電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build
This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Draft as of 2024-04-20 |
Mappings for the DS-Model logical model.
| DSModel | ||
| DSModel | ||
| hospital | ||
| hospitalId | 醫療機構代碼:Organization.identifier.value | |
| hospitalName | 醫療機構名稱:Organization.name | |
| hospitalTelecom | 醫療機構電話:Organization.telecom.value | |
| dispensingId | 調劑機構代碼:Organization.identifier.value | |
| dispensingName | 調劑機構名稱:Organization.name | |
| dispensingAddress | 調劑機構地址:Organization.address.text | |
| dispensingTelecom | 調劑機構電話:Organization.telecom.value | |
| patientInformation | ||
| personalIDNumber | 身分證號:Patient.identifier | |
| chartNo | 病歷號碼:Patient.identifier | |
| name | 姓名:Patient.name | |
| gender | 性別:Patient.gender | |
| birthDate | 出生日期:birthDate | |
| age | 就診年齡:Patient.extension | |
| outpatientInformation | ||
| opdDate | 門診日期:Encounter.period.star | |
| department | 科別:Encounter.serviceType | |
| originalIdentifier | 原就醫識別碼:Encounter.identifier.value | |
| identifier | 就醫識別碼:Encounter.identifier.value | |
| note | 部分負擔代碼:Condition.note | |
| medicaltreatmentNumber | 健保卡就醫序號:Encounter.identifier.value | |
| class | 案件分類:Encounter.class | |
| type | 給付類別:Coverage.type | |
| pharmacyServiceCode | 藥事服務代碼:ChargeItem.code | |
| authorizationCode | 處方箋存取授權碼:MedicationRequest.identifier | |
| belong | 歸屬:Encounter.type | |
| practitionerInformation | ||
| physicianName | 醫師姓名:Practitioner.name | |
| licenseNumber | 管制藥品使用執照號碼:Practitioner.identifier.value | |
| physicianTelecom | 醫師聯絡電話:Practitioner.telecom.value | |
| professionalCertificate | 調劑人員專業證書字號:Practitioner.qualification.identifier.value | |
| pharmacyPersonnelName | 藥事人員姓名:Practitioner.name | |
| diagnosis | ||
| code | 國際疾病分類代碼 ICD Code(International Classification of Diseases):Condition.code | |
| note | 醫療評估內容註記:Condition.note | |
| prescriptionNo | 處方箋單號:MedicationRequest.identifier | |
| typesofPrescription | 處方箋種類註記:MedicationRequest.category | |
| prescriptionNote | 須被合併之處方箋註記:MedicationRequest.note | |
| prescriptionDate | ||
| date | 處方箋有效日期:MedicationRequest.dispenseRequest.validityPeriod.end | |
| note | 處方箋註銷註記:MedicationRequest.note | |
| totalMedicationDays | 給藥總日份:MedicationRequest.extension | |
| refillTimes | 連續處方可調劑次數:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | |
| dispensingIdentifier | 連續處方箋調劑序號:MedicationRequest.identifier.value | |
| dispensingContent | ||
| category | 醫令類別:MedicationDispense.category | |
| item | 項次:MedicationDispense.identifier | |
| healthInsuranceCode | 健保代碼:Medication.code, 健保代碼:MedicationDispense.medication[x]:medicationCodeableConcept | |
| brandName | 藥品商品名稱:MedicationDispense.medication[x]:medicationCodeableConcept, 藥品商品名稱:Medication.code | |
| genericName | 學名:MedicationDispense.medication[x]:medicationCodeableConcept.text, 學名:Medication.code | |
| batchNumber | 藥品批號:Medication.identifier, 藥品批號:MedicationDispense.identifier | |
| reason | 不得以其他廠牌藥品替代之理由:MedicationDispense.substitution.reason | |
| drugUnitContent | 藥品單位含量:Medication.ingredient.strength | |
| dosageForm | 劑型:Medication.form | |
| dose | 劑量:MedicationDispense.dosageInstruction.doseAndRate.doseQuantity.value | |
| doseUnits | 劑量單位:MedicationDispense.dosageInstruction.doseAndRate.doseQuantity.unit | |
| frequency | 頻率:MedicationDispense.dosageInstruction.timing.repeat.frequency | |
| usageTime | 使用時間:MedicationDispense.dosageInstruction.timing.code | |
| routeOfAdministration | 給藥途徑:MedicationDispense.dosageInstruction.route | |
| medicationDays | 給藥日數:MedicationDispense.daysSupply | |
| totalAmount | 給藥總量:MedicationDispense.quantity.value | |
| totalUnits | 給藥總量單位:MedicationDispense.quantity.unit | |
| radiopharmaceuticalName | 調劑之核種名稱:MedicationDispense.note | |
| radiopharmaceuticalActivity | 調劑之放射活度:MedicationDispense.note | |
| completedRadiopharmaceuticalActivity | 完成調劑之放射活度:MedicationDispense.note | |
| completedQuantityOfNuclearMedicineRadiopharmaceuticals | 完成調劑之核醫放射性藥品數量:MedicationDispense.note | |
| substitutedNote | 有更換藥品註記:MedicationDispense.substitution.wasSubstituted | |
| prescriptionAmbiguityPatternFlag | 處方疑義樣態註記:MedicationDispense.note | |
| selfPayNote | 自費註記:MedicationRequest.note | |
| prescriptionDispensingMethod | 醫令調劑方式:MedicationRequest.category | |
| dosageInstruction | 用藥指示:MedicationRequest.dosageInstruction.method | |
| dispensingTime | 調劑時間:MedicationRequest.dispenseRequest.validityPeriod.start | |
| pickTime | 取藥時間:MedicationRequest.authoredOn | |
| recipientInformation | ||
| relationship | 與用藥對象之關係:Patient.contact.relationship | |
| name | 領藥者姓名:Patient.contact.name | |
| telecom | 領藥者連絡電話:Patient.contact.telecom | |
| electronicSignature | 領藥者電子簽章:Media.content | |
| DSModel | ||
| DSModel | n/a | |
| id | n/a | |
| extension | n/a | |
| hospital | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| patientInformation | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| outpatientInformation | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| practitionerInformation | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| prescriptionDate | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| dispensingContent | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| recipientInformation | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |