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

: 門診病歷 診斷病情摘要_Subjec example - XML Representation

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<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="PMR-Cli10"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRClinicalImpressionSubjective"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ClinicalImpression PMR-Cli10</b></p><a name="PMR-Cli10"> </a><a name="hcPMR-Cli10"> </a><a name="PMR-Cli10-en-US"> </a><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://loinc.org 61150-9}">Subjective</span></p><p><b>subject</b>: <a href="Patient-PMR-Pat2.html">測試員 Male, DoB: 1997-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>note</b>: stable now and no complaint，report normal home BP；ever increased BP noted for weeks，no DOE，no chest pain，no syncope；no PND，no orthopnea</p></div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="61150-9"/>
      <display value="Subjective"/>
    </coding>
    <text value="Subjective"/>
  </code>
  <subject>🔗 
    <reference value="Patient/PMR-Pat2"/>
  </subject>
  <note>
    <text
          value="stable now and no complaint，report normal home BP；ever increased BP noted for weeks，no DOE，no chest pain，no syncope；no PND，no orthopnea"/>
  </note>
</ClinicalImpression>