斷，目前口服降血糖藥控制"
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientTWCM-min"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/EncounterTWCM-min"
  },
  "onsetString" : "三年前"
}