# DocType 規格

## OP主要功能

* DocType 為結構化2.0 [StrucForm 控件](https://cgmh-kj.gitbook.io/strucmed/his-jiao-huan-zheng-he-gui-ge/strucform-kong-jian-shuo-ming-wen-jian) 入口 [參數](https://cgmh-kj.gitbook.io/strucmed/his-jiao-huan-zheng-he-gui-ge/strucform-kong-jian-shuo-ming-wen-jian/qi-shi-fang-fa)，提供連結 HIS 欄位設定使用。
* 提供 [結構化病歷統計 API](https://cgmh-kj.gitbook.io/strucmed/his-jiao-huan-zheng-he-gui-ge/jie-gou-hua-bing-li-tong-ji-api) 使用紀錄，支援選填 [記錄編號](https://cgmh-kj.gitbook.io/strucmed/jie-gou-hua-bing-li-tong-ji-api#qing-qiu-can-shu) 過濾條件。

## DocTypeID 設定方式

結構化控制項綁定的文件種類ID ，例如門診 SOAP...ID的設定以及取得利用結構化編輯器中的字典工具

* 登入系統時將部門代號設為SYSTEM，以取用系統字典

<figure><img src="https://1792893123-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FdwFoogk3W80yJlNR060h%2Fuploads%2FExaxgaRGjZPp0U67lbEe%2F2024-01-31_18-11-52.jpg?alt=media&#x26;token=5bf5e6c0-e554-4b7e-8c81-7b3bacedcc7e" alt=""><figcaption><p>設定部門代號為 system</p></figcaption></figure>

* 進入 system 系統字典清單新增或是編輯欲綁定 HIS 欄位名稱的字典
* 編輯字典如下圖例如: opd.objective，並取得該欄位ID bfbb2ada-e973-4d5b-9efe-4af47d46eff5 可用於 configuration 的 DocTypeID 設定。

<figure><img src="https://1792893123-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FdwFoogk3W80yJlNR060h%2Fuploads%2FtkMhfFmlV1WhNHhkaAPt%2F2024-01-31_18-12-25.jpg?alt=media&#x26;token=b2bc11bb-f5f9-47fd-87e4-0c49c2b5faea" alt=""><figcaption><p>取得 ID</p></figcaption></figure>

## DocType 規格

### 門診醫囑

<table data-full-width="true"><thead><tr><th width="186">名稱</th><th width="227">DocTypeName</th><th>ID (DocTypeID)</th></tr></thead><tbody><tr><td>Subjective</td><td>opd.subjective</td><td>ad831d92-ef2e-4241-bff2-7fb6ac9ba952</td></tr><tr><td>Objective</td><td>opd.objective</td><td>bfbb2ada-e973-4d5b-9efe-4af47d46eff5</td></tr><tr><td>Plan</td><td>opd.plan</td><td>940499cb-d03a-4c82-b023-8c1be6c6941e</td></tr></tbody></table>

### 檢查報告

<table data-full-width="true"><thead><tr><th width="184">名稱</th><th width="228">DocTypeName</th><th>ID (DocTypeID)</th></tr></thead><tbody><tr><td>Report</td><td>exam.report</td><td>65fff9a8-da57-4e97-bed6-1a234667e8ef</td></tr></tbody></table>

### 手術紀錄

<table data-full-width="true"><thead><tr><th width="184">名稱</th><th width="228">DocTypeName</th><th>ID (DocTypeID)</th></tr></thead><tbody><tr><td>手術紀錄</td><td>opnote</td><td>a7d4a65c-75d8-4676-875d-5760b0352f08</td></tr></tbody></table>

### 營養評估紀錄

<table data-full-width="true"><thead><tr><th width="184">名稱</th><th width="228">DocTypeName</th><th>ID (DocTypeID)</th></tr></thead><tbody><tr><td>營養評估</td><td>NutritionAssess</td><td>b04d996a-baba-460f-9409-d8ceb4de71d6</td></tr></tbody></table>

<table data-full-width="true"><thead><tr><th width="184">名稱</th><th width="228">DocTypeName</th><th>ID (DocTypeID)</th></tr></thead><tbody><tr><td>Admission Note</td><td>ipd.admission_note</td><td>edfbba0c-8eae-4b03-86b1-c15fc8eda697</td></tr><tr><td>Progress Note</td><td>ipd.progress_note</td><td>888f6ca7-d5ea-49c9-aefd-ed5a48537d76</td></tr><tr><td>Weekly Summary</td><td>ipd.weekly_note</td><td>7ad31b61-8c04-42a3-adae-716064481320</td></tr><tr><td>ON-Duty Note</td><td>ipd.onduty_note</td><td>e0d31a8d-e51b-417c-8c7b-313a5458fd20</td></tr><tr><td>ICU-Duty Note</td><td>ipd.icuduty_note</td><td>5f446904-29bc-4b97-9bc5-6285ceeb6939</td></tr><tr><td>Pre(post) OP Note</td><td>ipd.preop_note</td><td>3f3e4472-0ae8-4cd9-bf9f-b61f9c5ed610</td></tr><tr><td>OFF Service Note</td><td>ipd.offservice_note</td><td>8ce6b96a-813f-405f-9538-2780b7a8edd1</td></tr><tr><td>Transfer Note</td><td>ipd.transfer_note</td><td>fd696dff-a0c2-41d0-99c2-081b6356f6ca</td></tr><tr><td>On Service Note</td><td>ipd.onservice_note</td><td>f19dec97-ba59-4318-bfe1-a552833097a9</td></tr><tr><td>Special procedure</td><td>ipd.specialproc_note</td><td>4cfc8af9-3c56-45c1-bc2c-fdaf146b55c3</td></tr><tr><td>急救記錄</td><td>ipd.emergency_note</td><td>61c84a42-1ede-472b-912d-d172ff3451a5</td></tr><tr><td>會診暨醫療討論記錄</td><td>ipd.consultation_note</td><td>30179f47-c832-43cb-b381-fbe0e98086d6</td></tr><tr><td>查房簡要紀錄(Holiday Note)</td><td>ipd.holiday_round_note</td><td>773a95d7-6b1e-46bf-b807-0fdf28ee74be</td></tr><tr><td>專科醫師(Special Comment)</td><td>ipd.specialist_note</td><td>4ca22b3e-174a-43ff-ab8e-816f7548d7a9</td></tr><tr><td>兒科生產處置記錄</td><td>ipd.pediatric_delivery_note</td><td>dee4897b-db13-4874-812f-d8b465a370ff</td></tr><tr><td>Acceptance Note</td><td>ipd.acceptance_note</td><td>3418b722-819a-46b2-bd3b-b781fde1ab62</td></tr><tr><td>婦產科接生記錄</td><td>ipd.obstetric_delivery_note</td><td>4a95aec4-daa3-4760-b001-dbd0a1ce4e79</td></tr><tr><td>主治醫師記錄</td><td>ipd.attending_note</td><td>930ce2a8-6b73-413b-9648-1d5ae08ffdfe</td></tr><tr><td>出院摘要</td><td>ipd.discharge_note</td><td>5a598fe2-c53f-4606-8e5e-4d0b9a91c585</td></tr></tbody></table>

### 急診醫囑

<table data-full-width="true"><thead><tr><th width="184">名稱</th><th width="228">DocTypeName</th><th>ID (DocTypeID)</th></tr></thead><tbody><tr><td>急診2.0入口文件</td><td>EMR.doc</td><td>588a2989-ad2e-448a-9971-7ead030e1bbd</td></tr></tbody></table>