<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="出院病摘(DischargeSummary)之資料模型" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="DischargeSummary" /> <uri value="https://imri.cgh.org.tw/imri/" /> <name value="IMRI" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="https://imri.cgh.org.tw/imri/StructureDefinition/DischargeSummaryModel" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base" /> <derivation value="specialization" /> <differential> <element id="DischargeSummaryModel"> <path value="DischargeSummaryModel" /> <short value="出院病摘(DischargeSummary)之資料模型" /> <definition value="出院病摘(DischargeSummary)之資料模型" /> <mapping> <identity value="DischargeSummary" /> <map value="BundleDischargeSummaryIMRI" /> </mapping> </element> <element id="DischargeSummaryModel.organization"> <path value="DischargeSummaryModel.organization" /> <short value="醫事機構" /> <definition value="醫事機構" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.organization.identifier"> <path value="DischargeSummaryModel.organization.identifier" /> <short value="醫事機構代碼" /> <definition value="醫事機構代碼" /> <min value="1" /> <max value="1" /> <type> <code value="Identifier" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:OrganizationHospIMRI.identifier" /> </mapping> </element> <element id="DischargeSummaryModel.organization.name"> <path value="DischargeSummaryModel.organization.name" /> <short value="醫事機構名稱" /> <definition value="醫事機構名稱" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:OrganizationHospIMRI.name" /> </mapping> </element> <element id="DischargeSummaryModel.patient"> <path value="DischargeSummaryModel.patient" /> <short value="病人的基本資料" /> <definition value="病人的基本資料" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.patient.identifier"> <path value="DischargeSummaryModel.patient.identifier" /> <short value="身分證字號" /> <definition value="身分證字號" /> <min value="1" /> <max value="1" /> <type> <code value="Identifier" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:PatientIMRI.identifier:idCardNumber" /> </mapping> </element> <element id="DischargeSummaryModel.patient.patientNo"> <path value="DischargeSummaryModel.patient.patientNo" /> <short value="病歷號碼" /> <definition value="病歷號碼" /> <min value="1" /> <max value="1" /> <type> <code value="Identifier" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:PatientIMRI.identifier:medicalRecord" /> </mapping> </element> <element id="DischargeSummaryModel.patient.name"> <path value="DischargeSummaryModel.patient.name" /> <short value="姓名" /> <definition value="病人之合法姓名。" /> <min value="1" /> <max value="*" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:PatientIMRI.name" /> </mapping> </element> <element id="DischargeSummaryModel.patient.gender"> <path value="DischargeSummaryModel.patient.gender" /> <short value="性別" /> <definition value="性別" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:PatientIMRI.gender" /> </mapping> </element> <element id="DischargeSummaryModel.patient.birthDate"> <path value="DischargeSummaryModel.patient.birthDate" /> <short value="出生日期" /> <definition value="病人的生日，如果有完整或部分的生日日期則必須提供，若無完整或部分的生日日期則以空字串''表示之。" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:PatientIMRI.birthDate" /> </mapping> </element> <element id="DischargeSummaryModel.hospitalizedInformation"> <path value="DischargeSummaryModel.hospitalizedInformation" /> <short value="住院的基本資料" /> <definition value="住院的基本資料" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.hospitalizedInformation.department"> <path value="DischargeSummaryModel.hospitalizedInformation.department" /> <short value="出院科別" /> <definition value="出院科別" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:EncounterIMRI.serviceType" /> </mapping> </element> <element id="DischargeSummaryModel.hospitalizedInformation.bedNo"> <path value="DischargeSummaryModel.hospitalizedInformation.bedNo" /> <short value="出院床號" /> <definition value="出院床號" /> <min value="1" /> <max value="1" /> <type> <code value="Identifier" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:EncounterIMRI.hospitalization.destination.Reference(LocationIMRI).identifier" /> </mapping> </element> <element id="DischargeSummaryModel.hospitalizedInformation.dateofHospitalization"> <path value="DischargeSummaryModel.hospitalizedInformation.dateofHospitalization" /> <short value="住院日期" /> <definition value="住院日期" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:EncounterIMRI.period.start" /> </mapping> </element> <element id="DischargeSummaryModel.hospitalizedInformation.dischargeDate"> <path value="DischargeSummaryModel.hospitalizedInformation.dischargeDate" /> <short value="出院日期" /> <definition value="出院日期" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:EncounterIMRI.period.end" /> </mapping> </element> <element id="DischargeSummaryModel.impression"> <path value="DischargeSummaryModel.impression" /> <short value="住院臆斷" /> <definition value="住院臆斷" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationImpressionIMRI" /> </mapping> </element> <element id="DischargeSummaryModel.impression.impressionCode"> <path value="DischargeSummaryModel.impression.impressionCode" /> <short value="住院臆斷代碼" /> <definition value="住院臆斷代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationImpressionIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.impression.impressionValue"> <path value="DischargeSummaryModel.impression.impressionValue" /> <short value="住院臆斷實際值" /> <definition value="住院臆斷實際值" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationImpressionIMRI.valueCodeableConcept" /> </mapping> </element> <element id="DischargeSummaryModel.impression.impressionDate"> <path value="DischargeSummaryModel.impression.impressionDate" /> <short value="住院臆斷日期" /> <definition value="住院臆斷日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationImpressionIMRI.effectiveDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.dischargeDiagnosis"> <path value="DischargeSummaryModel.dischargeDiagnosis" /> <short value="出院診斷" /> <definition value="出院診斷" /> <min value="1" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.dischargeDiagnosis.dischargeDiagnosisCode"> <path value="DischargeSummaryModel.dischargeDiagnosis.dischargeDiagnosisCode" /> <short value="出院診斷代碼" /> <definition value="出院診斷代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ConditionDischargeDiagnosisIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.dischargeDiagnosis.dischargeDiagnosisDate"> <path value="DischargeSummaryModel.dischargeDiagnosis.dischargeDiagnosisDate" /> <short value="出院診斷日期" /> <definition value="出院診斷日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ConditionDischargeDiagnosisIMRI.recordedDate" /> </mapping> </element> <element id="DischargeSummaryModel.cancerStaging"> <path value="DischargeSummaryModel.cancerStaging" /> <short value="癌症期別" /> <definition value="癌症期別" /> <min value="0" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.cancerStaging.cancerStagingCode"> <path value="DischargeSummaryModel.cancerStaging.cancerStagingCode" /> <short value="癌症期別代碼" /> <definition value="癌症期別代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationCancerStagingIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.cancerStaging.cancerStagingValue"> <path value="DischargeSummaryModel.cancerStaging.cancerStagingValue" /> <short value="癌症期別實際值" /> <definition value="癌症期別實際值" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationCancerStagingIMRI.valueCodeableConcept" /> </mapping> </element> <element id="DischargeSummaryModel.cancerStaging.cancerStagingDate"> <path value="DischargeSummaryModel.cancerStaging.cancerStagingDate" /> <short value="癌症期別日期" /> <definition value="癌症期別日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationCancerStagingIMRI.effectiveDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.chiefComplaint"> <path value="DischargeSummaryModel.chiefComplaint" /> <short value="主訴" /> <definition value="主訴" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.chiefComplaint.chiefComplaintValue"> <path value="DischargeSummaryModel.chiefComplaint.chiefComplaintValue" /> <short value="主訴實際值" /> <definition value="主訴實際值" /> <min value="1" /> <max value="1" /> <type> <code value="Annotation" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ConditionChiefComplaintIMRI.note" /> </mapping> </element> <element id="DischargeSummaryModel.presentIllness"> <path value="DischargeSummaryModel.presentIllness" /> <short value="病史" /> <definition value="病史" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.presentIllness.presentIllnessCode"> <path value="DischargeSummaryModel.presentIllness.presentIllnessCode" /> <short value="病史代碼" /> <definition value="病史代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ConditionPresentIllnessIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.physicalExamination"> <path value="DischargeSummaryModel.physicalExamination" /> <short value="理學檢查發現" /> <definition value="理學檢查發現" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.physicalExamination.physicalExaminationCode"> <path value="DischargeSummaryModel.physicalExamination.physicalExaminationCode" /> <short value="理學檢查發現代碼" /> <definition value="理學檢查發現代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationPhysicalExaminationIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.physicalExamination.physicalExaminationValue"> <path value="DischargeSummaryModel.physicalExamination.physicalExaminationValue" /> <short value="理學檢查發現實際值" /> <definition value="理學檢查發現實際值" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationPhysicalExaminationIMRI.valueString" /> </mapping> </element> <element id="DischargeSummaryModel.physicalExamination.physicalExaminationDate"> <path value="DischargeSummaryModel.physicalExamination.physicalExaminationDate" /> <short value="理學檢查發現日期" /> <definition value="理學檢查發現日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationPhysicalExaminationIMRI.effectiveDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.laboratoryData"> <path value="DischargeSummaryModel.laboratoryData" /> <short value="檢驗" /> <definition value="檢驗" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.laboratoryData.laboratoryDataCode"> <path value="DischargeSummaryModel.laboratoryData.laboratoryDataCode" /> <short value="檢驗代碼" /> <definition value="檢驗代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationLaboratoryIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.laboratoryData.laboratoryDataValue"> <path value="DischargeSummaryModel.laboratoryData.laboratoryDataValue" /> <short value="檢驗實際值" /> <definition value="檢驗實際值" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationLaboratoryIMRI.valueString" /> </mapping> </element> <element id="DischargeSummaryModel.laboratoryData.laboratoryDataDate"> <path value="DischargeSummaryModel.laboratoryData.laboratoryDataDate" /> <short value="檢驗日期" /> <definition value="檢驗日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationLaboratoryIMRI.effectiveDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.specificExamination"> <path value="DischargeSummaryModel.specificExamination" /> <short value="特殊檢查" /> <definition value="特殊檢查" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.specificExamination.specificExaminationCode"> <path value="DischargeSummaryModel.specificExamination.specificExaminationCode" /> <short value="特殊檢查代碼" /> <definition value="特殊檢查代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationLaboratoryIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.specificExamination.specificExaminationValue"> <path value="DischargeSummaryModel.specificExamination.specificExaminationValue" /> <short value="特殊檢查實際值" /> <definition value="特殊檢查實際值" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationLaboratoryIMRI.valueString" /> </mapping> </element> <element id="DischargeSummaryModel.specificExamination.specificExaminationDate"> <path value="DischargeSummaryModel.specificExamination.specificExaminationDate" /> <short value="特殊檢查日期" /> <definition value="特殊檢查日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationLaboratoryIMRI.effectiveDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.imagingStudy"> <path value="DischargeSummaryModel.imagingStudy" /> <short value="醫療影像檢查" /> <definition value="醫療影像檢查" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.imagingStudy.imagingStudyDescription"> <path value="DischargeSummaryModel.imagingStudy.imagingStudyDescription" /> <short value="醫療影像檢查敘述" /> <definition value="醫療影像檢查敘述" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ImagingStudyIMRI.description" /> </mapping> </element> <element id="DischargeSummaryModel.imagingStudy.imagingStudyInterpreter"> <path value="DischargeSummaryModel.imagingStudy.imagingStudyInterpreter" /> <short value="醫療影像檢查解讀者" /> <definition value="醫療影像檢查解讀者" /> <min value="0" /> <max value="*" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ImagingStudyIMRI.interpreter.Reference(PractitionerIMRI).name" /> </mapping> </element> <element id="DischargeSummaryModel.imagingStudy.imagingStudyDate"> <path value="DischargeSummaryModel.imagingStudy.imagingStudyDate" /> <short value="醫療影像檢查開始時間" /> <definition value="醫療影像檢查開始時間" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ImagingStudyIMRI.started" /> </mapping> </element> <element id="DischargeSummaryModel.pathologyReport"> <path value="DischargeSummaryModel.pathologyReport" /> <short value="病理報告" /> <definition value="病理報告" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.pathologyReport.pathologyReportCode"> <path value="DischargeSummaryModel.pathologyReport.pathologyReportCode" /> <short value="病理報告代碼" /> <definition value="病理報告代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationPathologyReportIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.pathologyReport.pathologyReportValue"> <path value="DischargeSummaryModel.pathologyReport.pathologyReportValue" /> <short value="病理報告實際值" /> <definition value="病理報告實際值" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationPathologyReportIMRI.valueString" /> </mapping> </element> <element id="DischargeSummaryModel.pathologyReport.pathologyReportDate"> <path value="DischargeSummaryModel.pathologyReport.pathologyReportDate" /> <short value="病理報告日期" /> <definition value="病理報告日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ObservationPathologyReportIMRI.effectiveDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.surgicalMethod"> <path value="DischargeSummaryModel.surgicalMethod" /> <short value="手術日期及方法" /> <definition value="手術日期及方法" /> <min value="1" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.surgicalMethod.surgicalMethodCode"> <path value="DischargeSummaryModel.surgicalMethod.surgicalMethodCode" /> <short value="手術方法" /> <definition value="手術方法" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ProcedureIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.surgicalMethod.surgicalMethodDate"> <path value="DischargeSummaryModel.surgicalMethod.surgicalMethodDate" /> <short value="手術日期" /> <definition value="手術日期" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ProcedureIMRI.performedDateTime" /> </mapping> </element> <element id="DischargeSummaryModel.hospitalCourse"> <path value="DischargeSummaryModel.hospitalCourse" /> <short value="住院治療經過" /> <definition value="住院治療經過" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.hospitalCourse.hospitalCourseCode"> <path value="DischargeSummaryModel.hospitalCourse.hospitalCourseCode" /> <short value="住院治療經過代碼" /> <definition value="住院治療經過代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ProcedureHospitalCourseIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.hospitalCourse.hospitalCourseValue"> <path value="DischargeSummaryModel.hospitalCourse.hospitalCourseValue" /> <short value="住院治療經過實際值" /> <definition value="住院治療經過實際值" /> <min value="1" /> <max value="1" /> <type> <code value="markdown" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ProcedureHospitalCourseIMRI.note.text" /> </mapping> </element> <element id="DischargeSummaryModel.comorbiditesAndOrComlications"> <path value="DischargeSummaryModel.comorbiditesAndOrComlications" /> <short value="合併症與併發症" /> <definition value="合併症與併發症" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.comorbiditesAndOrComlications.comorbiditesAndOrComlicationsCode"> <path value="DischargeSummaryModel.comorbiditesAndOrComlications.comorbiditesAndOrComlicationsCode" /> <short value="合併症與併發症代碼" /> <definition value="合併症與併發症代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ConditionComorbiditiesandComplicationsIMRI.code" /> </mapping> </element> <element id="DischargeSummaryModel.comorbiditesAndOrComlications.comorbiditesAndOrComlicationsDate"> <path value="DischargeSummaryModel.comorbiditesAndOrComlications.comorbiditesAndOrComlicationsDate" /> <short value="合併症與併發症日期" /> <definition value="合併症與併發症日期" /> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:ConditionComorbiditiesandComplicationsIMRI.recordedDate" /> </mapping> </element> <element id="DischargeSummaryModel.instructionsOnDischarge"> <path value="DischargeSummaryModel.instructionsOnDischarge" /> <short value="出院指示" /> <definition value="出院指示" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="DischargeSummaryModel.instructionsOnDischarge.instructionsOnDischargeDescription"> <path value="DischargeSummaryModel.instructionsOnDischarge.instructionsOnDischargeDescription" /> <short value="出院指示敘述" /> <definition value="出院指示敘述" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:CarePlanIMRI.description" /> </mapping> </element> <element id="DischargeSummaryModel.instructionsOnDischarge.instructionsOnDischargeMedication"> <path value="DischargeSummaryModel.instructionsOnDischarge.instructionsOnDischargeMedication" /> <short value="出院指示藥品" /> <definition value="出院指示藥品" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:CarePlanIMRI.activity.reference.Reference(MedicationRequestIMRI).medicationCodeableConcept" /> </mapping> </element> <element id="DischargeSummaryModel.dischargeStatus"> <path value="DischargeSummaryModel.dischargeStatus" /> <short value="出院狀況" /> <definition value="出院狀況" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:EncounterIMRI.hospitalization.dischargeDisposition" /> </mapping> </element> <element id="DischargeSummaryModel.physicianName"> <path value="DischargeSummaryModel.physicianName" /> <short value="醫師姓名" /> <definition value="醫師姓名" /> <min value="1" /> <max value="*" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="DischargeSummary" /> <map value="entry:PractitionerIMRI.name" /> </mapping> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition DischargeSummaryModel

Name	Card.	Type	Description & Constraints
DischargeSummaryModel	0 .. *	Base	出院病摘(DischargeSummary)之資料模型 Instances of this logical model are not marked to be the target of a Reference
organization	1..1	BackboneElement	醫事機構
identifier	1..1	Identifier	醫事機構代碼
name	1..1	string	醫事機構名稱
patient	1..1	BackboneElement	病人的基本資料
identifier	1..1	Identifier	身分證字號
patientNo	1..1	Identifier	病歷號碼
name	1..*	HumanName	姓名
gender	1..1	CodeableConcept	性別
birthDate	1..1	dateTime	出生日期
hospitalizedInformation	1..1	BackboneElement	住院的基本資料
department	1..1	CodeableConcept	出院科別
bedNo	1..1	Identifier	出院床號
dateofHospitalization	1..1	dateTime	住院日期
dischargeDate	1..1	dateTime	出院日期
impression	0..*	BackboneElement	住院臆斷
impressionCode	1..1	CodeableConcept	住院臆斷代碼
impressionValue	0..1	string	住院臆斷實際值
impressionDate	0..1	dateTime	住院臆斷日期
dischargeDiagnosis	1..*	BackboneElement	出院診斷
dischargeDiagnosisCode	1..1	CodeableConcept	出院診斷代碼
dischargeDiagnosisDate	0..1	dateTime	出院診斷日期
cancerStaging	0..1	BackboneElement	癌症期別
cancerStagingCode	1..1	CodeableConcept	癌症期別代碼
cancerStagingValue	0..1	CodeableConcept	癌症期別實際值
cancerStagingDate	0..1	dateTime	癌症期別日期
chiefComplaint	1..1	BackboneElement	主訴
chiefComplaintValue	1..1	Annotation	主訴實際值
presentIllness	0..*	BackboneElement	病史
presentIllnessCode	1..1	CodeableConcept	病史代碼
physicalExamination	0..*	BackboneElement	理學檢查發現
physicalExaminationCode	1..1	CodeableConcept	理學檢查發現代碼
physicalExaminationValue	0..1	string	理學檢查發現實際值
physicalExaminationDate	0..1	dateTime	理學檢查發現日期
laboratoryData	0..*	BackboneElement	檢驗
laboratoryDataCode	1..1	CodeableConcept	檢驗代碼
laboratoryDataValue	0..1	string	檢驗實際值
laboratoryDataDate	0..1	dateTime	檢驗日期
specificExamination	0..*	BackboneElement	特殊檢查
specificExaminationCode	1..1	CodeableConcept	特殊檢查代碼
specificExaminationValue	0..1	string	特殊檢查實際值
specificExaminationDate	0..1	dateTime	特殊檢查日期
imagingStudy	0..*	BackboneElement	醫療影像檢查
imagingStudyDescription	0..1	string	醫療影像檢查敘述
imagingStudyInterpreter	0..*	HumanName	醫療影像檢查解讀者
imagingStudyDate	1..1	dateTime	醫療影像檢查開始時間
pathologyReport	0..*	BackboneElement	病理報告
pathologyReportCode	1..1	CodeableConcept	病理報告代碼
pathologyReportValue	0..1	string	病理報告實際值
pathologyReportDate	0..1	dateTime	病理報告日期
surgicalMethod	1..*	BackboneElement	手術日期及方法
surgicalMethodCode	1..1	CodeableConcept	手術方法
surgicalMethodDate	1..1	dateTime	手術日期
hospitalCourse	1..1	BackboneElement	住院治療經過
hospitalCourseCode	1..1	CodeableConcept	住院治療經過代碼
hospitalCourseValue	1..1	markdown	住院治療經過實際值
comorbiditesAndOrComlications	0..*	BackboneElement	合併症與併發症
comorbiditesAndOrComlicationsCode	1..1	CodeableConcept	合併症與併發症代碼
comorbiditesAndOrComlicationsDate	0..1	dateTime	合併症與併發症日期
instructionsOnDischarge	1..1	BackboneElement	出院指示
instructionsOnDischargeDescription	0..1	string	出院指示敘述
instructionsOnDischargeMedication	1..1	CodeableConcept	出院指示藥品
dischargeStatus	1..1	CodeableConcept	出院狀況
physicianName	1..*	HumanName	醫師姓名
Documentation for this format