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

## : 門診單架構 - JSON Representation

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        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>中醫門診單</b></h3><p><b>病歷表單版本</b>：1</p><p><b>臨床狀態</b>：Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/composition-status\">CompositionStatus</a>#final)</span></p><p><b>種類</b>：Outpatient Note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#34108-1)</span></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><p><b>文件產生時間</b>：2010-04-21T14:30:00+08:00</p><p><b>醫事機構代碼</b>：<a href=\"Organization-OrganizationTWCM-min.html\">OrganizationTWCM-min</a> &quot;3801012567&quot;<br/><b>醫事機構名稱</b>：<a href=\"Organization-OrganizationTWCM-min.html\">OrganizationTWCM-min</a> &quot;捷達世中醫診所&quot;</p><p><b>文件標題</b>：中醫門診單</p><p><b>文件敏感性</b>：normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-Confidentiality/\">v3 Code System Confidentiality</a>#N)</span></p><p><b>病摘小節內容：</b></p><blockquote><p><b>section[PatientInformation]：</b><br/><span style=\"display: block; margin-left: 20px;\"><b>section[educationlevel]</b>： <a href=\"Observation-ObservationEducationLevelTWCM-min.html\">Observation/ObservationEducationLevelTWCM-min</a><br/><b>section[occupation]</b>： <a href=\"Observation-ObservationOccupationTWCM-min.html\">Observation/ObservationOccupationTWCM-min</a><br/><b>section[bloodtype]</b>： <a href=\"Observation-ObservationBloodtypeTWCM-min.html\">Observation/ObservationBloodtypeTWCM-min</a></span></p><p><b>section[AllergyIntolerance]</b>： <a href=\"AllergyIntolerance-AllergyIntoleranceTWCM-min.html\">AllergyIntolerance/AllergyIntoleranceTWCM-min</a></p><p><b>section[ConditionPastMedicalHistory]</b>： <a href=\"Condition-ConditionPastMedicalHistoryTWCM-min.html\">Condition/ConditionPastMedicalHistoryTWCM-min</a></p><p><b>section[ConditionMajorIllness]</b>： <a href=\"Observation-ObservationMajorIllnessTWCM-min.html\">Observation/ObservationMajorIllnessTWCM-min</a></p><p><b>section[Medication]</b>：<br/><span style=\"display: block; margin-left: 20px;\"><b>section[medication]</b>： <a href=\"Medication-MedicationTWCM-min.html\">Medication/MedicationTWCM-min</a><br/><b>section[medication]</b>： <a href=\"Medication-MedicationTWCM-pro.html\">Medication/MedicationTWCM-pro</a><br/><b>section[medicationrequest]</b>： <a href=\"MedicationRequest-MedicationRequestTWCM-min.html\">MedicationRequest/MedicationRequestTWCM-min</a><br/><b>section[medicationrequest]</b>： <a href=\"MedicationRequest-MedicationRequestTWCM-pro.html\">MedicationRequest/MedicationRequestTWCM-pro</a></span></p><p><b>section[ConditionDiagnosis]</b>：<br/><span style=\"display: block; margin-left: 20px;\"><b>section[conditiondiagnosis]</b>： <a href=\"Condition-ConditionDiagnosisTWCM-min.html\">Condition/ConditionDiagnosisTWCM-min</a><br/><b>section[practitioner]</b>： <a href=\"Practitioner-PractitionerTWCM-pro.html\">Practitioner/PractitionerTWCM-pro</a><br/><b>section[careplan]</b>： <a href=\"CarePlan-CarePlanTWCM-min.html\">CarePlan/CarePlanTWCM-min</a><br/><b>section[observationtonguecondition]</b>： <a href=\"Observation-ObservationTongueConditionTWCM-min.html\">Observation/ObservationTongueConditionTWCM-min</a><br/><b>section[observationpulsecondition]</b>： <a href=\"Observation-ObservationPulseConditionTWCM-min.html\">Observation/ObservationPulseConditionTWCM-min</a><br/><b>section[observationsyndrometype]</b>： <a href=\"Observation-ObservationSyndromeTypeTWCM-min.html\">Observation/ObservationSyndromeTypeTWCM-min</a><br/><b>section[observationtherapeuticprinciples]</b>： <a href=\"Observation-ObservationTherapeuticPrinciplesTWCM-min.html\">Observation/ObservationTherapeuticPrinciplesTWCM-min</a><br/></span></p><p><b>section[ConditionChiefComplaint]</b>： <a href=\"Condition-ConditionChiefComplaintTWCM-min.html\">Condition/ConditionChiefComplaintTWCM-min</a></p><p><b>section[ObservationVitalSign]</b>： <a href=\"Observation-ObservationVitalSignTWCM-min.html\">Observation/ObservationVitalSignTWCM-min</a></p><p><b>section[Procedure]</b>： <a href=\"Procedure-ProcedureTWCM-min.html\">Procedure/ProcedureTWCM-min</a><br/><b>section[Procedure]</b>： <a href=\"Procedure-ProcedureTWCM-minn.html\">Procedure/ProcedureTWCM-minn</a><br/><b>section[Procedure]</b>： <a href=\"Procedure-ProcedureTWCM-pro.html\">Procedure/ProcedureTWCM-pro</a></p><p><b>section[ObservationLabResults]</b>：<br/><span style=\"display: block; margin-left: 20px;\"><b>section[observation]</b>： <a href=\"Observation-ObservationTWCM-min.html\">Observation/ObservationTWCM-min</a><br/><b>section[observation]</b>： <a href=\"Observation-ObservationTWCM-pro.html\">Observation/ObservationTWCM-pro</a><br/><b>section[servicerequest]</b>： <a href=\"ServiceRequest-ServiceRequestTWCM-min.html\">ServiceRequest/ServiceRequestTWCM-min</a><br/><b>section[servicerequest]</b>： <a href=\"ServiceRequest-ServiceRequestTWCM-pro.html\">ServiceRequest/ServiceRequestTWCM-pro</a><br/><b>section[diagnosticreport]</b>： <a href=\"DiagnosticReport-DiagnosticReportTWCM-min.html\">DiagnosticReport/DiagnosticReportTWCM-min</a><br/><b>section[organizationinspection]</b>： <a href=\"Organization-OrganizationInspectionTWCM-min.html\">Organization/OrganizationInspectionTWCM-min</a></span></p><p><b>section[DocumentReference]</b>： <a href=\"DocumentReference-DocumentReferenceTWCM-min.html\">DocumentReference/DocumentReferenceTWCM-min</a></p></blockquote></div>"
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            "system" : "http://loinc.org",
            "code" : "34108-1",
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        🔗 "reference" : "Patient/PatientTWCM-min"
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      "encounter" : {
        🔗 "reference" : "Encounter/EncounterTWCM-min"
      },
      "date" : "2010-04-21T14:30:00+08:00",
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          🔗 "reference" : "Organization/OrganizationTWCM-min"
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      "title" : "中醫門診單",
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          "title" : "病人資料",
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                "code" : "52460-3",
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                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "80913-7",
                    "display" : "Highest level of education [US Standard Certificate of Death]"
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                    "code" : "85658-3",
                    "display" : "Occupation [Type]"
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                    "code" : "882-1",
                    "display" : "ABO and Rh group [Type] in Blood"
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                "code" : "48765-2",
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              🔗 "reference" : "AllergyIntolerance/AllergyIntoleranceTWCM-min"
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          ]
        },
        {
          "title" : "過去病史",
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                "code" : "11348-0",
                "display" : "History of Past illness note"
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          "entry" : [
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              🔗 "reference" : "Condition/ConditionPastMedicalHistoryTWCM-min"
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        {
          "title" : "重大傷病",
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                "code" : "11338-1",
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          "title" : "用藥紀錄",
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          "title" : "診斷",
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                  🔗 "reference" : "Condition/ConditionDiagnosisTWCM-min"
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                "coding" : [
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                    "system" : "http://loinc.org",
                    "code" : "101541-1",
                    "display" : "Multidisciplinary Comprehensive plan of care note"
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          "title" : "實驗室檢驗檢查紀錄",
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                    "code" : "77597-3",
                    "display" : "Orders placed Document"
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        },
        {
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                "system" : "http://loinc.org",
                "code" : "75310-3",
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