<status value="active" /> <date value="2024-11-26T22:24:42+08:00" /> <publisher value="國泰金控" /> <contact> <name value="國泰金控" /> <telecom> <system value="url" /> <value value="https://www.cathayholdings.com/holdings/" /> </telecom> </contact> <description value="此Profile用於描述手術紀錄的報告文件。" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="fhirdocumentreference" /> <uri value="http://hl7.org/fhir/documentreference" /> <name value="FHIR DocumentReference" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Composition" /> <baseDefinition value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore" /> <derivation value="constraint" /> <differential> <element id="Composition.status"> <path value="Composition.status" /> <patternCode value="final" /> </element> <element id="Composition.type"> <path value="Composition.type" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11504-8" /> <display value="Surgical operation note" /> </coding> </patternCodeableConcept> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/patient-imri" /> </type> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/encounter-imri" /> </type> </element> <element id="Composition.author"> <path value="Composition.author" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/organization-hosp-imri" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/practitioner-imri" /> </type> </element> <element id="Composition.title"> <path value="Composition.title" /> <fixedString value="手術紀錄" /> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/patient-imri" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/practitioner-imri" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/practitionerrole-imri" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/organization-hosp-imri" /> </type> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/organization-hosp-imri" /> </type> </element> <element id="Composition.section"> <path value="Composition.section" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="closed" /> </slicing> <min value="1" /> </element> <element id="Composition.section:PatientInformation"> <path value="Composition.section" /> <sliceName value="PatientInformation" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:PatientInformation.title"> <path value="Composition.section.title" /> <fixedString value="病人資訊" /> </element> <element id="Composition.section:PatientInformation.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="52460-3" /> <display value="Patient Information" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:PatientInformation.section"> <path value="Composition.section.section" /> <slicing> <discriminator> <type value="profile" /> <path value="entry.resolve()" /> </discriminator> <rules value="closed" /> </slicing> <max value="1" /> </element> <element id="Composition.section:PatientInformation.section:bloodtype"> <path value="Composition.section.section" /> <sliceName value="bloodtype" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="Composition.section:PatientInformation.section:bloodtype.code"> <path value="Composition.section.section.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="882-1" /> <display value="ABO and Rh group [Type] in Blood" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:PatientInformation.section:bloodtype.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/observationbloodtype-imri" /> </type> </element> <element id="Composition.section:OperationNote"> <path value="Composition.section" /> <sliceName value="OperationNote" /> <min value="1" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Composition.section:OperationNote.title"> <path value="Composition.section.title" /> <fixedString value="手術資訊" /> </element> <element id="Composition.section:OperationNote.code"> <path value="Composition.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11504-8" /> <display value="Surgical operation note" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:OperationNote.entry"> <path value="Composition.section.entry" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/procedureoperation-imri" /> </type> </element> <element id="Composition.section:OperationNote.section"> <path value="Composition.section.section" /> <slicing> <discriminator> <type value="profile" /> <path value="entry.resolve()" /> </discriminator> <rules value="closed" /> </slicing> <max value="3" /> <constraint> <key value="imri-1" /> <severity value="error" /> <human value="Composition.section.section.text or Composition.section.section.entry SHALL be present" /> <expression value="text.exists() or entry.exists()" /> <source value="https://imri.cgh.org.tw/imri/StructureDefinition/composition-operationnote-imri" /> </constraint> </element> <element id="Composition.section:OperationNote.section:postoperativeDiagnosis"> <path value="Composition.section.section" /> <sliceName value="postoperativeDiagnosis" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> <condition value="imri-1" /> </element> <element id="Composition.section:OperationNote.section:postoperativeDiagnosis.code"> <path value="Composition.section.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="10218-6" /> <display value="Surgical operation note postoperative diagnosis Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:OperationNote.section:postoperativeDiagnosis.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore" /> </type> </element> <element id="Composition.section:OperationNote.section:bloodLoss"> <path value="Composition.section.section" /> <sliceName value="bloodLoss" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> <condition value="imri-1" /> </element> <element id="Composition.section:OperationNote.section:bloodLoss.code"> <path value="Composition.section.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="59770-8" /> <display value="Procedure estimated blood loss Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:OperationNote.section:bloodLoss.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/observationbloodloss-imri" /> </type> </element> <element id="Composition.section:OperationNote.section:anesthesiaMode"> <path value="Composition.section.section" /> <sliceName value="anesthesiaMode" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> <condition value="imri-1" /> </element> <element id="Composition.section:OperationNote.section:anesthesiaMode.code"> <path value="Composition.section.section.code" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="59774-0" /> <display value="Procedure anesthesia Narrative" /> </coding> </patternCodeableConcept> </element> <element id="Composition.section:OperationNote.section:anesthesiaMode.entry"> <path value="Composition.section.section.entry" /> <type> <code value="Reference" /> <targetProfile value="https://imri.cgh.org.tw/imri/StructureDefinition/procedure-anesthesiamode-imri" /> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition composition-operationnote-imri

Name	Flags	Card.	Type	Description & Constraints
Composition			TWCoreComposition
status		1 .. 1	code	registered \| partial \| preliminary \| final \| amended \| corrected + Required Pattern: final
type		1 .. 1	CodeableConceptTW	Composition的種類（如果可能請使用LOINC） 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11504-8
display		1..1	string	Representation defined by the system Fixed Value: Surgical operation note
subject		1..1	Reference(Patient IMRI)	Composition是關於誰和/或什麼
encounter		0 .. 1	Reference(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 .. 1	string	人類可讀的名稱/標題 Fixed Value: 手術紀錄
attester
party		0 .. 1	Reference(Patient IMRI \| RelatedPerson \| Practitioner IMRI \| PractitionerRole IMRI \| Organization Hospital Department IMRI)	誰證明了此Composition
custodian		0 .. 1	Reference(Organization Hospital Department IMRI)	維護Composition的機構
Slices for section		1 .. *	BackboneElement	Composition被分成一個或數個小節 Slice: Unordered, Closed by value:code
section:PatientInformation	S	0..1	BackboneElement	Composition被分成一個或數個小節
title		0 .. 1	string	小節標籤(例如：目錄ToC) Fixed Value: 病人資訊
code		1..1	CodeableConceptTW	小節分類(建議) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 52460-3
display		1..1	string	Representation 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..1	BackboneElement	嵌套的小節
code		0 .. 1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 882-1
display		1..1	string	Representation 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	S	1..*	BackboneElement	Composition被分成一個或數個小節
title		0 .. 1	string	小節標籤(例如：目錄ToC) Fixed Value: 手術資訊
code		1..1	CodeableConceptTW	小節分類(建議) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11504-8
display		1..1	string	Representation 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	C	0 .. 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	C	0..1	BackboneElement	嵌套的小節
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10218-6
display		1..1	string	Representation 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	C	0..1	BackboneElement	嵌套的小節
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59770-8
display		1..1	string	Representation 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	C	0..1	BackboneElement	嵌套的小節
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59774-0
display		1..1	string	Representation defined by the system Fixed Value: Procedure anesthesia Narrative
entry		0 .. *	Reference(ProcedureAnesthesiaMode IMRI)	A reference to data that supports this section
Documentation for this format