電子病歷交換單張實作指引(EMR-IG)
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: 電子處方箋 Composition example - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "com",
  "meta" : {
    "profile" : [
      🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Composition-EP"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition com</b></p><a name=\"com\"> </a><a name=\"hccom\"> </a><a name=\"com-en-US\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 57833-6}\">Prescription for medication</span></p><p><b>encounter</b>: <a href=\"Encounter-enc.html\">Encounter: status = finished; class = 西醫一般案件 (casetype#01); serviceType = General surgery (qualifier value); period = 2023-02-23 --&gt; (ongoing)</a></p><p><b>date</b>: 2024-02-19 14:30:00+0100</p><p><b>author</b>: </p><ul><li><a href=\"Organization-org.html\">Organization 洪文武診所</a></li><li><a href=\"Practitioner-pra.html\">Practitioner 洪文武(official)</a></li></ul><p><b>title</b>: 電子處方箋</p><p><b>custodian</b>: <a href=\"Organization-org.html\">Organization 洪文武診所</a></p></div>"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57833-6",
        "display" : "Prescription for medication"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/pat"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/enc"
  },
  "date" : "2024-02-19T14:30:00+01:00",
  "author" : [
    {
      🔗 "reference" : "Organization/org"
    },
    {
      🔗 "reference" : "Practitioner/pra"
    }
  ],
  "title" : "電子處方箋",
  "custodian" : {
    🔗 "reference" : "Organization/org"
  },
  "section" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "29762-2"
          }
        ],
        "text" : "Social history Narrative"
      },
      "entry" : [
        {
          🔗 "reference" : "Coverage/cov"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "85353-1"
          }
        ],
        "text" : "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/obs"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "29548-5"
          }
        ],
        "text" : "Diagnosis Narrative"
      },
      "entry" : [
        {
          🔗 "reference" : "Condition/con"
        }
      ]
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "29551-9"
          }
        ],
        "text" : "Medication prescribed Narrative"
      },
      "entry" : [
        {
          🔗 "reference" : "Medication/med-01"
        },
        {
          🔗 "reference" : "MedicationRequest/med-req-01"
        }
      ]
    }
  ]
}