{ "resourceType": "StructureDefinition", "id": "MedicalClinicRecordModel", "text": { "status": "extensions", "div": "

Generated Narrative: StructureDefinition MedicalClinicRecordModel

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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" MedicalClinicRecordModel 0..*Base西醫診所門診病摘(MedicalClinicRecord)之資料模型
Instances of this logical model are not marked to be the target of a Reference
\".\"\".\"\".\" documentInfo 1..1BackboneElement病歷文件資料
\".\"\".\"\".\"\".\" hisdocPK 1..1IdentifierHIS病歷唯一碼
\".\"\".\"\".\"\".\" hospitalId 1..1Identifier醫事機構代碼
\".\"\".\"\".\"\".\" hospitalName 1..1string醫事機構名稱
\".\"\".\"\".\"\".\" sheetInfo 1..1BackboneElement病歷表單資料
\".\"\".\"\".\"\".\"\".\" sheetId 1..1Identifier病歷表單編號
\".\"\".\"\".\"\".\"\".\" sheetName 1..1string病歷表單名稱
\".\"\".\"\".\"\".\"\".\" sheetVersion 1..1id病歷表單版本
\".\"\".\"\".\"\".\" docInfo 1..1BackboneElement病歷文件資料
\".\"\".\"\".\"\".\"\".\" docConfidentialityCode 1..1code文件敏感性
\".\"\".\"\".\"\".\"\".\" createTime 1..1dateTime文件產生時間
\".\"\".\"\".\" patientInfo 1..1BackboneElement病人基本資料
\".\"\".\"\".\"\".\" chatNo 1..1Identifier病歷號
\".\"\".\"\".\"\".\" patientName 1..1HumanName病人姓名
\".\"\".\"\".\"\".\" birthDate 0..1date出生日期
\".\"\".\"\".\"\".\" visitIdentity 1..1CodeableConcept就醫身份
\".\"\".\"\".\"\".\" gender 1..1code性別
\".\"\".\"\".\"\".\" personalIDNumber 1..1Identifier身分證號
\".\"\".\"\".\"\".\" contactInfo 0..1BackboneElement聯絡資訊
\".\"\".\"\".\"\".\"\".\" homeTel 0..1ContactPoint住宅電話
\".\"\".\"\".\"\".\"\".\" officeTel 0..1ContactPoint公司電話
\".\"\".\"\".\"\".\"\".\" mobile 0..1ContactPoint行動電話
\".\"\".\"\".\"\".\" bloodtype 0..1CodeableConcept自述血型
\".\"\".\"\".\"\".\" marriageStatus 0..1CodeableConcept婚姻
\".\"\".\"\".\"\".\" occupation 0..1CodeableConcept職業
\".\"\".\"\".\"\".\" addressInfo 0..1BackboneElement病人相關住址
\".\"\".\"\".\"\".\"\".\" originalAddressInfo 0..1BackboneElement病人戶籍地址資料
\".\"\".\"\".\"\".\"\".\"\".\" originalAddressZipCode 0..1code病人戶籍地址郵遞區號
\".\"\".\"\".\"\".\"\".\"\".\" originalAddresLocation 0..1Address病人戶籍地址
\".\"\".\"\".\"\".\"\".\" contactAddressInfo 0..1BackboneElement病人聯絡地址資料
\".\"\".\"\".\"\".\"\".\"\".\" contactAddressZipCode 0..1code病人聯絡地址郵遞區號
\".\"\".\"\".\"\".\"\".\"\".\" contactAddressLocation 0..1Address病人聯絡地址
\".\"\".\"\".\"\".\" email 0..1ContactPoint病人電子郵件地址
\".\"\".\"\".\"\".\" history 0..1CodeableConcept過去病史
\".\"\".\"\".\"\".\" allergy 0..1string過敏記錄
\".\"\".\"\".\"\".\" emergencyContactInfo 0..*BackboneElement緊急聯絡人相關資訊
\".\"\".\"\".\"\".\"\".\" emName 0..1HumanName緊急聯絡人姓名
\".\"\".\"\".\"\".\"\".\" emrelationshp 0..1code緊急聯絡人與病人關係
\".\"\".\"\".\"\".\"\".\" emergencyContactWay 0..1BackboneElement緊急聯絡人聯絡方式
\".\"\".\"\".\"\".\"\".\"\".\" emHomeTel 0..1ContactPoint緊急聯絡人住宅電話
\".\"\".\"\".\"\".\"\".\"\".\" emOfficeTel 0..1ContactPoint緊急聯絡人公司電話
\".\"\".\"\".\"\".\"\".\"\".\" emMobile 0..1ContactPoint緊急聯絡人行動電話
\".\"\".\"\".\"\".\" childNumber 0..1integer病人子女數
\".\"\".\"\".\"\".\" education 0..1CodeableConcept病人教育程度
\".\"\".\"\".\" encounter 1..1BackboneElement病人當次看診之相關資訊
\".\"\".\"\".\"\".\" visitDate 1..1dateTime掛號(報到)日期時間
\".\"\".\"\".\"\".\" visitSeq 1..1Identifier掛號序號
\".\"\".\"\".\"\".\" department 1..1CodeableConcept看診科別
\".\"\".\"\".\"\".\" doctorId 1..1Identifier看診醫師身分證號
\".\"\".\"\".\"\".\" doctorName 1..1HumanName看診醫師姓名
\".\"\".\"\".\"\".\" patientBloodPressure 0..1BackboneElement病人血壓
\".\"\".\"\".\"\".\"\".\" systolicPressure 0..1CodeableConcept收縮壓
\".\"\".\"\".\"\".\"\".\" diastoicPressure 0..1CodeableConcept舒張壓
\".\"\".\"\".\"\".\" pulse 0..1CodeableConcept病人脈搏
\".\"\".\"\".\"\".\" height 0..1CodeableConcept病人身高
\".\"\".\"\".\"\".\" heightUnit 0..1code病人身高單位
\".\"\".\"\".\"\".\" weight 0..1CodeableConcept病人體重
\".\"\".\"\".\"\".\" weightUnit 0..1code病人體重單位
\".\"\".\"\".\"\".\" bodytemperature 0..1CodeableConcept病人體溫
\".\"\".\"\".\"\".\" chiefComplain 1..1Annotation病人主訴
\".\"\".\"\".\"\".\" majorInjuryInfo 1..*BackboneElement重大傷病相關資訊
\".\"\".\"\".\"\".\"\".\" majorInjuryFlag 1..1Annotation重大傷病註記
\".\"\".\"\".\"\".\"\".\" majorInjuryContent 0..*BackboneElement重大傷病代碼與病名
\".\"\".\"\".\"\".\"\".\"\".\" majorInjuryCode 1..1code重大傷病代碼
\".\"\".\"\".\"\".\"\".\"\".\" majorInjuryName 1..1string重大傷病名稱
\".\"\".\"\".\"\".\" diagnosisContent 1..*BackboneElement診斷代碼與名稱
\".\"\".\"\".\"\".\"\".\" diagcode 1..1code診斷代碼
\".\"\".\"\".\"\".\"\".\" diagName 1..1string診斷名稱
\".\"\".\"\".\"\".\" treatmenInfo 0..*BackboneElement處置相關內容
\".\"\".\"\".\"\".\"\".\" treatmentRegionNHICode 0..1code處置部位代碼
\".\"\".\"\".\"\".\"\".\" treatmentNHICCode 0..1code處置健保碼
\".\"\".\"\".\"\".\"\".\" treatmentHospCode 0..1code處置院內碼
\".\"\".\"\".\"\".\"\".\" treatmentDescription 0..1string處置說明
\".\"\".\"\".\"\".\"\".\" treatmentDose 0..1decimal處置劑量
\".\"\".\"\".\"\".\" doctorAdvise 0..1Annotation醫師囑咐
\".\"\".\"\".\" drugInfo 0..*BackboneElement用藥紀錄相關內容
\".\"\".\"\".\"\".\" drugNHICCode 0..1code藥品健保碼
\".\"\".\"\".\"\".\" drugCode 1..1code藥品藥品碼
\".\"\".\"\".\"\".\" drugName 1..1string藥品商品名
\".\"\".\"\".\"\".\" dose 1..1decimal用量
\".\"\".\"\".\"\".\" doseUnit 1..1string用量單位
\".\"\".\"\".\"\".\" route 1..1CodeableConcept藥品服用方法
\".\"\".\"\".\"\".\" frequency 1..1CodeableConcept藥品的使用頻率
\".\"\".\"\".\"\".\" drugStartDate 1..1date用藥開始日期
\".\"\".\"\".\"\".\" drugEndDate 1..1date用藥結束日期
\".\"\".\"\".\"\".\" days 1..1decimal服藥天數
\".\"\".\"\".\"\".\" totalAmount 1..1decimal藥品總劑量
\".\"\".\"\".\"\".\" prescriptionMethod 0..1CodeableConcept藥品調劑方式
\".\"\".\"\".\"\".\" drugUseRegion 0..1CodeableConcept藥品使用部位
\".\"\".\"\".\" examiationInfo 0..*BackboneElement檢驗檢查相關內容
\".\"\".\"\".\"\".\" examOrderDate 0..1dateTime檢驗檢查開單日期
\".\"\".\"\".\"\".\"\".\" orderHospitalID 1..1code檢驗檢查開單醫事機構代碼
\".\"\".\"\".\"\".\"\".\" orderHospitalName 1..1string檢驗檢查開單醫事機構名稱
\".\"\".\"\".\"\".\"\".\" examHospitalID 1..1code檢驗檢查執行醫事機構代碼
\".\"\".\"\".\"\".\"\".\" examHospitalName 1..1string檢驗檢查執行醫事機構名稱
\".\"\".\"\".\"\".\"\".\"\".\" examDate 1..1dateTime檢查日期
\".\"\".\"\".\"\".\"\".\"\".\" verifyDate 0..1dateTime報告日期
\".\"\".\"\".\"\".\"\".\"\".\" testNHICode 0..1code健保檢驗檢查代碼
\".\"\".\"\".\"\".\"\".\"\".\" testName 1..1string檢驗檢查名稱
\".\"\".\"\".\"\".\"\".\"\".\" testResult 0..1string檢驗檢查結果值
\".\"\".\"\".\"\".\"\".\"\".\" resultUnit 0..1string檢驗檢查結果單位
\".\"\".\"\".\"\".\"\".\"\".\" resultFlag 0..1CodeableConcept檢驗檢查結果判斷註記
\".\"\".\"\".\"\".\"\".\"\".\" resultComment 0..1Annotation檢驗檢查結果備註說明
\".\"\".\"\".\" imageInfo 0..*BackboneElement圖檔報告內容
\".\"\".\"\".\"\".\" imageFileName 1..1Attachment圖檔報告名稱
\".\"\".\"\".\"\".\" imageContent 1..1Attachment圖檔報告內容
\".\"\".\"\".\" referenceInfo 0..*BackboneElement參考附件資料內容
\".\"\".\"\".\"\".\" referenceDocFileName 1..1Attachment附件檔名
\".\"\".\"\".\"\".\" referenceDocContent 1..1Attachment附件內容

\"doco\" Documentation for this format
" }, "url": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/MedicalClinicRecordModel", "version": "1.0.0", "name": "MedicalClinicRecordModel", "title": "西醫診所門診病摘(MedicalClinicRecord)之資料模型", "status": "active", "date": "2024-10-06T09:51:07+00:00", "publisher": "睿傳數據", "contact": [ { "name": "睿傳數據", "telecom": [ { "system": "url", "value": "https://www.cohesiondata.com/" } ] } ], "description": "西醫診所門診病摘(MedicalClinicRecord)之資料模型", "fhirVersion": "4.0.1", "mapping": [ { "identity": "MedicalClinicRecord", "uri": "https://fhir.cohesiondata.com/clinemr/", "name": "ClinEMR" } ], "kind": "logical", "abstract": false, "type": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/MedicalClinicRecordModel", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base", "derivation": "specialization", "snapshot": {}, "differential": { "element": [ { "id": "MedicalClinicRecordModel", "path": "MedicalClinicRecordModel", "short": "西醫診所門診病摘(MedicalClinicRecord)之資料模型", "definition": "西醫診所門診病摘(MedicalClinicRecord)之資料模型", "mapping": [ { "identity": "MedicalClinicRecord", "map": "BundleMCR" } ] }, { "id": "MedicalClinicRecordModel.documentInfo", "path": "MedicalClinicRecordModel.documentInfo", "short": "病歷文件資料", "definition": "病歷文件資料", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病歷文件資料)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.hisdocPK", "path": "MedicalClinicRecordModel.documentInfo.hisdocPK", "short": "HIS病歷唯一碼", "definition": "HIS病歷唯一碼", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "BundleMCR.identifier(HIS病歷唯一碼)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.hospitalId", "path": "MedicalClinicRecordModel.documentInfo.hospitalId", "short": "醫事機構代碼", "definition": "醫事機構代碼", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:OrganizationClinEMR.identifier(醫事機構代碼)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.hospitalName", "path": "MedicalClinicRecordModel.documentInfo.hospitalName", "short": "醫事機構名稱", "definition": "醫事機構名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:OrganizationClinEMR.name(醫事機構名稱)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.sheetInfo", "path": "MedicalClinicRecordModel.documentInfo.sheetInfo", "short": "病歷表單資料", "definition": "病歷表單資料", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病歷表單資料)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.sheetInfo.sheetId", "path": "MedicalClinicRecordModel.documentInfo.sheetInfo.sheetId", "short": "病歷表單編號", "definition": "病歷表單編號", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:CompositionMCR.identifier(病歷表單編號)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.sheetInfo.sheetName", "path": "MedicalClinicRecordModel.documentInfo.sheetInfo.sheetName", "short": "病歷表單名稱", "definition": "病歷表單名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:CompositionMCR.title(病歷表單名稱)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.sheetInfo.sheetVersion", "path": "MedicalClinicRecordModel.documentInfo.sheetInfo.sheetVersion", "short": "病歷表單版本", "definition": "病歷表單版本", "min": 1, "max": "1", "type": [ { "code": "id" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:CompositionMCR.meta.versionId(病歷表單版本)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.docInfo", "path": "MedicalClinicRecordModel.documentInfo.docInfo", "short": "病歷文件資料", "definition": "病歷文件資料", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病歷文件資料)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.docInfo.docConfidentialityCode", "path": "MedicalClinicRecordModel.documentInfo.docInfo.docConfidentialityCode", "short": "文件敏感性", "definition": "文件敏感性", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:CompositionMCR.confidentiality.code(文件敏感性)" } ] }, { "id": "MedicalClinicRecordModel.documentInfo.docInfo.createTime", "path": "MedicalClinicRecordModel.documentInfo.docInfo.createTime", "short": "文件產生時間", "definition": "文件產生時間", "min": 1, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:CompositionMCR.date(文件產生時間)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo", "path": "MedicalClinicRecordModel.patientInfo", "short": "病人基本資料", "definition": "病人基本資料", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病人基本資料)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.chatNo", "path": "MedicalClinicRecordModel.patientInfo.chatNo", "short": "病歷號", "definition": "病歷號", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.identifier:medicalRecord(病歷號)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.patientName", "path": "MedicalClinicRecordModel.patientInfo.patientName", "short": "病人姓名", "definition": "病人姓名", "min": 1, "max": "1", "type": [ { "code": "HumanName" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.name(病人姓名)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.birthDate", "path": "MedicalClinicRecordModel.patientInfo.birthDate", "short": "出生日期", "definition": "出生日期", "min": 0, "max": "1", "type": [ { "code": "date" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.birthDate(出生日期)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.visitIdentity", "path": "MedicalClinicRecordModel.patientInfo.visitIdentity", "short": "就醫身份", "definition": "就醫身份", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:EncounterClinEMR.extension.medicalIdentity.CodeableConcept(就醫身份)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.gender", "path": "MedicalClinicRecordModel.patientInfo.gender", "short": "性別", "definition": "性別", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.gender(性別)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.personalIDNumber", "path": "MedicalClinicRecordModel.patientInfo.personalIDNumber", "short": "身分證號", "definition": "身分證號", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.identifier:idCardNumber(身分證號)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.contactInfo", "path": "MedicalClinicRecordModel.patientInfo.contactInfo", "short": "聯絡資訊", "definition": "聯絡資訊", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(聯絡資訊)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.contactInfo.homeTel", "path": "MedicalClinicRecordModel.patientInfo.contactInfo.homeTel", "short": "住宅電話", "definition": "住宅電話", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.telecom.where(system='phone' and use='home').value(住宅電話)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.contactInfo.officeTel", "path": "MedicalClinicRecordModel.patientInfo.contactInfo.officeTel", "short": "公司電話", "definition": "公司電話", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.telecom.where(system='phone' and use='work').value(公司電話)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.contactInfo.mobile", "path": "MedicalClinicRecordModel.patientInfo.contactInfo.mobile", "short": "行動電話", "definition": "行動電話", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.telecom.where(system='phone' and use='mobile').value(行動電話)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.bloodtype", "path": "MedicalClinicRecordModel.patientInfo.bloodtype", "short": "自述血型", "definition": "自述血型", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationBloodtypeClinEMR.where(code='882-1').valueCodeableConcept.text(自述血型)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.marriageStatus", "path": "MedicalClinicRecordModel.patientInfo.marriageStatus", "short": "婚姻", "definition": "婚姻", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.maritalStatus(婚姻)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.occupation", "path": "MedicalClinicRecordModel.patientInfo.occupation", "short": "職業", "definition": "職業", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationOccupationClinEMR.where(code='85658-3').valueCodeableConcept.text(職業)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo", "path": "MedicalClinicRecordModel.patientInfo.addressInfo", "short": "病人相關住址", "definition": "病人相關住址", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病人相關住址)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo.originalAddressInfo", "path": "MedicalClinicRecordModel.patientInfo.addressInfo.originalAddressInfo", "short": "病人戶籍地址資料", "definition": "病人戶籍地址資料", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病人戶籍地址資料)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo.originalAddressInfo.originalAddressZipCode", "path": "MedicalClinicRecordModel.patientInfo.addressInfo.originalAddressInfo.originalAddressZipCode", "short": "病人戶籍地址郵遞區號", "definition": "病人戶籍地址郵遞區號", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.address.postalCode.valueCodeableConceptTW.coding:PostalCode3(病人戶籍地址郵遞區號)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo.originalAddressInfo.originalAddresLocation", "path": "MedicalClinicRecordModel.patientInfo.addressInfo.originalAddressInfo.originalAddresLocation", "short": "病人戶籍地址", "definition": "病人戶籍地址", "min": 0, "max": "1", "type": [ { "code": "Address" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.address.where(use='home').value(病人戶籍地址)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo.contactAddressInfo", "path": "MedicalClinicRecordModel.patientInfo.addressInfo.contactAddressInfo", "short": "病人聯絡地址資料", "definition": "病人聯絡地址資料", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病人聯絡地址資料)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo.contactAddressInfo.contactAddressZipCode", "path": "MedicalClinicRecordModel.patientInfo.addressInfo.contactAddressInfo.contactAddressZipCode", "short": "病人聯絡地址郵遞區號", "definition": "病人聯絡地址郵遞區號", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.address.postalCode.valueCodeableConceptTW.coding:PostalCode3(病人聯絡地址郵遞區號)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.addressInfo.contactAddressInfo.contactAddressLocation", "path": "MedicalClinicRecordModel.patientInfo.addressInfo.contactAddressInfo.contactAddressLocation", "short": "病人聯絡地址", "definition": "病人聯絡地址", "min": 0, "max": "1", "type": [ { "code": "Address" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.address.where(use='billing').value(病人聯絡地址)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.email", "path": "MedicalClinicRecordModel.patientInfo.email", "short": "病人電子郵件地址", "definition": "病人電子郵件地址", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.telecom.where(system ='email').value(病人電子郵件地址)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.history", "path": "MedicalClinicRecordModel.patientInfo.history", "short": "過去病史", "definition": "過去病史", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ConditionPastMedicalHistoryClinEMR.CodeableConcept.text(過去病史)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.allergy", "path": "MedicalClinicRecordModel.patientInfo.allergy", "short": "過敏記錄", "definition": "過敏記錄", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:AllergyIntoleranceClinEMR.code.text(過敏記錄)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo", "short": "緊急聯絡人相關資訊", "definition": "緊急聯絡人相關資訊", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(緊急聯絡人相關資訊)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emName", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emName", "short": "緊急聯絡人姓名", "definition": "緊急聯絡人姓名", "min": 0, "max": "1", "type": [ { "code": "HumanName" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.contact.name(緊急聯絡人姓名)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emrelationshp", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emrelationshp", "short": "緊急聯絡人與病人關係", "definition": "緊急聯絡人與病人關係", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.contact.relationship(緊急聯絡人與病人關係)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay", "short": "緊急聯絡人聯絡方式", "definition": "緊急聯絡人聯絡方式", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(緊急聯絡人聯絡方式)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay.emHomeTel", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay.emHomeTel", "short": "緊急聯絡人住宅電話", "definition": "緊急聯絡人住宅電話", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.contact.telecom.where(system='phone' and use='home').value(緊急聯絡人住宅電話)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay.emOfficeTel", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay.emOfficeTel", "short": "緊急聯絡人公司電話", "definition": "緊急聯絡人公司電話", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.contact.telecom.where(system='phone' and use='work').value(緊急聯絡人公司電話)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay.emMobile", "path": "MedicalClinicRecordModel.patientInfo.emergencyContactInfo.emergencyContactWay.emMobile", "short": "緊急聯絡人行動電話", "definition": "緊急聯絡人行動電話", "min": 0, "max": "1", "type": [ { "code": "ContactPoint" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.contact.telecom.where(system='phone' and use='mobile').value(緊急聯絡人行動電話)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.childNumber", "path": "MedicalClinicRecordModel.patientInfo.childNumber", "short": "病人子女數", "definition": "病人子女數", "min": 0, "max": "1", "type": [ { "code": "integer" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PatientClinEMR.extension.childnumber.valueInteger(病人子女數)" } ] }, { "id": "MedicalClinicRecordModel.patientInfo.education", "path": "MedicalClinicRecordModel.patientInfo.education", "short": "病人教育程度", "definition": "病人教育程度", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationEducationLevel.where(code='80913-7').valueCodeableConcept.text(病人教育程度)" } ] }, { "id": "MedicalClinicRecordModel.encounter", "path": "MedicalClinicRecordModel.encounter", "short": "病人當次看診之相關資訊", "definition": "病人當次看診之相關資訊", "min": 1, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病人當次看診之相關資訊)" } ] }, { "id": "MedicalClinicRecordModel.encounter.visitDate", "path": "MedicalClinicRecordModel.encounter.visitDate", "short": "掛號(報到)日期時間", "definition": "掛號(報到)日期時間", "min": 1, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:EncounterClinEMR.period(掛號(報到)日期時間)" } ] }, { "id": "MedicalClinicRecordModel.encounter.visitSeq", "path": "MedicalClinicRecordModel.encounter.visitSeq", "short": "掛號序號", "definition": "掛號序號", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:EncounterClinEMR.identifier(掛號序號)" } ] }, { "id": "MedicalClinicRecordModel.encounter.department", "path": "MedicalClinicRecordModel.encounter.department", "short": "看診科別", "definition": "看診科別", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:EncounterClinEMR.servicetype(看診科別)" } ] }, { "id": "MedicalClinicRecordModel.encounter.doctorId", "path": "MedicalClinicRecordModel.encounter.doctorId", "short": "看診醫師身分證號", "definition": "看診醫師身分證號", "min": 1, "max": "1", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PractitionerClinEMR.identifier(看診醫師身分證號)" } ] }, { "id": "MedicalClinicRecordModel.encounter.doctorName", "path": "MedicalClinicRecordModel.encounter.doctorName", "short": "看診醫師姓名", "definition": "看診醫師姓名", "min": 1, "max": "1", "type": [ { "code": "HumanName" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:PractitionerClinEMR.name(看診醫師姓名)" } ] }, { "id": "MedicalClinicRecordModel.encounter.patientBloodPressure", "path": "MedicalClinicRecordModel.encounter.patientBloodPressure", "short": "病人血壓", "definition": "病人血壓", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(病人血壓)" } ] }, { "id": "MedicalClinicRecordModel.encounter.patientBloodPressure.systolicPressure", "path": "MedicalClinicRecordModel.encounter.patientBloodPressure.systolicPressure", "short": "收縮壓", "definition": "收縮壓", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBloodPressureClinEMR).where(code='8480-6').valueQuantity(收縮壓)" } ] }, { "id": "MedicalClinicRecordModel.encounter.patientBloodPressure.diastoicPressure", "path": "MedicalClinicRecordModel.encounter.patientBloodPressure.diastoicPressure", "short": "舒張壓", "definition": "舒張壓", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBloodPressureClinEMR).where(code='8462-4').valueQuantity(舒張壓)" } ] }, { "id": "MedicalClinicRecordModel.encounter.pulse", "path": "MedicalClinicRecordModel.encounter.pulse", "short": "病人脈搏", "definition": "病人脈搏", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationHeartRateClinEMR).where(code='8867-4').valueQuantity(病人脈搏)" } ] }, { "id": "MedicalClinicRecordModel.encounter.height", "path": "MedicalClinicRecordModel.encounter.height", "short": "病人身高", "definition": "病人身高", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBodyHeightClinEMR).where(code='8302-2').valueQuantity(病人身高)" } ] }, { "id": "MedicalClinicRecordModel.encounter.heightUnit", "path": "MedicalClinicRecordModel.encounter.heightUnit", "short": "病人身高單位", "definition": "病人身高單位", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBodyHeightClinEMR).where(code='8302-2').valueQuantity(病人身高單位)" } ] }, { "id": "MedicalClinicRecordModel.encounter.weight", "path": "MedicalClinicRecordModel.encounter.weight", "short": "病人體重", "definition": "病人體重", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBodyWeightClinEMR).where(code='29463-7').valueQuantity(病人體重)" } ] }, { "id": "MedicalClinicRecordModel.encounter.weightUnit", "path": "MedicalClinicRecordModel.encounter.weightUnit", "short": "病人體重單位", "definition": "病人體重單位", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBodyWeightClinEMR).where(code='29463-7').valueQuantity(病人體重單位)" } ] }, { "id": "MedicalClinicRecordModel.encounter.bodytemperature", "path": "MedicalClinicRecordModel.encounter.bodytemperature", "short": "病人體溫", "definition": "病人體溫", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationVitalSignClinEMR.hasMember.Reference(ObservationBodyTempClinEMR).where(code='8310-5').valueQuantity(病人體溫)" } ] }, { "id": "MedicalClinicRecordModel.encounter.chiefComplain", "path": "MedicalClinicRecordModel.encounter.chiefComplain", "short": "病人主訴", "definition": "病人主訴", "min": 1, "max": "1", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ConditionChiefComplainClinEMR.note(病人主訴)" } ] }, { "id": "MedicalClinicRecordModel.encounter.majorInjuryInfo", "path": "MedicalClinicRecordModel.encounter.majorInjuryInfo", "short": "重大傷病相關資訊", "definition": "重大傷病相關資訊", "min": 1, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(重大傷病相關資訊)" } ] }, { "id": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryFlag", "path": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryFlag", "short": "重大傷病註記", "definition": "重大傷病註記", "min": 1, "max": "1", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationMajorIllness.where(code='11338-1').valueBoolean(重大傷病註記)" } ] }, { "id": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryContent", "path": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryContent", "short": "重大傷病代碼與病名", "definition": "重大傷病代碼與病名", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(重大傷病代碼與病名)" } ] }, { "id": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryContent.majorInjuryCode", "path": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryContent.majorInjuryCode", "short": "重大傷病代碼", "definition": "重大傷病代碼", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ConditionMajorIllness.code(重大傷病代碼)" } ] }, { "id": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryContent.majorInjuryName", "path": "MedicalClinicRecordModel.encounter.majorInjuryInfo.majorInjuryContent.majorInjuryName", "short": "重大傷病名稱", "definition": "重大傷病名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ConditionMajorIllness.code.display(重大傷病名稱)" } ] }, { "id": "MedicalClinicRecordModel.encounter.diagnosisContent", "path": "MedicalClinicRecordModel.encounter.diagnosisContent", "short": "診斷代碼與名稱", "definition": "診斷代碼與名稱", "min": 1, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(診斷代碼與名稱)" } ] }, { "id": "MedicalClinicRecordModel.encounter.diagnosisContent.diagcode", "path": "MedicalClinicRecordModel.encounter.diagnosisContent.diagcode", "short": "診斷代碼", "definition": "診斷代碼", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ConditionDiagnosisClinEMR.code(診斷代碼)" } ] }, { "id": "MedicalClinicRecordModel.encounter.diagnosisContent.diagName", "path": "MedicalClinicRecordModel.encounter.diagnosisContent.diagName", "short": "診斷名稱", "definition": "診斷名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ConditionDiagnosisClinEMR.code.display(診斷名稱)" } ] }, { "id": "MedicalClinicRecordModel.encounter.treatmenInfo", "path": "MedicalClinicRecordModel.encounter.treatmenInfo", "short": "處置相關內容", "definition": "處置相關內容", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(處置相關內容)" } ] }, { "id": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentRegionNHICode", "path": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentRegionNHICode", "short": "處置部位代碼", "definition": "處置部位代碼", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ProcedureClinEMR.bodySite(處置部位代碼)" } ] }, { "id": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentNHICCode", "path": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentNHICCode", "short": "處置健保碼", "definition": "處置健保碼", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ProcedureClinEMR.code(處置健保碼)" } ] }, { "id": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentHospCode", "path": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentHospCode", "short": "處置院內碼", "definition": "處置院內碼", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ProcedurnClinEMR.identifier(處置院內碼)" } ] }, { "id": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentDescription", "path": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentDescription", "short": "處置說明", "definition": "處置說明", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ProcedureClinEMR.code.display(處置說明)" } ] }, { "id": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentDose", "path": "MedicalClinicRecordModel.encounter.treatmenInfo.treatmentDose", "short": "處置劑量", "definition": "處置劑量", "min": 0, "max": "1", "type": [ { "code": "decimal" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ProcedureClinEMR.usedReference(處置劑量)" } ] }, { "id": "MedicalClinicRecordModel.encounter.doctorAdvise", "path": "MedicalClinicRecordModel.encounter.doctorAdvise", "short": "醫師囑咐", "definition": "醫師囑咐", "min": 0, "max": "1", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:CarePlanClinEMR.note(醫師囑咐)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo", "path": "MedicalClinicRecordModel.drugInfo", "short": "用藥紀錄相關內容", "definition": "用藥紀錄相關內容", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(用藥紀錄相關內容)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.drugNHICCode", "path": "MedicalClinicRecordModel.drugInfo.drugNHICCode", "short": "藥品健保碼", "definition": "藥品健保碼", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationClinEMR.code(藥品健保碼)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.drugCode", "path": "MedicalClinicRecordModel.drugInfo.drugCode", "short": "藥品藥品碼", "definition": "藥品藥品碼", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationClinEMR.code(藥品藥品碼)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.drugName", "path": "MedicalClinicRecordModel.drugInfo.drugName", "short": "藥品商品名", "definition": "藥品商品名", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationClinEMR.code.display(藥品商品名)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.dose", "path": "MedicalClinicRecordModel.drugInfo.dose", "short": "用量", "definition": "用量", "min": 1, "max": "1", "type": [ { "code": "decimal" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.doseAndRate.doseQuantity.value(用量)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.doseUnit", "path": "MedicalClinicRecordModel.drugInfo.doseUnit", "short": "用量單位", "definition": "用量單位", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstructiondoseAndRate.doseQuantity.unit(用量單位)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.route", "path": "MedicalClinicRecordModel.drugInfo.route", "short": "藥品服用方法", "definition": "藥品服用方法", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.route(藥品服用方法)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.frequency", "path": "MedicalClinicRecordModel.drugInfo.frequency", "short": "藥品的使用頻率", "definition": "藥品的使用頻率", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.code(藥品的使用頻率)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.drugStartDate", "path": "MedicalClinicRecordModel.drugInfo.drugStartDate", "short": "用藥開始日期", "definition": "用藥開始日期", "min": 1, "max": "1", "type": [ { "code": "date" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.timing.repeat.boundsperiod.start(用藥開始日期)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.drugEndDate", "path": "MedicalClinicRecordModel.drugInfo.drugEndDate", "short": "用藥結束日期", "definition": "用藥結束日期", "min": 1, "max": "1", "type": [ { "code": "date" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.timing.repeat.boundsperiod.end(用藥結束日期)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.days", "path": "MedicalClinicRecordModel.drugInfo.days", "short": "服藥天數", "definition": "服藥天數", "min": 1, "max": "1", "type": [ { "code": "decimal" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.timing.repeat.duration(服藥天數)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.totalAmount", "path": "MedicalClinicRecordModel.drugInfo.totalAmount", "short": "藥品總劑量", "definition": "藥品總劑量", "min": 1, "max": "1", "type": [ { "code": "decimal" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.dispenseRequest.quantity(藥品總劑量)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.prescriptionMethod", "path": "MedicalClinicRecordModel.drugInfo.prescriptionMethod", "short": "藥品調劑方式", "definition": "藥品調劑方式", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.note(藥品調劑方式)" } ] }, { "id": "MedicalClinicRecordModel.drugInfo.drugUseRegion", "path": "MedicalClinicRecordModel.drugInfo.drugUseRegion", "short": "藥品使用部位", "definition": "藥品使用部位", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:MedicationRequestClinEMR.dosageInstruction.site.text(藥品使用部位)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo", "path": "MedicalClinicRecordModel.examiationInfo", "short": "檢驗檢查相關內容", "definition": "檢驗檢查相關內容", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(檢驗檢查相關內容)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate", "short": "檢驗檢查開單日期", "definition": "檢驗檢查開單日期", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ServiceRequestClinEMR.occurrenceDateTime(檢驗檢查開單日期)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.orderHospitalID", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.orderHospitalID", "short": "檢驗檢查開單醫事機構代碼", "definition": "檢驗檢查開單醫事機構代碼", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:OganizationClinEMR.identifier(檢驗檢查開單醫事機構代碼)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.orderHospitalName", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.orderHospitalName", "short": "檢驗檢查開單醫事機構名稱", "definition": "檢驗檢查開單醫事機構名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:OganizationClinEMR.name(檢驗檢查開單醫事機構名稱)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalID", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalID", "short": "檢驗檢查執行醫事機構代碼", "definition": "檢驗檢查執行醫事機構代碼", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:OganizationInspectionClinEMR.identifier(檢驗檢查執行醫事機構代碼)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName", "short": "檢驗檢查執行醫事機構名稱", "definition": "檢驗檢查執行醫事機構名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:OganizationInspectionClinEMR.name(檢驗檢查執行醫事機構名稱)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.examDate", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.examDate", "short": "檢查日期", "definition": "檢查日期", "min": 1, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.effectiveDateTime(檢查日期)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.verifyDate", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.verifyDate", "short": "報告日期", "definition": "報告日期", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:DiagnosticReportClinEMR.effectiveDateTime(報告日期)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.testNHICode", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.testNHICode", "short": "健保檢驗檢查代碼", "definition": "健保檢驗檢查代碼", "min": 0, "max": "1", "type": [ { "code": "code" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.code(健保檢驗檢查代碼)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.testName", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.testName", "short": "檢驗檢查名稱", "definition": "檢驗檢查名稱", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.code.display(檢驗檢查名稱)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.testResult", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.testResult", "short": "檢驗檢查結果值", "definition": "檢驗檢查結果值", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.valueQuantity.value(檢驗檢查結果值)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.resultUnit", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.resultUnit", "short": "檢驗檢查結果單位", "definition": "檢驗檢查結果單位", "min": 0, "max": "1", "type": [ { "code": "string" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.valueQuantity.unit(檢驗檢查結果單位)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.resultFlag", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.resultFlag", "short": "檢驗檢查結果判斷註記", "definition": "檢驗檢查結果判斷註記", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.interpretation(檢驗檢查結果判斷註記)" } ] }, { "id": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.resultComment", "path": "MedicalClinicRecordModel.examiationInfo.examOrderDate.examHospitalName.resultComment", "short": "檢驗檢查結果備註說明", "definition": "檢驗檢查結果備註說明", "min": 0, "max": "1", "type": [ { "code": "Annotation" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:ObservationClinEMR.note(檢驗檢查結果備註說明)" } ] }, { "id": "MedicalClinicRecordModel.imageInfo", "path": "MedicalClinicRecordModel.imageInfo", "short": "圖檔報告內容", "definition": "圖檔報告內容", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(圖檔報告內容)" } ] }, { "id": "MedicalClinicRecordModel.imageInfo.imageFileName", "path": "MedicalClinicRecordModel.imageInfo.imageFileName", "short": "圖檔報告名稱", "definition": "圖檔報告名稱", "min": 1, "max": "1", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:DocumentReferenceClinEMR.content.attachment.title(圖檔報告名稱)" } ] }, { "id": "MedicalClinicRecordModel.imageInfo.imageContent", "path": "MedicalClinicRecordModel.imageInfo.imageContent", "short": "圖檔報告內容", "definition": "圖檔報告內容", "min": 1, "max": "1", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:DocumentReferenceClinEMR.content.attachment.data(圖檔報告內容)" } ] }, { "id": "MedicalClinicRecordModel.referenceInfo", "path": "MedicalClinicRecordModel.referenceInfo", "short": "參考附件資料內容", "definition": "參考附件資料內容", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "(參考附件資料內容)" } ] }, { "id": "MedicalClinicRecordModel.referenceInfo.referenceDocFileName", "path": "MedicalClinicRecordModel.referenceInfo.referenceDocFileName", "short": "附件檔名", "definition": "附件檔名", "min": 1, "max": "1", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:DocumentReferenceClinEMR.content.attachment.title(附件檔名)" } ] }, { "id": "MedicalClinicRecordModel.referenceInfo.referenceDocContent", "path": "MedicalClinicRecordModel.referenceInfo.referenceDocContent", "short": "附件內容", "definition": "附件內容", "min": 1, "max": "1", "type": [ { "code": "Attachment" } ], "mapping": [ { "identity": "MedicalClinicRecord", "map": "entry:DocumentReferenceClinEMR.content.attachment.data(附件內容)" } ] } ] } }