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
| Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/TraditionalChineseMedicineClinicRecordModel | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | Computable Name: TraditionalChineseMedicineClinicRecordModel | |||
中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  TraditionalChineseMedicineClinicRecordModel |
0..* | Base | 中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型 | |
  documentInfo |
1..1 | BackboneElement | 病歷文件資料 | |
   @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| hisdocPK |
1..1 | Identifier | HIS病歷唯一碼 | |
| hospitalId |
1..1 | Identifier | 醫事機構代碼 | |
| hospitalName |
1..1 | string | 醫事機構名稱 | |
| sheetInfo |
1..1 | BackboneElement | 病歷表單資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sheetId |
1..1 | Identifier | 病歷表單編號 | |
| sheetName |
1..1 | string | 病歷表單名稱 | |
 sheetVersion |
1..1 | id | 病歷表單版本 | |
 docInfo |
1..1 | BackboneElement | 病歷文件資料 | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| docConfidentialityCode |
1..1 | code | 文件敏感性 | |
| createTime |
1..1 | dateTime | 文件產生時間 | |
| patientInfo |
1..1 | BackboneElement | 病人基本資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| chatNo |
1..1 | Identifier | 病歷號 | |
| patientName |
1..1 | HumanName | 病人姓名 | |
| birthDate |
0..1 | date | 出生日期 | |
| visitIdentity |
1..1 | CodeableConcept | 就醫身份 | |
| gender |
1..1 | code | 性別 | |
| personalIDNumber |
1..1 | Identifier | 身分證號 | |
| contactInfo |
0..1 | BackboneElement | 聯絡資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| homeTel |
0..1 | ContactPoint | 住宅電話 | |
| officeTel |
0..1 | ContactPoint | 公司電話 | |
| mobile |
0..1 | ContactPoint | 行動電話 | |
| bloodtype |
0..1 | CodeableConcept | 自述血型 | |
| marriageStatus |
0..1 | CodeableConcept | 婚姻 | |
| occupation |
0..1 | CodeableConcept | 職業 | |
| addressInfo |
0..1 | BackboneElement | 病人相關住址 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressInfo |
0..1 | BackboneElement | 病人戶籍地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressZipCode |
0..1 | code | 病人戶籍地址郵遞區號 | |
| originalAddresLocation |
0..1 | Address | 病人戶籍地址 | |
| contactAddressInfo |
0..1 | BackboneElement | 病人聯絡地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contactAddressZipCode |
0..1 | code | 病人聯絡地址郵遞區號 | |
| contactAddressLocation |
0..1 | Address | 病人聯絡地址 | |
| email |
0..1 | ContactPoint | 病人電子郵件地址 | |
| history |
0..1 | CodeableConcept | 過去病史 | |
| allergy |
0..1 | string | 過敏記錄 | |
| emergencyContactInfo |
0..* | BackboneElement | 緊急聯絡人相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emName |
0..1 | HumanName | 緊急聯絡人姓名 | |
| emrelationshp |
0..1 | code | 緊急聯絡人與病人關係 | |
| emergencyContactWay |
0..1 | BackboneElement | 緊急聯絡人聯絡方式 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emHomeTel |
0..1 | ContactPoint | 緊急聯絡人住宅電話 | |
| emOfficeTel |
0..1 | ContactPoint | 緊急聯絡人公司電話 | |
| emMobile |
0..1 | ContactPoint | 緊急聯絡人行動電話 | |
| childNumber |
0..1 | integer | 病人子女數 | |
| education |
0..1 | CodeableConcept | 病人教育程度 | |
| encounter |
1..1 | BackboneElement | 病人當次看診之相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| visitDate |
1..1 | dateTime | 掛號(報到)日期時間 | |
| visitSeq |
1..1 | Identifier | 掛號序號 | |
| department |
1..1 | CodeableConcept | 看診科別 | |
| patientComeFrom |
1..1 | CodeableConcept | 病人來源 | |
| doctorId |
1..1 | Identifier | 看診醫師身分證號 | |
| doctorName |
1..1 | HumanName | 看診醫師姓名 | |
| patientBloodPressure |
0..1 | BackboneElement | 病人血壓 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| systolicPressure |
0..1 | CodeableConcept | 收縮壓 | |
| diastoicPressure |
0..1 | CodeableConcept | 舒張壓 | |
| pulse |
0..1 | CodeableConcept | 病人脈搏 | |
| height |
0..1 | CodeableConcept | 病人身高 | |
| heightUnit |
0..1 | code | 病人身高單位 | |
| weight |
0..1 | CodeableConcept | 病人體重 | |
| weightUnit |
0..1 | code | 病人體重單位 | |
| bodytemperature |
0..1 | CodeableConcept | 病人體溫 | |
| chiefComplain |
1..1 | Annotation | 病人主訴 | |
| presentIllness |
0..* | CodeableConcept | 現病史 | |
| familyHistory |
0..* | Annotation | 家族史 | |
| personalHistory |
0..1 | string | 個人史 | |
| pediatricHistory |
0..* | CodeableConcept | 小兒病史 | |
| menstrualHistory |
0..* | CodeableConcept | 月經史 | |
| obstetricHistory |
0..* | CodeableConcept | 產科史 | |
| andrologyHistory |
0..* | CodeableConcept | 男科史 | |
| objectiveDescription |
1..1 | string | 望聞問切客觀描述 | |
| inspection |
0..1 | string | 望診 | |
| tongueCondition |
0..* | string | 病人舌象 | |
| listeningSmelling |
0..1 | string | 聞診 | |
| inquiry |
0..1 | string | 問診 | |
| palpation |
0..1 | string | 切診 | |
| pulseCondition |
0..2 | string | 病人脈象 | |
| diseaseCause |
0..1 | string | 病因 | |
| diseaseNature |
0..1 | string | 病性 | |
| diseaseLocation |
0..1 | string | 病位 | |
| diseaseTrend |
0..1 | string | 病勢 | |
| manifestation |
0..1 | string | 病人證型 | |
| therapeuticDiscipline |
0..1 | string | 病人治則 | |
| majorInjuryInfo |
1..* | BackboneElement | 重大傷病相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryFlag |
1..1 | Annotation | 重大傷病註記 | |
| majorInjuryContent |
0..* | BackboneElement | 重大傷病代碼與病名 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryCode |
1..1 | code | 重大傷病代碼 | |
| majorInjuryName |
1..1 | string | 重大傷病名稱 | |
| diagnosisContent |
1..* | BackboneElement | 診斷代碼與名稱 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| diagcode |
1..1 | code | 診斷代碼 | |
| diagName |
1..1 | string | 診斷名稱 | |
| treatmenInfo |
0..* | BackboneElement | 處置相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| treatmentNHICCode |
0..1 | code | 處置健保碼 | |
| treatmentDescription |
0..1 | string | 處置說明 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| acupunctureInfo |
0..* | BackboneElement | 針灸處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| acupunctureRegionNHICode |
1..* | code | 針灸部位 | |
| acupuncturePointName |
1..1 | Annotation | 針灸穴位 | |
| acpuncturePointComment |
0..1 | string | 針灸補充說明 | |
| contusionInfo |
0..* | BackboneElement | 傷科處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contusionRegionNHICode |
1..1 | code | 傷科部位 | |
| contusionTechnique |
1..1 | Annotation | 傷科手法 | |
| contusionComment |
0..1 | string | 傷科補充說明 | |
| dislocationInfo |
0..* | BackboneElement | 脫臼整復處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| dislocationRegionNHICode |
1..1 | code | 脫臼整復部位 | |
| dislocationTreatmentMethod |
1..1 | Annotation | 脫臼整復處理方法 | |
| dislocationComment |
0..1 | string | 脫臼整復的補充說明 | |
| doctorAdvise |
0..1 | Annotation | 醫師囑咐 | |
| doctorSign |
1..1 | Signature | 醫師簽章 | |
| drugInfo |
0..* | BackboneElement | 用藥紀錄相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| drugNHICCode |
0..1 | code | 藥品健保碼 | |
| drugCode |
1..1 | code | 藥品藥品碼 | |
| drugName |
1..1 | string | 藥品商品名 | |
| dose |
1..1 | decimal | 用量 | |
| doseUnit |
1..1 | string | 用量單位 | |
| route |
1..1 | CodeableConcept | 藥品服用方法 | |
| frequency |
1..1 | CodeableConcept | 藥品的使用頻率 | |
| drugStartDate |
1..1 | date | 用藥開始日期 | |
| drugEndDate |
1..1 | date | 用藥結束日期 | |
| days |
1..1 | decimal | 服藥天數 | |
| totalAmount |
1..1 | decimal | 藥品總劑量 | |
| prescriptionMethod |
0..1 | string | 藥品調劑方式 | |
| packageNumber |
0..1 | integer | 包數 | |
| examiationInfo |
0..* | BackboneElement | 檢驗檢查相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| examOrderDate |
0..1 | dateTime | 檢驗檢查開單日期 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | dateTime | Primitive value for dateTime | |
| orderHospitalID |
1..1 | code | 檢驗檢查開單醫事機構代碼 | |
| orderHospitalName |
1..1 | string | 檢驗檢查開單醫事機構名稱 | |
| examHospitalID |
1..1 | code | 檢驗檢查執行醫事機構代碼 | |
| examHospitalName |
1..1 | string | 檢驗檢查執行醫事機構名稱 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| examDate |
1..1 | dateTime | 檢查日期 | |
| verifyDate |
0..1 | dateTime | 報告日期 | |
| testNHICode |
0..1 | code | 健保檢驗檢查代碼 | |
| testName |
1..1 | string | 檢驗檢查名稱 | |
| testResult |
0..1 | string | 檢驗檢查結果值 | |
| resultUnit |
0..1 | string | 檢驗檢查結果單位 | |
| resultFlag |
0..1 | CodeableConcept | 檢驗檢查結果判斷註記 | |
| resultComment |
0..1 | Annotation | 檢驗檢查結果備註說明 | |
| imageInfo |
0..* | BackboneElement | 圖檔報告內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| imageFileName |
1..1 | Attachment | 圖檔報告名稱 | |
| imageContent |
1..1 | Attachment | 圖檔報告內容 | |
| referenceInfo |
0..* | BackboneElement | 參考附件資料內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| referenceDocFileName |
1..1 | Attachment | 附件檔名 | |
| referenceDocContent |
1..1 | Attachment | 附件內容 | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| TraditionalChineseMedicineClinicRecordModel |
0..* | Base | 中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型 | |
| documentInfo |
1..1 | BackboneElement | 病歷文件資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| hisdocPK |
1..1 | Identifier | HIS病歷唯一碼 | |
| hospitalId |
1..1 | Identifier | 醫事機構代碼 | |
| hospitalName |
1..1 | string | 醫事機構名稱 | |
| sheetInfo |
1..1 | BackboneElement | 病歷表單資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sheetId |
1..1 | Identifier | 病歷表單編號 | |
| sheetName |
1..1 | string | 病歷表單名稱 | |
| sheetVersion |
1..1 | id | 病歷表單版本 | |
| docInfo |
1..1 | BackboneElement | 病歷文件資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| docConfidentialityCode |
1..1 | code | 文件敏感性 | |
| createTime |
1..1 | dateTime | 文件產生時間 | |
| patientInfo |
1..1 | BackboneElement | 病人基本資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| chatNo |
1..1 | Identifier | 病歷號 | |
| patientName |
1..1 | HumanName | 病人姓名 | |
| birthDate |
0..1 | date | 出生日期 | |
| visitIdentity |
1..1 | CodeableConcept | 就醫身份 | |
| gender |
1..1 | code | 性別 | |
| personalIDNumber |
1..1 | Identifier | 身分證號 | |
| contactInfo |
0..1 | BackboneElement | 聯絡資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| homeTel |
0..1 | ContactPoint | 住宅電話 | |
| officeTel |
0..1 | ContactPoint | 公司電話 | |
| mobile |
0..1 | ContactPoint | 行動電話 | |
| bloodtype |
0..1 | CodeableConcept | 自述血型 | |
| marriageStatus |
0..1 | CodeableConcept | 婚姻 | |
| occupation |
0..1 | CodeableConcept | 職業 | |
| addressInfo |
0..1 | BackboneElement | 病人相關住址 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressInfo |
0..1 | BackboneElement | 病人戶籍地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressZipCode |
0..1 | code | 病人戶籍地址郵遞區號 | |
| originalAddresLocation |
0..1 | Address | 病人戶籍地址 | |
| contactAddressInfo |
0..1 | BackboneElement | 病人聯絡地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contactAddressZipCode |
0..1 | code | 病人聯絡地址郵遞區號 | |
| contactAddressLocation |
0..1 | Address | 病人聯絡地址 | |
| email |
0..1 | ContactPoint | 病人電子郵件地址 | |
| history |
0..1 | CodeableConcept | 過去病史 | |
| allergy |
0..1 | string | 過敏記錄 | |
| emergencyContactInfo |
0..* | BackboneElement | 緊急聯絡人相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emName |
0..1 | HumanName | 緊急聯絡人姓名 | |
| emrelationshp |
0..1 | code | 緊急聯絡人與病人關係 | |
| emergencyContactWay |
0..1 | BackboneElement | 緊急聯絡人聯絡方式 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emHomeTel |
0..1 | ContactPoint | 緊急聯絡人住宅電話 | |
| emOfficeTel |
0..1 | ContactPoint | 緊急聯絡人公司電話 | |
| emMobile |
0..1 | ContactPoint | 緊急聯絡人行動電話 | |
| childNumber |
0..1 | integer | 病人子女數 | |
| education |
0..1 | CodeableConcept | 病人教育程度 | |
| encounter |
1..1 | BackboneElement | 病人當次看診之相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| visitDate |
1..1 | dateTime | 掛號(報到)日期時間 | |
| visitSeq |
1..1 | Identifier | 掛號序號 | |
| department |
1..1 | CodeableConcept | 看診科別 | |
| patientComeFrom |
1..1 | CodeableConcept | 病人來源 | |
| doctorId |
1..1 | Identifier | 看診醫師身分證號 | |
| doctorName |
1..1 | HumanName | 看診醫師姓名 | |
| patientBloodPressure |
0..1 | BackboneElement | 病人血壓 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| systolicPressure |
0..1 | CodeableConcept | 收縮壓 | |
| diastoicPressure |
0..1 | CodeableConcept | 舒張壓 | |
| pulse |
0..1 | CodeableConcept | 病人脈搏 | |
| height |
0..1 | CodeableConcept | 病人身高 | |
| heightUnit |
0..1 | code | 病人身高單位 | |
| weight |
0..1 | CodeableConcept | 病人體重 | |
| weightUnit |
0..1 | code | 病人體重單位 | |
| bodytemperature |
0..1 | CodeableConcept | 病人體溫 | |
| chiefComplain |
1..1 | Annotation | 病人主訴 | |
| presentIllness |
0..* | CodeableConcept | 現病史 | |
| familyHistory |
0..* | Annotation | 家族史 | |
| personalHistory |
0..1 | string | 個人史 | |
| pediatricHistory |
0..* | CodeableConcept | 小兒病史 | |
| menstrualHistory |
0..* | CodeableConcept | 月經史 | |
| obstetricHistory |
0..* | CodeableConcept | 產科史 | |
| andrologyHistory |
0..* | CodeableConcept | 男科史 | |
| objectiveDescription |
1..1 | string | 望聞問切客觀描述 | |
| inspection |
0..1 | string | 望診 | |
| tongueCondition |
0..* | string | 病人舌象 | |
| listeningSmelling |
0..1 | string | 聞診 | |
| inquiry |
0..1 | string | 問診 | |
| palpation |
0..1 | string | 切診 | |
| pulseCondition |
0..2 | string | 病人脈象 | |
| diseaseCause |
0..1 | string | 病因 | |
| diseaseNature |
0..1 | string | 病性 | |
| diseaseLocation |
0..1 | string | 病位 | |
| diseaseTrend |
0..1 | string | 病勢 | |
| manifestation |
0..1 | string | 病人證型 | |
| therapeuticDiscipline |
0..1 | string | 病人治則 | |
| majorInjuryInfo |
1..* | BackboneElement | 重大傷病相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryFlag |
1..1 | Annotation | 重大傷病註記 | |
| majorInjuryContent |
0..* | BackboneElement | 重大傷病代碼與病名 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryCode |
1..1 | code | 重大傷病代碼 | |
| majorInjuryName |
1..1 | string | 重大傷病名稱 | |
| diagnosisContent |
1..* | BackboneElement | 診斷代碼與名稱 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| diagcode |
1..1 | code | 診斷代碼 | |
| diagName |
1..1 | string | 診斷名稱 | |
| treatmenInfo |
0..* | BackboneElement | 處置相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| treatmentNHICCode |
0..1 | code | 處置健保碼 | |
| treatmentDescription |
0..1 | string | 處置說明 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| acupunctureInfo |
0..* | BackboneElement | 針灸處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| acupunctureRegionNHICode |
1..* | code | 針灸部位 | |
| acupuncturePointName |
1..1 | Annotation | 針灸穴位 | |
| acpuncturePointComment |
0..1 | string | 針灸補充說明 | |
| contusionInfo |
0..* | BackboneElement | 傷科處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contusionRegionNHICode |
1..1 | code | 傷科部位 | |
| contusionTechnique |
1..1 | Annotation | 傷科手法 | |
| contusionComment |
0..1 | string | 傷科補充說明 | |
| dislocationInfo |
0..* | BackboneElement | 脫臼整復處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| dislocationRegionNHICode |
1..1 | code | 脫臼整復部位 | |
| dislocationTreatmentMethod |
1..1 | Annotation | 脫臼整復處理方法 | |
| dislocationComment |
0..1 | string | 脫臼整復的補充說明 | |
| doctorAdvise |
0..1 | Annotation | 醫師囑咐 | |
| doctorSign |
1..1 | Signature | 醫師簽章 | |
| drugInfo |
0..* | BackboneElement | 用藥紀錄相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| drugNHICCode |
0..1 | code | 藥品健保碼 | |
| drugCode |
1..1 | code | 藥品藥品碼 | |
| drugName |
1..1 | string | 藥品商品名 | |
| dose |
1..1 | decimal | 用量 | |
| doseUnit |
1..1 | string | 用量單位 | |
| route |
1..1 | CodeableConcept | 藥品服用方法 | |
| frequency |
1..1 | CodeableConcept | 藥品的使用頻率 | |
| drugStartDate |
1..1 | date | 用藥開始日期 | |
| drugEndDate |
1..1 | date | 用藥結束日期 | |
| days |
1..1 | decimal | 服藥天數 | |
| totalAmount |
1..1 | decimal | 藥品總劑量 | |
| prescriptionMethod |
0..1 | string | 藥品調劑方式 | |
| packageNumber |
0..1 | integer | 包數 | |
| examiationInfo |
0..* | BackboneElement | 檢驗檢查相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| examOrderDate |
0..1 | dateTime | 檢驗檢查開單日期 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | dateTime | Primitive value for dateTime | |
| orderHospitalID |
1..1 | code | 檢驗檢查開單醫事機構代碼 | |
| orderHospitalName |
1..1 | string | 檢驗檢查開單醫事機構名稱 | |
| examHospitalID |
1..1 | code | 檢驗檢查執行醫事機構代碼 | |
| examHospitalName |
1..1 | string | 檢驗檢查執行醫事機構名稱 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| examDate |
1..1 | dateTime | 檢查日期 | |
| verifyDate |
0..1 | dateTime | 報告日期 | |
| testNHICode |
0..1 | code | 健保檢驗檢查代碼 | |
| testName |
1..1 | string | 檢驗檢查名稱 | |
| testResult |
0..1 | string | 檢驗檢查結果值 | |
| resultUnit |
0..1 | string | 檢驗檢查結果單位 | |
| resultFlag |
0..1 | CodeableConcept | 檢驗檢查結果判斷註記 | |
| resultComment |
0..1 | Annotation | 檢驗檢查結果備註說明 | |
| imageInfo |
0..* | BackboneElement | 圖檔報告內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| imageFileName |
1..1 | Attachment | 圖檔報告名稱 | |
| imageContent |
1..1 | Attachment | 圖檔報告內容 | |
| referenceInfo |
0..* | BackboneElement | 參考附件資料內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| referenceDocFileName |
1..1 | Attachment | 附件檔名 | |
| referenceDocContent |
1..1 | Attachment | 附件內容 | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| TraditionalChineseMedicineClinicRecordModel |
0..* | Base | 中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型 | |
| documentInfo |
1..1 | BackboneElement | 病歷文件資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| hisdocPK |
1..1 | Identifier | HIS病歷唯一碼 | |
| hospitalId |
1..1 | Identifier | 醫事機構代碼 | |
| hospitalName |
1..1 | string | 醫事機構名稱 | |
| sheetInfo |
1..1 | BackboneElement | 病歷表單資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sheetId |
1..1 | Identifier | 病歷表單編號 | |
| sheetName |
1..1 | string | 病歷表單名稱 | |
| sheetVersion |
1..1 | id | 病歷表單版本 | |
| docInfo |
1..1 | BackboneElement | 病歷文件資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| docConfidentialityCode |
1..1 | code | 文件敏感性 | |
| createTime |
1..1 | dateTime | 文件產生時間 | |
| patientInfo |
1..1 | BackboneElement | 病人基本資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| chatNo |
1..1 | Identifier | 病歷號 | |
| patientName |
1..1 | HumanName | 病人姓名 | |
| birthDate |
0..1 | date | 出生日期 | |
| visitIdentity |
1..1 | CodeableConcept | 就醫身份 | |
| gender |
1..1 | code | 性別 | |
| personalIDNumber |
1..1 | Identifier | 身分證號 | |
| contactInfo |
0..1 | BackboneElement | 聯絡資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| homeTel |
0..1 | ContactPoint | 住宅電話 | |
| officeTel |
0..1 | ContactPoint | 公司電話 | |
| mobile |
0..1 | ContactPoint | 行動電話 | |
| bloodtype |
0..1 | CodeableConcept | 自述血型 | |
| marriageStatus |
0..1 | CodeableConcept | 婚姻 | |
| occupation |
0..1 | CodeableConcept | 職業 | |
| addressInfo |
0..1 | BackboneElement | 病人相關住址 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressInfo |
0..1 | BackboneElement | 病人戶籍地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressZipCode |
0..1 | code | 病人戶籍地址郵遞區號 | |
| originalAddresLocation |
0..1 | Address | 病人戶籍地址 | |
| contactAddressInfo |
0..1 | BackboneElement | 病人聯絡地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contactAddressZipCode |
0..1 | code | 病人聯絡地址郵遞區號 | |
| contactAddressLocation |
0..1 | Address | 病人聯絡地址 | |
| email |
0..1 | ContactPoint | 病人電子郵件地址 | |
| history |
0..1 | CodeableConcept | 過去病史 | |
| allergy |
0..1 | string | 過敏記錄 | |
| emergencyContactInfo |
0..* | BackboneElement | 緊急聯絡人相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emName |
0..1 | HumanName | 緊急聯絡人姓名 | |
| emrelationshp |
0..1 | code | 緊急聯絡人與病人關係 | |
| emergencyContactWay |
0..1 | BackboneElement | 緊急聯絡人聯絡方式 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emHomeTel |
0..1 | ContactPoint | 緊急聯絡人住宅電話 | |
| emOfficeTel |
0..1 | ContactPoint | 緊急聯絡人公司電話 | |
| emMobile |
0..1 | ContactPoint | 緊急聯絡人行動電話 | |
| childNumber |
0..1 | integer | 病人子女數 | |
| education |
0..1 | CodeableConcept | 病人教育程度 | |
| encounter |
1..1 | BackboneElement | 病人當次看診之相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| visitDate |
1..1 | dateTime | 掛號(報到)日期時間 | |
| visitSeq |
1..1 | Identifier | 掛號序號 | |
| department |
1..1 | CodeableConcept | 看診科別 | |
| patientComeFrom |
1..1 | CodeableConcept | 病人來源 | |
| doctorId |
1..1 | Identifier | 看診醫師身分證號 | |
| doctorName |
1..1 | HumanName | 看診醫師姓名 | |
| patientBloodPressure |
0..1 | BackboneElement | 病人血壓 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| systolicPressure |
0..1 | CodeableConcept | 收縮壓 | |
| diastoicPressure |
0..1 | CodeableConcept | 舒張壓 | |
| pulse |
0..1 | CodeableConcept | 病人脈搏 | |
| height |
0..1 | CodeableConcept | 病人身高 | |
| heightUnit |
0..1 | code | 病人身高單位 | |
| weight |
0..1 | CodeableConcept | 病人體重 | |
| weightUnit |
0..1 | code | 病人體重單位 | |
| bodytemperature |
0..1 | CodeableConcept | 病人體溫 | |
| chiefComplain |
1..1 | Annotation | 病人主訴 | |
| presentIllness |
0..* | CodeableConcept | 現病史 | |
| familyHistory |
0..* | Annotation | 家族史 | |
| personalHistory |
0..1 | string | 個人史 | |
| pediatricHistory |
0..* | CodeableConcept | 小兒病史 | |
| menstrualHistory |
0..* | CodeableConcept | 月經史 | |
| obstetricHistory |
0..* | CodeableConcept | 產科史 | |
| andrologyHistory |
0..* | CodeableConcept | 男科史 | |
| objectiveDescription |
1..1 | string | 望聞問切客觀描述 | |
| inspection |
0..1 | string | 望診 | |
| tongueCondition |
0..* | string | 病人舌象 | |
| listeningSmelling |
0..1 | string | 聞診 | |
| inquiry |
0..1 | string | 問診 | |
| palpation |
0..1 | string | 切診 | |
| pulseCondition |
0..2 | string | 病人脈象 | |
| diseaseCause |
0..1 | string | 病因 | |
| diseaseNature |
0..1 | string | 病性 | |
| diseaseLocation |
0..1 | string | 病位 | |
| diseaseTrend |
0..1 | string | 病勢 | |
| manifestation |
0..1 | string | 病人證型 | |
| therapeuticDiscipline |
0..1 | string | 病人治則 | |
| majorInjuryInfo |
1..* | BackboneElement | 重大傷病相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryFlag |
1..1 | Annotation | 重大傷病註記 | |
| majorInjuryContent |
0..* | BackboneElement | 重大傷病代碼與病名 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryCode |
1..1 | code | 重大傷病代碼 | |
| majorInjuryName |
1..1 | string | 重大傷病名稱 | |
| diagnosisContent |
1..* | BackboneElement | 診斷代碼與名稱 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| diagcode |
1..1 | code | 診斷代碼 | |
| diagName |
1..1 | string | 診斷名稱 | |
| treatmenInfo |
0..* | BackboneElement | 處置相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| treatmentNHICCode |
0..1 | code | 處置健保碼 | |
| treatmentDescription |
0..1 | string | 處置說明 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| acupunctureInfo |
0..* | BackboneElement | 針灸處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| acupunctureRegionNHICode |
1..* | code | 針灸部位 | |
| acupuncturePointName |
1..1 | Annotation | 針灸穴位 | |
| acpuncturePointComment |
0..1 | string | 針灸補充說明 | |
| contusionInfo |
0..* | BackboneElement | 傷科處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contusionRegionNHICode |
1..1 | code | 傷科部位 | |
| contusionTechnique |
1..1 | Annotation | 傷科手法 | |
| contusionComment |
0..1 | string | 傷科補充說明 | |
| dislocationInfo |
0..* | BackboneElement | 脫臼整復處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| dislocationRegionNHICode |
1..1 | code | 脫臼整復部位 | |
| dislocationTreatmentMethod |
1..1 | Annotation | 脫臼整復處理方法 | |
| dislocationComment |
0..1 | string | 脫臼整復的補充說明 | |
| doctorAdvise |
0..1 | Annotation | 醫師囑咐 | |
| doctorSign |
1..1 | Signature | 醫師簽章 | |
| drugInfo |
0..* | BackboneElement | 用藥紀錄相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| drugNHICCode |
0..1 | code | 藥品健保碼 | |
| drugCode |
1..1 | code | 藥品藥品碼 | |
| drugName |
1..1 | string | 藥品商品名 | |
| dose |
1..1 | decimal | 用量 | |
| doseUnit |
1..1 | string | 用量單位 | |
| route |
1..1 | CodeableConcept | 藥品服用方法 | |
| frequency |
1..1 | CodeableConcept | 藥品的使用頻率 | |
| drugStartDate |
1..1 | date | 用藥開始日期 | |
| drugEndDate |
1..1 | date | 用藥結束日期 | |
| days |
1..1 | decimal | 服藥天數 | |
| totalAmount |
1..1 | decimal | 藥品總劑量 | |
| prescriptionMethod |
0..1 | string | 藥品調劑方式 | |
| packageNumber |
0..1 | integer | 包數 | |
| examiationInfo |
0..* | BackboneElement | 檢驗檢查相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| examOrderDate |
0..1 | dateTime | 檢驗檢查開單日期 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | dateTime | Primitive value for dateTime | |
| orderHospitalID |
1..1 | code | 檢驗檢查開單醫事機構代碼 | |
| orderHospitalName |
1..1 | string | 檢驗檢查開單醫事機構名稱 | |
| examHospitalID |
1..1 | code | 檢驗檢查執行醫事機構代碼 | |
| examHospitalName |
1..1 | string | 檢驗檢查執行醫事機構名稱 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| examDate |
1..1 | dateTime | 檢查日期 | |
| verifyDate |
0..1 | dateTime | 報告日期 | |
| testNHICode |
0..1 | code | 健保檢驗檢查代碼 | |
| testName |
1..1 | string | 檢驗檢查名稱 | |
| testResult |
0..1 | string | 檢驗檢查結果值 | |
| resultUnit |
0..1 | string | 檢驗檢查結果單位 | |
| resultFlag |
0..1 | CodeableConcept | 檢驗檢查結果判斷註記 | |
| resultComment |
0..1 | Annotation | 檢驗檢查結果備註說明 | |
| imageInfo |
0..* | BackboneElement | 圖檔報告內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| imageFileName |
1..1 | Attachment | 圖檔報告名稱 | |
| imageContent |
1..1 | Attachment | 圖檔報告內容 | |
| referenceInfo |
0..* | BackboneElement | 參考附件資料內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| referenceDocFileName |
1..1 | Attachment | 附件檔名 | |
| referenceDocContent |
1..1 | Attachment | 附件內容 | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from Base
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| TraditionalChineseMedicineClinicRecordModel |
0..* | Base | 中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型 | |
| documentInfo |
1..1 | BackboneElement | 病歷文件資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| hisdocPK |
1..1 | Identifier | HIS病歷唯一碼 | |
| hospitalId |
1..1 | Identifier | 醫事機構代碼 | |
| hospitalName |
1..1 | string | 醫事機構名稱 | |
| sheetInfo |
1..1 | BackboneElement | 病歷表單資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sheetId |
1..1 | Identifier | 病歷表單編號 | |
| sheetName |
1..1 | string | 病歷表單名稱 | |
| sheetVersion |
1..1 | id | 病歷表單版本 | |
| docInfo |
1..1 | BackboneElement | 病歷文件資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| docConfidentialityCode |
1..1 | code | 文件敏感性 | |
| createTime |
1..1 | dateTime | 文件產生時間 | |
| patientInfo |
1..1 | BackboneElement | 病人基本資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| chatNo |
1..1 | Identifier | 病歷號 | |
| patientName |
1..1 | HumanName | 病人姓名 | |
| birthDate |
0..1 | date | 出生日期 | |
| visitIdentity |
1..1 | CodeableConcept | 就醫身份 | |
| gender |
1..1 | code | 性別 | |
| personalIDNumber |
1..1 | Identifier | 身分證號 | |
| contactInfo |
0..1 | BackboneElement | 聯絡資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| homeTel |
0..1 | ContactPoint | 住宅電話 | |
| officeTel |
0..1 | ContactPoint | 公司電話 | |
| mobile |
0..1 | ContactPoint | 行動電話 | |
| bloodtype |
0..1 | CodeableConcept | 自述血型 | |
| marriageStatus |
0..1 | CodeableConcept | 婚姻 | |
| occupation |
0..1 | CodeableConcept | 職業 | |
| addressInfo |
0..1 | BackboneElement | 病人相關住址 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressInfo |
0..1 | BackboneElement | 病人戶籍地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| originalAddressZipCode |
0..1 | code | 病人戶籍地址郵遞區號 | |
| originalAddresLocation |
0..1 | Address | 病人戶籍地址 | |
| contactAddressInfo |
0..1 | BackboneElement | 病人聯絡地址資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contactAddressZipCode |
0..1 | code | 病人聯絡地址郵遞區號 | |
| contactAddressLocation |
0..1 | Address | 病人聯絡地址 | |
| email |
0..1 | ContactPoint | 病人電子郵件地址 | |
| history |
0..1 | CodeableConcept | 過去病史 | |
| allergy |
0..1 | string | 過敏記錄 | |
| emergencyContactInfo |
0..* | BackboneElement | 緊急聯絡人相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emName |
0..1 | HumanName | 緊急聯絡人姓名 | |
| emrelationshp |
0..1 | code | 緊急聯絡人與病人關係 | |
| emergencyContactWay |
0..1 | BackboneElement | 緊急聯絡人聯絡方式 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| emHomeTel |
0..1 | ContactPoint | 緊急聯絡人住宅電話 | |
| emOfficeTel |
0..1 | ContactPoint | 緊急聯絡人公司電話 | |
| emMobile |
0..1 | ContactPoint | 緊急聯絡人行動電話 | |
| childNumber |
0..1 | integer | 病人子女數 | |
| education |
0..1 | CodeableConcept | 病人教育程度 | |
| encounter |
1..1 | BackboneElement | 病人當次看診之相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| visitDate |
1..1 | dateTime | 掛號(報到)日期時間 | |
| visitSeq |
1..1 | Identifier | 掛號序號 | |
| department |
1..1 | CodeableConcept | 看診科別 | |
| patientComeFrom |
1..1 | CodeableConcept | 病人來源 | |
| doctorId |
1..1 | Identifier | 看診醫師身分證號 | |
| doctorName |
1..1 | HumanName | 看診醫師姓名 | |
| patientBloodPressure |
0..1 | BackboneElement | 病人血壓 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| systolicPressure |
0..1 | CodeableConcept | 收縮壓 | |
| diastoicPressure |
0..1 | CodeableConcept | 舒張壓 | |
| pulse |
0..1 | CodeableConcept | 病人脈搏 | |
| height |
0..1 | CodeableConcept | 病人身高 | |
| heightUnit |
0..1 | code | 病人身高單位 | |
| weight |
0..1 | CodeableConcept | 病人體重 | |
| weightUnit |
0..1 | code | 病人體重單位 | |
| bodytemperature |
0..1 | CodeableConcept | 病人體溫 | |
| chiefComplain |
1..1 | Annotation | 病人主訴 | |
| presentIllness |
0..* | CodeableConcept | 現病史 | |
| familyHistory |
0..* | Annotation | 家族史 | |
| personalHistory |
0..1 | string | 個人史 | |
| pediatricHistory |
0..* | CodeableConcept | 小兒病史 | |
| menstrualHistory |
0..* | CodeableConcept | 月經史 | |
| obstetricHistory |
0..* | CodeableConcept | 產科史 | |
| andrologyHistory |
0..* | CodeableConcept | 男科史 | |
| objectiveDescription |
1..1 | string | 望聞問切客觀描述 | |
| inspection |
0..1 | string | 望診 | |
| tongueCondition |
0..* | string | 病人舌象 | |
| listeningSmelling |
0..1 | string | 聞診 | |
| inquiry |
0..1 | string | 問診 | |
| palpation |
0..1 | string | 切診 | |
| pulseCondition |
0..2 | string | 病人脈象 | |
| diseaseCause |
0..1 | string | 病因 | |
| diseaseNature |
0..1 | string | 病性 | |
| diseaseLocation |
0..1 | string | 病位 | |
| diseaseTrend |
0..1 | string | 病勢 | |
| manifestation |
0..1 | string | 病人證型 | |
| therapeuticDiscipline |
0..1 | string | 病人治則 | |
| majorInjuryInfo |
1..* | BackboneElement | 重大傷病相關資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryFlag |
1..1 | Annotation | 重大傷病註記 | |
| majorInjuryContent |
0..* | BackboneElement | 重大傷病代碼與病名 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| majorInjuryCode |
1..1 | code | 重大傷病代碼 | |
| majorInjuryName |
1..1 | string | 重大傷病名稱 | |
| diagnosisContent |
1..* | BackboneElement | 診斷代碼與名稱 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| diagcode |
1..1 | code | 診斷代碼 | |
| diagName |
1..1 | string | 診斷名稱 | |
| treatmenInfo |
0..* | BackboneElement | 處置相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| treatmentNHICCode |
0..1 | code | 處置健保碼 | |
| treatmentDescription |
0..1 | string | 處置說明 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| acupunctureInfo |
0..* | BackboneElement | 針灸處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| acupunctureRegionNHICode |
1..* | code | 針灸部位 | |
| acupuncturePointName |
1..1 | Annotation | 針灸穴位 | |
| acpuncturePointComment |
0..1 | string | 針灸補充說明 | |
| contusionInfo |
0..* | BackboneElement | 傷科處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| contusionRegionNHICode |
1..1 | code | 傷科部位 | |
| contusionTechnique |
1..1 | Annotation | 傷科手法 | |
| contusionComment |
0..1 | string | 傷科補充說明 | |
| dislocationInfo |
0..* | BackboneElement | 脫臼整復處置 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| dislocationRegionNHICode |
1..1 | code | 脫臼整復部位 | |
| dislocationTreatmentMethod |
1..1 | Annotation | 脫臼整復處理方法 | |
| dislocationComment |
0..1 | string | 脫臼整復的補充說明 | |
| doctorAdvise |
0..1 | Annotation | 醫師囑咐 | |
| doctorSign |
1..1 | Signature | 醫師簽章 | |
| drugInfo |
0..* | BackboneElement | 用藥紀錄相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| drugNHICCode |
0..1 | code | 藥品健保碼 | |
| drugCode |
1..1 | code | 藥品藥品碼 | |
| drugName |
1..1 | string | 藥品商品名 | |
| dose |
1..1 | decimal | 用量 | |
| doseUnit |
1..1 | string | 用量單位 | |
| route |
1..1 | CodeableConcept | 藥品服用方法 | |
| frequency |
1..1 | CodeableConcept | 藥品的使用頻率 | |
| drugStartDate |
1..1 | date | 用藥開始日期 | |
| drugEndDate |
1..1 | date | 用藥結束日期 | |
| days |
1..1 | decimal | 服藥天數 | |
| totalAmount |
1..1 | decimal | 藥品總劑量 | |
| prescriptionMethod |
0..1 | string | 藥品調劑方式 | |
| packageNumber |
0..1 | integer | 包數 | |
| examiationInfo |
0..* | BackboneElement | 檢驗檢查相關內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| examOrderDate |
0..1 | dateTime | 檢驗檢查開單日期 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | dateTime | Primitive value for dateTime | |
| orderHospitalID |
1..1 | code | 檢驗檢查開單醫事機構代碼 | |
| orderHospitalName |
1..1 | string | 檢驗檢查開單醫事機構名稱 | |
| examHospitalID |
1..1 | code | 檢驗檢查執行醫事機構代碼 | |
| examHospitalName |
1..1 | string | 檢驗檢查執行醫事機構名稱 | |
| @id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| @value |
0..1 | string | Primitive value for string Max Length:1048576 | |
| examDate |
1..1 | dateTime | 檢查日期 | |
| verifyDate |
0..1 | dateTime | 報告日期 | |
| testNHICode |
0..1 | code | 健保檢驗檢查代碼 | |
| testName |
1..1 | string | 檢驗檢查名稱 | |
| testResult |
0..1 | string | 檢驗檢查結果值 | |
| resultUnit |
0..1 | string | 檢驗檢查結果單位 | |
| resultFlag |
0..1 | CodeableConcept | 檢驗檢查結果判斷註記 | |
| resultComment |
0..1 | Annotation | 檢驗檢查結果備註說明 | |
| imageInfo |
0..* | BackboneElement | 圖檔報告內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| imageFileName |
1..1 | Attachment | 圖檔報告名稱 | |
| imageContent |
1..1 | Attachment | 圖檔報告內容 | |
| referenceInfo |
0..* | BackboneElement | 參考附件資料內容 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| referenceDocFileName |
1..1 | Attachment | 附件檔名 | |
| referenceDocContent |
1..1 | Attachment | 附件內容 | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Base