電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build
This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:Bundle ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "ImageBundle"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageBundle"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageBundle> ] ) ] ; # fhir:identifier [ fhir:system [ fhir:v "https://dep.mohw.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "202212231005" ] ] ; # fhir:type [ fhir:v "document"] ; # fhir:timestamp [ fhir:v "2022-12-24T14:30:00+01:00"^^xsd:dateTime] ; # fhir:entry ( [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Composition/ImageComposition"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Composition/ImageComposition> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Patient/TWCorePatient"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Patient/TWCorePatient> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Organization/TWCoreOrganization"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Organization/TWCoreOrganization> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Practitioner/TWCorePractitioner"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Practitioner/TWCorePractitioner> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Encounter/TWCoreEncounter"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Encounter/TWCoreEncounter> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Condition/TWCoreCondition"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Condition/TWCoreCondition> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/ImagingStudy/ImagingStudyBase"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/ImagingStudy/ImagingStudyBase> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/Observation/ObservationImagingResult"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/Observation/ObservationImagingResult> ) ] [ fhir:fullUrl [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/DiagnosticReport/ImageDiagnosticReport"^^xsd:anyURI ] ; ( fhir:resource <https://twcore.mohw.gov.tw/ig/emr/DiagnosticReport/ImageDiagnosticReport> ) ] ) . # <https://twcore.mohw.gov.tw/ig/emr/Composition/ImageComposition> a fhir:Composition ; fhir:id [ fhir:v "ImageComposition"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageComposition"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageComposition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_ImageComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition ImageComposition</b></p><a name=\"ImageComposition\"> </a><a name=\"hcImageComposition\"> </a><a name=\"ImageComposition-en-US\"> </a><p><b>identifier</b>: <code>https://dep.mohw.gov.tw/</code>/202212231005</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 18782-3}\">Radiology Study observation (narrative)</span></p><p><b>encounter</b>: <a href=\"Encounter-TWCoreEncounter.html\">Encounter: status = finished; class = pre-admission (ActCode#PRENC); period = 2022-08-01 17:00:14-0500 --> 2022-08-01 18:00:14-0500; reasonCode = Primary malignant neoplasm of lung (disorder)</a></p><p><b>date</b>: 2022-12-23 14:30:00+0800</p><p><b>author</b>: <a href=\"Organization-TWCoreOrganization.html\">Organization 台北榮民總醫院</a></p><p><b>title</b>: 醫療影像及報告</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Official</td><td><a href=\"Organization-TWCoreOrganization.html\">Organization 台北榮民總醫院</a></td></tr></table></div>" ] ; # fhir:identifier [ fhir:system [ fhir:v "https://dep.mohw.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "202212231005" ] ] ; # fhir:status [ fhir:v "final"] ; # fhir:type [ ( fhir:coding [ a loinc:18782-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "18782-3" ] ; fhir:display [ fhir:v "Radiology Study observation (narrative)" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/TWCoreEncounter" ] ] ; # fhir:date [ fhir:v "2022-12-23T14:30:00+08:00"^^xsd:dateTime] ; # fhir:author ( [ fhir:reference [ fhir:v "Organization/TWCoreOrganization" ] ] ) ; # fhir:title [ fhir:v "醫療影像及報告"] ; # fhir:attester ( [ fhir:mode [ fhir:v "official" ] ; fhir:party [ fhir:reference [ fhir:v "Organization/TWCoreOrganization" ] ] ] ) ; # fhir:section ( [ fhir:title [ fhir:v "Relevant diagnostic tests/laboratory data Narrative" ] ; fhir:code [ ( fhir:coding [ a loinc:30954-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "30954-2" ] ; fhir:display [ fhir:v "Relevant diagnostic tests/laboratory data Narrative" ] ] ) ] ; ( fhir:entry [ fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] [ fhir:reference [ fhir:v "Condition/TWCoreCondition" ] ] [ fhir:reference [ fhir:v "ImagingStudy/ImagingStudyBase" ] ] [ fhir:reference [ fhir:v "Observation/ObservationImagingResult" ] ] [ fhir:reference [ fhir:v "DiagnosticReport/ImageDiagnosticReport" ] ] ) ] ) . # <https://twcore.mohw.gov.tw/ig/emr/Patient/TWCorePatient> a fhir:Patient ; fhir:id [ fhir:v "TWCorePatient"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePatient"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePatient> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_TWCorePatient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient TWCorePatient</b></p><a name=\"TWCorePatient\"> </a><a name=\"hcTWCorePatient\"> </a><a name=\"TWCorePatient-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 0912345678</li><li>台北市北投區明德路365號(home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Emergency Contact\">Emergency Contact:</td><td colspan=\"3\"><ul><li>大吉 綠 (Official) (Male)</li><li>台北市北投區明德路365號(home)</li><li>ph: 0987654321</li></ul></td></tr></table></div>" ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "NNxxx" ] ] ) ] ; fhir:system [ fhir:v "http://www.moi.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "A123456789" ] ] ) ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "綠" ] ; ( fhir:given [ fhir:v "胖吉" ] ) ] ) ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "0912345678" ] ] ) ; # fhir:gender [ fhir:v "male"] ; # fhir:birthDate [ fhir:v "1987-01-01"^^xsd:date] ; # fhir:address ( [ fhir:use [ fhir:v "home" ] ; fhir:type [ fhir:v "postal" ] ; fhir:text [ fhir:v "台北市北投區明德路365號" ] ; ( fhir:line [ fhir:v "明德路365號" ] ) ; fhir:city [ fhir:v "台北市" ] ; fhir:postalCode [ fhir:v "11219" ] ; fhir:country [ fhir:v "Taiwan" ] ] ) ; # fhir:contact ( [ ( fhir:relationship [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0131"^^xsd:anyURI ] ; fhir:code [ fhir:v "C" ] ; fhir:display [ fhir:v "Emergency Contact" ] ] ) ] ) ; fhir:name [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "綠" ] ; ( fhir:given [ fhir:v "大吉" ] ) ] ; ( fhir:telecom [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "0987654321" ] ] ) ; fhir:address [ fhir:use [ fhir:v "home" ] ; fhir:type [ fhir:v "postal" ] ; fhir:text [ fhir:v "台北市北投區明德路365號" ] ; ( fhir:line [ fhir:v "明德路365號" ] ) ; fhir:city [ fhir:v "台北市" ] ; fhir:postalCode [ fhir:v "11219" ] ; fhir:country [ fhir:v "Taiwan" ] ] ; fhir:gender [ fhir:v "male" ] ] ) . # <https://twcore.mohw.gov.tw/ig/emr/Organization/TWCoreOrganization> a fhir:Organization ; fhir:id [ fhir:v "TWCoreOrganization"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreOrganization"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreOrganization> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_TWCoreOrganization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization TWCoreOrganization</b></p><a name=\"TWCoreOrganization\"> </a><a name=\"hcTWCoreOrganization\"> </a><a name=\"TWCoreOrganization-en-US\"> </a><p><b>identifier</b>: <code>https://www.nhi.gov.tw</code>/0601160016</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 台北榮民總醫院</p><p><b>telecom</b>: ph: 02-28712121</p><p><b>address</b>: 石牌路二段201號 台北市 11219 台灣 </p></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://www.nhi.gov.tw"^^xsd:anyURI ] ; fhir:value [ fhir:v "0601160016" ] ] ) ; # fhir:active [ fhir:v "true"^^xsd:boolean] ; # fhir:type ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ; fhir:code [ fhir:v "prov" ] ; fhir:display [ fhir:v "Healthcare Provider" ] ] ) ] ) ; # fhir:name [ fhir:v "台北榮民總醫院"] ; # fhir:telecom ( [ fhir:system [ fhir:v "phone" ] ; fhir:value [ fhir:v "02-28712121" ] ] ) ; # fhir:address ( [ ( fhir:line [ fhir:v "石牌路二段201號" ] ) ; fhir:city [ fhir:v "台北市" ] ; fhir:district [ fhir:v "北投區" ] ; fhir:postalCode [ fhir:v "11219" ] ; fhir:country [ fhir:v "台灣" ] ] ) . # <https://twcore.mohw.gov.tw/ig/emr/Practitioner/TWCorePractitioner> a fhir:Practitioner ; fhir:id [ fhir:v "TWCorePractitioner"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePractitioner"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePractitioner> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_TWCorePractitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner TWCorePractitioner</b></p><a name=\"TWCorePractitioner\"> </a><a name=\"hcTWCorePractitioner\"> </a><a name=\"TWCorePractitioner-en-US\"> </a><p><b>identifier</b>: Medical License number/tvgh001 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: 大吉 連 (Official)</p><p><b>gender</b>: Male</p></div>" ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ; fhir:code [ fhir:v "MD" ] ] ) ] ; fhir:system [ fhir:v "https://www.vghtpe.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "tvgh001" ] ] ) ; # fhir:active [ fhir:v "true"^^xsd:boolean] ; # fhir:name ( [ fhir:use [ fhir:v "official" ] ; fhir:family [ fhir:v "連" ] ; ( fhir:given [ fhir:v "大吉" ] ) ] ) ; # fhir:gender [ fhir:v "male"] . # <https://twcore.mohw.gov.tw/ig/emr/Encounter/TWCoreEncounter> a fhir:Encounter ; fhir:id [ fhir:v "TWCoreEncounter"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreEncounter"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreEncounter> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_TWCoreEncounter\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter TWCoreEncounter</b></p><a name=\"TWCoreEncounter\"> </a><a name=\"hcTWCoreEncounter\"> </a><a name=\"TWCoreEncounter-en-US\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-PRENC\">ActCode</a> PRENC: pre-admission</p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Period</b></td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType PPRF}\">primary performer</span></td><td>2022-08-01 17:00:14-0500 --> 2022-08-01 18:00:14-0500</td><td><a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></td></tr></table><p><b>period</b>: 2022-08-01 17:00:14-0500 --> 2022-08-01 18:00:14-0500</p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 93880001}\">Primary malignant neoplasm of lung (disorder)</span></p></div>" ] ; # fhir:status [ fhir:v "finished"] ; # fhir:class [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ; fhir:code [ fhir:v "PRENC" ] ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:participant ( [ ( fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ; fhir:code [ fhir:v "PPRF" ] ] ) ] ) ; fhir:period [ fhir:start [ fhir:v "2022-08-01T17:00:14-05:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2022-08-01T18:00:14-05:00"^^xsd:dateTime ] ] ; fhir:individual [ fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] ] ) ; # fhir:period [ fhir:start [ fhir:v "2022-08-01T17:00:14-05:00"^^xsd:dateTime ] ; fhir:end [ fhir:v "2022-08-01T18:00:14-05:00"^^xsd:dateTime ] ] ; # fhir:reasonCode ( [ ( fhir:coding [ a sct:93880001 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "93880001" ] ; fhir:display [ fhir:v "Primary malignant neoplasm of lung (disorder)" ] ] ) ] ) . # <https://twcore.mohw.gov.tw/ig/emr/Condition/TWCoreCondition> a fhir:Condition ; fhir:id [ fhir:v "TWCoreCondition"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreCondition"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreCondition> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_TWCoreCondition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition TWCoreCondition</b></p><a name=\"TWCoreCondition\"> </a><a name=\"hcTWCoreCondition\"> </a><a name=\"TWCoreCondition-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw A15.0}\">肺結核</span></p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>asserter</b>: <a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></p></div>" ] ; # fhir:clinicalStatus [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ; fhir:code [ fhir:v "active" ] ; fhir:display [ fhir:v "Active" ] ] ) ] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "encounter-diagnosis" ] ; fhir:display [ fhir:v "Encounter Diagnosis" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw"^^xsd:anyURI ] ; fhir:code [ fhir:v "A15.0" ] ; fhir:display [ fhir:v "肺結核" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:asserter [ fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] . # <https://twcore.mohw.gov.tw/ig/emr/ImagingStudy/ImagingStudyBase> a fhir:ImagingStudy ; fhir:id [ fhir:v "ImagingStudyBase"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImagingStudyBase"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImagingStudyBase> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ImagingStudy_ImagingStudyBase\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy ImagingStudyBase</b></p><a name=\"ImagingStudyBase\"> </a><a name=\"hcImagingStudyBase\"> </a><a name=\"ImagingStudyBase-en-US\"> </a><p><b>identifier</b>: Study instancce UID/urn:oid:2.25.284733062255854756631429402605810248731 (use: official, ), Accession ID/2ffe0c20-50d8-49df-85f6-6452d1d201b9 (use: official, )</p><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>started</b>: 2024-01-01 11:01:20+0300</p><p><b>endpoint</b>: <a href=\"Endpoint-MitwEndpoint.html\">Endpoint: status = active; connectionType = DICOM WADO-RS (Endpoint Connection Type#dicom-wado-rs); payloadType = ; payloadMimeType = application/dicom; address = http://localhost:8081/dicom-web</a></p><p><b>numberOfSeries</b>: 1</p><p><b>numberOfInstances</b>: 1</p><p><b>procedureReference</b>: <a href=\"Procedure-TWCoreProcedure.html\">Procedure 胸部及腹部電腦斷層掃描</a></p><p><b>procedureCode</b>: <span title=\"Codes:{https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode BW24ZZZ}\">Computerized Tomography (CT Scan) of Chest and Abdomen</span></p><blockquote><p><b>series</b></p><p><b>uid</b>: 2.25.88017001449189502323411118737039844242</p><p><b>modality</b>: <a href=\"CodeSystem-AcquisitionModality.html#AcquisitionModality-CT\">Acquisition Modality</a> CT: Computed Tomography</p><p><b>numberOfInstances</b>: 1</p><p><b>bodySite</b>: <a href=\"http://snomed.info/id/251007\">SNOMED CT (all versions)</a> 251007: Pectoral region</p><h3>Instances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Uid</b></td><td><b>SopClass</b></td></tr><tr><td style=\"display: none\">*</td><td>2.25.284548087604447302186649612333159050027</td><td><a href=\"CodeSystem-DicomsopClass.html#DicomsopClass-urn.58oid.581.462.46840.4610008.465.461.464.461.461.461\">DICOM sopClass</a> urn:oid:1.2.840.10008.5.1.4.1.1.1: Computed Radiography Image Storage</td></tr></table></blockquote></div>" ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ImageIdentifierType"^^xsd:anyURI ] ; fhir:code [ fhir:v "SIUID" ] ; fhir:display [ fhir:v "Study instancce UID" ] ] ) ] ; fhir:system [ fhir:v "urn:dicom:uid"^^xsd:anyURI ] ; fhir:value [ fhir:v "urn:oid:2.25.284733062255854756631429402605810248731" ] ] [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ImageIdentifierType"^^xsd:anyURI ] ; fhir:code [ fhir:v "ACSN" ] ; fhir:display [ fhir:v "Accession ID" ] ] ) ] ; fhir:system [ fhir:v "http://www.moi.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "2ffe0c20-50d8-49df-85f6-6452d1d201b9" ] ] ) ; # fhir:status [ fhir:v "available"] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:started [ fhir:v "2024-01-01T11:01:20+03:00"^^xsd:dateTime] ; # fhir:endpoint ( [ fhir:reference [ fhir:v "Endpoint/MitwEndpoint" ] ] ) ; # fhir:numberOfSeries [ fhir:v "1"^^xsd:nonNegativeInteger] ; # fhir:numberOfInstances [ fhir:v "1"^^xsd:nonNegativeInteger] ; # fhir:procedureReference [ fhir:reference [ fhir:v "Procedure/TWCoreProcedure" ] ] ; # fhir:procedureCode ( [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"^^xsd:anyURI ] ; fhir:code [ fhir:v "BW24ZZZ" ] ; fhir:display [ fhir:v "Computerized Tomography (CT Scan) of Chest and Abdomen" ] ] ) ] ) ; # fhir:series ( [ fhir:uid [ fhir:v "2.25.88017001449189502323411118737039844242" ] ; fhir:modality [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/AcquisitionModality"^^xsd:anyURI ] ; fhir:code [ fhir:v "CT" ] ] ; fhir:numberOfInstances [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:bodySite [ a sct:251007 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "251007" ] ; fhir:display [ fhir:v "Pectoral region" ] ] ; ( fhir:instance [ fhir:uid [ fhir:v "2.25.284548087604447302186649612333159050027" ] ; fhir:sopClass [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/DicomsopClass"^^xsd:anyURI ] ; fhir:code [ fhir:v "urn:oid:1.2.840.10008.5.1.4.1.1.1" ] ] ] ) ] ) . # <https://twcore.mohw.gov.tw/ig/emr/Observation/ObservationImagingResult> a fhir:Observation ; fhir:id [ fhir:v "ObservationImagingResult"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-Imaging-Result"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-Imaging-Result> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ObservationImagingResult\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ObservationImagingResult</b></p><a name=\"ObservationImagingResult\"> </a><a name=\"hcObservationImagingResult\"> </a><a name=\"ObservationImagingResult-en-US\"> </a><p><b>identifier</b>: Accession ID/2ffe0c20-50d8-49df-85f6-6452d1d201b9 (use: official, )</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode BW24ZZZ}\">Computerized Tomography (CT Scan) of Chest and Abdomen</span></p><p><b>subject</b>: <a href=\"Patient-TWCorePatient.html\">胖吉 綠 (official) Male, DoB: 1987-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-08-01 17:00:14-0500</p><p><b>performer</b>: <a href=\"Practitioner-TWCorePractitioner.html\">Practitioner 大吉 連 (official)</a></p><p><b>value</b>: LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax.</p></div>" ] ; # fhir:identifier ( [ fhir:use [ fhir:v "official" ] ; fhir:type [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ImageIdentifierType"^^xsd:anyURI ] ; fhir:code [ fhir:v "ACSN" ] ; fhir:display [ fhir:v "Accession ID" ] ] ) ] ; fhir:system [ fhir:v "http://www.moi.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "2ffe0c20-50d8-49df-85f6-6452d1d201b9" ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ; fhir:code [ fhir:v "imaging" ] ; fhir:display [ fhir:v "Imaging" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"^^xsd:anyURI ] ; fhir:code [ fhir:v "BW24ZZZ" ] ; fhir:display [ fhir:v "Computerized Tomography (CT Scan) of Chest and Abdomen" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:effective [ fhir:v "2023-08-01T17:00:14-05:00"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] ) ; # fhir:value [ fhir:v "LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax."] . # <https://twcore.mohw.gov.tw/ig/emr/DiagnosticReport/ImageDiagnosticReport> a fhir:DiagnosticReport ; fhir:id [ fhir:v "ImageDiagnosticReport"] ; # fhir:meta [ ( fhir:profile [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/DiagnosticReport-Image"^^xsd:anyURI ; fhir:link <https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/DiagnosticReport-Image> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {https://fhir.tw/fhir/ig/lungcancer/CodeSystem/ICD-10-procedurecode BW24ZZZ}\">Computerized Tomography (CT Scan) of Chest and Abdomen</span> (<span title=\"Codes: {http://loinc.org LP29684-5}\">Radiology</span>)</h2><table class=\"grid\"><tr><td>Subject</td><td><b>胖吉 綠 (OFFICIAL)</b> male, DoB: 1987-01-01 ( Social Beneficiary Identifier: A123456789)</td></tr><tr><td>Reported</td><td>2022-08-30 10:35:32+0800</td></tr><tr><td>Identifier:</td><td>Medical record number: 01260526</td></tr></table><p><b>ImagingStudy Finding :</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>When For</b></td></tr><tr><td><a href=\"Observation-ObservationImagingResult.html\"><span title=\"Codes: {https://fhir.tw/fhir/ig/lungcancer/CodeSystem/ICD-10-procedurecode BW24ZZZ}\">Computerized Tomography (CT Scan) of Chest and Abdomen</span></a></td><td>LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax.</td><td>2022-08-30</td></tr></table><p><b>ImagingStudy Impression :</b></p><p>No acute abnormality</p><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 3368006}\">Dull chest pain</span></li></ul></div>" ] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://www.vghtpe.gov.tw/"^^xsd:anyURI ] ; fhir:value [ fhir:v "123456" ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ ( fhir:coding [ a loinc:LP29684-5 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "LP29684-5" ] ; fhir:display [ fhir:v "Radiology" ] ] ) ] ) ; # fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"^^xsd:anyURI ] ; fhir:code [ fhir:v "BW24ZZZ" ] ; fhir:display [ fhir:v "Computerized Tomography (CT Scan) of Chest and Abdomen" ] ] ) ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/TWCorePatient" ] ] ; # fhir:encounter [ fhir:reference [ fhir:v "Encounter/TWCoreEncounter" ] ] ; # fhir:effective [ fhir:v "2023-08-01T17:00:14-05:00"^^xsd:dateTime] ; # fhir:issued [ fhir:v "2022-08-30T14:35:32.631Z"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] ) ; # fhir:resultsInterpreter ( [ fhir:reference [ fhir:v "Practitioner/TWCorePractitioner" ] ] ) ; # fhir:result ( [ fhir:reference [ fhir:v "Observation/ObservationImagingResult" ] ] ) ; # fhir:imagingStudy ( [ fhir:reference [ fhir:v "ImagingStudy/ImagingStudyBase" ] ] ) ; # fhir:conclusion [ fhir:v "No acute abnormality"] ; # fhir:conclusionCode ( [ ( fhir:coding [ a sct:3368006 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "3368006" ] ; fhir:display [ fhir:v "Dull chest pain" ] ] ) ] ) . #
IG © 2023+ 衛生福利部. Package tw.gov.mohw.emr#0.1.0 based on FHIR 4.0.1. Generated 2024-08-23
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