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

Example Bundle: 電子處方箋 Bundle example

Document Details

Generated Narrative: Bundle 電子處方箋

Document Subject

Unable to resolve subject '->甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))'


Document Content

Social history Narrative

Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Diagnosis Narrative

Medication prescribed Narrative


Additional Resources Included in Document


Entry 1 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Composition/com

Resource Composition:

Generated Narrative: Composition com

status: Final

type: Prescription for medication

encounter: Encounter: status = finished; class = 西醫一般案件 (casetype#01); serviceType = General surgery (qualifier value); period = 2023-02-23 --> (ongoing)

date: 2024-02-19 14:30:00+0100

author:

title: 電子處方箋

custodian: Organization 洪文武診所


Entry 2 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Patient/pat

Resource Patient:

Generated Narrative: Patient pat

甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))


Person Age39 a (Details: UCUM codea = 'a')

Entry 3 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Organization/org

Resource Organization:

Generated Narrative: Organization org

identifier: Provider number/3531020884

name: 洪文武診所

Contacts

-TelecomAddress
*ph: 02-29765731(Work)新北市三重區集美街162號1樓(work)

Entry 4 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Practitioner/pra

Resource Practitioner:

Generated Narrative: Practitioner pra

name: 洪文武(Official)

telecom: ph: 02-29765731(Work)

Qualifications

-IdentifierCode
*https://www.mohw.gov.tw//A1*****8028 (use: official, )Healthcare professional

Entry 5 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Encounter/enc

Resource Encounter:

Generated Narrative: Encounter enc

Not done yet

Entry 6 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Observation/obs

Resource Observation:

Generated Narrative: Observation obs

status: Final

category: Vital Signs

code: Body weight

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

effective: 2023-12-21

performer: Practitioner 洪文武(official)

value: 50 kg (Details: UCUM codekg = 'kg')


Entry 7 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Condition/con

Resource Condition:

Generated Narrative: Condition con

clinicalStatus: Active

category: Problem List Item

code: 霍亂

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

note: 001


Entry 8 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Coverage/cov

Resource Coverage:

Generated Narrative: Coverage cov

status: Active

type: 職業傷害

beneficiary: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))


Entry 9 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Medication/med-01

Resource Medication:

Generated Narrative: Medication med-01

code: YEN KUANG EYE DROPS

ingredient


Entry 10 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/MedicationRequest/med-req-01

Resource MedicationRequest:

Generated Narrative: MedicationRequest med-req-01

identifier: http://www.moi.gov.tw//Med000001, 7

status: Active

intent: Order

category: 一般處方箋:處方用藥,一次給予7日(含)以下之用藥量

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

insurance: Coverage: status = active; type = 職業傷害

note: A, 否

dosageInstruction

dispenseRequest

validityPeriod: 2024-01-12 00:00:00+0800 --> 2024-01-19 00:00:00+0800

numberOfRepeatsAllowed: 1

quantity: 12 顆

ExpectedSupplyDurations

-Value
*3

Substitutions

-Allowed[x]Reason
*true不可替代時始需註明