臺灣核心實作指引(TW Core IG)
0.3.0 - Trial Use

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.0: 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

: 病情、問題或診斷資料 - XML Representation

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<Condition xmlns="http://hl7.org/fhir">
  <id value="con-example"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3><b>病情、問題或診斷資料</b></h3><p><b>臨床狀態</b>：Remission <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#remission)</span></p><p><b>驗證狀態</b>：Confirmed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-ver-status">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>病情、問題或診斷分類</b>：Encounter Diagnosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-category">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>嚴重程度</b>：Mild <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#LA6752-5)</span></p><p><b>病情、問題或診斷識別</b>：起因於潛在病的糖尿病，伴有低血糖，未伴有昏迷 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-icd-10-cm-2021-tw.html">臺灣2021年中文版ICD-10-CM</a>#E08.649)</span></p><p><b>病人</b>：<a href="Patient-pat-example.html">Patient/pat-example</a> "陳加玲"</p><p><b>實際日期</b>：2022-08-01 05:00:14-0500</p><p><b>緩解日期</b>：2022-08-01 06:00:14-0500</p><p><b>診斷者</b>：<a href="Practitioner-pra-dr-example.html">Practitioner/pra-dr-example</a> "王依昇"</p></div>
  </text>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      <code value="remission"/>
    </coding>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
      <code value="confirmed"/>
    </coding>
  </verificationStatus>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
      <code value="encounter-diagnosis"/>
    </coding>
  </category>
  <severity>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA6752-5"/>
    </coding>
  </severity>
  <code>
    <coding>
      <system
              value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw"/>
      <code value="E08.649"/>
    </coding>
    <text value="起因於潛在病的糖尿病，伴有低血糖，未伴有昏迷"/>
  </code>
  <subject>🔗 
    <reference value="Patient/pat-example"/>
  </subject>
  <onsetDateTime value="2022-08-01T17:00:14+08:00"/>
  <abatementDateTime value="2022-08-01T18:00:14+08:00"/>
  <asserter>🔗 
    <reference value="Practitioner/pra-dr-example"/>
  </asserter>
</Condition>