醫查實作指引
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: 手術紀錄 - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="CompositionOperationNote-min"/>
  <meta>
    <profile
             value="https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/composition-operationnote-imri"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3><b>手術紀錄</b></h3><p><b>狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://hl7.org/fhir/composition-status">CompositionStatus</a>#final)</span></p><p><b>種類</b>：Surgical operation note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#11504-8)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>文件產生時間</b>：2024-05-12T14:30:00</p><p><b>文件創建單位</b>：<a href="Organization-OrganizationHosp-min.html">Organization/OrganizationHosp-min</a> "國泰醫療財團法人國泰綜合醫院"</p><p><b>手術紀錄小節內容：</b></p><blockquote><p><b>section[PatientInformation].section[bloodtype]</b>： <a href="Observation-ObservationBloodType-min.html">Observation/ObservationBloodType-min</a></p><p><b>section[OperationNote]</b>： <a href="Procedure-Procedure-pro.html">Procedure/Procedure-pro</a><br/><b>section[OperationNote].section[postoperativeDiagnosis]</b>： <a href="Condition-Condition-postope.html">Condition/Condition-postope</a><br/><b>section[OperationNote].section[bloodLoss]</b>： <a href="Observation-ObservationBloodLoss-min.html">Observation/ObservationBloodLoss-min</a><br/><b>section[OperationNote].section[anesthesiaMode]</b>： <a href="Procedure-ProcedureAnesthesiaMode-min.html">Procedure/ProcedureAnesthesiaMode-min</a></p></blockquote></div>
  </text>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11504-8"/>
      <display value="Surgical operation note"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/Patient-min"/>
  </subject>
  <date value="2024-05-12T14:30:00+08:00"/>
  <author>🔗 
    <reference value="Organization/OrganizationHosp-min"/>
  </author>
  <title value="手術紀錄"/>
  <section>
    <title value="病人資訊"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="52460-3"/>
        <display value="Patient Information"/>
      </coding>
    </code>
    <section>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="882-1"/>
          <display value="ABO and Rh group [Type] in Blood"/>
        </coding>
      </code>
      <entry>🔗 
        <reference value="Observation/ObservationBloodType-min"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="手術資訊"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11504-8"/>
        <display value="Surgical operation note"/>
      </coding>
    </code>
    <entry>🔗 
      <reference value="Procedure/Procedure-pro"/>
    </entry>
    <section>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10218-6"/>
          <display
                   value="Surgical operation note postoperative diagnosis Narrative"/>
        </coding>
      </code>
      <entry>🔗 
        <reference value="Condition/Condition-postope"/>
      </entry>
    </section>
    <section>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59770-8"/>
          <display value="Procedure estimated blood loss Narrative"/>
        </coding>
      </code>
      <entry>🔗 
        <reference value="Observation/ObservationBloodLoss-min"/>
      </entry>
    </section>
    <section>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59774-0"/>
          <display value="Procedure anesthesia Narrative"/>
        </coding>
      </code>
      <entry>🔗 
        <reference value="Procedure/ProcedureAnesthesiaMode-min"/>
      </entry>
    </section>
  </section>
</Composition>