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

: CapabilityStatementEMRClient - JSON Representation

Draft as of 2023-11-20

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{
  "resourceType" : "CapabilityStatement",
  "id" : "CapabilityStatementEMRClient",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>實作指引版本:0.1.0</li><li>FHIR版本:4.0.1</li><li>發佈日:2023-11-20</li></ul><h3 id=\"CapabilityStatementEMRClient\">電子病歷交換單張-用戶端</h3><ul><li>電子病歷交換單張-用戶端(TW Core Client)<strong>建議應該(SHOULD)</strong></li><ol><li>電子病歷交換單張-伺服端(EMR Server)能力聲明中的查詢參數,支援讀取和查詢一個或多個Profile(s)。</li></ol><li><strong>安全性</strong></li><ol><li>有關要求和建議,請參閱一般安全注意事項部分。</li></ol><li><strong>系統互動能力:</strong></li><ul><li><strong>可能可以(MAY)</strong>支援交易互動(<code>transaction</code> interaction)。</li><li><strong>可能可以(MAY)</strong>支援批次互動(<code>batch</code> interaction)。</li><li><strong>可能可以(MAY)</strong>支援查詢系統互動(<code>search-system</code> interaction)。</li></ul></ul><h3 id=\"resource-details\" class=\"no_toc\">應用說明</h3><ul><li>此「電子病歷交換單張實作指引(EMR-IG)」中使用的 Bundle type為「document」,根據 HL7 FHIR 中規定,Bundle type為「document」時第一個資源須為Composition,並且將整個Bundle視為一個文件或報告來傳遞資料。但為了未來支援各醫院將 Bundle 轉換為 「transaction」 形式儲存個別資源,因此Composition僅作為資料關聯功能,不放置任何欄位內容。</li></ul><h3 id=\"resource-details\" class=\"no_toc\">Resources或Profiles的RESTful功能</h3><ul><li>Profiles</li><ol><li><strong>必須(SHALL)</strong>支援<code>create</code>、<code>update</code></li></ol><li><strong>Resources支援查詢,查詢參數如表列:</strong></li><table class=\"grid\"><thead><tr><th>Resources型別</th><th>Profile</th><th>支援的Profiles</th><th>支援的查詢參數</th></tr></thead><tbody><tr><td><a>Bundle</a></td><td><a href=\"StructureDefinition-BundleDMS.html\">出院病摘 Bundle</a><br/><a href=\"StructureDefinition-PMRBundle.html\">門診病歷 Bundle</a><br/><a href=\"StructureDefinition-InspectionCheckBundle.html\">檢驗檢查 Bundle</a><br/><a href=\"StructureDefinition-ImageBundle.html\">醫療影像報告 Bundle</a><br/><a href=\"StructureDefinition-Bundle-EP.html\">電子處方箋 Bundle</a><br/><a href=\"StructureDefinition-Bundle-DS.html\">調劑單張 Bundle</a></td><td>-</td><td>_id,identifier</td></tr></tbody></table></ul><h4 id=\"bundle\" class=\"no_toc\">Bundle</h4><ul><li>預期的遵從度: <strong>建議應該(SHOULD)</strong></li><li>Profile:<a href=\"StructureDefinition-BundleDMS.html\">出院病摘 Bundle</a>,<a href=\"StructureDefinition-PMRBundle.html\">門診病歷 Bundle</a>,<a href=\"StructureDefinition-InspectionCheckBundle.html\">檢驗檢查 Bundle</a>,<a href=\"StructureDefinition-ImageBundle.html\">醫療影像報告 Bundle</a>,<a href=\"StructureDefinition-Bundle-EP.html\">電子處方箋 Bundle</a>,<a href=\"StructureDefinition-Bundle-DS.html\">調劑單張 Bundle</a></li><li><a href=\"https://build.fhir.org/codesystem-reference-handling-policy.html#reference-handling-policy-resolves\">支援的參照政策(Reference policy)</a>: <code>resolves</code>,Server會嘗試將邏輯參照(logical reference)解析為文字參照,意即轉換Reference.identifier為Reference.reference(但如果解析失敗,Server仍然會接收這個resource,請參閱<code>logical</code>)。</li><li>Profile</li><ul><li><strong>建議應該(SHOULD)</strong>支援<code>search-type</code>,<code>read</code>,<code>vread</code></li><li><strong>可能可以(MAY)</strong>支援<code>create</code>,<code>update</code>,<code>patch</code>,<code>delete</code></li></ul><li>查詢參數摘要</li><table class=\"grid\"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><strong>建議應該(SHOULD)</strong></td><td><a href=\"SearchParameter-Bundle-id.html\">_id</a></td><td>token</td><td><code class=\"highlighter-rouge\">GET [base]/Bundle?_id=[id]</code>,<br/><code class=\"highlighter-rouge\">GET [base]/Bundle/[id]</code></td></tr><tr><td><strong>建議應該(SHOULD)</strong></td><td><a href=\"SearchParameter-Bundle-identifier.html\">identifier</a></td><td>token</td><td><code class=\"highlighter-rouge\">GET [base]/Bundle?identifier={system|}[code]</code></td></tr></tbody></table></ul></div>"
  },
  "url" : "https://twcore.mohw.gov.tw/ig/emr/CapabilityStatement/CapabilityStatementEMRClient",
  "version" : "0.1.0",
  "name" : "CapabilityStatementEMRClient",
  "title" : "電子病歷交換單張-用戶端",
  "status" : "draft",
  "experimental" : false,
  "date" : "2023-11-20",
  "publisher" : "衛生福利部",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.mohw.gov.tw/mp-1.html"
        }
      ]
    }
  ],
  "description" : "電子病歷交換單張-用戶端(Client)之能力聲明",
  "kind" : "requirements",
  "fhirVersion" : "4.0.1",
  "format" : [
    "xml",
    "json"
  ],
  "patchFormat" : [
    "application/json-patch+json"
  ],
  "rest" : [
    {
      "mode" : "client",
      "documentation" : "使用電子病歷交換-用戶端能力聲明中的查詢參數,支援讀取和查詢一個或多個Profile(s)。",
      "resource" : [
        {
          "type" : "Bundle",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/BundleDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRBundle"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckBundle"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageBundle"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Bundle-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Bundle-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Composition",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/CompositionDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRComposition"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckComposition"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageComposition"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Composition-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Composition-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Patient",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PatientDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRPatient"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPatient"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePatient"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Patient-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Patient-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Organization",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/OrganizationDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMROrganization"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckOrganization"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreOrganization"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Organization-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Organization-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Encounter",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/EncounterDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Bundle-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckEncounter"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreEncounter"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Encounter-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Encounter-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Location",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/LocationDMS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Procedure",
          "supportedProfile" : [
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ProcedureInstructionDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ProcedureDMSSurgicalMethod"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ProcedureDMSHospitalCourse"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRProcedure"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Condition",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ConditionDMSDiagnosis"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ConditionDMSCC"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ConditionDMSComorbiditiesandComplications"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRConditionMajorIllness"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRConditionDiagnosis"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreCondition"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Condition-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Condition-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Observation",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSassumption"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationCSDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSMedicalHistory"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSPhysicalExamination"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSLaboratoryData"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSSpecificExamination"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSPathologyReport"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRObservationLabResults"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRProfessionObservation",
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRIdentifierObservation"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckObservation"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-Imaging-Result"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-EP-BodyWeight",
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-EP-Identifier"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-DS-BodyWeight"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Media",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MediaDMSFamily"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MediaDMSImagingStudy"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRFamilyTreeMedia"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMROutpatientImageMedia"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Media-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Practitioner",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PractitionerDMS"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRPractitioner"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPractitioner"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePractitioner"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Practitioner-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Practitioner-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "Medication",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRMedication"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Medication-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Medication-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "MedicationRequest",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRMedicationRequest"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MedicationRequest-EP"🔗 ,
            "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MedicationRequest-DS"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "AllergyIntolerance",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRAllergyIntolerance"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "create"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ]
        },
        {
          "type" : "ClinicalImpression",
          "supportedProfile" : [
            🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRClinicalImpressionSubjective"🔗 ,
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        {
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        {
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}