電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build

This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: 出院病摘-邏輯模型

Official URL: https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/DMS-Model Version: 0.1.0
Draft as of 2024-08-23 Computable Name: DMSModel

用於描述出院病摘邏輯模型

Usage:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Element

NameFlagsCard.TypeDescription & Constraintsdoco
.. DMSModel 0..* Element
Elements defined in Ancestors:@id, extension
Base for all elements
Instances of this logical model are not marked to be the target of a Reference
... hospital 1..1 BackboneElement 醫事機構基本資料
.... hospitalId 1..* Identifier 醫事機構代碼
.... hospitalName 1..1 string 醫事機構名稱
... patientInformation 1..1 BackboneElement 病人基本資料
.... idNumber 1..1 Identifier 身分證號
.... chartNo 1..1 Identifier 病歷號碼
.... name 1..1 HumanName 姓名
.... gender 1..1 code 性別
... hospitalizedInformation 1..1 BackboneElement 住院基本資料
.... 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
.... referringHospitalId 0..1 Identifier 轉入醫事機構代碼
.... referringHospitalName 0..1 string 轉入醫事機構名稱
... impression 1..* BackboneElement 住院臆斷
... dischargeDiagnosis 1..* BackboneElement 出院診斷
... cancerStaging 0..1 BackboneElement 癌症期別
... chiefComplaint 1..1 BackboneElement 主訴
... presentIllness 1..1 BackboneElement 病史
... familyTree 0..* BackboneElement 家族圖譜
... physicalExamination 0..* BackboneElement 理學檢查發現
... laboratoryData 0..* BackboneElement 檢驗
... specificExamination 0..* BackboneElement 特殊檢查
... imagingStudy 0..* BackboneElement 醫療影像檢查
... pathologyReport 0..* BackboneElement 病理報告
... surgicalMethodAndFinding 0..* BackboneElement 手術日期及方法
... hospitalCourse 1..1 BackboneElement 住院治療經過
... comorbiditesAndOrComlications 0..* BackboneElement 合併症與併發症
... instructionsOnDischarge 1..1 BackboneElement 出院指示
... cischargeStatus 1..1 BackboneElement 出院狀況
... receivingHospital 0..1 BackboneElement 轉出醫事機構基本資料
.... receivingHospitalId 0..1 Identifier 轉出醫事機構代碼
.... receivingHospitalName 0..1 string 轉出醫事機構名稱
... physician 1..* BackboneElement 醫師基本資料
.... physicianName 1..* HumanName 主治醫師姓名

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DMSModel 0..* Element
Elements defined in Ancestors:@id, extension
Base for all elements
Instances of this logical model are not marked to be the target of a Reference
... hospital 1..1 BackboneElement 醫事機構基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... hospitalId 1..* Identifier 醫事機構代碼
.... hospitalName 1..1 string 醫事機構名稱
... patientInformation 1..1 BackboneElement 病人基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... idNumber 1..1 Identifier 身分證號
.... chartNo 1..1 Identifier 病歷號碼
.... name 1..1 HumanName 姓名
.... gender 1..1 code 性別
... hospitalizedInformation 1..1 BackboneElement 住院基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... referringHospitalId 0..1 Identifier 轉入醫事機構代碼
.... referringHospitalName 0..1 string 轉入醫事機構名稱
... impression 1..* BackboneElement 住院臆斷
... dischargeDiagnosis 1..* BackboneElement 出院診斷
... cancerStaging 0..1 BackboneElement 癌症期別
... chiefComplaint 1..1 BackboneElement 主訴
... presentIllness 1..1 BackboneElement 病史
... familyTree 0..* BackboneElement 家族圖譜
... physicalExamination 0..* BackboneElement 理學檢查發現
... laboratoryData 0..* BackboneElement 檢驗
... specificExamination 0..* BackboneElement 特殊檢查
... imagingStudy 0..* BackboneElement 醫療影像檢查
... pathologyReport 0..* BackboneElement 病理報告
... surgicalMethodAndFinding 0..* BackboneElement 手術日期及方法
... hospitalCourse 1..1 BackboneElement 住院治療經過
... comorbiditesAndOrComlications 0..* BackboneElement 合併症與併發症
... instructionsOnDischarge 1..1 BackboneElement 出院指示
... cischargeStatus 1..1 BackboneElement 出院狀況
... receivingHospital 0..1 BackboneElement 轉出醫事機構基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... receivingHospitalId 0..1 Identifier 轉出醫事機構代碼
.... receivingHospitalName 0..1 string 轉出醫事機構名稱
... physician 1..* BackboneElement 醫師基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... physicianName 1..* HumanName 主治醫師姓名

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DMSModel 0..* Element
Elements defined in Ancestors:@id, extension
Base for all elements
Instances of this logical model are not marked to be the target of a Reference
... @id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... hospital 1..1 BackboneElement 醫事機構基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... hospitalId 1..* Identifier 醫事機構代碼
.... hospitalName 1..1 string 醫事機構名稱
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... idNumber 1..1 Identifier 身分證號
.... chartNo 1..1 Identifier 病歷號碼
.... name 1..1 HumanName 姓名
.... gender 1..1 code 性別
... hospitalizedInformation 1..1 BackboneElement 住院基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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
... referringHospital 0..1 BackboneElement 轉入醫事基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... referringHospitalId 0..1 Identifier 轉入醫事機構代碼
.... referringHospitalName 0..1 string 轉入醫事機構名稱
... impression 1..* BackboneElement 住院臆斷
... dischargeDiagnosis 1..* BackboneElement 出院診斷
... cancerStaging 0..1 BackboneElement 癌症期別
... chiefComplaint 1..1 BackboneElement 主訴
... presentIllness 1..1 BackboneElement 病史
... familyTree 0..* BackboneElement 家族圖譜
... physicalExamination 0..* BackboneElement 理學檢查發現
... laboratoryData 0..* BackboneElement 檢驗
... specificExamination 0..* BackboneElement 特殊檢查
... imagingStudy 0..* BackboneElement 醫療影像檢查
... pathologyReport 0..* BackboneElement 病理報告
... surgicalMethodAndFinding 0..* BackboneElement 手術日期及方法
... hospitalCourse 1..1 BackboneElement 住院治療經過
... comorbiditesAndOrComlications 0..* BackboneElement 合併症與併發症
... instructionsOnDischarge 1..1 BackboneElement 出院指示
... cischargeStatus 1..1 BackboneElement 出院狀況
... receivingHospital 0..1 BackboneElement 轉出醫事機構基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... receivingHospitalId 0..1 Identifier 轉出醫事機構代碼
.... receivingHospitalName 0..1 string 轉出醫事機構名稱
... physician 1..* BackboneElement 醫師基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... physicianName 1..* HumanName 主治醫師姓名

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Element

Summary

Mandatory: 0 element(22 nested mandatory elements)

Differential View

This structure is derived from Element

NameFlagsCard.TypeDescription & Constraintsdoco
.. DMSModel 0..* Element
Elements defined in Ancestors:@id, extension
Base for all elements
Instances of this logical model are not marked to be the target of a Reference
... hospital 1..1 BackboneElement 醫事機構基本資料
.... hospitalId 1..* Identifier 醫事機構代碼
.... hospitalName 1..1 string 醫事機構名稱
... patientInformation 1..1 BackboneElement 病人基本資料
.... idNumber 1..1 Identifier 身分證號
.... chartNo 1..1 Identifier 病歷號碼
.... name 1..1 HumanName 姓名
.... gender 1..1 code 性別
... hospitalizedInformation 1..1 BackboneElement 住院基本資料
.... 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
.... referringHospitalId 0..1 Identifier 轉入醫事機構代碼
.... referringHospitalName 0..1 string 轉入醫事機構名稱
... impression 1..* BackboneElement 住院臆斷
... dischargeDiagnosis 1..* BackboneElement 出院診斷
... cancerStaging 0..1 BackboneElement 癌症期別
... chiefComplaint 1..1 BackboneElement 主訴
... presentIllness 1..1 BackboneElement 病史
... familyTree 0..* BackboneElement 家族圖譜
... physicalExamination 0..* BackboneElement 理學檢查發現
... laboratoryData 0..* BackboneElement 檢驗
... specificExamination 0..* BackboneElement 特殊檢查
... imagingStudy 0..* BackboneElement 醫療影像檢查
... pathologyReport 0..* BackboneElement 病理報告
... surgicalMethodAndFinding 0..* BackboneElement 手術日期及方法
... hospitalCourse 1..1 BackboneElement 住院治療經過
... comorbiditesAndOrComlications 0..* BackboneElement 合併症與併發症
... instructionsOnDischarge 1..1 BackboneElement 出院指示
... cischargeStatus 1..1 BackboneElement 出院狀況
... receivingHospital 0..1 BackboneElement 轉出醫事機構基本資料
.... receivingHospitalId 0..1 Identifier 轉出醫事機構代碼
.... receivingHospitalName 0..1 string 轉出醫事機構名稱
... physician 1..* BackboneElement 醫師基本資料
.... physicianName 1..* HumanName 主治醫師姓名

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DMSModel 0..* Element
Elements defined in Ancestors:@id, extension
Base for all elements
Instances of this logical model are not marked to be the target of a Reference
... hospital 1..1 BackboneElement 醫事機構基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... hospitalId 1..* Identifier 醫事機構代碼
.... hospitalName 1..1 string 醫事機構名稱
... patientInformation 1..1 BackboneElement 病人基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... idNumber 1..1 Identifier 身分證號
.... chartNo 1..1 Identifier 病歷號碼
.... name 1..1 HumanName 姓名
.... gender 1..1 code 性別
... hospitalizedInformation 1..1 BackboneElement 住院基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... referringHospitalId 0..1 Identifier 轉入醫事機構代碼
.... referringHospitalName 0..1 string 轉入醫事機構名稱
... impression 1..* BackboneElement 住院臆斷
... dischargeDiagnosis 1..* BackboneElement 出院診斷
... cancerStaging 0..1 BackboneElement 癌症期別
... chiefComplaint 1..1 BackboneElement 主訴
... presentIllness 1..1 BackboneElement 病史
... familyTree 0..* BackboneElement 家族圖譜
... physicalExamination 0..* BackboneElement 理學檢查發現
... laboratoryData 0..* BackboneElement 檢驗
... specificExamination 0..* BackboneElement 特殊檢查
... imagingStudy 0..* BackboneElement 醫療影像檢查
... pathologyReport 0..* BackboneElement 病理報告
... surgicalMethodAndFinding 0..* BackboneElement 手術日期及方法
... hospitalCourse 1..1 BackboneElement 住院治療經過
... comorbiditesAndOrComlications 0..* BackboneElement 合併症與併發症
... instructionsOnDischarge 1..1 BackboneElement 出院指示
... cischargeStatus 1..1 BackboneElement 出院狀況
... receivingHospital 0..1 BackboneElement 轉出醫事機構基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... receivingHospitalId 0..1 Identifier 轉出醫事機構代碼
.... receivingHospitalName 0..1 string 轉出醫事機構名稱
... physician 1..* BackboneElement 醫師基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... physicianName 1..* HumanName 主治醫師姓名

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DMSModel 0..* Element
Elements defined in Ancestors:@id, extension
Base for all elements
Instances of this logical model are not marked to be the target of a Reference
... @id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... hospital 1..1 BackboneElement 醫事機構基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... hospitalId 1..* Identifier 醫事機構代碼
.... hospitalName 1..1 string 醫事機構名稱
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... idNumber 1..1 Identifier 身分證號
.... chartNo 1..1 Identifier 病歷號碼
.... name 1..1 HumanName 姓名
.... gender 1..1 code 性別
... hospitalizedInformation 1..1 BackboneElement 住院基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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
... referringHospital 0..1 BackboneElement 轉入醫事基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... referringHospitalId 0..1 Identifier 轉入醫事機構代碼
.... referringHospitalName 0..1 string 轉入醫事機構名稱
... impression 1..* BackboneElement 住院臆斷
... dischargeDiagnosis 1..* BackboneElement 出院診斷
... cancerStaging 0..1 BackboneElement 癌症期別
... chiefComplaint 1..1 BackboneElement 主訴
... presentIllness 1..1 BackboneElement 病史
... familyTree 0..* BackboneElement 家族圖譜
... physicalExamination 0..* BackboneElement 理學檢查發現
... laboratoryData 0..* BackboneElement 檢驗
... specificExamination 0..* BackboneElement 特殊檢查
... imagingStudy 0..* BackboneElement 醫療影像檢查
... pathologyReport 0..* BackboneElement 病理報告
... surgicalMethodAndFinding 0..* BackboneElement 手術日期及方法
... hospitalCourse 1..1 BackboneElement 住院治療經過
... comorbiditesAndOrComlications 0..* BackboneElement 合併症與併發症
... instructionsOnDischarge 1..1 BackboneElement 出院指示
... cischargeStatus 1..1 BackboneElement 出院狀況
... receivingHospital 0..1 BackboneElement 轉出醫事機構基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... receivingHospitalId 0..1 Identifier 轉出醫事機構代碼
.... receivingHospitalName 0..1 string 轉出醫事機構名稱
... physician 1..* BackboneElement 醫師基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... physicianName 1..* HumanName 主治醫師姓名

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Element

Summary

Mandatory: 0 element(22 nested mandatory elements)

 

Other representations of profile: CSV, Excel