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
Logical Model: 中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型
| Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/TraditionalChineseMedicineClinicRecordModel | Version: 0.1.0 | |||
| Draft as of 2026-08-31 | Computable Name: TraditionalChineseMedicineClinicRecordModel | |||
中醫門診單(TraditionalChineseMedicineClinicRecord)之資料模型
Usages:
- This Logical Model is not used by any profiles in this Specification
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | |
| tongueCondition |
0..1 | string | 病人舌象 | |
| pulseCondition |
0..1 | string | 病人脈象 | |
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | CodeableConcept | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | ||||
Constraints
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | |
| tongueCondition |
0..1 | string | 病人舌象 | |
| pulseCondition |
0..1 | string | 病人脈象 | |
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | CodeableConcept | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | ||||
Constraints
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | |
| tongueCondition |
0..1 | string | 病人舌象 | |
| pulseCondition |
0..1 | string | 病人脈象 | |
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | CodeableConcept | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | ||||
Constraints
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | |
| tongueCondition |
0..1 | string | 病人舌象 | |
| pulseCondition |
0..1 | string | 病人脈象 | |
| 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | |
| 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 |
?!Σ | 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 | CodeableConcept | 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 |
?!Σ | 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 |
?!Σ | 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 |
?!Σ | 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 | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Base