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

Generated Narrative: StructureDefinition composition-operationnote-imri

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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Composition TWCoreComposition
\".\"\".\"\".\" status 1..1coderegistered | partial | preliminary | final | amended | corrected +
Required Pattern: final
\".\"\".\"\".\" type 1..1CodeableConceptTWComposition的種類（如果可能請使用LOINC）
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 11504-8
\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Surgical operation note
\".\"\".\"\".\" subject 1..1Reference(Patient IMRI)Composition是關於誰和/或什麼
\".\"\".\"\".\" encounter 0..1Reference(Encounter IMRI)Composition的情境
\".\"\".\"\".\" author 1..*Reference(Organization Hospital Department IMRI | Practitioner IMRI)誰和/或什麼創建了這個Composition
\".\"\".\"\".\" title 1..1string人類可讀的名稱/標題
Fixed Value: 手術紀錄
\".\"\".\"\".\" attester
\".\"\".\"\".\"\".\" party 0..1Reference(Patient IMRI | RelatedPerson | Practitioner IMRI | PractitionerRole IMRI | Organization Hospital Department IMRI)誰證明了此Composition
\".\"\".\"\".\" custodian 0..1Reference(Organization Hospital Department IMRI)維護Composition的機構
\".\"\".\"\".\" Slices for section 1..*BackboneElementComposition被分成一個或數個小節
Slice: Unordered, Closed by value:code
\".\"\".\"\".\"\".\" section:PatientInformation S0..1BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 0..1string小節標籤(例如：目錄ToC)
Fixed Value: 病人資訊
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 52460-3
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Patient Information
\".\"\".\"\".\"\".\"\".\" Slices for section 0..1嵌套的小節
Slice: Unordered, Closed by profile:entry.resolve()
\".\"\".\"\".\"\".\"\".\"\".\" section:bloodtype 0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 0..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 882-1
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: ABO and Rh group [Type] in Blood
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(ObservationBloodType IMRI)A reference to data that supports this section
\".\"\".\"\".\"\".\" section:OperationNote S1..*BackboneElementComposition被分成一個或數個小節
\".\"\".\"\".\"\".\"\".\" title 0..1string小節標籤(例如：目錄ToC)
Fixed Value: 手術資訊
\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptTW小節分類(建議)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 11504-8
\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Surgical operation note
\".\"\".\"\".\"\".\"\".\" entry 1..*Reference(ProcedureOperation IMRI)提供一個連結用於參照或查看支持此小節內容的資料
\".\"\".\"\".\"\".\"\".\" Slices for section C0..3嵌套的小節
Slice: Unordered, Closed by profile:entry.resolve()
imri-1: Composition.section.section.text or Composition.section.section.entry SHALL be present
\".\"\".\"\".\"\".\"\".\"\".\" section:postoperativeDiagnosis C0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 10218-6
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Surgical operation note postoperative diagnosis Narrative
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(TW Core Condition)A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\" section:bloodLoss C0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 59770-8
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Procedure estimated blood loss Narrative
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(ObservationBloodLoss IMRI)A reference to data that supports this section
\".\"\".\"\".\"\".\"\".\"\".\" section:anesthesiaMode C0..1BackboneElement嵌套的小節
\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 1..1CodeableConceptClassification of section (recommended)
Required Pattern: At least the following
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 59774-0
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display1..1stringRepresentation defined by the system
Fixed Value: Procedure anesthesia Narrative
\".\"\".\"\".\"\".\"\".\"\".\"\".\" entry 0..*Reference(ProcedureAnesthesiaMode IMRI)A reference to data that supports this section

\"doco\" Documentation for this format
" }, "url": "https://imri.cgh.org.tw/imri/StructureDefinition/composition-operationnote-imri", "version": "0.1.0", "name": "CompositionOperationNoteIMRI", "title": "CompositionOperationNote IMRI", "status": "active", "date": "2024-11-26T14:24:42+00:00", "publisher": "國泰金控", "contact": [ { "name": "國泰金控", "telecom": [ { "system": "url", "value": "https://www.cathayholdings.com/holdings/" } ] } ], "description": "此Profile用於描述手術紀錄的報告文件。", "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", "differential": { "element": [ { "id": "Composition.status", "path": "Composition.status", "patternCode": "final" }, { "id": "Composition.type", "path": "Composition.type", "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "11504-8", "display": "Surgical operation note" } ] } }, { "id": "Composition.subject", "path": "Composition.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/patient-imri" ] } ] }, { "id": "Composition.encounter", "path": "Composition.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/encounter-imri" ] } ] }, { "id": "Composition.author", "path": "Composition.author", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/organization-hosp-imri", "https://imri.cgh.org.tw/imri/StructureDefinition/practitioner-imri" ] } ] }, { "id": "Composition.title", "path": "Composition.title", "fixedString": "手術紀錄" }, { "id": "Composition.attester.party", "path": "Composition.attester.party", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/patient-imri", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://imri.cgh.org.tw/imri/StructureDefinition/practitioner-imri", "https://imri.cgh.org.tw/imri/StructureDefinition/practitionerrole-imri", "https://imri.cgh.org.tw/imri/StructureDefinition/organization-hosp-imri" ] } ] }, { "id": "Composition.custodian", "path": "Composition.custodian", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/organization-hosp-imri" ] } ] }, { "id": "Composition.section", "path": "Composition.section", "slicing": { "discriminator": [ { "type": "value", "path": "code" } ], "rules": "closed" }, "min": 1 }, { "id": "Composition.section:PatientInformation", "path": "Composition.section", "sliceName": "PatientInformation", "min": 0, "max": "1", "mustSupport": true }, { "id": "Composition.section:PatientInformation.title", "path": "Composition.section.title", "fixedString": "病人資訊" }, { "id": "Composition.section:PatientInformation.code", "path": "Composition.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "52460-3", "display": "Patient Information" } ] } }, { "id": "Composition.section:PatientInformation.section", "path": "Composition.section.section", "slicing": { "discriminator": [ { "type": "profile", "path": "entry.resolve()" } ], "rules": "closed" }, "max": "1" }, { "id": "Composition.section:PatientInformation.section:bloodtype", "path": "Composition.section.section", "sliceName": "bloodtype", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ] }, { "id": "Composition.section:PatientInformation.section:bloodtype.code", "path": "Composition.section.section.code", "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "882-1", "display": "ABO and Rh group [Type] in Blood" } ] } }, { "id": "Composition.section:PatientInformation.section:bloodtype.entry", "path": "Composition.section.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/observationbloodtype-imri" ] } ] }, { "id": "Composition.section:OperationNote", "path": "Composition.section", "sliceName": "OperationNote", "min": 1, "max": "*", "mustSupport": true }, { "id": "Composition.section:OperationNote.title", "path": "Composition.section.title", "fixedString": "手術資訊" }, { "id": "Composition.section:OperationNote.code", "path": "Composition.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "11504-8", "display": "Surgical operation note" } ] } }, { "id": "Composition.section:OperationNote.entry", "path": "Composition.section.entry", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/procedureoperation-imri" ] } ] }, { "id": "Composition.section:OperationNote.section", "path": "Composition.section.section", "slicing": { "discriminator": [ { "type": "profile", "path": "entry.resolve()" } ], "rules": "closed" }, "max": "3", "constraint": [ { "key": "imri-1", "severity": "error", "human": "Composition.section.section.text or Composition.section.section.entry SHALL be present", "expression": "text.exists() or entry.exists()", "source": "https://imri.cgh.org.tw/imri/StructureDefinition/composition-operationnote-imri" } ] }, { "id": "Composition.section:OperationNote.section:postoperativeDiagnosis", "path": "Composition.section.section", "sliceName": "postoperativeDiagnosis", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "condition": [ "imri-1" ] }, { "id": "Composition.section:OperationNote.section:postoperativeDiagnosis.code", "path": "Composition.section.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "10218-6", "display": "Surgical operation note postoperative diagnosis Narrative" } ] } }, { "id": "Composition.section:OperationNote.section:postoperativeDiagnosis.entry", "path": "Composition.section.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore" ] } ] }, { "id": "Composition.section:OperationNote.section:bloodLoss", "path": "Composition.section.section", "sliceName": "bloodLoss", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "condition": [ "imri-1" ] }, { "id": "Composition.section:OperationNote.section:bloodLoss.code", "path": "Composition.section.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "59770-8", "display": "Procedure estimated blood loss Narrative" } ] } }, { "id": "Composition.section:OperationNote.section:bloodLoss.entry", "path": "Composition.section.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/observationbloodloss-imri" ] } ] }, { "id": "Composition.section:OperationNote.section:anesthesiaMode", "path": "Composition.section.section", "sliceName": "anesthesiaMode", "min": 0, "max": "1", "type": [ { "code": "BackboneElement" } ], "condition": [ "imri-1" ] }, { "id": "Composition.section:OperationNote.section:anesthesiaMode.code", "path": "Composition.section.section.code", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://loinc.org", "code": "59774-0", "display": "Procedure anesthesia Narrative" } ] } }, { "id": "Composition.section:OperationNote.section:anesthesiaMode.entry", "path": "Composition.section.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/procedure-anesthesiamode-imri" ] } ] } ] } }