<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="此就醫事件(Encounter ClinEMR)Profile說明本IG如何進一步定義臺灣核心-就醫事件(TW Core Encounter) Profile以呈現西醫/牙醫/中醫診所門診病摘之就醫事件的詳細資料。" /> <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="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Encounter" /> <baseDefinition value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Encounter.extension"> <path value="Encounter.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Encounter.extension:medicalIdentity"> <path value="Encounter.extension" /> <sliceName value="medicalIdentity" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-medicalidentity" /> </type> <mustSupport value="true" /> </element> <element id="Encounter.identifier"> <path value="Encounter.identifier" /> <min value="1" /> <max value="1" /> </element> <element id="Encounter.identifier.type"> <path value="Encounter.identifier.type" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="SNO" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Encounter.identifier.value"> <path value="Encounter.identifier.value" /> <short value="唯一值。[應填入門診病摘之掛號序號Visit Seq]" /> </element> <element id="Encounter.status"> <path value="Encounter.status" /> <patternCode value="finished" /> </element> <element id="Encounter.class"> <path value="Encounter.class" /> <patternCoding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="AMB" /> </patternCoding> </element> <element id="Encounter.serviceType"> <path value="Encounter.serviceType" /> <short value="服務的特定型別。[應填入門診病摘之看診科別Dpartment]" /> <min value="1" /> <binding> <strength value="required" /> <valueSet value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medical-consultation-department-nhi-tw" /> </binding> </element> <element id="Encounter.subject"> <path value="Encounter.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" /> </type> </element> <element id="Encounter.basedOn"> <path value="Encounter.basedOn" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr" /> </type> </element> <element id="Encounter.participant.individual"> <path value="Encounter.participant.individual" /> <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="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> </element> <element id="Encounter.period"> <path value="Encounter.period" /> <min value="1" /> </element> <element id="Encounter.period.start"> <path value="Encounter.period.start" /> <short value="就醫的開始時間。[應填入門診病摘之掛號(報到)日期時間Visit Date]" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Encounter.reasonReference"> <path value="Encounter.reasonReference" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-mcr" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" /> </type> </element> <element id="Encounter.diagnosis.condition"> <path value="Encounter.diagnosis.condition" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr" /> </type> </element> <element id="Encounter.hospitalization.origin"> <path value="Encounter.hospitalization.origin" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore" /> </type> </element> <element id="Encounter.hospitalization.destination"> <path value="Encounter.hospitalization.destination" /> <type> <code value="Reference" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> </type> </element> <element id="Encounter.serviceProvider"> <path value="Encounter.serviceProvider" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" /> </type> </element> <element id="Encounter.partOf"> <path value="Encounter.partOf" /> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy"> <valueBoolean value="true" /> </extension> <code value="Reference" /> <targetProfile value="https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr" /> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition encounter-clinemr

Name	Flags	Card.	Type	Description & Constraints
Encounter			TWCoreEncounter
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
medicalIdentity	S	1..1	CodeableConcept	就醫身份 URL: https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-medicalidentity
identifier		1..1	Identifier	此就醫事件的識別碼
type	S	1..1	CodeableConceptTW	識別碼（identifier）的型別說明 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	唯一值。[應填入門診病摘之掛號序號Visit Seq]
status		1 .. 1	code	planned \| arrived \| triaged \| in-progress \| onleave \| finished \| cancelled + Required Pattern: finished
class		1 .. 1	CodingTW	病人就醫的分類 Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: AMB
serviceType		1..1	CodeableConceptTW	服務的特定型別。[應填入門診病摘之看診科別Dpartment] Binding: 臺灣健保署就醫科別值集 (required)
subject		0 .. 1	Reference(病人資料(Patient ClinEMR))	在場就醫的病人或實體集合（Group）
basedOn		0 .. *	Reference(服務請求(ServiceRequest ClinEMR))	開始此次就醫的服務請求（ServiceRequest）
participant
individual		0 .. 1	Reference(健康照護服務提供人員資料(Practitioner ClinEMR) \| TW Core PractitionerRole \| RelatedPerson)	除病人外，參與病人就醫事件的人。
period		1..1	Period	就醫的開始和結束時間
start	S	1..1	dateTime	就醫的開始時間。[應填入門診病摘之掛號(報到)日期時間Visit Date]
reasonReference		0 .. *	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) \| 西醫-處置或手術(Procedure MCR) \| 檢驗檢查(Observation ClinEMR) \| ImmunizationRecommendation)	就醫發生的原因（參照）
diagnosis
condition		1 .. 1	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	與就醫事件相關的診斷或處置
hospitalization
origin		0 .. 1	Reference(醫事機構(Organization ClinEMR) \| TW Core Location)	病人住院前來自的地點／機構
destination		0 .. 1	Reference(TW Core Location \| 醫事機構(Organization ClinEMR))	病人出院地點／機構
serviceProvider		0 .. 1	Reference(醫事機構(Organization ClinEMR))	負責這次就醫的機構
partOf		0 .. 1	Reference(就醫事件(Encounter ClinEMR))	此就醫是哪次就醫的一部份？
Documentation for this format