臺灣牙醫實作指引 (Taiwan Dental Implementation Guide)
0.0.1 - ballot

臺灣牙醫實作指引 (Taiwan Dental Implementation Guide) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Binary: 牙醫－病歷紀錄表範例

This content is an example of the 牙醫－病歷紀錄表 (TW Dental Medical Record) 之邏輯模型 Logical Model and is not a FHIR Resource

    
{
  "resourceType": "http://dental-ig.fhir.tw/StructureDefinition/TWDentalMedicalRecord",
  "patientName": {
    "text": "王小明",
    "family": "王",
    "given": [
      "小明"
    ]
  },
  "medicalRecordNumber": {
    "system": "https://dental-ig.fhir.tw/identifier/medical-record",
    "value": "MR-001"
  },
  "recordDate": "2024-01-01T10:00:00+08:00",
  "nhisNumber": {
    "system": "https://www.nhi.gov.tw/identifier/card",
    "value": "NHIS123456"
  },
  "treatmentSite": [
    {
      "coding": [
        {
          "system": "https://dental-ig.fhir.tw/CodeSystem/tooth-number",
          "code": "26"
        }
      ],
      "text": "左上第一大臼齒"
    },
    {
      "coding": [
        {
          "system": "https://dental-ig.fhir.tw/CodeSystem/tooth-number",
          "code": "27"
        }
      ],
      "text": "左上第二大臼齒"
    }
  ],
  "treatment": [
    {
      "coding": [
        {
          "system": "https://dental-ig.fhir.tw/CodeSystem/dental-procedure",
          "code": "EXTRACTION"
        }
      ],
      "text": "拔牙"
    },
    {
      "coding": [
        {
          "system": "https://dental-ig.fhir.tw/CodeSystem/dental-procedure",
          "code": "CLEANING"
        }
      ],
      "text": "洗牙"
    }
  ],
  "medicalOrder": [
    {
      "coding": [
        {
          "system": "https://dental-ig.fhir.tw/CodeSystem/medical-order",
          "code": "ANTIBIOTIC"
        }
      ],
      "text": "抗生素處方"
    }
  ],
  "doctorSignature": {
    "type": [
      {
        "system": "urn:iso-astm:E1762-95:2013",
        "code": "1.2.840.10065.1.12.1.1",
        "display": "Author's Signature"
      }
    ],
    "who": {
      "reference": "Practitioner/Dental-practitioner-example"
    },
    "when": "2024-01-01T10:30:00+08:00"
  },
  "note": "患者配合度良好，術後需注意口腔清潔"
}