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－牙周病統合治療確認書範例

This content is an example of the 病人基本資料暨接受牙周病統合治療確認書 (TW Periodontal Consent) 之邏輯模型 Logical Model and is not a FHIR Resource

    {
      "resourceType": "http://dental-ig.fhir.tw/StructureDefinition/TWDentalPeriodontalConsent",
      "patientName": {
        "text": "王小明",
        "family": "王",
        "given": [
          "小明"
        ]
      },
      "medicalRecordNumber": {
        "system": "https://dental-ig.fhir.tw/identifier/medical-record",
        "value": "MR-001"
      },
      "medicalHistory": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "38341003"
            }
          ],
          "text": "高血壓"
        },
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "73211009"
            }
          ],
          "text": "糖尿病"
        }
      ],
      "medicalHistoryOther": "輕微心律不整",
      "smoking": {
        "present": true,
        "packPerDay": 1,
        "years": 10
      },
      "alcohol": true,
      "betelNut": {
        "present": false,
        "countPerDay": 0,
        "years": 0
      },
      "allergy": {
        "none": false,
        "drug": "青黴素過敏",
        "food": "海鮮過敏",
        "other": "花粉過敏"
      },
      "familyHistory": [
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "363346000"
            }
          ],
          "text": "家族心臟病史"
        },
        {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "372087000"
            }
          ],
          "text": "家族癌症病史"
        }
      ],
      "familyHistoryCancerType": "肺癌",
      "familyHistoryOther": "家族高血壓史",
      "doctorStatements": [
        "1. 醫師已詳細說明牙周病治療的目的、方法、風險及可能併發症",
        "2. 醫師已告知治療過程中可能出現疼痛、腫脹等不適症狀",
        "3. 醫師已說明治療後的注意事項及維護方法"
      ],
      "patientStatements": [
        "1. 本人已充分了解牙周病治療的相關資訊",
        "2. 本人同意接受所建議的牙周病統合治療",
        "3. 本人了解治療過程中應配合醫師指示"
      ],
      "dentistSignature": {
        "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": "2024-01-01T10:00:00+08:00"
      },
      "consentSignature": {
        "type": [
          {
            "system": "urn:iso-astm:E1762-95:2013",
            "code": "1.2.840.10065.1.12.1.1",
            "display": "Author's Signature"
          }
        ],
        "who": {
          "reference": "Patient/Dental-patient-example"
        },
        "when": "2024-01-01T10:05:00+08:00"
      },
      "consentRelation": "本人",
      "consentDate": "2024-01-01"
    }