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

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.2: 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

: 門診紀錄 - XML Representation

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="doc-outpatient-example"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DocumentReference-twcore"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3><b>門診紀錄</b></h3><p><b>狀態</b>：Current <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/codesystem-document-reference-status.html">DocumentReferenceStatus</a>#current)</span></p><p><b>類型(type)</b>：門診紀錄(Outpatient Note) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC</a>#34108-1)</span></p><p><b>病人</b>：<a href="Patient-pat-example.html">Patient/pat-example</a> "陳加玲"</p><p><b>日期</b>：2024-01-23T12:34:56</p><p><b>紀錄者</b>：<a href="Practitioner-pra-dr-example.html">Practitioner/pra-dr-example</a> "王依昇"</p><p><b>紀錄維護機構</b>：<a href="Organization-org-hosp-example.html">Organization/org-hosp-example</a> "衛生福利部臺北醫院"</p><p><b>紀錄中使用的檔案</b>：</p><blockquote><p><b>檔案類型(type)</b>：application/pdf</p><p><b>檔案</b>：<a href="ConsultationReport.pdf"> ConsultationReport.pdf</a></p></blockquote></div>
  </text>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="34108-1"/>
      <display value="Outpatient Note"/>
    </coding>
    <text value="門診紀錄"/>
  </type>
  <subject>🔗 
    <reference value="Patient/pat-example"/>
  </subject>
  <date value="2024-01-23T12:34:56Z"/>
  <author>🔗 
    <reference value="Practitioner/pra-dr-example"/>
  </author>
  <custodian>🔗 
    <reference value="Organization/org-hosp-example"/>
  </custodian>
  <content>
    <attachment>
      <contentType value="application/pdf"/>
      <url value="ConsultationReport.pdf"/>
      <title value="Consultation Report"/>
    </attachment>
  </content>
</DocumentReference>