Generated Narrative: StructureDefinition composition-dcr

Name Flags Card. Type Description & Constraints doco
. . Composition C 0 .. * 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 S 1..1 Meta 應填入於牙醫診所門診病摘之病歷表單版本號Sheet Version
. . . . versionId S 1..1 id Version specific identifier
. . . identifier 1..1 Identifier 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..1 CodeableConcept Description of identifier
Required Pattern: At least the following
. . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
. . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: SNO
. . . . value 1..1 string The value that is unique
. . . . assigner 0 .. 1 Reference(TW Core Organization) Organization that issued id (may be just text)
. . . status 1 .. 1 code registered | partial | preliminary | final | amended | corrected +
Required Pattern: final
. . . type 1 .. 1 CodeableConceptTW Composition的種類（如果可能請使用LOINC）
Required Pattern: At least the following
. . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34108-1
. . . . . display 1..1 string Representation defined by the system
Fixed Value: Outpatient Note
. . . subject 0 .. 1 Reference(病人資料(Patient ClinEMR)) Composition是關於誰和/或什麼
. . . . reference S 1..1 string Literal reference, Relative, internal or absolute URL
. . . encounter S 0 .. 1 Reference(就醫事件(Encounter ClinEMR)) Composition的情境
. . . . reference S 1..1 string Literal reference, Relative, internal or absolute URL
. . . date 1 .. 1 dateTime [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 S 1..1 string Literal reference, Relative, internal or absolute URL
. . . title 1 .. 1 string 固定值。[應填入病歷表單名稱Sheet Name]
Fixed Value: 牙醫門診單
. . . confidentiality S 1..1 code [應填入文件敏感性Doc Confidentiality Code]
. . . attester
. . . . party 0 .. 1 Reference(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 .. 1 Reference(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
. . . . . targetIdentifier Identifier
. . . . . targetReference Reference(牙醫-臨床文件架構(Composition DCR))
. . . Slices for section 4 .. * BackboneElement Composition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 S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 52460-3
. . . . . . . display 1..1 string Representation 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..1 BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 80913-7
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:occupation 0..1 BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85658-3
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:bloodtype 0..1 BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 882-1
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:AllergyIntolerance S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
. . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:ConditionPastMedicalHistory S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
. . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:ConditionMajorIllness S 1..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11338-1
. . . . . . . display 1..1 string Representation 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 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11338-1
. . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:Medication S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
. . . . . . . display 1..1 string Representation 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 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 87232-5
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:medicationrequest 1..* BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57833-6
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:ConditionDiagnosis S 1..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
. . . . . . . display 1..1 string Representation 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 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29548-5
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:practitioner 1..1 BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18600-7
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:careplan 1..1 BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101541-1
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:ConditionChiefComplaint S 1..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10154-3
. . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:ObservationVitalSign S 1..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
. . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:Procedure S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29554-3
. . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:ObservationLabResults S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
. . . . . . . display 1..1 string Representation 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 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 19146-0
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:servicerequest 1..* BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 77597-3
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:diagnosticreport 0..* BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 50398-7
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . . . section:organizationinspection 1..* BackboneElement 嵌套的小節
. . . . . . . code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: At least the following
. . . . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 52482-7
. . . . . . . . . display 1..1 string Representation 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..1 string Literal reference, Relative, internal or absolute URL
. . . . section:DocumentReference S 0..1 BackboneElement Composition被分成一個或數個小節
. . . . . title 1..1 string 小節標籤(例如：目錄ToC)
. . . . . code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: At least the following
. . . . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
. . . . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
. . . . . . . display 1..1 string Representation 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..1 Reference(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..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format
<status value="active" /> <date value="2024-10-06T17:51:07+08:00" /> <publisher value="睿傳數據" /> <contact> <name value="睿傳數據" /> <telecom> <system value="url" /> <value value="https://www.cohesiondata.com/" /> </telecom> </contact> <description value="此Profile用於描述牙醫診所門診病摘的報告文件" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <uri value="http://hl7.org/fhir/documentreference" /> <name value="FHIR DocumentReference" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Composition"> <path value="Composition" /> <constraint> <key value="majorIllness-condition-DCR" /> <severity value="error" /> <human value="若重大傷病註記為「是」，則重大傷病代碼與病名必填" /> <expression value="(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 value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr" /> </constraint> </element> <element id="Composition.meta"> <path value="Composition.meta" /> <short value="應填入於牙醫診所門診病摘之病歷表單版本號Sheet Version" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.meta.versionId"> <path value="Composition.meta.versionId" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.identifier"> <path value="Composition.identifier" /> <short value="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 value="1" /> </element> <element id="Composition.identifier.type"> <path value="Composition.identifier.type" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="SNO" /> </coding> </patternCodeableConcept> </element> <element id="Composition.identifier.value"> <path value="Composition.identifier.value" /> <min value="1" /> </element> <element id="Composition.identifier.assigner"> <path value="Composition.identifier.assigner" /> <type> <code value="Reference" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore" /> </type> </element> <element id="Composition.status"> <path value="Composition.status" /> <patternCode value="final" /> </element> <element id="Composition.type"> <path value="Composition.type" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="34108-1" /> <display value="Outpatient Note" /> </coding> </patternCodeableConcept> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> </type> </element> <element id="Composition.subject.reference"> <path value="Composition.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr" /> </type> <mustSupport value="true" /> </element> <element id="Composition.encounter.reference"> <path value="Composition.encounter.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.date"> <path value="Composition.date" /> <short value="[應填入文件產生時間Create Time]" /> </element> <element id="Composition.author"> <path value="Composition.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> </type> </element> <element id="Composition.author.reference"> <path value="Composition.author.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.title"> <path value="Composition.title" /> <short value="固定值。[應填入病歷表單名稱Sheet Name]" /> <fixedString value="牙醫門診單" /> </element> <element id="Composition.confidentiality"> <path value="Composition.confidentiality" /> <short value="[應填入文件敏感性Doc Confidentiality Code]" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> </type> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> </type> </element> <element id="Composition.relatesTo.target[x]"> <path value="Composition.relatesTo.target[x]" /> <type> <code value="Identifier" /> </type> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr" /> </type> </element> <element id="Composition.section"> <path value="Composition.section" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="4" /> </element> <element id="Composition.section.author"> <path value="Composition.section.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Composition.section:PatientInformation"> <path value="Composition.section" /> <sliceName value="PatientInformation" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:PatientInformation.title"> <path value="Composition.section.title" /> <min value="1" /> </element> <element id="Composition.section:PatientInformation.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="52460-3" /> <display value="Patient Information" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:PatientInformation.author"> <path value="Composition.section.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Composition.section:PatientInformation.section"> <path value="Composition.section.section" /> <slicing> <discriminator> <type value="profile" /> <path value="entry.resolve()" /> </discriminator> <rules value="open" /> </slicing> <max value="3" /> </element> <element id="Composition.section:PatientInformation.section:educationlevel"> <path value="Composition.section.section" /> <sliceName value="educationlevel" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:PatientInformation.section:educationlevel.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="80913-7" /> <display value="Highest level of education [US Standard Certificate of Death]" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:PatientInformation.section:educationlevel.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationeducationlevel-clinemr" /> </type> </element> <element id="Composition.section:PatientInformation.section:educationlevel.entry.reference"> <path value="Composition.section.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:PatientInformation.section:occupation"> <path value="Composition.section.section" /> <sliceName value="occupation" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:PatientInformation.section:occupation.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="85658-3" /> <display value="Occupation [Type]" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:PatientInformation.section:occupation.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationoccupation-clinemr" /> </type> </element> <element id="Composition.section:PatientInformation.section:occupation.entry.reference"> <path value="Composition.section.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:PatientInformation.section:bloodtype"> <path value="Composition.section.section" /> <sliceName value="bloodtype" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:PatientInformation.section:bloodtype.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="882-1" /> <display value="ABO and Rh group [Type] in Blood" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:PatientInformation.section:bloodtype.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationbloodtype-clinemr" /> </type> </element> <element id="Composition.section:PatientInformation.section:bloodtype.entry.reference"> <path value="Composition.section.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:AllergyIntolerance"> <path value="Composition.section" /> <sliceName value="AllergyIntolerance" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:AllergyIntolerance.title"> <path value="Composition.section.title" /> <min value="1" /> </element> <element id="Composition.section:AllergyIntolerance.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="48765-2" /> <display value="Allergies and adverse reactions Document" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:AllergyIntolerance.author"> <path value="Composition.section.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Composition.section:AllergyIntolerance.entry"> <path value="Composition.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/allergyintolerance-clinemr" /> </type> </element> <element id="Composition.section:AllergyIntolerance.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:ConditionPastMedicalHistory"> <path value="Composition.section" /> <sliceName value="ConditionPastMedicalHistory" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:ConditionPastMedicalHistory.title"> <path value="Composition.section.title" /> <min value="1" /> </element> <element id="Composition.section:ConditionPastMedicalHistory.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11348-0" /> <display value="History of Past illness Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:ConditionPastMedicalHistory.author"> <path value="Composition.section.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Composition.section:ConditionPastMedicalHistory.entry"> <path value="Composition.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditionpastmedicalhistory-clinemr" /> </type> </element> <element id="Composition.section:ConditionPastMedicalHistory.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:ConditionMajorIllness"> <path value="Composition.section" /> <sliceName value="ConditionMajorIllness" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:ConditionMajorIllness.title"> <path value="Composition.section.title" /> <min value="1" /> </element> <element id="Composition.section:ConditionMajorIllness.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11338-1" /> <display value="History of Major illnesses and injuries Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:ConditionMajorIllness.author"> <path value="Composition.section.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Composition.section:ConditionMajorIllness.entry"> <path value="Composition.section.entry" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationmajorillness-clinemr" /> </type> </element> <element id="Composition.section:ConditionMajorIllness.section"> <path value="Composition.section.section" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:ConditionMajorIllness.section.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11338-1" /> <display value="History of Major illnesses and injuries Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:ConditionMajorIllness.section.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditionmajorillness-clinemr" /> </type> </element> <element id="Composition.section:ConditionMajorIllness.section.entry.reference"> <path value="Composition.section.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:Medication"> <path value="Composition.section" /> <sliceName value="Medication" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:Medication.title"> <path value="Composition.section.title" /> <min value="1" /> </element> <element id="Composition.section:Medication.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="10160-0" /> <display value="History of Medication use Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:Medication.author"> <path value="Composition.section.author" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Composition.section:Medication.section"> <path value="Composition.section.section" /> <slicing> <discriminator> <type value="profile" /> <path value="entry.resolve()" /> </discriminator> <rules value="closed" /> </slicing> <min value="2" /> </element> <element id="Composition.section:Medication.section:medication"> <path value="Composition.section.section" /> <sliceName value="medication" /> <min value="1" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:Medication.section:medication.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="87232-5" /> <display value="Medication administration.brief" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:Medication.section:medication.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/medication-clinemr" /> </type> </element> <element id="Composition.section:Medication.section:medication.entry.reference"> <path value="Composition.section.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:Medication.section:medicationrequest"> <path value="Composition.section.section" /> <sliceName value="medicationrequest" /> <min value="1" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:Medication.section:medicationrequest.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="57833-6" /> <display value="Prescription for medication" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:Medication.section:medicationrequest.entry"> <path value="Composition.section.section.entry" /> <type> <code 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