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Packagetw.gov.mohw.nricm.twcm
Resource TypeObservation
IdObservation-ObservationPalpationTWCM-min.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

切診

狀態：Final ( ObservationStatus#final)

項目：Finding by palpation ( SNOMED CT Code#118242002)

病人：Patient/PatientTWCM-min "陳美真"

紀錄時間：2010-10-10T17:30:00-05:00

切診描述：腹部按之柔軟無壓痛

按診紀錄：
按診(切)：腹 ( 中醫臨床表現詞彙#腹)

病人脈象：Observation/ObservationPulseConditionTWCM-min（右手）、Observation/ObservationPulseConditionTWCM-lefthand（左手）

就醫事件：Encounter/EncounterTWCM-min

Source1

{
  "resourceType": "Observation",
  "id": "ObservationPalpationTWCM-min",
  "meta": {
    "profile": [
      "https://www.nricm.edu.tw/twcm/StructureDefinition/observationpalpation-twcm"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "118242002",
        "display": "Finding by palpation"
      }
    ]
  },
  "subject": {
    "reference": "Patient/PatientTWCM-min"
  },
  "encounter": {
    "reference": "Encounter/EncounterTWCM-min"
  },
  "effectiveDateTime": "2010-10-10T17:30:00-05:00",
  "valueString": "腹部按之柔軟無壓痛",
  "hasMember": [
    {
      "reference": "Observation/ObservationPulseConditionTWCM-min"
    },
    {
      "reference": "Observation/ObservationPulseConditionTWCM-lefthand"
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "https://www.nricm.edu.tw/twcm/CodeSystem/twcm-fourdiagnosis-category",
            "code": "按診",
            "display": "按診(切)"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://www.nricm.edu.tw/twcm/CodeSystem/twcm-clinicalfinding",
            "code": "腹",
            "display": "腹"
          }
        ],
        "text": "腹"
      }
    }
  ]
}