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。

Resource Profile: 个人基本健康信息登记共享文档本地化定义

Defining URL:http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-document-hsda00-01
Version:0.8.0.2022705
Name:DocumentHSDA0001
Title:个人基本健康信息登记共享文档本地化定义
Status:Active as of 2022-07-05T13:46:42+08:00
Definition:

个人基本健康信息登记共享文档本地化定义。

Publisher:CHIMA&HL7中国委员会
Source Resource:XML / JSON / Turtle

个人基本健康信息登记共享文档本地化定义的正式唯一标识为: 

http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-document-hsda00-01

定义内容的视图

个人基本健康信息登记共享文档本地化定义是在FHIR标准的RealmHeader基础上进行更加详细的规则约束，下表展示了个人基本健康信息登记共享文档本地化定义的结构表示。

关于定义、差异、快照以及如何解读这些表示法。

这种结构源自 RealmHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*RealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... type 1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ehr-document-type
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: HSDA00.01
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人基本健康信息登记
... category 1..1CodeableConcept文档的分类：EMR|EHR|PHR
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/document-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: EHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 电子健康档案共享文档
... title 1..1string文档的标题
Required Pattern: 个人基本健康信息登记
.... section:LabResult 1..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 血型信息
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data
..... text 0..1Narrative记录患者的血型信息
..... entry 1..1Reference(血型结构定义)指向符合结构定义的血型资源
.... section:Payment 1..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 费用支付方式
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48768-6
....... display1..1stringRepresentation defined by the system
Fixed Value: Payment sources
..... text 0..1Narrative记录患者费用支付方式等相关的数据
..... entry 1..*Reference(费用支付方式结构定义)指向符合结构定义的费用支付方式资源
.... section:HoA S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 过敏史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10155-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of allergies
..... text 0..1Narrative记录和过敏相关的活动
..... entry 0..*Reference(过敏史结构定义)指向符合结构定义的过敏史资源
.... section:HoOE S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 职业暴露史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10161-8
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Occupational exposure
..... text 0..1Narrative记录患者是否存在职业暴露史
..... entry 0..*Reference(环境危险因素暴露类别结构定义)指向符合结构定义的环境危险因素暴露类别资源
.... section:HoPI S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 既往史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Past illness
..... text 0..1Narrative记录患者的病史记录，包括疾病史、手术史、外伤史和输血史
..... entry 1..*Reference(疾病史结构定义 | 手术史结构定义 | 外伤史结构定义 | 输血史结构定义)指向符合结构定义的既往病史资源，包括疾病史、手术史、外伤史和输血史。
.... section:HoFD S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 家族史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10157-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of family member diseases
..... text 0..1Narrative记录患者的家族史记录
..... entry 1..*Reference(家族史疾病结构定义)指向符合结构定义的家族史资源。
.... section:HoGD S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 遗传病史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 74042-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Genetic diseases history panel Family member
..... text 0..1Narrative以文本形式记录居民的遗传病史信息
.... section:HoFS S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 残疾史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10158-4
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Functional status
..... text 0..1Narrative记录患者的残疾史记录
..... entry 0..*Reference(残疾情况结构定义)指向符合结构定义的残疾情况资源
.... section:HoSF S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 生活环境
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11345-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Other social factors
..... text 0..1Narrative记录患者所处的生活环境等方面信息内容
..... entry 5..5Reference(家庭厕所类别结构定义 | 家庭厨房排风设施类别结构定义 | 家庭燃料类型类别结构定义 | 家庭饮水类别结构定义 | 家庭禽畜栏类别结构定义)指向符合结构定义的生活环境资源。包括家庭厨房排风设施类别、家庭燃料类型、家庭饮水类别、家庭厕所类别和家庭禽畜栏类别。

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*RealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... composition-clinicaldocument-versionNumber 0..*stringVersion-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
... ext-composition-dataEnterer 0..1Reference(Practitioner | PractitionerRole)文档的数据录入者
URL: http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/ext-composition-dataEnterer
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ1..1Identifier文档的业务标识符
... status ?!Σ1..1code文档的状态
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

... type Σ1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Binding: 健康档案共享文档类型代码表 (required)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ehr-document-type
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: HSDA00.01
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人基本健康信息登记
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... category Σ1..1CodeableConcept文档的分类：EMR|EHR|PHR
Binding: 共享文档类别代码表 (required)

Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/document-category
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: EHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 电子健康档案共享文档
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject Σ1..1Reference(患者信息结构定义)指向诊疗活动中的患者
... encounter Σ0..1Reference(Encounter)Context of the Composition
... date Σ1..1dateTime文档的生成时间
... author Σ1..1Reference(卫生服务人员信息结构定义)文档的作者
... title Σ1..1string文档的标题
Required Pattern: 个人基本健康信息登记
... confidentiality Σ1..1code文档的保密级别
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

... attester 0..*BackboneElement文档的责任人
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1codepersonal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

.... time 0..1dateTimeWhen the composition was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the composition
... custodian Σ1..1Reference(医疗机构结构定义)文档所属管理机构
... relatesTo 0..*BackboneElementRelationships to other compositions/documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target[x] 1..1Target of the relationship
..... targetIdentifierIdentifier
..... targetReferenceReference(Composition)
... event Σ0..*BackboneElement文档记录的事件列表
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodThe period covered by the documentation
.... detail Σ0..*Reference(Resource)The event(s) being documented
... section I2..*(Slice Definition)文档的具体章节
Slice: Unordered, Open by value:code
.... section:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative文本描述
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)章节所包含的条目，指向一个资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:LabResult I1..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 血型信息
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者的血型信息
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..1Reference(血型结构定义)指向符合结构定义的血型资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:Payment I1..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 费用支付方式
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48768-6
....... display1..1stringRepresentation defined by the system
Fixed Value: Payment sources
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者费用支付方式等相关的数据
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..*Reference(费用支付方式结构定义)指向符合结构定义的费用支付方式资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoA SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 过敏史
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10155-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of allergies
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录和过敏相关的活动
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(过敏史结构定义)指向符合结构定义的过敏史资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoOE SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 职业暴露史
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10161-8
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Occupational exposure
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者是否存在职业暴露史
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(环境危险因素暴露类别结构定义)指向符合结构定义的环境危险因素暴露类别资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoPI SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 既往史
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Past illness
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者的病史记录，包括疾病史、手术史、外伤史和输血史
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..*Reference(疾病史结构定义 | 手术史结构定义 | 外伤史结构定义 | 输血史结构定义)指向符合结构定义的既往病史资源，包括疾病史、手术史、外伤史和输血史。
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoFD SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 家族史
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10157-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of family member diseases
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者的家族史记录
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I1..*Reference(家族史疾病结构定义)指向符合结构定义的家族史资源。
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoGD SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 遗传病史
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 74042-3
....... display1..1stringRepresentation defined by the system
Fixed Value: Genetic diseases history panel Family member
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative以文本形式记录居民的遗传病史信息
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(Resource)章节所包含的条目，指向一个资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoFS SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 残疾史
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10158-4
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Functional status
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者的残疾史记录
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I0..*Reference(残疾情况结构定义)指向符合结构定义的残疾情况资源
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section
.... section:HoSF SI0..1BackboneElementComposition is broken into sections
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... title 1..1string章节标题
Required Pattern: 生活环境
..... code 1..1CodeableConcept章节的编码表示
Binding: 共享文档章节代码表 (required)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11345-6
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Other social factors
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... author 0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
..... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
..... text I0..1Narrative记录患者所处的生活环境等方面信息内容
..... mode 0..1codeworking | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

..... orderedBy 0..1CodeableConceptOrder of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

..... entry I5..5Reference(家庭厕所类别结构定义 | 家庭厨房排风设施类别结构定义 | 家庭燃料类型类别结构定义 | 家庭饮水类别结构定义 | 家庭禽畜栏类别结构定义)指向符合结构定义的生活环境资源。包括家庭厨房排风设施类别、家庭燃料类型、家庭饮水类别、家庭厕所类别和家庭禽畜栏类别。
..... emptyReason I0..1CodeableConceptWhy the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

..... section I0..*See section (Composition)Nested Section

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*RealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... section:HoA I0..1BackboneElementComposition is broken into sections
... section:HoOE I0..1BackboneElementComposition is broken into sections
... section:HoPI I0..1BackboneElementComposition is broken into sections
... section:HoGD I0..1BackboneElementComposition is broken into sections
... section:HoFS I0..1BackboneElementComposition is broken into sections
... section:HoSF I0..1BackboneElementComposition is broken into sections

doco Documentation for this format

差异视图

这种结构源自 RealmHeader

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..*RealmHeaderA set of resources composed into a single coherent clinical statement with clinical attestation
... type 1..1CodeableConcept文档类型，由具体的文档定义指定其类型
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/ehr-document-type
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: HSDA00.01
..... display1..1stringRepresentation defined by the system
Fixed Value: 个人基本健康信息登记
... category 1..1CodeableConcept文档的分类：EMR|EHR|PHR
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org.cn/fhir/sd/ehr/CodeSystem/document-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: EHR
..... display1..1stringRepresentation defined by the system
Fixed Value: 电子健康档案共享文档
... title 1..1string文档的标题
Required Pattern: 个人基本健康信息登记
.... section:LabResult 1..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 血型信息
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 30954-2
....... display1..1stringRepresentation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data
..... text 0..1Narrative记录患者的血型信息
..... entry 1..1Reference(血型结构定义)指向符合结构定义的血型资源
.... section:Payment 1..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 费用支付方式
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 48768-6
....... display1..1stringRepresentation defined by the system
Fixed Value: Payment sources
..... text 0..1Narrative记录患者费用支付方式等相关的数据
..... entry 1..*Reference(费用支付方式结构定义)指向符合结构定义的费用支付方式资源
.... section:HoA S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 过敏史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10155-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of allergies
..... text 0..1Narrative记录和过敏相关的活动
..... entry 0..*Reference(过敏史结构定义)指向符合结构定义的过敏史资源
.... section:HoOE S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 职业暴露史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 10161-8
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Occupational exposure
..... text 0..1Narrative记录患者是否存在职业暴露史
..... entry 0..*Reference(环境危险因素暴露类别结构定义)指向符合结构定义的环境危险因素暴露类别资源
.... section:HoPI S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 既往史
..... code 1..1CodeableConcept章节的编码表示
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 11348-0
....... display1..1stringRepresentation defined by the system
Fixed Value: History of Past illness
..... text 0..1Narrative记录患者的病史记录，包括疾病史、手术史、外伤史和输血史
..... entry 1..*Reference(疾病史结构定义 | 手术史结构定义 | 外伤史结构定义 | 输血史结构定义)指向符合结构定义的既往病史资源，包括疾病史、手术史、外伤史和输血史。
.... section:HoFD S0..1BackboneElementComposition is broken into sections
..... title 1..1string章节标题
Required Pattern: 家族史