Package | tw.cohesion.fhir.clinemr |
Type | StructureDefinition |
Id | Id |
FHIR Version | R4 |
Source | https://fhir.cohesiondata.com/clinemr/https://simplifier.net/resolve?scope=tw.cohesion.fhir.clinemr@1.0.0&canonical=https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr |
Url | https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr |
Version | 1.0.0 |
Status | active |
Date | 2024-10-06T17:51:07+08:00 |
Name | CompositionDCR |
Title | 牙醫-臨床文件架構(Composition DCR) |
Experimental | False |
Realm | tw |
Description | 此Profile用於描述牙醫診所門診病摘的報告文件 |
Type | Composition |
Kind | resource |
CapabilityStatement | |
CapabilityStatementClinEMRClient ![]() | 診所門診病摘-用戶端(ClinEMR Client) |
CapabilityStatementClinEMRServer ![]() | 診所門診病摘-伺服端(ClinEMR Server) |
https://fhir.cohesiondata.com/clinemr/StructureDefinition/bundle-dcr ![]() | 牙醫-資料交換基本單位(Bundle DCR) |
https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr ![]() | 牙醫-臨床文件架構(Composition DCR) |
https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-dcr ![]() | 牙醫-處置或手術(Procedure DCR) |
StructureDefinition | |
https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore ![]() | TW Core Composition |
https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore ![]() | TW Core Organization |
https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore ![]() | TW Core PractitionerRole |
allergyintolerance-clinemr ![]() | 過敏或不耐症(AllergyIntolerance ClinEMR) |
careplan-clinemr ![]() | 關懷計畫(CarePlan ClinEMR) |
composition-dcr ![]() | 牙醫-臨床文件架構(Composition DCR) |
conditionchiefcomplaint-clinemr ![]() | 病人主訴(ConditionChiefComplaint ClinEMR) |
conditiondiagnosis-clinemr ![]() | 病情、問題或診斷(ConditionDiagnosis ClinEMR) |
conditionmajorillness-clinemr ![]() | 重大傷病(ConditionMajorIllness ClinEMR) |
conditionpastmedicalhistory-clinemr ![]() | 過去病史(ConditionPastMedicalHistory ClinEMR) |
diagnosticreport-clinemr ![]() | 診斷報告(DiagnosticReport ClinEMR) |
documentreference-clinemr ![]() | 文件參照(DocumentReference ClinEMR) |
encounter-clinemr ![]() | 就醫事件(Encounter ClinEMR) |
medication-clinemr ![]() | 藥品(Medication ClinEMR) |
medicationrequest-clinemr ![]() | 藥品請求(MedicationRequest ClinEMR) |
observation-clinemr ![]() | 檢驗檢查(Observation ClinEMR) |
observationbloodtype-clinemr ![]() | 血型(ObservationBloodtype ClinEMR) |
observationeducationlevel-clinemr ![]() | 教育程度(ObservationEducationLevel ClinEMR) |
observationmajorillness-clinemr ![]() | 重大傷病註記(ObservationMajorIllness ClinEMR) |
observationoccupation-clinemr ![]() | 職業(ObservationOccupation ClinEMR) |
observationvitalsign-clinemr ![]() | 生命體徵(ObservationVitalSigns ClinEMR) |
organization-clinemr ![]() | 醫事機構(Organization ClinEMR) |
organizationinspection-clinemr ![]() | 檢驗檢查機構(OrganizationInspection ClinEMR) |
patient-clinemr ![]() | 病人資料(Patient ClinEMR) |
practitioner-clinemr ![]() | 健康照護服務提供人員資料(Practitioner ClinEMR) |
procedure-dcr ![]() | 牙醫-處置或手術(Procedure DCR) |
servicerequest-clinemr ![]() | 服務請求(ServiceRequest ClinEMR) |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition composition-dcr
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | C | 0..* | TWCoreComposition | 將一組resources組成一份連貫的臨床聲明,並附有臨床證明。 majorIllness-condition-DCR: 若重大傷病註記為「是」,則重大傷病代碼與病名必填 |
![]() ![]() ![]() | S | 1..1 | Meta | 應填入於牙醫診所門診病摘之病歷表單版本號Sheet Version |
![]() ![]() ![]() ![]() | S | 1..1 | id | Version specific identifier |
![]() ![]() ![]() | 1..1 | Identifier | 不分版本的臨床文件架構(Composition)識別碼。[應填入於牙醫診所門診病摘之病歷表單編號] | |
![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203 | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: SNO | |
![]() ![]() ![]() ![]() | 1..1 | string | The value that is unique | |
![]() ![]() ![]() ![]() | 0..1 | Reference(TW Core Organization) | Organization that issued id (may be just text) | |
![]() ![]() ![]() | 1..1 | code | registered | partial | preliminary | final | amended | corrected + Required Pattern: final | |
![]() ![]() ![]() | 1..1 | CodeableConceptTW | Composition的種類(如果可能請使用LOINC) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34108-1 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Outpatient Note | |
![]() ![]() ![]() | 0..1 | Reference(病人資料(Patient ClinEMR)) | Composition是關於誰和/或什麼 | |
![]() ![]() ![]() ![]() | S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() | S | 0..1 | Reference(就醫事件(Encounter ClinEMR)) | Composition的情境 |
![]() ![]() ![]() ![]() | S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() | 1..1 | dateTime | [應填入文件產生時間Create Time] | |
![]() ![]() ![]() | 1..* | Reference(醫事機構(Organization ClinEMR)) | 誰和/或什麼創建了這個Composition | |
![]() ![]() ![]() ![]() | S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() ![]() | 1..1 | string | 固定值。[應填入病歷表單名稱Sheet Name] Fixed Value: 牙醫門診單 | |
![]() ![]() ![]() | S | 1..1 | code | [應填入文件敏感性Doc Confidentiality Code] |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 0..1 | Reference(病人資料(Patient ClinEMR) | RelatedPerson | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR)) | 誰證明了此Composition | |
![]() ![]() ![]() | 0..1 | Reference(醫事機構(Organization ClinEMR)) | 維護Composition的機構 | |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 1..1 | 此關係的目標文件 | ||
![]() ![]() ![]() ![]() ![]() | Identifier | |||
![]() ![]() ![]() ![]() ![]() | Reference(牙醫-臨床文件架構(Composition DCR)) | |||
![]() ![]() ![]() | 4..* | BackboneElement | Composition被分成一個或數個小節 Slice: Unordered, Open by value:code | |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Composition被分成一個或數個小節 |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | 小節標籤(例如:目錄ToC) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 52460-3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Patient Information | |
![]() ![]() ![]() ![]() ![]() | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
![]() ![]() ![]() ![]() ![]() | 0..3 | 嵌套的小節 Slice: Unordered, Open by profile:entry.resolve() | ||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | BackboneElement | 嵌套的小節 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 80913-7 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Highest level of education [US Standard Certificate of Death] | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Reference(教育程度(ObservationEducationLevel ClinEMR)) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | BackboneElement | 嵌套的小節 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85658-3 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Occupation [Type] | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Reference(職業(ObservationOccupation ClinEMR)) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | BackboneElement | 嵌套的小節 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 882-1 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: ABO and Rh group [Type] in Blood | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Reference(血型(ObservationBloodtype ClinEMR)) | A reference to data that supports this section | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Composition被分成一個或數個小節 |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | 小節標籤(例如:目錄ToC) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
![]() ![]() ![]() ![]() ![]() | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
![]() ![]() ![]() ![]() ![]() | 0..* | Reference(過敏或不耐症(AllergyIntolerance ClinEMR)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Composition被分成一個或數個小節 |
![]() ![]() ![]() ![]() ![]() | 1..1 | string | 小節標籤(例如:目錄ToC) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConceptTW | 小節分類(建議) Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: History of Past illness Narrative | |
![]() ![]() ![]() ![]() ![]() | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | Device | RelatedPerson) | 誰和/或什麼人撰寫了該小節 | |
![]() ![]() ![]() ![]() ![]() | 0..* | Reference(過去病史(ConditionPastMedicalHistory ClinEMR)) | 提供一個連結用於參照或查看支持此小節內容的資料 | |