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

Generated Narrative: StructureDefinition composition-tcmcr

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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。
Constraints: majorIllness-condition-tcmcrs
\"\"\"\"\"\" Composition.meta S This element must be supported. 1..1Meta應填入於中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..1idVersion specific identifier
\"\"\"\"\"\" Composition.identifier 1..1Identifier不分版本的臨床文件架構(Composition)識別碼。[應填入於中醫診所門診病摘之病歷表單編號]
\"\"\"\"\"\"\"\" Composition.identifier.type 1..1CodeableConceptDescription of identifier
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",\n      "code" : "SNO"\n    }\n  ]\n}
\"\"\"\"\"\"\"\" Composition.identifier.value 1..1stringThe value that is unique
\"\"\"\"\"\"\"\" Composition.identifier.assigner 0..1Reference(TW Core Organization)Organization that issued id (may be just text)
\"\"\"\"\"\" Composition.status 1..1coderegistered | partial | preliminary | final | amended | corrected +
Required Pattern: final (extensions allowed)
\"\"\"\"\"\" Composition.type 1..1CodeableConceptTWComposition的種類（如果可能請使用LOINC）
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "34108-1",\n      "display" : "Outpatient Note"\n    }\n  ]\n}
\"\"\"\"\"\" Composition.subject 0..1Reference(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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\" Composition.encounter S This element must be supported. 0..1Reference(就醫事件(Encounter ClinEMR))Composition的情境
\"\"\"\"\"\"\"\" Composition.encounter.reference S This element must be supported. 1..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\" Composition.date 1..1dateTime[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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\" Composition.title 1..1string固定值。[應填入病歷表單名稱Sheet Name]
Fixed Value: 中醫門診單 (no extensions allowed)
\"\"\"\"\"\" Composition.confidentiality S This element must be supported. 1..1code[應填入文件敏感性Doc Confidentiality Code]
\"\"\"\"\"\" Composition.attester
\"\"\"\"\"\"\"\" Composition.attester.party 0..1Reference(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..1Reference(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].targetIdentifierIdentifier
\"\"\"\"\"\"\"\"\"\" Composition.relatesTo.target[x].targetReferenceReference(中醫-臨床文件架構(Composition TCMCR))
\"\"\"\"\"\" Composition.Slices for section 4..*BackboneElementComposition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..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:SocialHistory.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:SocialHistory.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29762-2",\n      "display" : "Social history note"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:SocialHistory.Slices for section.section:educationlevel.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "82589-3",\n      "display" : "Highest level of education"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:SocialHistory.Slices for section.section:occupation 0..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:SocialHistory.Slices for section.section:occupation.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "11341-5",\n      "display" : "History of Occupation"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:AllergyIntolerance S This element must be supported. 0..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:AllergyIntolerance.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:AllergyIntolerance.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "48765-2",\n      "display" : "Allergies and adverse reactions Document"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionPastMedicalHistory S This element must be supported. 0..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionPastMedicalHistory.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionPastMedicalHistory.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "11348-0",\n      "display" : "History of Past illness note"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionMajorIllness S This element must be supported. 1..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionMajorIllness.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionMajorIllness.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "11338-1",\n      "display" : "History of Major illnesses and injuries Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1Reference(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..1stringLiteral 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..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "11338-1",\n      "display" : "History of Major illnesses and injuries Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:Medication S This element must be supported. 0..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Medication.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Medication.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "10160-0",\n      "display" : "History of Medication use Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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 0..*嵌套的小節
Slice: Unordered, Open 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 0..*BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Medication.Slices for section.section:medication.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "87232-5",\n      "display" : "Medication administration.brief"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Medication.Slices for section.section:medicationrequest 0..*BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Medication.Slices for section.section:medicationrequest.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "57833-6",\n      "display" : "Prescription for medication"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis S This element must be supported. 1..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "11450-4",\n      "display" : "Problem list - Reported"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29548-5",\n      "display" : "Diagnosis Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:practitioner 1..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:practitioner.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "18600-7",\n      "display" : "Primary practitioner identifier"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:careplan 1..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:careplan.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "101541-1",\n      "display" : "Multidisciplinary Comprehensive plan of care note"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtonguecondition 0..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtonguecondition.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29548-5",\n      "display" : "Diagnosis Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtonguecondition.entry 0..1Reference(病人舌象(ObservationTongueCondition TCMCR))A reference to data that supports this section
\"\"\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtonguecondition.entry.reference 1..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationpulsecondition 0..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationpulsecondition.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29548-5",\n      "display" : "Diagnosis Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationpulsecondition.entry 0..1Reference(病人脈象(ObservationPulseCondition TCMCR))A reference to data that supports this section
\"\"\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationpulsecondition.entry.reference 1..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationmanifestation 0..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationmanifestation.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29548-5",\n      "display" : "Diagnosis Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationmanifestation.entry 0..1Reference(病人證型(ObservationManifestation TCMCR))A reference to data that supports this section
\"\"\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationmanifestation.entry.reference 1..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtherapeuticdiscipline 0..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtherapeuticdiscipline.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29548-5",\n      "display" : "Diagnosis Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtherapeuticdiscipline.entry 0..1Reference(病人治則(ObservationTherapeuticDiscipline TCMCR))A reference to data that supports this section
\"\"\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionDiagnosis.Slices for section.section:observationtherapeuticdiscipline.entry.reference 1..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionChiefComplaint S This element must be supported. 1..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionChiefComplaint.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ConditionChiefComplaint.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "10154-3",\n      "display" : "Chief complaint Narrative - Reported"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationVitalSign S This element must be supported. 1..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationVitalSign.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationVitalSign.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "8716-3",\n      "display" : "Vital signs note"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:Procedure S This element must be supported. 0..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Procedure.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:Procedure.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "29554-3",\n      "display" : "Procedure Narrative"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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(中醫-處置或手術(Procedure TCMCR))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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationLabResults S This element must be supported. 0..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationLabResults.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationLabResults.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "30954-2",\n      "display" : "Relevant diagnostic tests/laboratory data note"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral 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..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "19146-0",\n      "display" : "Referral lab test results"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral 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..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "77597-3",\n      "display" : "Orders placed Document"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral 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..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "50398-7",\n      "display" : "Narrative diagnostic report [Interpretation]"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationLabResults.Slices for section.section:bloodtype 0..1BackboneElement嵌套的小節
\"\"\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:ObservationLabResults.Slices for section.section:bloodtype.code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "883-9",\n      "display" : "ABO group [Type] in Blood"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\"\"\"\"\" 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..1stringLiteral reference, Relative, internal or absolute URL
\"\"\"\"\"\"\"\" Composition.Slices for section.section:DocumentReference S This element must be supported. 0..1BackboneElementComposition被分成一個或數個小節
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:DocumentReference.title 1..1string小節標籤(例如：目錄ToC)
\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:DocumentReference.code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: 
{\n  "coding" : [\n    {\n      "system" : "http://loinc.org",\n      "code" : "75310-3",\n      "display" : "Health concerns Document"\n    }\n  ]\n}
\"\"\"\"\"\"\"\"\"\" 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..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
\"\"\"\"\"\"\"\"\"\"\"\" Composition.Slices for section.section:DocumentReference.entry.reference 1..1stringLiteral reference, Relative, internal or absolute URL

\"doco\" Documentation for this format
" }, "url": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-tcmcr", "version": "1.1.0", "name": "CompositionTCMCR", "title": "中醫-臨床文件架構(Composition TCMCR)", "status": "active", "date": "2026-10-20T15:53:00+00:00", "publisher": "睿傳數據", "contact": [ { "name": "睿傳數據", "telecom": [ { "system": "url", "value": "https://www.cohesiondata.com/" } ] } ], "description": "此Profile用於描述中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": { "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString": "0.3.2" } ] }, "differential": { "element": [ { "id": "Composition", "path": "Composition", "constraint": [ { "key": "majorIllness-condition-tcmcrs", "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-tcmcr" } ] }, { "id": "Composition.meta", "path": "Composition.meta", "short": "應填入於中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。[應填入於中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": "中醫門診單" }, { "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", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore", "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-tcmcr" ] } ] }, { "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", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" ] } ] }, { "id": "Composition.section:SocialHistory", "path": "Composition.section", "sliceName": "SocialHistory", "min": 0, "max": "1", "mustSupport": true }, { "id": "Composition.section:SocialHistory.title", "path": "Composition.section.title", "min": 1 }, { "id": "Composition.section:SocialHistory.code", "path": "Composition.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "29762-2", "display": "Social history note" } ] } }, { "id": "Composition.section:SocialHistory.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", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore" ] } ] }, { "id": "Composition.section:SocialHistory.section", "path": "Composition.section.section", "slicing": { "discriminator": [ { "type": "profile", "path": "entry.resolve()" } ], "rules": "open" }, "max": "2" }, { "id": "Composition.section:SocialHistory.section:educationlevel", "path": "Composition.section.section", "sliceName": "educationlevel", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": 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