{ "resourceType": "StructureDefinition", "id": "composition-dcr", "text": { "status": "extensions", "div": "

Generated Narrative: StructureDefinition composition-dcr

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Composition C0..*TWCoreComposition將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
majorIllness-condition-DCR: 若重大傷病註記為「是」，則重大傷病代碼與病名必填
\".\"\".\"\".\" meta S1..1Meta應填入於牙醫診所門診病摘之病歷表單版本號Sheet Version
\".\"\".\"\".\"\".\" versionId S1..1idVersion specific identifier
\".\"\".\"\".\" identifier 1..1Identifier不分版本的臨床文件架構(Composition)識別碼。[應填入於牙醫診所門診病摘之病歷表單編號]
\".\"\".\"\".\"\".\" type 1..1CodeableConceptDescription of identifier
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: SNO
\".\"\".\"\".\"\".\" value 1..1stringThe value that is unique
\".\"\".\"\".\"\".\" assigner 0..1Reference(TW Core Organization)Organization that issued id (may be just text)
\".\"\".\"\".\" status 1..1coderegistered | partial | preliminary | final | amended | corrected +
Required Pattern: final
\".\"\".\"\".\" type 1..1CodeableConceptTWComposition的種類（如果可能請使用LOINC）
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 34108-1
\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Outpatient Note
\".\"\".\"\".\" subject 0..1Reference(病人資料(Patient ClinEMR))Composition是關於誰和/或什麼
\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\" encounter S0..1Reference(就醫事件(Encounter ClinEMR))Composition的情境
\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\" date 1..1dateTime[應填入文件產生時間Create Time]
\".\"\".\"\".\" author 1..*Reference(醫事機構(Organization ClinEMR))誰和/或什麼創建了這個Composition
\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\" title 1..1string固定值。[應填入病歷表單名稱Sheet Name]
Fixed Value: 牙醫門診單
\".\"\".\"\".\" confidentiality S1..1code[應填入文件敏感性Doc Confidentiality Code]
\".\"\".\"\".\" attester
\".\"\".\"\".\"\".\" party 0..1Reference(病人資料(Patient ClinEMR) | RelatedPerson | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR))誰證明了此Composition
\".\"\".\"\".\" custodian 0..1Reference(醫事機構(Organization ClinEMR))維護Composition的機構
\".\"\".\"\".\" relatesTo
\".\"\".\"\".\"\".\" target[x] 1..1此關係的目標文件
\".\"\".\"\".\"\".\"\".\" targetIdentifierIdentifier
\".\"\".\"\".\"\".\"\".\" targetReferenceReference(牙醫-臨床文件架構(Composition DCR))
\".\"\".\"\".\" Slices for section 4..*BackboneElementComposition被分成一個或數個小節
Slice: Unordered, Open by value:code
\".\"\".\"\".\"\".\" section:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\" section:PatientInformation S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 52460-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Patient Information
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" Slices for section 0..3嵌套的小節
Slice: Unordered, Open by profile:entry.resolve()
\".\"\".\"\".\"\".\"\".\"\".\" section:educationlevel 0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 80913-7
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Highest level of education [US Standard Certificate of Death]
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(教育程度(ObservationEducationLevel ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:occupation 0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 85658-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Occupation [Type]
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(職業(ObservationOccupation ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:bloodtype 0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 882-1
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: ABO and Rh group [Type] in Blood
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(血型(ObservationBloodtype ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:AllergyIntolerance S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 48765-2
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Allergies and adverse reactions Document
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(過敏或不耐症(AllergyIntolerance ClinEMR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:ConditionPastMedicalHistory S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: History of Past illness Narrative
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(過去病史(ConditionPastMedicalHistory ClinEMR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:ConditionMajorIllness S1..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 11338-1
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: History of Major illnesses and injuries Narrative
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 1..*Reference(重大傷病註記(ObservationMajorIllness ClinEMR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\" section 0..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 11338-1
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: History of Major illnesses and injuries Narrative
\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(重大傷病(ConditionMajorIllness ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:Medication S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 10160-0
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: History of Medication use Narrative
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" Slices for section 2..*嵌套的小節
Slice: Unordered, Closed by profile:entry.resolve()
\".\"\".\"\".\"\".\"\".\"\".\" section:medication 1..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 87232-5
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Medication administration.brief
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(藥品(Medication ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:medicationrequest 1..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 57833-6
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Prescription for medication
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(藥品請求(MedicationRequest ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:ConditionDiagnosis S1..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 11450-4
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Problem list - Reported
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" Slices for section 3..*嵌套的小節
Slice: Unordered, Open by profile:entry.resolve()
\".\"\".\"\".\"\".\"\".\"\".\" section:conditiondiagnosis 1..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 29548-5
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Diagnosis Narrative
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:practitioner 1..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 18600-7
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Primary practitioner identifier
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:careplan 1..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 101541-1
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Multidisciplinary Comprehensive plan of care note
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(關懷計畫(CarePlan ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:ConditionChiefComplaint S1..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 10154-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Chief complaint Narrative - Reported
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(病人主訴(ConditionChiefComplaint ClinEMR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:ObservationVitalSign S1..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 8716-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Vital signs
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(生命體徵(ObservationVitalSigns ClinEMR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:Procedure S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 29554-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Procedure Narrative
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 1..*Reference(牙醫-處置或手術(Procedure DCR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:ObservationLabResults S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data Narrative
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" Slices for section 3..*嵌套的小節
Slice: Unordered, Closed by profile:entry.resolve()
\".\"\".\"\".\"\".\"\".\"\".\" section:observation 1..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 19146-0
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Referral lab test results
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(檢驗檢查(Observation ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:servicerequest 1..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 77597-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Orders placed Document
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(服務請求(ServiceRequest ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:diagnosticreport 0..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 50398-7
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Narrative diagnostic report [Interpretation]
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(診斷報告(DiagnosticReport ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\"\".\" section:organizationinspection 1..*BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 52482-7
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Laboratory
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(檢驗檢查機構(OrganizationInspection ClinEMR))A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\" section:DocumentReference S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 1..1string小節標籤(例如：目錄ToC)
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 75310-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Health concerns Document
\".\"\".\"\".\"\".\"\".\" author 0..*Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson)誰和/或什麼人撰寫了該小節
\".\"\".\"\".\"\".\"\".\" entry 1..1Reference(文件參照(DocumentReference ClinEMR))提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\"\".\" reference 1..1stringLiteral reference, Relative, internal or absolute URL

\"doco\" Documentation for this format
" }, "url": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr", "version": "1.0.0", "name": "CompositionDCR", "title": "牙醫-臨床文件架構(Composition DCR)", "status": "active", "date": "2024-10-06T09:51:07+00:00", "publisher": "睿傳數據", "contact": [ { "name": "睿傳數據", "telecom": [ { "system": "url", "value": "https://www.cohesiondata.com/" } ] } ], "description": "此Profile用於描述牙醫診所門診病摘的報告文件", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "cda", "uri": "http://hl7.org/v3/cda", "name": "CDA (R2)" }, { "identity": "fhirdocumentreference", "uri": "http://hl7.org/fhir/documentreference", "name": "FHIR DocumentReference" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" } ], "kind": "resource", "abstract": false, "type": "Composition", "baseDefinition": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore", "derivation": "constraint", "snapshot": {}, "differential": { "element": [ { "id": "Composition", "path": "Composition", "constraint": [ { "key": "majorIllness-condition-DCR", "severity": "error", "human": "若重大傷病註記為「是」，則重大傷病代碼與病名必填", "expression": "(Composition.section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where(($this is Observation) and (code.coding.code.all($this = '11338-1')) and (value.ofType(boolean) = true)).exists()) implies (Composition.section.where(code.coding.code.all($this = '11338-1')).section.where(code.coding.code.all($this = '11338-1')).entry.resolve().where($this is Condition).exists())", "source": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr" } ] }, { "id": "Composition.meta", "path": "Composition.meta", "short": "應填入於牙醫診所門診病摘之病歷表單版本號Sheet Version", "min": 1, "mustSupport": true }, { "id": "Composition.meta.versionId", "path": "Composition.meta.versionId", "min": 1, "mustSupport": true }, { "id": "Composition.identifier", "path": "Composition.identifier", "short": "不分版本的臨床文件架構(Composition)識別碼。[應填入於牙醫診所門診病摘之病歷表單編號]", "min": 1 }, { "id": "Composition.identifier.type", "path": "Composition.identifier.type", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "SNO" } ] } }, { "id": "Composition.identifier.value", "path": "Composition.identifier.value", "min": 1 }, { "id": "Composition.identifier.assigner", "path": "Composition.identifier.assigner", "type": [ { "code": "Reference", "targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore" ] } ] }, { "id": "Composition.status", "path": "Composition.status", "patternCode": "final" }, { "id": "Composition.type", "path": "Composition.type", "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "34108-1", "display": "Outpatient Note" } ] } }, { "id": "Composition.subject", "path": "Composition.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" ] } ] }, { "id": "Composition.subject.reference", "path": "Composition.subject.reference", "min": 1, "mustSupport": true }, { "id": "Composition.encounter", "path": "Composition.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr" ] } ], "mustSupport": true }, { "id": "Composition.encounter.reference", "path": "Composition.encounter.reference", "min": 1, "mustSupport": true }, { "id": "Composition.date", "path": "Composition.date", "short": "[應填入文件產生時間Create Time]" }, { "id": "Composition.author", "path": "Composition.author", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" ] } ] }, { "id": "Composition.author.reference", "path": "Composition.author.reference", "min": 1, "mustSupport": true }, { "id": "Composition.title", "path": "Composition.title", "short": "固定值。[應填入病歷表單名稱Sheet Name]", "fixedString": "牙醫門診單" }, { "id": "Composition.confidentiality", "path": "Composition.confidentiality", "short": "[應填入文件敏感性Doc Confidentiality Code]", "min": 1, "mustSupport": true }, { "id": "Composition.attester.party", "path": "Composition.attester.party", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" ] } ] }, { "id": "Composition.custodian", "path": "Composition.custodian", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" ] } ] }, { "id": "Composition.relatesTo.target[x]", "path": "Composition.relatesTo.target[x]", "type": [ { "code": "Identifier" }, { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr" ] } ] }, { "id": "Composition.section", "path": "Composition.section", "slicing": { "discriminator": [ { "type": "value", "path": "code" } ], "rules": "open" }, "min": 4 }, { "id": "Composition.section.author", "path": "Composition.section.author", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ] }, { "id": "Composition.section:PatientInformation", "path": "Composition.section", "sliceName": "PatientInformation", "min": 0, "max": "1", "mustSupport": true }, { "id": "Composition.section:PatientInformation.title", "path": "Composition.section.title", "min": 1 }, { "id": "Composition.section:PatientInformation.code", "path": "Composition.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "52460-3", "display": "Patient Information" } ] } }, { "id": "Composition.section:PatientInformation.author", "path": "Composition.section.author", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore", 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