This page is part of the 臺灣核心實作指引(TW Core IG) (v0.2.2: 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
{
"resourceType" : "Composition",
"id" : "com-example",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>陳加玲的病摘</b></h3><p><b>臨床狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/composition-status\">CompositionStatus</a>#final)</span></p><p><b>種類</b>:Medical records <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#11503-0)</span></p><p><b>分類</b>: Hospital Admission history and physical note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#47039-3)</span></p><p><b>病人</b>:<a href=\"Patient-pat-example.html\">Patient/pat-example</a> \"陳加玲\"</p><p><b>編輯時間</b>:2023-09-10T10:30:00</p><p><b>病摘創建者</b>:<a href=\"Practitioner-pra-dr-example.html\">Practitioner/pra-dr-example</a> \"王依昇\"</p><p><b>根據特定技術領域的定義</b>:restricted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-Confidentiality/\">v3 Code System Confidentiality</a>#R)</span></p><p><b>證明準確性</b>:</p><blockquote><p><b>認證者提供的認證類型</b>:Personal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/composition-attestation-mode/\">CompositionAttestationMode</a>#personal)</span></p><p><b>被證明的時間</b>:2023-09-10T11:00:00</p><p><b>負責證明的人員</b>:<a href=\"Practitioner-pra-dr-example.html\">Practitioner/pra-dr-example</a> \"王依昇\"</p><p><b>負責維護機構</b>:<a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a> \"衛生福利部臺北醫院\"</p></blockquote><p><b>正在記錄的臨床服務</b>:</p><blockquote><p><b>被記錄的主要臨床行為代碼</b>:medication list <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-ActCode/\">ActCode</a>#MEDLIST)</span></p><p><b>文件所涵蓋的時間區間</b>:2023-09-10T08:00:00 ~ 2023-09-15T09:30:00</p></blockquote><p><b>病摘小節內容:</b></p><blockquote><p><b>section.entry[Observation]</b>:<a href=\"Observation-obs-bloodPressure-example.html\">Observation/obs-bloodPressure-example</a></p><p><b>section.entry[Practitioner]</b>:<a href=\"Practitioner-pra-dr-example.html\">Practitioner/pra-dr-example</a></p><p><b>section.entry[MedicationRequest]</b>:<a href=\"MedicationRequest-med-req-cod-example.html\">MedicationRequest/med-req-cod-example</a></p></blockquote></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11503-0",
"display" : "Medical records"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47039-3"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/pat-example"
},
"date" : "2023-09-10T10:30:00Z",
"author" : [
{
🔗 "reference" : "Practitioner/pra-dr-example"
}
],
"title" : "陳加玲的病摘",
"confidentiality" : "R",
"attester" : [
{
"mode" : "personal",
"time" : "2023-09-10T11:00:00Z",
"party" : {
🔗 "reference" : "Practitioner/pra-dr-example"
}
}
],
"custodian" : {
🔗 "reference" : "Organization/org-hosp-example"
},
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "MEDLIST",
"display" : "medication list"
}
]
}
],
"period" : {
"start" : "2023-09-10T08:00:00Z",
"end" : "2023-09-15T09:30:00Z"
}
}
],
"section" : [
{
"entry" : [
{
🔗 "reference" : "Practitioner/pra-dr-example"
},
{
🔗 "reference" : "Observation/obs-bloodPressure-example"
},
{
🔗 "reference" : "MedicationRequest/med-req-cod-example"
}
]
}
]
}