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