醫查實作指引
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Logical Model: 手術紀錄(OperationNote)之資料模型

Official URL: https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/OperationNoteModel Version: 0.1.0
Active as of 2024-08-12 Computable Name: OperationNoteModel

手術紀錄(OperationNote)之資料模型

Usage:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationNoteModel 0..* Base 手術紀錄(OperationNote)之資料模型
Instances of this logical model are not marked to be the target of a Reference
... organization 1..1 BackboneElement 醫事機構
.... identifier 1..1 Identifier 醫事機構代碼
.... name 1..1 string 醫事機構名稱
... patient 1..1 BackboneElement 病人的基本資料
.... identifier 1..1 Identifier 身分證字號
.... patientNo 1..1 Identifier 病歷號碼
.... name 1..* HumanName 姓名
.... gender 1..1 CodeableConcept 性別
.... birthDate 1..1 dateTime 出生日期
.... bloodtype 0..1 CodeableConcept 血型
... operation 1..1 BackboneElement 手術資料
.... operationDateTime 1..1 dateTime 手術日期時間
.... preoperativeDiagnosis 1..* CodeableConcept 手術前診斷
.... postoperativeDiagnosis[x] 0..* 手術後診斷
..... postoperativeDiagnosisNarrative Narrative
..... postoperativeDiagnosisCodeableConcept CodeableConcept
.... operationCode 1..1 CodeableConcept 手術代碼
.... bodyPart 0..* CodeableConcept 手術部位
.... indication 1..1 string 手術目的
.... bloodLoss[x] 0..1 失血量
..... bloodLossNarrative Narrative
..... bloodLossDecimal decimal
.... anesthesiaMode[x] 0..1 麻醉模式
..... anesthesiaModeNarrative Narrative
..... anesthesiaModeCodeableConcept CodeableConcept
.... anesthesiologist 0..* HumanName 麻醉醫師
.... operativeFinding 1..* markdown 手術發現
.... operationProcedure 1..* markdown 手術過程紀錄
.... device 0..* CodeableConcept 手術特材
.... surgeon 0..* HumanName 手術醫師
.... surgicalImage 0..* url 手術圖像

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationNoteModel 0..* Base 手術紀錄(OperationNote)之資料模型
Instances of this logical model are not marked to be the target of a Reference
... organization 1..1 BackboneElement 醫事機構
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 醫事機構代碼
.... name 1..1 string 醫事機構名稱
... patient 1..1 BackboneElement 病人的基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 身分證字號
.... patientNo 1..1 Identifier 病歷號碼
.... name 1..* HumanName 姓名
.... gender 1..1 CodeableConcept 性別
.... birthDate 1..1 dateTime 出生日期
.... bloodtype 0..1 CodeableConcept 血型
... operation 1..1 BackboneElement 手術資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... operationDateTime 1..1 dateTime 手術日期時間
.... preoperativeDiagnosis 1..* CodeableConcept 手術前診斷
.... postoperativeDiagnosis[x] 0..* 手術後診斷
..... postoperativeDiagnosisNarrative Narrative
..... postoperativeDiagnosisCodeableConcept CodeableConcept
.... operationCode 1..1 CodeableConcept 手術代碼
.... bodyPart 0..* CodeableConcept 手術部位
.... indication 1..1 string 手術目的
.... bloodLoss[x] 0..1 失血量
..... bloodLossNarrative Narrative
..... bloodLossDecimal decimal
.... anesthesiaMode[x] 0..1 麻醉模式
..... anesthesiaModeNarrative Narrative
..... anesthesiaModeCodeableConcept CodeableConcept
.... anesthesiologist 0..* HumanName 麻醉醫師
.... operativeFinding 1..* markdown 手術發現
.... operationProcedure 1..* markdown 手術過程紀錄
.... device 0..* CodeableConcept 手術特材
.... surgeon 0..* HumanName 手術醫師
.... surgicalImage 0..* url 手術圖像

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationNoteModel 0..* Base 手術紀錄(OperationNote)之資料模型
Instances of this logical model are not marked to be the target of a Reference
... organization 1..1 BackboneElement 醫事機構
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 醫事機構代碼
.... name 1..1 string 醫事機構名稱
... patient 1..1 BackboneElement 病人的基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 身分證字號
.... patientNo 1..1 Identifier 病歷號碼
.... name 1..* HumanName 姓名
.... gender 1..1 CodeableConcept 性別
.... birthDate 1..1 dateTime 出生日期
.... bloodtype 0..1 CodeableConcept 血型
... operation 1..1 BackboneElement 手術資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... operationDateTime 1..1 dateTime 手術日期時間
.... preoperativeDiagnosis 1..* CodeableConcept 手術前診斷
.... postoperativeDiagnosis[x] 0..* 手術後診斷
..... postoperativeDiagnosisNarrative Narrative
..... postoperativeDiagnosisCodeableConcept CodeableConcept
.... operationCode 1..1 CodeableConcept 手術代碼
.... bodyPart 0..* CodeableConcept 手術部位
.... indication 1..1 string 手術目的
.... bloodLoss[x] 0..1 失血量
..... bloodLossNarrative Narrative
..... bloodLossDecimal decimal
.... anesthesiaMode[x] 0..1 麻醉模式
..... anesthesiaModeNarrative Narrative
..... anesthesiaModeCodeableConcept CodeableConcept
.... anesthesiologist 0..* HumanName 麻醉醫師
.... operativeFinding 1..* markdown 手術發現
.... operationProcedure 1..* markdown 手術過程紀錄
.... device 0..* CodeableConcept 手術特材
.... surgeon 0..* HumanName 手術醫師
.... surgicalImage 0..* url 手術圖像

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(16 nested mandatory elements)

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationNoteModel 0..* Base 手術紀錄(OperationNote)之資料模型
Instances of this logical model are not marked to be the target of a Reference
... organization 1..1 BackboneElement 醫事機構
.... identifier 1..1 Identifier 醫事機構代碼
.... name 1..1 string 醫事機構名稱
... patient 1..1 BackboneElement 病人的基本資料
.... identifier 1..1 Identifier 身分證字號
.... patientNo 1..1 Identifier 病歷號碼
.... name 1..* HumanName 姓名
.... gender 1..1 CodeableConcept 性別
.... birthDate 1..1 dateTime 出生日期
.... bloodtype 0..1 CodeableConcept 血型
... operation 1..1 BackboneElement 手術資料
.... operationDateTime 1..1 dateTime 手術日期時間
.... preoperativeDiagnosis 1..* CodeableConcept 手術前診斷
.... postoperativeDiagnosis[x] 0..* 手術後診斷
..... postoperativeDiagnosisNarrative Narrative
..... postoperativeDiagnosisCodeableConcept CodeableConcept
.... operationCode 1..1 CodeableConcept 手術代碼
.... bodyPart 0..* CodeableConcept 手術部位
.... indication 1..1 string 手術目的
.... bloodLoss[x] 0..1 失血量
..... bloodLossNarrative Narrative
..... bloodLossDecimal decimal
.... anesthesiaMode[x] 0..1 麻醉模式
..... anesthesiaModeNarrative Narrative
..... anesthesiaModeCodeableConcept CodeableConcept
.... anesthesiologist 0..* HumanName 麻醉醫師
.... operativeFinding 1..* markdown 手術發現
.... operationProcedure 1..* markdown 手術過程紀錄
.... device 0..* CodeableConcept 手術特材
.... surgeon 0..* HumanName 手術醫師
.... surgicalImage 0..* url 手術圖像

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationNoteModel 0..* Base 手術紀錄(OperationNote)之資料模型
Instances of this logical model are not marked to be the target of a Reference
... organization 1..1 BackboneElement 醫事機構
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 醫事機構代碼
.... name 1..1 string 醫事機構名稱
... patient 1..1 BackboneElement 病人的基本資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 身分證字號
.... patientNo 1..1 Identifier 病歷號碼
.... name 1..* HumanName 姓名
.... gender 1..1 CodeableConcept 性別
.... birthDate 1..1 dateTime 出生日期
.... bloodtype 0..1 CodeableConcept 血型
... operation 1..1 BackboneElement 手術資料
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... operationDateTime 1..1 dateTime 手術日期時間
.... preoperativeDiagnosis 1..* CodeableConcept 手術前診斷
.... postoperativeDiagnosis[x] 0..* 手術後診斷
..... postoperativeDiagnosisNarrative Narrative
..... postoperativeDiagnosisCodeableConcept CodeableConcept
.... operationCode 1..1 CodeableConcept 手術代碼
.... bodyPart 0..* CodeableConcept 手術部位
.... indication 1..1 string 手術目的
.... bloodLoss[x] 0..1 失血量
..... bloodLossNarrative Narrative
..... bloodLossDecimal decimal
.... anesthesiaMode[x] 0..1 麻醉模式
..... anesthesiaModeNarrative Narrative
..... anesthesiaModeCodeableConcept CodeableConcept
.... anesthesiologist 0..* HumanName 麻醉醫師
.... operativeFinding 1..* markdown 手術發現
.... operationProcedure 1..* markdown 手術過程紀錄
.... device 0..* CodeableConcept 手術特材
.... surgeon 0..* HumanName 手術醫師
.... surgicalImage 0..* url 手術圖像

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationNoteModel 0..* Base 手術紀錄(OperationNote)之資料模型
Instances of this logical model are not marked to be the target of a Reference
... organization 1..1 BackboneElement 醫事機構
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 醫事機構代碼
.... name 1..1 string 醫事機構名稱
... patient 1..1 BackboneElement 病人的基本資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier 1..1 Identifier 身分證字號
.... patientNo 1..1 Identifier 病歷號碼
.... name 1..* HumanName 姓名
.... gender 1..1 CodeableConcept 性別
.... birthDate 1..1 dateTime 出生日期
.... bloodtype 0..1 CodeableConcept 血型
... operation 1..1 BackboneElement 手術資料
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... operationDateTime 1..1 dateTime 手術日期時間
.... preoperativeDiagnosis 1..* CodeableConcept 手術前診斷
.... postoperativeDiagnosis[x] 0..* 手術後診斷
..... postoperativeDiagnosisNarrative Narrative
..... postoperativeDiagnosisCodeableConcept CodeableConcept
.... operationCode 1..1 CodeableConcept 手術代碼
.... bodyPart 0..* CodeableConcept 手術部位
.... indication 1..1 string 手術目的
.... bloodLoss[x] 0..1 失血量
..... bloodLossNarrative Narrative
..... bloodLossDecimal decimal
.... anesthesiaMode[x] 0..1 麻醉模式
..... anesthesiaModeNarrative Narrative
..... anesthesiaModeCodeableConcept CodeableConcept
.... anesthesiologist 0..* HumanName 麻醉醫師
.... operativeFinding 1..* markdown 手術發現
.... operationProcedure 1..* markdown 手術過程紀錄
.... device 0..* CodeableConcept 手術特材
.... surgeon 0..* HumanName 手術醫師
.... surgicalImage 0..* url 手術圖像

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(16 nested mandatory elements)

 

Other representations of profile: CSV, Excel