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 2024-08-19 |
Mappings for the PMRModel logical model.
| PMRModel | ||
| PMRModel | ||
| hospital | ||
| hospitalId | 醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型 | |
| hospitalName | 醫事機構名稱:Organization.name | |
| patientInformation | ||
| personalIDNumber | 身分證號:Patient.identifier.value 使用 Patient.identifier.type 識別類型 | |
| chartNo | 病歷號碼:Patient.identifier.value 使用 Patient.identifier.type 識別類型 | |
| name | 病人性名:Patient.name | |
| gender | 病人性別:Patient.gender | |
| birthDate | 出生日期:Patient.birthDate | |
| bloodType | 血型:Observation | |
| rhType | D抗原性:Observation | |
| majorIllness | 重大傷病:Condition.code | |
| historyOfAllergies | 過敏史:AllergyIntolerance.code | |
| age | 就診年齡:Patient.extension.valueAge | |
| occupation | 職業:Observation | |
| identityType | 就醫身分別:Observation | |
| opdDate | 門診日期:Encounter.period.start | |
| department | 科別:Encounter.serviceType | |
| diagnosis | ||
| icdCode | 國際疾病分類代碼:Condition.code.coding.code | |
| icdName | 國際疾病分類名稱:Condition.code.coding.display | |
| note | 註記:Condition.note | |
| conditionSummary | ||
| subjective | 主觀描述:ClinicalImpression.note | |
| objective | 客觀描述:ClinicalImpression.note | |
| assessment | 評估:ClinicalImpression.note | |
| procedure | ||
| item | 項次:Procedure.identifier | |
| procedureCode | 處置代碼:Procedure.code.coding.code | |
| procedureName | 處置名稱:Procedure.code.coding.display | |
| frequency | 頻率:Procedure.followUp | |
| amount | 數量:Procedure.followUp | |
| units | 單位:Procedure.followUp | |
| part | 部位:Procedure.bodySite | |
| note | 註記:Procedure.note | |
| selfPaynote | 自費註記:Procedure.note | |
| prescriptionContent | ||
| item | 項次:MedicationRequest.identifier | |
| typesofPrescription | 處方箋種類註記:MedicationRequest.category | |
| drugCode | 藥品代碼:MedicationRequest.medicationCodeableConcept.coding.code | |
| brandName | 藥品商品名稱:MedicationRequest.medicationCodeableConcept.coding.display，使用學名則填入於MedicationRequest.medicationCodeableConcept.text | |
| genericName | 學名:MedicationRequest.medicationCodeableConcept.text或MedicationRequest.medicationCodeableConcept.coding.display | |
| dosageForm | 劑型:Medication.form.text | |
| dose | 劑量:MedicationRequest.dosageInstruction.doseAndRate.doseQuantity.value | |
| doseUnits | 劑量單位:MedicationRequest.dosageInstruction.doseAndRate.doseQuantity.unit | |
| frequency | 頻率:MedicationRequest.dosageInstruction.timing.code | |
| routeofAdministration | 給藥途徑:MedicationRequest.dosageInstruction.route.code | |
| medicationDays | 給藥日數:MedicationRequest.dispenseRequest.expectedSupplyDuration.value | |
| totalAmount | 給藥總量:Medication.dispenseRequest.quantity.value | |
| totalUnits | 給藥總量單位:Medication.dispenseRequest.quantity.unit | |
| actualAmount | 實際給藥總量:MedicationRequest.dosageInstruction.maxDosePerAdministration.value | |
| actualUnits | 實際給藥總量單位:MedicationRequest.dosageInstruction.maxDosePerAdministration.unit | |
| powdered | 磨粉註記:Medication.form.coding.code | |
| note | 註記:MedicationRequest.note | |
| selfPaynote | 自費註記:MedicationRequest.note | |
| familyTree | 家族圖譜:Media.content | |
| opdImage | 門診圖像:Media.content | |
| physicianName | 醫師姓名:Practitioner.name | |
| PMRModel | ||
| PMRModel | 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 | |
| diagnosis | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| conditionSummary | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| procedure | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| prescriptionContent | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |