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

Example Composition: 門診單架構

中醫門診單

病歷表單版本:1

臨床狀態:Final (CompositionStatus#final)

種類:Outpatient Note ( LOINC#34108-1)

病人Patient/PatientTWCM-min "陳美真"

就醫事件Encounter/EncounterTWCM-min

文件產生時間:2010-04-21T14:30:00+08:00

醫事機構代碼OrganizationTWCM-min "3801012567"
醫事機構名稱OrganizationTWCM-min "捷達世中醫診所"

文件標題:中醫門診單

文件敏感性:normal ( v3 Code System Confidentiality#N)

病摘小節內容:

section[PatientInformation]:
section[educationlevel]Observation/ObservationEducationLevelTWCM-min
section[occupation]Observation/ObservationOccupationTWCM-min
section[bloodtype]Observation/ObservationBloodtypeTWCM-min

section[AllergyIntolerance]AllergyIntolerance/AllergyIntoleranceTWCM-min

section[ConditionPastMedicalHistory]Condition/ConditionPastMedicalHistoryTWCM-min

section[ConditionMajorIllness]Observation/ObservationMajorIllnessTWCM-min

section[Medication]
section[medication]Medication/MedicationTWCM-min
section[medication]Medication/MedicationTWCM-pro
section[medicationrequest]MedicationRequest/MedicationRequestTWCM-min
section[medicationrequest]MedicationRequest/MedicationRequestTWCM-pro

section[ConditionDiagnosis]
section[conditiondiagnosis]Condition/ConditionDiagnosisTWCM-min
section[practitioner]Practitioner/PractitionerTWCM-pro
section[careplan]CarePlan/CarePlanTWCM-min
section[observationtonguecondition]Observation/ObservationTongueConditionTWCM-min
section[observationpulsecondition]Observation/ObservationPulseConditionTWCM-min
section[observationsyndrometype]Observation/ObservationSyndromeTypeTWCM-min
section[observationtherapeuticprinciples]Observation/ObservationTherapeuticPrinciplesTWCM-min

section[ConditionChiefComplaint]Condition/ConditionChiefComplaintTWCM-min

section[ObservationVitalSign]Observation/ObservationVitalSignTWCM-min

section[Procedure]Procedure/ProcedureTWCM-min
section[Procedure]Procedure/ProcedureTWCM-minn
section[Procedure]Procedure/ProcedureTWCM-pro

section[ObservationLabResults]
section[observation]Observation/ObservationTWCM-min
section[observation]Observation/ObservationTWCM-pro
section[servicerequest]ServiceRequest/ServiceRequestTWCM-min
section[servicerequest]ServiceRequest/ServiceRequestTWCM-pro
section[diagnosticreport]DiagnosticReport/DiagnosticReportTWCM-min
section[organizationinspection]Organization/OrganizationInspectionTWCM-min

section[DocumentReference]DocumentReference/DocumentReferenceTWCM-min