臺灣中醫實作指引
0.1.0 - ci-build
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
| Draft as of 2026-10-07 |
Mappings for the TraditionalChineseMedicineClinicRecordModel logical model.
No Mappings Found
No Mappings Found
| Name | TWCM |
|---|---|
  TraditionalChineseMedicineClinicRecordModel |
BundleTWCM |
  documentInfo |
(病歷文件資料) |
   @id |
|
 extension |
|
 modifierExtension |
|
| hisdocPK |
BundleTWCM.identifier(HIS病歷唯一碼) |
| hospitalId |
OrganizationTWCM.identifier(醫事機構代碼) |
| hospitalName |
OrganizationTWCM.name(醫事機構名稱) |
| sheetInfo |
(病歷表單資料) |
| @id |
|
| extension |
|
| modifierExtension |
|
| sheetId |
CompositionTWCM.identifier(病歷表單編號) |
| sheetName |
CompositionTWCM.title(病歷表單名稱) |
 sheetVersion |
CompositionTWCM.meta.versionId(病歷表單版本) |
 docInfo |
(病歷文件資料) |
 @id |
|
| extension |
|
| modifierExtension |
|
| docConfidentialityCode |
CompositionTWCM.confidentiality.code(文件敏感性) |
| createTime |
CompositionTWCM.date(文件產生時間) |
| patientInfo |
(病人基本資料) |
| @id |
|
| extension |
|
| modifierExtension |
|
| chatNo |
PatientTWCM.identifier:medicalRecord(病歷號) |
| patientName |
PatientTWCM.name(病人姓名) |
| birthDate |
PatientTWCM.birthDate(出生日期) |
| visitIdentity |
EncounterTWCM.extension.medicalIdentity.CodeableConcept(就醫身份) |
| gender |
PatientTWCM.gender(性別) |
| personalIDNumber |
PatientTWCM.identifier:idCardNumber(身分證號) |
| contactInfo |
(聯絡資訊) |
| @id |
|
| extension |
|
| modifierExtension |
|
| homeTel |
PatientTWCM.telecom.where(system='phone' and use='home').value(住宅電話) |
| officeTel |
PatientTWCM.telecom.where(system='phone' and use='work').value(公司電話) |
| mobile |
PatientTWCM.telecom.where(system='phone' and use='mobile').value(行動電話) |
| bloodtype |
ObservationBloodtypeTWCM.where(code='883-9').valueCodeableConcept.text(自述血型) |
| marriageStatus |
PatientTWCM.maritalStatus(婚姻) |
| occupation |
ObservationOccupationTWCM.where(code='11341-5').valueCodeableConcept.text(職業) |
| addressInfo |
(病人相關住址) |
| @id |
|
| extension |
|
| modifierExtension |
|
| originalAddressInfo |
(病人戶籍地址資料) |
| @id |
|
| extension |
|
| modifierExtension |
|
| originalAddressZipCode |
PatientTWCM.address.postalCode.valueCodeableConceptTW.coding:PostalCode3(病人戶籍地址郵遞區號) |
| originalAddresLocation |
PatientTWCM.address.where(use='home').value(病人戶籍地址) |
| contactAddressInfo |
(病人聯絡地址資料) |
| @id |
|
| extension |
|
| modifierExtension |
|
| contactAddressZipCode |
PatientTWCM.address.postalCode.valueCodeableConceptTW.coding:PostalCode3(病人聯絡地址郵遞區號) |
| contactAddressLocation |
PatientTWCM.address.where(use='billing').value(病人聯絡地址) |
| email |
PatientTWCM.telecom.where(system ='email').value(病人電子郵件地址) |
| history |
ConditionMedicalHistoryTWCM.where(category.coding.code='11348-0' and category.coding.where(system='https://www.nricm.edu.tw/twcm/CodeSystem/twcm-medicalhistory-category').exists().not()).code(過去病史) |
| allergy |
AllergyIntoleranceTWCM.code.text(過敏記錄) |
| emergencyContactInfo |
(緊急聯絡人相關資訊) |
| @id |
|
| extension |
|
| modifierExtension |
|
| emName |
PatientTWCM.contact.name(緊急聯絡人姓名) |
| emrelationshp |
PatientTWCM.contact.relationship(緊急聯絡人與病人關係) |
| emergencyContactWay |
(緊急聯絡人聯絡方式) |
| @id |
|
| extension |
|
| modifierExtension |
|
| emHomeTel |
PatientTWCM.contact.telecom.where(system='phone' and use='home').value(緊急聯絡人住宅電話) |
| emOfficeTel |
PatientTWCM.contact.telecom.where(system='phone' and use='work').value(緊急聯絡人公司電話) |
| emMobile |
PatientTWCM.contact.telecom.where(system='phone' and use='mobile').value(緊急聯絡人行動電話) |
| childNumber |
PatientTWCM.extension.childnumber.valueInteger(病人子女數) |
| education |
ObservationEducationLevelTWCM.where(code='82589-3').valueCodeableConcept.text(病人教育程度) |
| encounter |
(病人當次看診之相關資訊) |
| @id |
|
| extension |
|
| modifierExtension |
|
| visitDate |
EncounterTWCM.period(掛號(報到)日期時間) |
| visitSeq |
EncounterTWCM.identifier(掛號序號) |
| department |
EncounterTWCM.servicetype(看診科別) |
| patientComeFrom |
EncounterTWCM.class(病人來源) |
| doctorId |
PractitionerTWCM.identifier(看診醫師身分證號) |
| doctorName |
PractitionerTWCM.name(看診醫師姓名) |
| patientBloodPressure |
(病人血壓) |
| @id |
|
| extension |
|
| modifierExtension |
|
| systolicPressure |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBloodPressureTWCM).where(code='8480-6').valueQuantity(收縮壓) |
| diastoicPressure |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBloodPressureTWCM).where(code='8462-4').valueQuantity(舒張壓) |
| pulse |
ObservationVitalSignTWCM.hasMember.Reference(ObservationHeartRateTWCM).where(code='8867-4').valueQuantity(病人脈搏) |
| height |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBodyHeightTWCM).where(code='8302-2').valueQuantity(病人身高) |
| heightUnit |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBodyHeightTWCM).where(code='8302-2').valueQuantity(病人身高單位) |
| weight |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBodyWeightTWCM).where(code='29463-7').valueQuantity(病人體重) |
| weightUnit |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBodyWeightTWCM).where(code='29463-7').valueQuantity(病人體重單位) |
| bodytemperature |
ObservationVitalSignTWCM.hasMember.Reference(ObservationBodyTempTWCM).where(code='8310-5').valueQuantity(病人體溫) |
| chiefComplain |
ConditionChiefComplaintTWCM.note(病人主訴) |
| presentIllness |
ConditionMedicalHistoryTWCM.where(category.coding.code='10164-2').code(現病史) |
| familyHistory |
FamilyMemberHistoryTWCM.note(家族史) |
| personalHistory |
ObservationSocialHistoryTWCM.where(code='29762-2').valueString(個人史) |
| pediatricHistory |
ConditionMedicalHistoryTWCM.where(category.coding.code='小兒病史').code(小兒病史) |
| menstrualHistory |
ConditionMedicalHistoryTWCM.where(category.coding.code='月經史').code(月經史) |
| obstetricHistory |
ConditionMedicalHistoryTWCM.where(category.coding.code='產科史').code(產科史) |
| andrologyHistory |
ConditionMedicalHistoryTWCM.where(category.coding.code='男科史').code(男科史) |
| objectiveDescription |
ClinicalImpressionTWCM.summary(望聞問切客觀描述) |
| inspection |
ObservationInspectionTWCM.where(code='118243007').valueString(望診) |
| tongueCondition |
ObservationInspectionTWCM.component.where(code='249378009').valueCodeableConcept(病人舌象) |
| listeningSmelling |
ObservationListeningSmellingTWCM.where(code='118241009').valueString(聞診) |
| inquiry |
ObservationInquiryTWCM.where(code='418799008').valueString(問診) |
| palpation |
ObservationPalpationTWCM.where(code='118242002').valueString(切診) |
| pulseCondition |
ObservationPalpationTWCM.hasMember.Reference(ObservationPulseConditionTWCM).where(code='421608007')：bodySite(左右手)；component.where(code=寸脈|關脈|尺脈).valueCodeableConcept(分部位脈象)；未分寸關尺時為valueCodeableConcept(病人脈象) |
| diseaseCause |
ClinicalImpressionTWCM.finding.where(itemCodeableConcept.text='病因').basis(病因) |
| diseaseNature |
ClinicalImpressionTWCM.finding.where(itemCodeableConcept.text='病性').basis(病性) |
| diseaseLocation |
ClinicalImpressionTWCM.finding.where(itemCodeableConcept.text='病位').basis(病位) |
| diseaseTrend |
ClinicalImpressionTWCM.finding.where(itemCodeableConcept.text='病勢').basis(病勢) |
| manifestation |
ConditionSyndromeTypeTWCM.code(病人證型)；由ClinicalImpressionTWCM.finding.where(itemCodeableConcept.text='證型').itemReference參照 |
| therapeuticDiscipline |
ProcedureTherapeuticPrinciplesTWCM.code(病人治則) |
| majorInjuryInfo |
(重大傷病相關資訊) |
| @id |
|
| extension |
|
| modifierExtension |
|
| majorInjuryFlag |
ObservationMajorIllnessTWCM.where(code='11338-1').valueBoolean(重大傷病註記) |
| majorInjuryContent |
(重大傷病代碼與病名) |
| @id |
|
| extension |
|
| modifierExtension |
|
| majorInjuryCode |
ConditionMajorIllnessTWCM.code(重大傷病代碼) |
| majorInjuryName |
ConditionMajorIllnessTWCM.code.display(重大傷病代碼) |
| diagnosisContent |
(診斷代碼與名稱) |
| @id |
|
| extension |
|
| modifierExtension |
|
| diagcode |
ConditionDiagnosisTWCM.code(診斷代碼) |
| diagName |
ConditionDiagnosisTWCM.code.display(診斷名稱) |
| treatmenInfo |
(處置相關內容) |
| @id |
|
| extension |
|
| modifierExtension |
|
| treatmentNHICCode |
ProcedureTWCM.code(處置健保碼) |
| treatmentDescription |
ProcedureTWCM.code.display(處置說明) |
| @id |
|
| extension |
|
| @value |
|
| acupunctureInfo |
(針灸處置) |
| @id |
|
| extension |
|
| modifierExtension |
|
| acupunctureRegionNHICode |
ProcedureTWCM.bodySite.text(針灸部位) |
| acupuncturePointName |
ProcedureTWCM.bodySite.extension.approach.valueCodeableConcept(針灸穴位) |
| acpuncturePointComment |
ProcedureTWCM.bodySite.extension.description.valueCodeableConcept(針灸補充說明) |
| contusionInfo |
(傷科處置) |
| @id |
|
| extension |
|
| modifierExtension |
|
| contusionRegionNHICode |
ProcedureTWCM.bodySite.text(傷科部位) |
| contusionTechnique |
ProcedureTWCM.bodySite.extension.approach.valueCodeableConcept(傷科手法) |
| contusionComment |
ProcedureTWCM.bodySite.extension.description.valueCodeableConcept(傷科補充說明) |
| dislocationInfo |
(脫臼整復處置) |
| @id |
|
| extension |
|
| modifierExtension |
|
| dislocationRegionNHICode |
ProcedureTWCM.bodySite.text(脫臼整復部位) |
| dislocationTreatmentMethod |
ProcedureTWCM.bodySite.extension.approach.valueCodeableConcept(脫臼整復處理方法) |
| dislocationComment |
ProcedureTWCM.bodySite.extension.description.valueCodeableConcept(脫臼整復的補充說明) |
| doctorAdvise |
CarePlanTWCM.note(醫師囑咐) |
| doctorSign |
ProvenanceTWCM.signature(醫師簽章) |
| drugInfo |
(用藥紀錄相關內容) |
| @id |
|
| extension |
|
| modifierExtension |
|
| drugNHICCode |
MedicationTWCM.code(藥品健保碼) |
| drugCode |
MedicationTWCM.code(藥品藥品碼) |
| drugName |
MedicationTWCM.code.display(藥品商品名) |
| dose |
MedicationRequestTWCM.dosageInstruction.doseAndRate.doseQuantity.value(用量) |
| doseUnit |
MedicationRequestTWCM.dosageInstruction.doseAndRate.doseQuantity.unit(用量單位) |
| route |
MedicationRequestTWCM.dosageInstruction.route(藥品服用方法) |
| frequency |
MedicationRequestTWCM.dosageInstruction.timing.code(藥品的使用頻率) |
| drugStartDate |
MedicationRequestTWCM.dosageInstruction.timing.repeat.boundsPeriod.start(用藥開始日期) |
| drugEndDate |
MedicationRequestTWCM.dosageInstruction.timing.repeat.boundsPeriod.end(用藥結束日期) |
| days |
MedicationRequestTWCM.dosageInstruction.timing.repeat.duration(服藥天數) |
| totalAmount |
MedicationRequestTWCM.dispenseRequest.quantity(藥品總劑量) |
| prescriptionMethod |
MedicationRequestTWCM.note(藥品調劑方式) |
| packageNumber |
MedicationRequestTWCM.extension.packagenumber.valueInteger(包數) |
| examiationInfo |
(檢驗檢查相關內容) |
| @id |
|
| extension |
|
| modifierExtension |
|
| examOrderDate |
ServiceRequestTWCM.occurrenceDateTime(檢驗檢查開單日期) |
| @id |
|
| extension |
|
| @value |
|
| orderHospitalID |
OrganizationTWCM.identifier(檢驗檢查開單醫事機構代碼) |
| orderHospitalName |
OrganizationTWCM.name(檢驗檢查開單醫事機構名稱) |
| examHospitalID |
OrganizationInspectionTWCM.identifier(檢驗檢查執行醫事機構代碼) |
| examHospitalName |
OrganizationInspectionTWCM.name(檢驗檢查執行醫事機構名稱) |
| @id |
|
| extension |
|
| @value |
|
| examDate |
ObservationTWCM.effectiveDateTime(檢查日期) |
| verifyDate |
DiagnosticReportTWCM.effectiveDateTime(報告日期) |
| testNHICode |
ObservationTWCM.code(健保檢驗檢查代碼) |
| testName |
ObservationTWCM.code.display(檢驗檢查名稱) |
| testResult |
ObservationTWCM.valueQuantity.value(檢驗檢查結果值) |
| resultUnit |
ObservationTWCM.valueQuantity.unit(檢驗檢查結果單位) |
| resultFlag |
ObservationTWCM.interpretation(檢驗檢查結果判斷註記) |
| resultComment |
ObservationTWCM.note(檢驗檢查結果備註說明) |
| imageInfo |
(圖檔報告內容) |
| @id |
|
| extension |
|
| modifierExtension |
|
| imageFileName |
DocumentReferenceTWCM.content.attachment.title(圖檔報告名稱) |
| imageContent |
DocumentReferenceTWCM.content.attachment.data(圖檔報告內容) |
| referenceInfo |
(參考附件資料內容) |
| @id |
|
| extension |
|
| modifierExtension |
|
| referenceDocFileName |
DocumentReferenceTWCM.content.attachment.title(附件檔名) |
| referenceDocContent |
DocumentReferenceTWCM.content.attachment.data(附件內容) |
| Documentation for this format | |