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) - XML Representation

Raw xml | Download


<Condition xmlns="http://hl7.org/fhir">
  <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"><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> &quot;陳美真&quot;</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>