Generated Narrative: StructureDefinition composition-mcr

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。
Constraints: majorIllness-condition-MCR
Composition. meta S This element must be supported. 1..1 Meta 應填入於西醫診所門診病摘之病歷表單版本號Sheet Version
Composition.meta. versionId S This element must be supported. 1..1 id Version specific identifier
Composition. identifier 1..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。[應填入於西醫診所門診病摘之病歷表單編號]
Composition.identifier. type 1..1 CodeableConcept Description of identifier
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "SNO"
    }
  ]
}
Composition.identifier. value 1..1 string The value that is unique
Composition.identifier. assigner 0 .. 1 Reference(TW Core Organization) Organization that issued id (may be just text)
Composition. status 1 .. 1 code registered | partial | preliminary | final | amended | corrected +
Required Pattern: final (extensions allowed)
Composition. type 1 .. 1 CodeableConceptTW Composition的種類（如果可能請使用LOINC）
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "34108-1",
      "display" : "Outpatient Note"
    }
  ]
}
Composition. subject 0 .. 1 Reference(病人資料(Patient ClinEMR)) Composition是關於誰和/或什麼
Composition.subject. reference S This element must be supported. 1..1 string Literal reference, Relative, internal or absolute URL
Composition. encounter S This element must be supported. 0 .. 1 Reference(就醫事件(Encounter ClinEMR)) Composition的情境
Composition.encounter. reference S This element must be supported. 1..1 string Literal reference, Relative, internal or absolute URL
Composition. date 1 .. 1 dateTime [應填入文件產生時間Create Time]
Composition. author 1 .. * Reference(醫事機構(Organization ClinEMR)) 誰和/或什麼創建了這個Composition
Composition.author. reference S This element must be supported. 1..1 string Literal reference, Relative, internal or absolute URL
Composition. title 1 .. 1 string 固定值。[應填入病歷表單名稱Sheet Name]
Fixed Value: 西醫門診單 (no extensions allowed)
Composition. confidentiality S This element must be supported. 1..1 code [應填入文件敏感性Doc Confidentiality Code]
Composition. attester
Composition.attester. party 0 .. 1 Reference(病人資料(Patient ClinEMR) | TW Core 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
Composition. custodian 0 .. 1 Reference(醫事機構(Organization ClinEMR)) 維護Composition的機構
Composition. relatesTo
Composition.relatesTo. target[x] 1 .. 1 此關係的目標文件
Composition.relatesTo.target[x]. targetIdentifier Identifier
Composition.relatesTo.target[x].targetReference Reference(西醫-臨床文件架構(Composition MCR))
Composition. Slices for section 4 .. * BackboneElement Composition被分成一個或數個小節
Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.Slices for section.section:All Slices Content/Rules for all slices
Composition.Slices for section.section: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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section. section:SocialHistory S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:SocialHistory. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:SocialHistory. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "29762-2",
      "display" : "Social history note"
    }
  ]
}
Composition.Slices for section.section:SocialHistory. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:SocialHistory. Slices for section 0 .. 2 嵌套的小節
Slice: Unordered, Open by profile:entry.resolve()
Composition.Slices for section.section:SocialHistory.Slices for section Content/Rules for all slices
Composition.Slices for section.section:SocialHistory.Slices for section. section:educationlevel 0..1 BackboneElement 嵌套的小節
Composition.Slices for section.section:SocialHistory.Slices for section.section:educationlevel. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "82589-3",
      "display" : "Highest level of education"
    }
  ]
}
Composition.Slices for section.section:SocialHistory.Slices for section.section:educationlevel. entry 0 .. * Reference(教育程度(ObservationEducationLevel ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:SocialHistory.Slices for section.section:educationlevel.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:SocialHistory.Slices for section. section:occupation 0..1 BackboneElement 嵌套的小節
Composition.Slices for section.section:SocialHistory.Slices for section.section:occupation. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11341-5",
      "display" : "History of Occupation"
    }
  ]
}
Composition.Slices for section.section:SocialHistory.Slices for section.section:occupation. entry 0 .. * Reference(職業(ObservationOccupation ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:SocialHistory.Slices for section.section:occupation.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:AllergyIntolerance S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:AllergyIntolerance. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:AllergyIntolerance. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "48765-2",
      "display" : "Allergies and adverse reactions Document"
    }
  ]
}
Composition.Slices for section.section:AllergyIntolerance. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:AllergyIntolerance. 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
Composition.Slices for section.section:AllergyIntolerance.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:ConditionPastMedicalHistory S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:ConditionPastMedicalHistory. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:ConditionPastMedicalHistory. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11348-0",
      "display" : "History of Past illness note"
    }
  ]
}
Composition.Slices for section.section:ConditionPastMedicalHistory. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:ConditionPastMedicalHistory. 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
Composition.Slices for section.section:ConditionPastMedicalHistory.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:ConditionMajorIllness S This element must be supported. 1..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:ConditionMajorIllness. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:ConditionMajorIllness. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11338-1",
      "display" : "History of Major illnesses and injuries Narrative"
    }
  ]
}
Composition.Slices for section.section:ConditionMajorIllness. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:ConditionMajorIllness. 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
Composition.Slices for section.section:ConditionMajorIllness.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ConditionMajorIllness. section 0 .. * BackboneElement 嵌套的小節
Composition.Slices for section.section:ConditionMajorIllness.section. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11338-1",
      "display" : "History of Major illnesses and injuries Narrative"
    }
  ]
}
Composition.Slices for section.section:ConditionMajorIllness.section. entry 0 .. * Reference(重大傷病(ConditionMajorIllness ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ConditionMajorIllness.section.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:Medication S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:Medication. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:Medication. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "10160-0",
      "display" : "History of Medication use Narrative"
    }
  ]
}
Composition.Slices for section.section:Medication. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:Medication. Slices for section 2 .. * 嵌套的小節
Slice: Unordered, Closed by profile:entry.resolve()
Composition.Slices for section.section:Medication.Slices for section Content/Rules for all slices
Composition.Slices for section.section:Medication.Slices for section. section:medication 1..* BackboneElement 嵌套的小節
Composition.Slices for section.section:Medication.Slices for section.section:medication. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "87232-5",
      "display" : "Medication administration.brief"
    }
  ]
}
Composition.Slices for section.section:Medication.Slices for section.section:medication. entry 0 .. * Reference(藥品(Medication ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:Medication.Slices for section.section:medication.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:Medication.Slices for section. section:medicationrequest 1..* BackboneElement 嵌套的小節
Composition.Slices for section.section:Medication.Slices for section.section:medicationrequest. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "57833-6",
      "display" : "Prescription for medication"
    }
  ]
}
Composition.Slices for section.section:Medication.Slices for section.section:medicationrequest. entry 0 .. * Reference(藥品請求(MedicationRequest ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:Medication.Slices for section.section:medicationrequest.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:ConditionDiagnosis S This element must be supported. 1..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:ConditionDiagnosis. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:ConditionDiagnosis. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11450-4",
      "display" : "Problem list - Reported"
    }
  ]
}
Composition.Slices for section.section:ConditionDiagnosis. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:ConditionDiagnosis. Slices for section 3 .. * 嵌套的小節
Slice: Unordered, Open by profile:entry.resolve()
Composition.Slices for section.section:ConditionDiagnosis.Slices for section Content/Rules for all slices
Composition.Slices for section.section:ConditionDiagnosis.Slices for section. section:conditiondiagnosis 1..* BackboneElement 嵌套的小節
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:conditiondiagnosis. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "29548-5",
      "display" : "Diagnosis Narrative"
    }
  ]
}
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:conditiondiagnosis. entry 0 .. * Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:conditiondiagnosis.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ConditionDiagnosis.Slices for section. section:practitioner 1..1 BackboneElement 嵌套的小節
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:practitioner. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "18600-7",
      "display" : "Primary practitioner identifier"
    }
  ]
}
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:practitioner. 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
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:practitioner.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ConditionDiagnosis.Slices for section. section:careplan 1..1 BackboneElement 嵌套的小節
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:careplan. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "101541-1",
      "display" : "Multidisciplinary Comprehensive plan of care note"
    }
  ]
}
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:careplan. entry 0 .. * Reference(關懷計畫(CarePlan ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:careplan.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:ConditionChiefComplaint S This element must be supported. 1..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:ConditionChiefComplaint. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:ConditionChiefComplaint. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "10154-3",
      "display" : "Chief complaint Narrative - Reported"
    }
  ]
}
Composition.Slices for section.section:ConditionChiefComplaint. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:ConditionChiefComplaint. 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
Composition.Slices for section.section:ConditionChiefComplaint.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:ObservationVitalSign S This element must be supported. 1..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:ObservationVitalSign. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:ObservationVitalSign. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "8716-3",
      "display" : "Vital signs note"
    }
  ]
}
Composition.Slices for section.section:ObservationVitalSign. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:ObservationVitalSign. entry 0 .. * Reference(生命徵象(ObservationVitalSign ClinEMR)) 提供一個連結用於參照或查看支持此小節內容的資料
Composition.Slices for section.section:ObservationVitalSign.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:Procedure S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:Procedure. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:Procedure. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "29554-3",
      "display" : "Procedure Narrative"
    }
  ]
}
Composition.Slices for section.section:Procedure. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:Procedure. entry 1..* Reference(西醫-處置或手術(Procedure MCR)) 提供一個連結用於參照或查看支持此小節內容的資料
Composition.Slices for section.section:Procedure.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:ObservationLabResults S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:ObservationLabResults. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:ObservationLabResults. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "30954-2",
      "display" : "Relevant diagnostic tests/laboratory data note"
    }
  ]
}
Composition.Slices for section.section:ObservationLabResults. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:ObservationLabResults. entry 1..* Reference(檢驗檢查機構(OrganizationInspection ClinEMR)) 檢驗檢查機構
Composition.Slices for section.section:ObservationLabResults.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ObservationLabResults. Slices for section 2 .. * 嵌套的小節
Slice: Unordered, Open by profile:entry.resolve()
Composition.Slices for section.section:ObservationLabResults.Slices for section Content/Rules for all slices
Composition.Slices for section.section:ObservationLabResults.Slices for section. section:observation 1..* BackboneElement 嵌套的小節
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:observation. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "19146-0",
      "display" : "Referral lab test results"
    }
  ]
}
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:observation. entry 0 .. * Reference(檢驗檢查(Observation ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:observation.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ObservationLabResults.Slices for section. section:servicerequest 1..* BackboneElement 嵌套的小節
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:servicerequest. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "77597-3",
      "display" : "Orders placed Document"
    }
  ]
}
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:servicerequest. entry 0 .. * Reference(服務請求(ServiceRequest ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:servicerequest.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ObservationLabResults.Slices for section. section:diagnosticreport 0..* BackboneElement 嵌套的小節
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:diagnosticreport. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "50398-7",
      "display" : "Narrative diagnostic report [Interpretation]"
    }
  ]
}
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:diagnosticreport. entry 0 .. * Reference(診斷報告(DiagnosticReport ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:diagnosticreport.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section.section:ObservationLabResults.Slices for section. section:bloodtype 0..1 BackboneElement 嵌套的小節
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:bloodtype. code 0 .. 1 CodeableConcept Classification of section (recommended)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "883-9",
      "display" : "ABO group [Type] in Blood"
    }
  ]
}
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:bloodtype. entry 0 .. * Reference(血型(ObservationBloodtype ClinEMR)) A reference to data that supports this section
Composition.Slices for section.section:ObservationLabResults.Slices for section.section:bloodtype.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL
Composition.Slices for section. section:DocumentReference S This element must be supported. 0..1 BackboneElement Composition被分成一個或數個小節
Composition.Slices for section.section:DocumentReference. title 1..1 string 小節標籤(例如：目錄ToC)
Composition.Slices for section.section:DocumentReference. code 1..1 CodeableConceptTW 小節分類(建議)
Required Pattern: 
                {
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "75310-3",
      "display" : "Health concerns Document"
    }
  ]
}
Composition.Slices for section.section:DocumentReference. 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) | TW Core Implantable Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
Composition.Slices for section.section:DocumentReference. 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
Composition.Slices for section.section:DocumentReference.entry. reference 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentation for this format
<status value="active" /> <date value="2026-10-20T23:53:00+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用於描述西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> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="0.3.2" /> </extension> </snapshot> <differential> <element id="Composition"> <path value="Composition" /> <constraint> <key value="majorIllness-condition-MCR" /> <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-mcr" /> </constraint> </element> <element id="Composition.meta"> <path value="Composition.meta" /> <short value="應填入於西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。[應填入於西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="西醫門診單" /> </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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> <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-mcr" /> </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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> </type> </element> <element id="Composition.section:SocialHistory"> <path value="Composition.section" /> <sliceName value="SocialHistory" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:SocialHistory.title"> <path value="Composition.section.title" /> <min value="1" /> </element> <element id="Composition.section:SocialHistory.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="29762-2" /> <display value="Social history note" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:SocialHistory.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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> </type> </element> <element id="Composition.section:SocialHistory.section"> <path value="Composition.section.section" /> <slicing> <discriminator> <type value="profile" /> <path value="entry.resolve()" /> </discriminator> <rules value="open" /> </slicing> <max value="2" /> </element> <element id="Composition.section:SocialHistory.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:SocialHistory.section:educationlevel.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="82589-3" /> <display value="Highest level of education" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:SocialHistory.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:SocialHistory.section:educationlevel.entry.reference"> <path value="Composition.section.section.entry.reference" /> <min value="1" /> </element> <element id="Composition.section:SocialHistory.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:SocialHistory.section:occupation.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11341-5" /> <display value="History of Occupation" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:SocialHistory.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:SocialHistory.section:occupation.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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> </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 note" /> </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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> </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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> </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.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> </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="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" /> </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 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