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。

: HSDA0001CompositionExample01 - XML Representation

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<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>