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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ImageBundle"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageBundle"/>
</meta>
<identifier>
<system value="https://dep.mohw.gov.tw/"/>
<value value="202212231005"/>
</identifier>
<type value="document"/>
<timestamp value="2022-12-24T14:30:00+01:00"/>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/Composition/ImageComposition"/>
<resource>
<Composition>
<id value="ImageComposition"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImageComposition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://dep.mohw.gov.tw/"/>
<value value="202212231005"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="18782-3"/>
<display value="Radiology Study observation (narrative)"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/TWCorePatient"/>
</subject>
<encounter>🔗
<reference value="Encounter/TWCoreEncounter"/>
</encounter>
<date value="2022-12-23T14:30:00+08:00"/>
<author>🔗
<reference value="Organization/TWCoreOrganization"/>
</author>
<title value="醫療影像及報告"/>
<attester>
<mode value="official"/>
<party>🔗
<reference value="Organization/TWCoreOrganization"/>
</party>
</attester>
<section>
<title value="Relevant diagnostic tests/laboratory data Narrative"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display
value="Relevant diagnostic tests/laboratory data Narrative"/>
</coding>
</code>
<entry>🔗
<reference value="Practitioner/TWCorePractitioner"/>
</entry>
<entry>🔗
<reference value="Condition/TWCoreCondition"/>
</entry>
<entry>🔗
<reference value="ImagingStudy/ImagingStudyBase"/>
</entry>
<entry>🔗
<reference value="Observation/ObservationImagingResult"/>
</entry>
<entry>🔗
<reference value="DiagnosticReport/ImageDiagnosticReport"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Patient/TWCorePatient"/>
<resource>
<Patient>
<id value="TWCorePatient"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePatient"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NNxxx"/>
</coding>
</type>
<system value="http://www.moi.gov.tw/"/>
<value value="A123456789"/>
</identifier>
<name>
<use value="official"/>
<family value="綠"/>
<given value="胖吉"/>
</name>
<telecom>
<system value="phone"/>
<value value="0912345678"/>
</telecom>
<gender value="male"/>
<birthDate value="1987-01-01"/>
<address>
<use value="home"/>
<type value="postal"/>
<text value="台北市北投區明德路365號"/>
<line value="明德路365號"/>
<city value="台北市"/>
<postalCode value="11219"/>
<country value="Taiwan"/>
</address>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="C"/>
<display value="Emergency Contact"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="綠"/>
<given value="大吉"/>
</name>
<telecom>
<system value="phone"/>
<value value="0987654321"/>
</telecom>
<address>
<use value="home"/>
<type value="postal"/>
<text value="台北市北投區明德路365號"/>
<line value="明德路365號"/>
<city value="台北市"/>
<postalCode value="11219"/>
<country value="Taiwan"/>
</address>
<gender value="male"/>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/Organization/TWCoreOrganization"/>
<resource>
<Organization>
<id value="TWCoreOrganization"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreOrganization"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://www.nhi.gov.tw"/>
<value value="0601160016"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="台北榮民總醫院"/>
<telecom>
<system value="phone"/>
<value value="02-28712121"/>
</telecom>
<address>
<line value="石牌路二段201號"/>
<city value="台北市"/>
<district value="北投區"/>
<postalCode value="11219"/>
<country value="台灣"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/TWCorePractitioner"/>
<resource>
<Practitioner>
<id value="TWCorePractitioner"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCorePractitioner"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MD"/>
</coding>
</type>
<system value="https://www.vghtpe.gov.tw/"/>
<value value="tvgh001"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="連"/>
<given value="大吉"/>
</name>
<gender value="male"/>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/Encounter/TWCoreEncounter"/>
<resource>
<Encounter>
<id value="TWCoreEncounter"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreEncounter"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="PRENC"/>
</class>
<subject>🔗
<reference value="Patient/TWCorePatient"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="PPRF"/>
</coding>
</type>
<period>
<start value="2022-08-01T17:00:14-05:00"/>
<end value="2022-08-01T18:00:14-05:00"/>
</period>
<individual>🔗
<reference value="Practitioner/TWCorePractitioner"/>
</individual>
</participant>
<period>
<start value="2022-08-01T17:00:14-05:00"/>
<end value="2022-08-01T18:00:14-05:00"/>
</period>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="93880001"/>
<display value="Primary malignant neoplasm of lung (disorder)"/>
</coding>
</reasonCode>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/Condition/TWCoreCondition"/>
<resource>
<Condition>
<id value="TWCoreCondition"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/TWCoreCondition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw"/>
<code value="A15.0"/>
<display value="肺結核"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/TWCorePatient"/>
</subject>
<asserter>🔗
<reference value="Practitioner/TWCorePractitioner"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/ImagingStudy/ImagingStudyBase"/>
<resource>
<ImagingStudy>
<id value="ImagingStudyBase"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ImagingStudyBase"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ImageIdentifierType"/>
<code value="SIUID"/>
<display value="Study instancce UID"/>
</coding>
</type>
<system value="urn:dicom:uid"/>
<value
value="urn:oid:2.25.284733062255854756631429402605810248731"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ImageIdentifierType"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
</type>
<system value="http://www.moi.gov.tw/"/>
<value value="2ffe0c20-50d8-49df-85f6-6452d1d201b9"/>
</identifier>
<status value="available"/>
<subject>🔗
<reference value="Patient/TWCorePatient"/>
</subject>
<started value="2024-01-01T11:01:20+03:00"/>
<endpoint>🔗
<reference value="Endpoint/MitwEndpoint"/>
</endpoint>
<numberOfSeries value="1"/>
<numberOfInstances value="1"/>
<procedureReference>🔗
<reference value="Procedure/TWCoreProcedure"/>
</procedureReference>
<procedureCode>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"/>
<code value="BW24ZZZ"/>
<display
value="Computerized Tomography (CT Scan) of Chest and Abdomen"/>
</coding>
</procedureCode>
<series>
<uid value="2.25.88017001449189502323411118737039844242"/>
<modality>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/AcquisitionModality"/>
<code value="CT"/>
</modality>
<numberOfInstances value="1"/>
<bodySite>
<system value="http://snomed.info/sct"/>
<code value="251007"/>
<display value="Pectoral region"/>
</bodySite>
<instance>
<uid value="2.25.284548087604447302186649612333159050027"/>
<sopClass>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/DicomsopClass"/>
<code value="urn:oid:1.2.840.10008.5.1.4.1.1.1"/>
</sopClass>
</instance>
</series>
</ImagingStudy>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/Observation/ObservationImagingResult"/>
<resource>
<Observation>
<id value="ObservationImagingResult"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Observation-Imaging-Result"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ImageIdentifierType"/>
<code value="ACSN"/>
<display value="Accession ID"/>
</coding>
</type>
<system value="http://www.moi.gov.tw/"/>
<value value="2ffe0c20-50d8-49df-85f6-6452d1d201b9"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"/>
<code value="BW24ZZZ"/>
<display
value="Computerized Tomography (CT Scan) of Chest and Abdomen"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/TWCorePatient"/>
</subject>
<effectiveDateTime value="2023-08-01T17:00:14-05:00"/>
<performer>🔗
<reference value="Practitioner/TWCorePractitioner"/>
</performer>
<valueString
value="LUNGS AND PLEURA: Clear lungs. Normal pulmonary vascularity. No pleural effusion. No pneumothorax."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/DiagnosticReport/ImageDiagnosticReport"/>
<resource>
<DiagnosticReport>
<id value="ImageDiagnosticReport"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/DiagnosticReport-Image"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://www.vghtpe.gov.tw/"/>
<value value="123456"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="LP29684-5"/>
<display value="Radiology"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/ICD-10-procedurecode"/>
<code value="BW24ZZZ"/>
<display
value="Computerized Tomography (CT Scan) of Chest and Abdomen"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/TWCorePatient"/>
</subject>
<encounter>🔗
<reference value="Encounter/TWCoreEncounter"/>
</encounter>
<effectiveDateTime value="2023-08-01T17:00:14-05:00"/>
<issued value="2022-08-30T14:35:32.631Z"/>
<performer>🔗
<reference value="Practitioner/TWCorePractitioner"/>
</performer>
<resultsInterpreter>🔗
<reference value="Practitioner/TWCorePractitioner"/>
</resultsInterpreter>
<result>🔗
<reference value="Observation/ObservationImagingResult"/>
</result>
<imagingStudy>🔗
<reference value="ImagingStudy/ImagingStudyBase"/>
</imagingStudy>
<conclusion value="No acute abnormality"/>
<conclusionCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3368006"/>
<display value="Dull chest pain"/>
</coding>
</conclusionCode>
</DiagnosticReport>
</resource>
</entry>
</Bundle>