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
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<type value="document"/>
<timestamp value="2024-02-19T14:30:00+01:00"/>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Composition/com"/>
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<Composition>
<id value="com"/>
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<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_com"> </a><p class="res-header-id"><b>Generated Narrative: Composition com</b></p><a name="com"> </a><a name="hccom"> </a><a name="com-en-US"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 57833-6}">Prescription for medication</span></p><p><b>encounter</b>: <a href="Encounter-enc.html">Encounter: status = finished; class = 西醫一般案件 (casetype#01); serviceType = General surgery (qualifier value); period = 2023-02-23 --> (ongoing)</a></p><p><b>date</b>: 2024-02-19 14:30:00+0100</p><p><b>author</b>: </p><ul><li><a href="Organization-org.html">Organization 洪文武診所</a></li><li><a href="Practitioner-pra.html">Practitioner 洪文武(official)</a></li></ul><p><b>title</b>: 電子處方箋</p><p><b>custodian</b>: <a href="Organization-org.html">Organization 洪文武診所</a></p></div>
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<status value="final"/>
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<system value="http://loinc.org"/>
<code value="57833-6"/>
<display value="Prescription for medication"/>
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<subject>🔗
<reference value="Patient/pat"/>
</subject>
<encounter>🔗
<reference value="Encounter/enc"/>
</encounter>
<date value="2024-02-19T14:30:00+01:00"/>
<author>🔗
<reference value="Organization/org"/>
</author>
<author>🔗
<reference value="Practitioner/pra"/>
</author>
<title value="電子處方箋"/>
<custodian>🔗
<reference value="Organization/org"/>
</custodian>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29762-2"/>
</coding>
<text value="Social history Narrative"/>
</code>
<entry>🔗
<reference value="Coverage/cov"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85353-1"/>
</coding>
<text
value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"/>
</code>
<entry>🔗
<reference value="Observation/obs"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29548-5"/>
</coding>
<text value="Diagnosis Narrative"/>
</code>
<entry>🔗
<reference value="Condition/con"/>
</entry>
</section>
<section>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29551-9"/>
</coding>
<text value="Medication prescribed Narrative"/>
</code>
<entry>🔗
<reference value="Medication/med-01"/>
</entry>
<entry>🔗
<reference value="MedicationRequest/med-req-01"/>
</entry>
</section>
</Composition>
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</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Patient/pat"/>
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<Patient>
<id value="pat"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_pat"> </a><p class="res-header-id"><b>Generated Narrative: Patient pat</b></p><a name="pat"> </a><a name="hcpat"> </a><a name="pat-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="年齡"><a href="https://twcore.mohw.gov.tw/ig/twcore/0.2.0/StructureDefinition-person-age.html">Person Age</a></td><td colspan="3">39 a<span style="background: LightGoldenRodYellow"> (Details: UCUM codea = 'a')</span></td></tr></table></div>
</text>
<extension
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<valueAge>
<value value="39"/>
<system value="http://unitsofmeasure.org"/>
<code value="a"/>
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<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
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</type>
<system value="http://www.moi.gov.tw/"/>
<value value="Z199999829"/>
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<name>
<use value="official"/>
<text value="甄○康"/>
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<gender value="female"/>
<birthDate value="1985-01-02"/>
</Patient>
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</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Organization/org"/>
<resource>
<Organization>
<id value="org"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_org"> </a><p class="res-header-id"><b>Generated Narrative: Organization org</b></p><a name="org"> </a><a name="hcorg"> </a><a name="org-en-US"> </a><p><b>identifier</b>: Provider number/3531020884</p><p><b>name</b>: 洪文武診所</p><p><b>telecom</b>: ph: 02-29765731(Work)</p><p><b>address</b>: 新北市三重區集美街162號1樓(work)</p></div>
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<type>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
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<system value="http://ns.electronichealth.net.au/id/hi/hpio/1.0"/>
<value value="3531020884"/>
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<name value="洪文武診所"/>
<telecom>
<system value="phone"/>
<value value="02-29765731"/>
<use value="work"/>
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<address>
<use value="work"/>
<text value="新北市三重區集美街162號1樓"/>
</address>
</Organization>
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</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/pra"/>
<resource>
<Practitioner>
<id value="pra"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Practitioner-EP"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_pra"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner pra</b></p><a name="pra"> </a><a name="hcpra"> </a><a name="pra-en-US"> </a><p><b>name</b>: 洪文武(Official)</p><p><b>telecom</b>: ph: 02-29765731(Work)</p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><code>https://www.mohw.gov.tw/</code>/A1*****8028 (use: official, )</td><td><span title="Codes:{http://snomed.info/sct 223366009}">Healthcare professional</span></td></tr></table></div>
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<name>
<use value="official"/>
<text value="洪文武"/>
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<telecom>
<system value="phone"/>
<value value="02-29765731"/>
<use value="work"/>
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<qualification>
<identifier>
<use value="official"/>
<system value="https://www.mohw.gov.tw/"/>
<value value="A1*****8028"/>
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<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="223366009"/>
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</qualification>
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</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Encounter/enc"/>
<resource>
<Encounter>
<id value="enc"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_enc"> </a><p class="res-header-id"><b>Generated Narrative: Encounter enc</b></p><a name="enc"> </a><a name="hcenc"> </a><a name="enc-en-US"> </a><p><b>status</b>: Finished</p><p><b>class</b>: casetype 01: 西醫一般案件</p><p><b>serviceType</b>: <span title="Codes:{http://snomed.info/sct 394609007}">普通外科</span></p><p><b>subject</b>: <a href="Patient-pat.html">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</a></p><p><b>period</b>: 2023-02-23 --> (ongoing)</p></div>
</text>
<status value="finished"/>
<class>
<system
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<code value="01"/>
<display value="西醫一般案件"/>
</class>
<serviceType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394609007"/>
</coding>
<text value="普通外科"/>
</serviceType>
<subject>🔗
<reference value="Patient/pat"/>
</subject>
<period>
<start value="2023-02-23"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Observation/obs"/>
<resource>
<Observation>
<id value="obs"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_obs"> </a><p class="res-header-id"><b>Generated Narrative: Observation obs</b></p><a name="obs"> </a><a name="hcobs"> </a><a name="obs-en-US"> </a><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 29463-7}">Body weight</span></p><p><b>subject</b>: <a href="Patient-pat.html">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</a></p><p><b>effective</b>: 2023-12-21</p><p><b>performer</b>: <a href="Practitioner-pra.html">Practitioner 洪文武(official)</a></p><p><b>value</b>: 50 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg = 'kg')</span></p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
<display value="Body weight"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat"/>
</subject>
<effectiveDateTime value="2023-12-21"/>
<performer>🔗
<reference value="Practitioner/pra"/>
</performer>
<valueQuantity>
<value value="50"/>
<unit value="kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
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</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Condition/con"/>
<resource>
<Condition>
<id value="con"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_con"> </a><p class="res-header-id"><b>Generated Narrative: Condition con</b></p><a name="con"> </a><a name="hccon"> </a><a name="con-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 problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw A00}">霍亂</span></p><p><b>subject</b>: <a href="Patient-pat.html">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</a></p><p><b>note</b>: 001</p></div>
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<coding>
<system
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<code value="active"/>
<display value="Active"/>
</coding>
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<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw"/>
<code value="A00"/>
<display value="霍亂"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat"/>
</subject>
<note>
<text value="001"/>
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Coverage/cov"/>
<resource>
<Coverage>
<id value="cov"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Coverage-EMR"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_cov"> </a><p class="res-header-id"><b>Generated Narrative: Coverage cov</b></p><a name="cov"> </a><a name="hccov"> </a><a name="cov-en-US"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{https://twcore.mohw.gov.tw/ig/emr/CodeSystem/paymentcategory 1}">職業傷害</span></p><p><b>beneficiary</b>: <a href="Patient-pat.html">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</a></p><p><b>payor</b>: <a href="Patient-pat.html">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</a></p></div>
</text>
<status value="active"/>
<type>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/paymentcategory"/>
<code value="1"/>
<display value="職業傷害"/>
</coding>
</type>
<beneficiary>🔗
<reference value="Patient/pat"/>
</beneficiary>
<payor>🔗
<reference value="Patient/pat"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Medication/med-01"/>
<resource>
<Medication>
<id value="med-01"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Medication-EP"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_med-01"> </a><p class="res-header-id"><b>Generated Narrative: Medication med-01</b></p><a name="med-01"> </a><a name="hcmed-01"> </a><a name="med-01-en-US"> </a><p><b>code</b>: <span title="Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw A000015421}">YEN KUANG EYE DROPS</span></p><p><b>form</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm TAB}">TAB</span></p><h3>Ingredients</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Item[x]</b></td><td><b>Strength</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">Alemtuzamab (substance)</span></td><td>250 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span>/250 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span></td></tr></table></div>
</text>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw"/>
<code value="A000015421"/>
</coding>
<text value="YEN KUANG EYE DROPS"/>
</code>
<form>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</coding>
<text value="TAB"/>
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<ingredient>
<itemCodeableConcept>
<coding>
<display value="Alemtuzamab (substance)"/>
</coding>
</itemCodeableConcept>
<strength>
<numerator>
<value value="250"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</numerator>
<denominator>
<value value="250"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/emr/MedicationRequest/med-req-01"/>
<resource>
<MedicationRequest>
<id value="med-req-01"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MedicationRequest-EP"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_med-req-01"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest med-req-01</b></p><a name="med-req-01"> </a><a name="hcmed-req-01"> </a><a name="med-req-01-en-US"> </a><p><b>identifier</b>: <code>http://www.moi.gov.tw/</code>/Med000001, 7</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{https://twcore.mohw.gov.tw/ig/emr/CodeSystem/prescription A}">一般處方箋：處方用藥，一次給予7日(含)以下之用藥量</span></p><p><b>medication</b>: <a href="Medication-med-01.html">Medication YEN KUANG EYE DROPS</a></p><p><b>subject</b>: <a href="Patient-pat.html">甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))</a></p><p><b>insurance</b>: <a href="Coverage-cov.html">Coverage: status = active; type = 職業傷害</a></p><p><b>note</b>: A, 否</p><blockquote><p><b>dosageInstruction</b></p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2024-01-12 00:00:00+0800 --> 2024-01-19 00:00:00+0800</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 12 顆</p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td>3</td></tr></table></blockquote><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><span title="Codes:">不可替代時始需註明</span></td></tr></table></div>
</text>
<extension
url="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/Extension-TotalDuration">
<valueQuantity>
<value value="7"/>
<unit value="days"/>
</valueQuantity>
</extension>
<identifier>
<system value="http://www.moi.gov.tw/"/>
<value value="Med000001"/>
</identifier>
<identifier>
<value value="7"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/emr/CodeSystem/prescription"/>
<code value="A"/>
</coding>
</category>
<medicationReference>🔗
<reference value="Medication/med-01"/>
</medicationReference>
<subject>🔗
<reference value="Patient/pat"/>
</subject>
<insurance>🔗
<reference value="Coverage/cov"/>
</insurance>
<note>
<text value="A"/>
</note>
<note>
<text value="否"/>
</note>
<dosageInstruction>
<timing>
<repeat>
<frequency value="4"/>
</repeat>
</timing>
<route>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-path-tw"/>
<code value="PO"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1.0"/>
<unit value="顆"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2024-01-12T00:00:00+08:00"/>
<end value="2024-01-19T00:00:00+08:00"/>
</validityPeriod>
<numberOfRepeatsAllowed value="1"/>
<quantity>
<value value="12"/>
<unit value="顆"/>
<system value="http://unitsofmeasure.org"/>
</quantity>
<expectedSupplyDuration>
<value value="3"/>
</expectedSupplyDuration>
</dispenseRequest>
<substitution>
<allowedBoolean value="true"/>
<reason>
<text value="不可替代時始需註明"/>
</reason>
</substitution>
</MedicationRequest>
</resource>
</entry>
</Bundle>