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。
{
"resourceType" : "Composition",
"id" : "HSDA0001CompositionExample01",
"meta" : {
"profile" : [
"http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-document-hsda00-01"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: N12345342</p><p><b>status</b>: final</p><p><b>type</b>: <span title=\"Codes: {http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ehr-document-type HSDA00.01}\">个人基本健康信息登记</span></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org.cn/fhir/sd/ehr/CodeSystem/document-category EHR}\">电子健康档案共享文档</span></p><p><b>date</b>: 2002-8-24 5:45:50</p><p><b>author</b>: <a href=\"Practitioner-PractitionerExample01.html\">赵勇. Generated Summary: 赵勇; gender: male</a></p><p><b>title</b>: 个人基本健康信息登记</p><p><b>confidentiality</b>: N</p><p><b>custodian</b>: <a href=\"Organization-OrganizationExample02.html\">爱民路社区服务中心. Generated Summary: active; name: 爱民路社区服务中心</a></p></div>"
},
"identifier" : {
"system" : "urn:oid:1.2.10093.1.23.24.3454357",
"value" : "N12345342"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ehr-document-type",
"code" : "HSDA00.01",
"display" : "个人基本健康信息登记"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org.cn/fhir/sd/ehr/CodeSystem/document-category",
"code" : "EHR",
"display" : "电子健康档案共享文档"
}
]
}
],
"subject" : {
"reference" : "Patient/PatientExample01",
"display" : "张三"
},
"date" : "2002-08-23T16:45:50.597-05:00",
"author" : [
{
"reference" : "Practitioner/PractitionerExample01",
"display" : "赵勇"
}
],
"title" : "个人基本健康信息登记",
"confidentiality" : "N",
"custodian" : {
"reference" : "Organization/OrganizationExample02",
"display" : "爱民路社区服务中心"
},
"section" : [
{
"title" : "血型信息",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data"
}
]
},
"entry" : [
{
"reference" : "BloodTypeExample01"
}
]
},
{
"title" : "费用支付方式",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48768-6",
"display" : "Payment sources"
}
]
},
"entry" : [
{
"reference" : "PaymentTypeExample01"
}
]
},
{
"title" : "过敏史",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10155-0",
"display" : "History of allergies"
}
]
},
"entry" : [
{
"reference" : "AllergyHistoryExample01"
}
]
},
{
"title" : "职业暴露史",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10161-8",
"display" : "History of Occupational exposure"
}
]
},
"entry" : [
{
"reference" : "OccupationalExposureExample01"
}
]
},
{
"title" : "既往史",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "History of Past illness"
}
]
},
"entry" : [
{
"reference" : "DiseasesHistoryExample01"
},
{
"reference" : "SugeryHistoryExample01"
},
{
"reference" : "WoundHistoryExample01"
},
{
"reference" : "TransfusionHistoryExample01"
}
]
},
{
"title" : "家族史",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10157-6",
"display" : "History of family member diseases"
}
]
},
"entry" : [
{
"reference" : "FamilyMemberDiseasesExample01"
}
]
},
{
"title" : "遗传病史",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "74042-3",
"display" : "Genetic diseases history panel Family member"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">以文本形式记录遗传病史。</div>"
}
},
{
"title" : "残疾史",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10158-4",
"display" : "History of Functional status"
}
]
},
"entry" : [
{
"reference" : "FunctionalStatusExample01"
}
]
},
{
"title" : "生活环境",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11345-6",
"display" : "History of Other social factors"
}
]
},
"entry" : [
{
"reference" : "HomeBathroomExample01"
},
{
"reference" : "HomeExhaustExample01"
},
{
"reference" : "HomeGasExample01"
},
{
"reference" : "HomeWaterExample01"
},
{
"reference" : "HomeCorralExample01"
}
]
}
]
}