醫查實作指引
0.1.0 - CI Build

醫查實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Composition: 出院病歷摘要

出院病例摘要

狀態:Final (CompositionStatus#final)

種類:Discharge summary ( LOINC#18842-5)

病人Patient/Patient-min "安格斯"

就醫事件Encounter/Encounter-min

文件產生時間:2024-05-12T14:30:00

文件創建單位Organization/OrganizationHosp-min "國泰醫療財團法人國泰綜合醫院"

文件創建者Practitioner/Practitioner-min "劉伊詩"

出院病摘小節內容:

section[Impression]Observation/ObservationImpression-min

section[DischargeDiagnosis]Condition/ConditionDischargeDiagnosis-min

section[CancerStaging]Observation/ObservationCancerStaging-min

section[ChiefComplaint]Condition/ConditionChiefComplaint-min

section[PresentIllness]Condition/ConditionPresentIllness-min

section[PhysicalExamination]Observation/ObservationPhysicalExamination-min

section[LaboratoryData]Observation/ObservationLaboratory-min
section[LaboratoryData]Observation/ObservationLaboratory-lab

section[ImagingStudy]ImagingStudy/ImagingStudy-min

section[PathologyReport]Observation/ObservationPathologyReport-min

section[SurgicalMethod]Procedure/Procedure-min

section[HospitalCourse]Procedure/ProcedureHospitalCourse-min
section[HospitalCourse]Location/Location-min

section[ComorbiditesAndOrComlications]Condition/ConditionComorbiditiesandComplications-min

section[InstructionsOnDischarge]CarePlan/CarePlan-min
section[InstructionsOnDischarge]MedicationRequest/MedicationRequest-min