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

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• Detailed Descriptions
• Mappings
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• JSON
• TTL

Logical Model: TraditionalChineseMedicineClinicRecordModel - Mappings

Mappings for the TraditionalChineseMedicineClinicRecordModel logical model.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

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='882-1').valueCodeableConcept.text(自述血型)
marriageStatus	PatientTWCM.maritalStatus(婚姻)
occupation	ObservationOccupationTWCM.where(code='85658-3').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	ConditionPastMedicalHistoryTWCM.CodeableConcept.text(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='80913-7').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)
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)
tongueCondition	ObservationTongueConditionTWCM.where(code='249378009').valueString(病人舌象)
pulseCondition	ObservationPulseConditionTWCM.where(code='421608007').valueString(病人脈象)
manifestation	ObservationSyndromeTypeTWCM.where(code='38276004').valueString(病人證型)
therapeuticDiscipline	ObservationTherapeuticPrinciplesTWCM.where(code='314705003').valueString(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.note(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.note(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.note(脫臼整復的補充說明)
doctorAdvise	CarePlanTWCM.note(醫師囑咐)
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.dosageInstructiondoseAndRate.doseQuantity.unit(用量單位)
route	MedicationRequestTWCM.dosageInstruction.route(藥品服用方法)
frequency	MedicationRequestTWCM.dosageInstruction.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.dosageInstruction.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