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 Composition example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PMR-Com24"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRComposition"^^xsd:anyURI ;
fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PMRComposition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition PMR-Com24</b></p><a name=\"PMR-Com24\"> </a><a name=\"hcPMR-Com24\"> </a><a name=\"PMR-Com24-en-US\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 18842-5}\">門診病歷</span></p><p><b>encounter</b>: <a href=\"Encounter-PMR-Enc8.html\">Encounter: identifier = https://www.vghtpe.gov.tw/Index.action#Encounter唯一碼,http://loinc.org#LOINC#8653-8; status = finished; class = ambulatory (v3-ActEncounterCode#AMB); serviceType = General surgery (qualifier value); period = 2022-07-08 12:12:00+0000 --&gt; (ongoing)</a></p><p><b>date</b>: 2023-01-04 13:01:56+0800</p><p><b>author</b>: <a href=\"Organization-PMR-Org1.html\">Organization 國立臺灣大學醫學院附設醫院</a></p><p><b>title</b>: 門診病歷</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:18842-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18842-5" ] ;
fhir:display [ fhir:v "Discharge summary" ]     ] ) ;
fhir:text [ fhir:v "門診病歷" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/PMR-Pat2" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/PMR-Enc8" ]
  ] ; # 
  fhir:date [ fhir:v "2023-01-04T13:01:56+08:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Organization/PMR-Org1" ]
  ] ) ; # 
  fhir:title [ fhir:v "門診病歷"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "門診病歷中的病人基本資料_實驗室檢查紀錄" ] ;
fhir:code [
      ( fhir:coding [
a loinc:19146-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "19146-0" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/PMR-Obs3" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的病人基本資料_重大傷病" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11338-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11338-1" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/PMR-Con4" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的病人基本資料_過敏史" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10155-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10155-0" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "AllergyIntolerance/PMR-All5" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的病人基本資料_職業" ] ;
fhir:code [
      ( fhir:coding [
a loinc:21847-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21847-9" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/PMR-Obs6" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的病人基本資料_就醫身分別" ] ;
fhir:code [
      ( fhir:coding [
a loinc:63513-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "63513-6" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Coverage/PMR-Cov7" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的診斷" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29548-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29548-5" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/PMR-Con9" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的診斷病情摘要_主、客觀描述與評估" ] ;
fhir:code [
      ( fhir:coding [
a loinc:19824-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "19824-2" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "ClinicalImpression/PMR-Cli10" ] ;
fhir:identifier [
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "61150-9" ]       ]     ] [
fhir:reference [ fhir:v "ClinicalImpression/PMR-Cli11" ] ;
fhir:identifier [
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "61149-1" ]       ]     ] [
fhir:reference [ fhir:v "ClinicalImpression/PMR-Cli12" ] ;
fhir:identifier [
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "11494-2" ]       ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的處置項目" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29554-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29554-3" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Procedure/PMR-Pro13" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的處方內容" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29551-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29551-9" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "MedicationRequest/PMR-MedReq14" ]     ] [
fhir:reference [ fhir:v "Medication/PMR-Med15" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的家族圖譜" ] ;
fhir:code [
      ( fhir:coding [
a loinc:74027-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "74027-4" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Media/PMR-Media16" ]     ] )
  ] [
fhir:title [ fhir:v "門診病歷中的門診圖像" ] ;
fhir:code [
      ( fhir:coding [
a loinc:19005-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "19005-8" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Media/PMR-Media17" ]     ] )
  ] ) . #