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
| Draft as of 2023-10-11 |
Mappings for the IMAGE logical model.
| IMAGE | ||
| IMAGE | n/a | |
| id | n/a | |
| extension | n/a | |
| IMAGE | ||
| IMAGE | Patient, Organization, Practitioner, Encounter, Condition, ImagingStudy, Observation, DiagnosticReport | |
| hospitaltype | ||
| id | 醫事機構代碼:Organization.identifier.value 使用 Organization.identifier.type 識別類型 | |
| name | 院所名稱:Organization.name | |
| order | ||
| code | 檢查健保醫令代碼:ImagingStudy.procedureCode.coding.code, 檢查健保醫令代碼:Observation.code.coding.code | |
| description | 醫令名稱:ImagingStudy.procedureCode.coding.display, 醫令名稱:Observation.code.coding.display | |
| examinationStatus | ||
| physicalExamination | 檢查部位:ImagingStudy.series.bodySite | |
| description | 檢查部位說明:ImagingStudy.series.description | |
| numberOfInstances | 醫療影像張數:ImagingStudy.numberOfInstances | |
| accessionNo | 檢查單號:ImagingStudy.identifier, 檢查單號:Observation.identifier, 檢查單號:DiagnosticReport.identifier | |
| patientInformation | ||
| idNumber | 身分證:Patient.identifier.value 使用 Patient.identifier.type 識別類型 | |
| chartNO | 病歷號:Patient.identifier.value 使用 Patient.identifier.type 識別類型 | |
| name | 病人性名:Patient.name | |
| administrativeSex | 病人性別:Patient.gender | |
| birthDate | 病人出生日期:Patient.birthDate | |
| medicalOrder | ||
| orderDatetime | 醫囑時間，醫囑日期（分）:Encounter.period | |
| orderPhysician | 醫囑醫師姓名:Practitioner.name, 醫囑醫師:Encounter.participant.individual | |
| historyOfPresentIllness | 病史，病人病史，內容可以包含主訴、適應症等:Condition.code | |
| diagnosisICDcode | 疾病診斷代碼:DiagnosticReport.code | |
| picture | 圖片:ImagingStudy | |
| recordTotal | 報告結果(Finding):Observation.valueString 如果可編碼請使用 Observation.component, 報告結果(interpretation/impression):DiagnosticReport.conclusion | |
| radiologyStudyRecommendation | 醫師總結隻建議:Observation.note | |
| verificationTime | 確認報告時間:Observation.effective[x], 確認報告時間:DiagnosticReport.effective[x] | |
| verificationPhysician | 報告醫師姓名:Practitioner.name | |