基于FHIR标准的健康档案共享文档实施指南
0.8.0.2022705 - 持续集成版
基于FHIR标准的健康档案共享文档实施指南
0.8.0.2022705 - 持续集成版
基于FHIR的健康档案共享文档实施时必须严格遵循本实施指南的规定。
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:CodeSystem;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "codesystem-emr-document-type"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org.cn/fhir/sd/ehr/CodeSystem/codesystem-emr-document-type defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">HSDA00.01<a name=\"codesystem-emr-document-type-HSDA00.4601\"> </a></td><td>个人基本健康信息登记</td><td>个人基本健康信息登记</td></tr><tr><td style=\"white-space:nowrap\">C0001<a name=\"codesystem-emr-document-type-C0001\"> </a></td><td>病历概要</td><td/></tr><tr><td style=\"white-space:nowrap\">C0002<a name=\"codesystem-emr-document-type-C0002\"> </a></td><td>门（急）诊病历</td><td/></tr><tr><td style=\"white-space:nowrap\">C0003<a name=\"codesystem-emr-document-type-C0003\"> </a></td><td>急诊留观病历</td><td/></tr><tr><td style=\"white-space:nowrap\">C0004<a name=\"codesystem-emr-document-type-C0004\"> </a></td><td>西药处方</td><td/></tr><tr><td style=\"white-space:nowrap\">C0005<a name=\"codesystem-emr-document-type-C0005\"> </a></td><td>中药处方</td><td/></tr><tr><td style=\"white-space:nowrap\">C0006<a name=\"codesystem-emr-document-type-C0006\"> </a></td><td>检查报告</td><td/></tr><tr><td style=\"white-space:nowrap\">C0007<a name=\"codesystem-emr-document-type-C0007\"> </a></td><td>检验报告</td><td/></tr><tr><td style=\"white-space:nowrap\">C0008<a name=\"codesystem-emr-document-type-C0008\"> </a></td><td>治疗记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0009<a name=\"codesystem-emr-document-type-C0009\"> </a></td><td>一般手术记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0010<a name=\"codesystem-emr-document-type-C0010\"> </a></td><td>麻醉术前访视记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0011<a name=\"codesystem-emr-document-type-C0011\"> </a></td><td>麻醉记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0012<a name=\"codesystem-emr-document-type-C0012\"> </a></td><td>麻醉术后访视记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0013<a name=\"codesystem-emr-document-type-C0013\"> </a></td><td>输血记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0014<a name=\"codesystem-emr-document-type-C0014\"> </a></td><td>待产记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0015<a name=\"codesystem-emr-document-type-C0015\"> </a></td><td>阴道分娩记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0016<a name=\"codesystem-emr-document-type-C0016\"> </a></td><td>剖宫产记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0017<a name=\"codesystem-emr-document-type-C0017\"> </a></td><td>一般护理记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0018<a name=\"codesystem-emr-document-type-C0018\"> </a></td><td>病重（病危）护理记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0019<a name=\"codesystem-emr-document-type-C0019\"> </a></td><td>手术护理记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0020<a name=\"codesystem-emr-document-type-C0020\"> </a></td><td>生命体征测量记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0021<a name=\"codesystem-emr-document-type-C0021\"> </a></td><td>出入量记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0022<a name=\"codesystem-emr-document-type-C0022\"> </a></td><td>高值耗材使用记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0023<a name=\"codesystem-emr-document-type-C0023\"> </a></td><td>入院评估</td><td/></tr><tr><td style=\"white-space:nowrap\">C0024<a name=\"codesystem-emr-document-type-C0024\"> </a></td><td>护理计划</td><td/></tr><tr><td style=\"white-space:nowrap\">C0025<a name=\"codesystem-emr-document-type-C0025\"> </a></td><td>出院评估与指导</td><td/></tr><tr><td style=\"white-space:nowrap\">C0026<a name=\"codesystem-emr-document-type-C0026\"> </a></td><td>手术知情同意书</td><td/></tr><tr><td style=\"white-space:nowrap\">C0027<a name=\"codesystem-emr-document-type-C0027\"> </a></td><td>麻醉知情同意书</td><td/></tr><tr><td style=\"white-space:nowrap\">C0028<a name=\"codesystem-emr-document-type-C0028\"> </a></td><td>输血治疗同意书</td><td/></tr><tr><td style=\"white-space:nowrap\">C0029<a name=\"codesystem-emr-document-type-C0029\"> </a></td><td>特殊检查及特殊治疗同意书</td><td/></tr><tr><td style=\"white-space:nowrap\">C0030<a name=\"codesystem-emr-document-type-C0030\"> </a></td><td>病危（重）通知书</td><td/></tr><tr><td style=\"white-space:nowrap\">C0031<a name=\"codesystem-emr-document-type-C0031\"> </a></td><td>其他知情同意书</td><td/></tr><tr><td style=\"white-space:nowrap\">C0032<a name=\"codesystem-emr-document-type-C0032\"> </a></td><td>住院病案首页</td><td/></tr><tr><td style=\"white-space:nowrap\">C0033<a name=\"codesystem-emr-document-type-C0033\"> </a></td><td>中医住院病案首页</td><td/></tr><tr><td style=\"white-space:nowrap\">C0034<a name=\"codesystem-emr-document-type-C0034\"> </a></td><td>入院记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0035<a name=\"codesystem-emr-document-type-C0035\"> </a></td><td>24h内入出院记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0036<a name=\"codesystem-emr-document-type-C0036\"> </a></td><td>24h内入院死亡记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0037<a name=\"codesystem-emr-document-type-C0037\"> </a></td><td>住院病程记录 首次病程记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0038<a name=\"codesystem-emr-document-type-C0038\"> </a></td><td>住院病程记录 日常病程记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0039<a name=\"codesystem-emr-document-type-C0039\"> </a></td><td>住院病程记录 上级医师查房记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0040<a name=\"codesystem-emr-document-type-C0040\"> </a></td><td>住院病程记录 疑难病例讨论记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0041<a name=\"codesystem-emr-document-type-C0041\"> </a></td><td>住院病程记录 交接班记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0042<a name=\"codesystem-emr-document-type-C0042\"> </a></td><td>住院病程记录 转科记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0043<a name=\"codesystem-emr-document-type-C0043\"> </a></td><td>住院病程记录 阶段小结</td><td/></tr><tr><td style=\"white-space:nowrap\">C0044<a name=\"codesystem-emr-document-type-C0044\"> </a></td><td>住院病程记录 抢救记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0045<a name=\"codesystem-emr-document-type-C0045\"> </a></td><td>住院病程记录 会诊记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0046<a name=\"codesystem-emr-document-type-C0046\"> </a></td><td>住院病程记录 术前小结</td><td/></tr><tr><td style=\"white-space:nowrap\">C0047<a name=\"codesystem-emr-document-type-C0047\"> </a></td><td>住院病程记录 术前讨论</td><td/></tr><tr><td style=\"white-space:nowrap\">C0048<a name=\"codesystem-emr-document-type-C0048\"> </a></td><td>住院病程记录 术后首次病程记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0049<a name=\"codesystem-emr-document-type-C0049\"> </a></td><td>住院病程记录 出院记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0050<a name=\"codesystem-emr-document-type-C0050\"> </a></td><td>住院病程记录 死亡记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0051<a name=\"codesystem-emr-document-type-C0051\"> </a></td><td>住院病程记录 死亡病例讨论记录</td><td/></tr><tr><td style=\"white-space:nowrap\">C0052<a name=\"codesystem-emr-document-type-C0052\"> </a></td><td>住院医嘱</td><td/></tr><tr><td style=\"white-space:nowrap\">C0053<a name=\"codesystem-emr-document-type-C0053\"> </a></td><td>出院小结</td><td/></tr></table></div>"
];
fhir:CodeSystem.url [ fhir:value "http://hl7.org.cn/fhir/sd/ehr/CodeSystem/codesystem-emr-document-type"];
fhir:CodeSystem.version [ fhir:value "0.8.0.2022705"];
fhir:CodeSystem.name [ fhir:value "CSEMRDocumentType"];
fhir:CodeSystem.title [ fhir:value "电子病历共享文档类型代码表"];
fhir:CodeSystem.status [ fhir:value "active"];
fhir:CodeSystem.date [ fhir:value "2022-07-05T13:46:42+08:00"^^xsd:dateTime];
fhir:CodeSystem.publisher [ fhir:value "CHIMA&HL7中国委员会"];
fhir:CodeSystem.contact [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "CHIMA&HL7中国委员会" ];
fhir:ContactDetail.telecom [
fhir:index 0;
fhir:ContactPoint.system [ fhir:value "url" ];
fhir:ContactPoint.value [ fhir:value "http://hl7.org.cn" ] ]
];
fhir:CodeSystem.description [ fhir:value "电子病历共享文档类型代码表"];
fhir:CodeSystem.content [ fhir:value "complete"];
fhir:CodeSystem.count [ fhir:value "54"^^xsd:nonNegativeInteger];
fhir:CodeSystem.concept [
fhir:index 0;
fhir:CodeSystem.concept.code [ fhir:value "HSDA00.01" ];
fhir:CodeSystem.concept.display [ fhir:value "个人基本健康信息登记" ];
fhir:CodeSystem.concept.definition [ fhir:value "个人基本健康信息登记" ]
], [
fhir:index 1;
fhir:CodeSystem.concept.code [ fhir:value "C0001" ];
fhir:CodeSystem.concept.display [ fhir:value "病历概要" ]
], [
fhir:index 2;
fhir:CodeSystem.concept.code [ fhir:value "C0002" ];
fhir:CodeSystem.concept.display [ fhir:value "门（急）诊病历" ]
], [
fhir:index 3;
fhir:CodeSystem.concept.code [ fhir:value "C0003" ];
fhir:CodeSystem.concept.display [ fhir:value "急诊留观病历" ]
], [
fhir:index 4;
fhir:CodeSystem.concept.code [ fhir:value "C0004" ];
fhir:CodeSystem.concept.display [ fhir:value "西药处方" ]
], [
fhir:index 5;
fhir:CodeSystem.concept.code [ fhir:value "C0005" ];
fhir:CodeSystem.concept.display [ fhir:value "中药处方" ]
], [
fhir:index 6;
fhir:CodeSystem.concept.code [ fhir:value "C0006" ];
fhir:CodeSystem.concept.display [ fhir:value "检查报告" ]
], [
fhir:index 7;
fhir:CodeSystem.concept.code [ fhir:value "C0007" ];
fhir:CodeSystem.concept.display [ fhir:value "检验报告" ]
], [
fhir:index 8;
fhir:CodeSystem.concept.code [ fhir:value "C0008" ];
fhir:CodeSystem.concept.display [ fhir:value "治疗记录" ]
], [
fhir:index 9;
fhir:CodeSystem.concept.code [ fhir:value "C0009" ];
fhir:CodeSystem.concept.display [ fhir:value "一般手术记录" ]
], [
fhir:index 10;
fhir:CodeSystem.concept.code [ fhir:value "C0010" ];
fhir:CodeSystem.concept.display [ fhir:value "麻醉术前访视记录" ]
], [
fhir:index 11;
fhir:CodeSystem.concept.code [ fhir:value "C0011" ];
fhir:CodeSystem.concept.display [ fhir:value "麻醉记录" ]
], [
fhir:index 12;
fhir:CodeSystem.concept.code [ fhir:value "C0012" ];
fhir:CodeSystem.concept.display [ fhir:value "麻醉术后访视记录" ]
], [
fhir:index 13;
fhir:CodeSystem.concept.code [ fhir:value "C0013" ];
fhir:CodeSystem.concept.display [ fhir:value "输血记录" ]
], [
fhir:index 14;
fhir:CodeSystem.concept.code [ fhir:value "C0014" ];
fhir:CodeSystem.concept.display [ fhir:value "待产记录" ]
], [
fhir:index 15;
fhir:CodeSystem.concept.code [ fhir:value "C0015" ];
fhir:CodeSystem.concept.display [ fhir:value "阴道分娩记录" ]
], [
fhir:index 16;
fhir:CodeSystem.concept.code [ fhir:value "C0016" ];
fhir:CodeSystem.concept.display [ fhir:value "剖宫产记录" ]
], [
fhir:index 17;
fhir:CodeSystem.concept.code [ fhir:value "C0017" ];
fhir:CodeSystem.concept.display [ fhir:value "一般护理记录" ]
], [
fhir:index 18;
fhir:CodeSystem.concept.code [ fhir:value "C0018" ];
fhir:CodeSystem.concept.display [ fhir:value "病重（病危）护理记录" ]
], [
fhir:index 19;
fhir:CodeSystem.concept.code [ fhir:value "C0019" ];
fhir:CodeSystem.concept.display [ fhir:value "手术护理记录" ]
], [
fhir:index 20;
fhir:CodeSystem.concept.code [ fhir:value "C0020" ];
fhir:CodeSystem.concept.display [ fhir:value "生命体征测量记录" ]
], [
fhir:index 21;
fhir:CodeSystem.concept.code [ fhir:value "C0021" ];
fhir:CodeSystem.concept.display [ fhir:value "出入量记录" ]
], [
fhir:index 22;
fhir:CodeSystem.concept.code [ fhir:value "C0022" ];
fhir:CodeSystem.concept.display [ fhir:value "高值耗材使用记录" ]
], [
fhir:index 23;
fhir:CodeSystem.concept.code [ fhir:value "C0023" ];
fhir:CodeSystem.concept.display [ fhir:value "入院评估" ]
], [
fhir:index 24;
fhir:CodeSystem.concept.code [ fhir:value "C0024" ];
fhir:CodeSystem.concept.display [ fhir:value "护理计划" ]
], [
fhir:index 25;
fhir:CodeSystem.concept.code [ fhir:value "C0025" ];
fhir:CodeSystem.concept.display [ fhir:value "出院评估与指导" ]
], [
fhir:index 26;
fhir:CodeSystem.concept.code [ fhir:value "C0026" ];
fhir:CodeSystem.concept.display [ fhir:value "手术知情同意书" ]
], [
fhir:index 27;
fhir:CodeSystem.concept.code [ fhir:value "C0027" ];
fhir:CodeSystem.concept.display [ fhir:value "麻醉知情同意书" ]
], [
fhir:index 28;
fhir:CodeSystem.concept.code [ fhir:value "C0028" ];
fhir:CodeSystem.concept.display [ fhir:value "输血治疗同意书" ]
], [
fhir:index 29;
fhir:CodeSystem.concept.code [ fhir:value "C0029" ];
fhir:CodeSystem.concept.display [ fhir:value "特殊检查及特殊治疗同意书" ]
], [
fhir:index 30;
fhir:CodeSystem.concept.code [ fhir:value "C0030" ];
fhir:CodeSystem.concept.display [ fhir:value "病危（重）通知书" ]
], [
fhir:index 31;
fhir:CodeSystem.concept.code [ fhir:value "C0031" ];
fhir:CodeSystem.concept.display [ fhir:value "其他知情同意书" ]
], [
fhir:index 32;
fhir:CodeSystem.concept.code [ fhir:value "C0032" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病案首页" ]
], [
fhir:index 33;
fhir:CodeSystem.concept.code [ fhir:value "C0033" ];
fhir:CodeSystem.concept.display [ fhir:value "中医住院病案首页" ]
], [
fhir:index 34;
fhir:CodeSystem.concept.code [ fhir:value "C0034" ];
fhir:CodeSystem.concept.display [ fhir:value "入院记录" ]
], [
fhir:index 35;
fhir:CodeSystem.concept.code [ fhir:value "C0035" ];
fhir:CodeSystem.concept.display [ fhir:value "24h内入出院记录" ]
], [
fhir:index 36;
fhir:CodeSystem.concept.code [ fhir:value "C0036" ];
fhir:CodeSystem.concept.display [ fhir:value "24h内入院死亡记录" ]
], [
fhir:index 37;
fhir:CodeSystem.concept.code [ fhir:value "C0037" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 首次病程记录" ]
], [
fhir:index 38;
fhir:CodeSystem.concept.code [ fhir:value "C0038" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 日常病程记录" ]
], [
fhir:index 39;
fhir:CodeSystem.concept.code [ fhir:value "C0039" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 上级医师查房记录" ]
], [
fhir:index 40;
fhir:CodeSystem.concept.code [ fhir:value "C0040" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 疑难病例讨论记录" ]
], [
fhir:index 41;
fhir:CodeSystem.concept.code [ fhir:value "C0041" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 交接班记录" ]
], [
fhir:index 42;
fhir:CodeSystem.concept.code [ fhir:value "C0042" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 转科记录" ]
], [
fhir:index 43;
fhir:CodeSystem.concept.code [ fhir:value "C0043" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 阶段小结" ]
], [
fhir:index 44;
fhir:CodeSystem.concept.code [ fhir:value "C0044" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 抢救记录" ]
], [
fhir:index 45;
fhir:CodeSystem.concept.code [ fhir:value "C0045" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 会诊记录" ]
], [
fhir:index 46;
fhir:CodeSystem.concept.code [ fhir:value "C0046" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 术前小结" ]
], [
fhir:index 47;
fhir:CodeSystem.concept.code [ fhir:value "C0047" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 术前讨论" ]
], [
fhir:index 48;
fhir:CodeSystem.concept.code [ fhir:value "C0048" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 术后首次病程记录" ]
], [
fhir:index 49;
fhir:CodeSystem.concept.code [ fhir:value "C0049" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 出院记录" ]
], [
fhir:index 50;
fhir:CodeSystem.concept.code [ fhir:value "C0050" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 死亡记录" ]
], [
fhir:index 51;
fhir:CodeSystem.concept.code [ fhir:value "C0051" ];
fhir:CodeSystem.concept.display [ fhir:value "住院病程记录 死亡病例讨论记录" ]
], [
fhir:index 52;
fhir:CodeSystem.concept.code [ fhir:value "C0052" ];
fhir:CodeSystem.concept.display [ fhir:value "住院医嘱" ]
], [
fhir:index 53;
fhir:CodeSystem.concept.code [ fhir:value "C0053" ];
fhir:CodeSystem.concept.display [ fhir:value "出院小结" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.