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
{
"resourceType" : "Bundle",
"id" : "example-IC",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckBundle"
]
},
"identifier" : {
"system" : "https://twcore.mohw.gov.tw/ig/index.html",
"value" : "Bundle-EMR"
},
"type" : "document",
"timestamp" : "2023-01-04T13:01:56+08:00",
"entry" : [
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Composition/IC-Com8",
"resource" : {
"resourceType" : "Composition",
"id" : "IC-Com8",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckComposition"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_IC-Com8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition IC-Com8</b></p><a name=\"IC-Com8\"> </a><a name=\"hcIC-Com8\"> </a><a name=\"IC-Com8-en-US\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11502-2}\">檢驗檢查</span></p><p><b>encounter</b>: <a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Encounter/IC-Enc6\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></p><p><b>date</b>: 2023-01-04 13:01:56+0800</p><p><b>author</b>: </p><ul><li><a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></li><li><a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></li><li><a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra7\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></li></ul><p><b>title</b>: 檢驗檢查</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11502-2",
"display" : "Laboratory report"
}
],
"text" : "檢驗檢查"
},
"subject" : {
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"
},
"encounter" : {
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Encounter/IC-Enc6"
},
"date" : "2023-01-04T13:01:56+08:00",
"author" : [
{
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1"
},
{
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5"
},
{
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra7"
}
],
"title" : "檢驗檢查",
"section" : [
{
"title" : "檢驗檢查中的檢驗資料",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2"
}
]
},
"entry" : [
{
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Observation/IC-Obs3"
},
{
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Specimen/IC-Spe4"
}
]
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1",
"resource" : {
"resourceType" : "Organization",
"id" : "IC-Org1",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckOrganization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_IC-Org1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization IC-Org1</b></p><a name=\"IC-Org1\"> </a><a name=\"hcIC-Org1\"> </a><a name=\"IC-Org1-en-US\"> </a><p><b>identifier</b>: 0401180014</p><p><b>name</b>: 國立臺灣大學醫學院附設醫院</p></div>"
},
"identifier" : [
{
"value" : "0401180014"
}
],
"name" : "國立臺灣大學醫學院附設醫院"
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2",
"resource" : {
"resourceType" : "Patient",
"id" : "IC-Pat2",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPatient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_IC-Pat2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient IC-Pat2</b></p><a name=\"IC-Pat2\"> </a><a name=\"hcIC-Pat2\"> </a><a name=\"IC-Pat2-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">黃睿駿(official) Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/123456\u00a0(use:\u00a0official,\u00a0)</td></tr></table></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
]
},
"system" : "https://www.ntuh.gov.tw/",
"value" : "123456"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NNxxx",
"_code" : {
"extension" : [
{
"extension" : [
{
"url" : "suffix",
"valueString" : "TWN"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/iso3166-1-3"
}
],
"url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix"
}
]
}
}
]
},
"system" : "http://www.moi.gov.tw/",
"value" : "A123456789"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"text" : "黃睿駿"
}
],
"gender" : "male",
"birthDate" : "1999-01-01"
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Observation/IC-Obs3",
"resource" : {
"resourceType" : "Observation",
"id" : "IC-Obs3",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckObservation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_IC-Obs3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation IC-Obs3</b></p><a name=\"IC-Obs3\"> </a><a name=\"hcIC-Obs3\"> </a><a name=\"IC-Obs3-en-US\"> </a><p><b>identifier</b>: <code>https://www.vghtpe.gov.tw/Index.action</code>/9876</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 6690-2}\">全套血液檢查 CBC-Ｉ</span></p><p><b>subject</b>: <a href=\"Patient-IC-Pat2.html\">黃睿駿(official) Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2022-03-30 --> 2022-04-06</p><p><b>performer</b>: <a href=\"Practitioner-IC-Pra7.html\">Practitioner 賴一施</a></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation RR}\">正常</span></p><p><b>note</b>: 無</p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 420135007}\">血液</span></p><p><b>specimen</b>: <a href=\"Specimen-IC-Spe4.html\">Specimen</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 58410-2}\">CBC panel - Blood by Automated count</span></p><p><b>value</b>: 7.33 10^3/ul</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>3.8-10.0</td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://www.vghtpe.gov.tw/Index.action",
"value" : "9876"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "6690-2",
"display" : "Leukocytes [#/volume] in Blood by Automated count"
}
],
"text" : "全套血液檢查 CBC-Ｉ"
},
"subject" : {
🔗 "reference" : "Patient/IC-Pat2"
},
"effectivePeriod" : {
"start" : "2022-03-30",
"end" : "2022-04-06"
},
"performer" : [
{
🔗 "reference" : "Practitioner/IC-Pra7"
}
],
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "RR"
}
],
"text" : "正常"
}
],
"note" : [
{
"text" : "無"
}
],
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "420135007",
"display" : "Whole blood"
}
],
"text" : "血液"
},
"specimen" : {
🔗 "reference" : "Specimen/IC-Spe4"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "58410-2",
"display" : "CBC panel - Blood by Automated count"
}
]
},
"valueQuantity" : {
"value" : 7.33,
"unit" : "10^3/ul"
},
"referenceRange" : [
{
"text" : "3.8-10.0"
}
]
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Specimen/IC-Spe4",
"resource" : {
"resourceType" : "Specimen",
"id" : "IC-Spe4",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckSpecimen"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_IC-Spe4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen IC-Spe4</b></p><a name=\"IC-Spe4\"> </a><a name=\"hcIC-Spe4\"> </a><a name=\"IC-Spe4-en-US\"> </a><p><b>subject</b>: <a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 106004}\">Posterior carpal region</span></td></tr></table></div>"
},
"subject" : {
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"
},
"collection" : {
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "106004"
}
],
"text" : "Posterior carpal region"
}
}
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5",
"resource" : {
"resourceType" : "Practitioner",
"id" : "IC-Pra5",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPractitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_IC-Pra5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner IC-Pra5</b></p><a name=\"IC-Pra5\"> </a><a name=\"hcIC-Pra5\"> </a><a name=\"IC-Pra5-en-US\"> </a><p><b>identifier</b>: <code>https://www.vghtpe.gov.tw/Index.action</code>/12345</p><p><b>name</b>: 賴護士</p></div>"
},
"identifier" : [
{
"system" : "https://www.vghtpe.gov.tw/Index.action",
"value" : "12345"
}
],
"name" : [
{
"text" : "賴護士"
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Encounter/IC-Enc6",
"resource" : {
"resourceType" : "Encounter",
"id" : "IC-Enc6",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckEncounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_IC-Enc6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter IC-Enc6</b></p><a name=\"IC-Enc6\"> </a><a name=\"hcIC-Enc6\"> </a><a name=\"IC-Enc6-en-US\"> </a><p><b>identifier</b>: <code>https://www.vghtpe.gov.tw/Index.action</code>/Encounter唯一碼</p><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-OBSENC\">ActCode</a> OBSENC: observation encounter</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 394609007}\">Medical Services</span></p><p><b>subject</b>: <a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></td></tr></table><p><b>period</b>: 2022-03-30 --> (ongoing)</p><p><b>serviceProvider</b>: <a href=\"Bundle-example-IC.html#https-//twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1\">Bundle: identifier = https://twcore.mohw.gov.tw/ig/index.html#Bundle-EMR; type = document; timestamp = 2023-01-04 13:01:56+0800</a></p></div>"
},
"identifier" : [
{
"system" : "https://www.vghtpe.gov.tw/Index.action",
"value" : "Encounter唯一碼"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "OBSENC",
"display" : "observation encounter"
},
"serviceType" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394609007"
}
],
"text" : "Medical Services"
},
"subject" : {
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"
},
"participant" : [
{
"individual" : {
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5"
}
}
],
"period" : {
"start" : "2022-03-30"
},
"serviceProvider" : {
🔗 "reference" : "https://twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1"
}
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra7",
"resource" : {
"resourceType" : "Practitioner",
"id" : "IC-Pra7",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPractitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_IC-Pra7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner IC-Pra7</b></p><a name=\"IC-Pra7\"> </a><a name=\"hcIC-Pra7\"> </a><a name=\"IC-Pra7-en-US\"> </a><p><b>identifier</b>: <code>https://www.vghtpe.gov.tw/Index.action</code>/12345</p><p><b>name</b>: 賴一施</p></div>"
},
"identifier" : [
{
"system" : "https://www.vghtpe.gov.tw/Index.action",
"value" : "12345"
}
],
"name" : [
{
"text" : "賴一施"
}
]
}
}
]
}