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="example-IC"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckBundle"/>
</meta>
<identifier>
<system value="https://twcore.mohw.gov.tw/ig/index.html"/>
<value value="Bundle-EMR"/>
</identifier>
<type value="document"/>
<timestamp value="2023-01-04T13:01:56+08:00"/>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Composition/IC-Com8"/>
<resource>
<Composition>
<id value="IC-Com8"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckComposition"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
<text value="檢驗檢查"/>
</type>
<subject>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"/>
</subject>
<encounter>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Encounter/IC-Enc6"/>
</encounter>
<date value="2023-01-04T13:01:56+08:00"/>
<author>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1"/>
</author>
<author>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5"/>
</author>
<author>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra7"/>
</author>
<title value="檢驗檢查"/>
<section>
<title value="檢驗檢查中的檢驗資料"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
</coding>
</code>
<entry>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Observation/IC-Obs3"/>
</entry>
<entry>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Specimen/IC-Spe4"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1"/>
<resource>
<Organization>
<id value="IC-Org1"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckOrganization"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<value value="0401180014"/>
</identifier>
<name value="國立臺灣大學醫學院附設醫院"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"/>
<resource>
<Patient>
<id value="IC-Pat2"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPatient"/>
</meta>
<text>
<status value="generated"/>
<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 (use: official, ))</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 (use: official, )</td></tr></table></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
<display value="Medical record number"/>
</coding>
</type>
<system value="https://www.ntuh.gov.tw/"/>
<value value="123456"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NNxxx">
<extension
url="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix">
<extension url="suffix">
<valueString value="TWN"/>
</extension>
<extension url="valueSet">
<valueCanonical
value="http://hl7.org/fhir/ValueSet/iso3166-1-3"/>
</extension>
</extension>
</code>
</coding>
</type>
<system value="http://www.moi.gov.tw/"/>
<value value="A123456789"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<text value="黃睿駿"/>
</name>
<gender value="male"/>
<birthDate value="1999-01-01"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Observation/IC-Obs3"/>
<resource>
<Observation>
<id value="IC-Obs3"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckObservation"/>
</meta>
<text>
<status value="generated"/>
<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 (use: official, ))</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>
</text>
<identifier>
<system value="https://www.vghtpe.gov.tw/Index.action"/>
<value value="9876"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Laboratory"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="6690-2"/>
<display
value="Leukocytes [#/volume] in Blood by Automated count"/>
</coding>
<text value="全套血液檢查 CBC-Ｉ"/>
</code>
<subject>🔗
<reference value="Patient/IC-Pat2"/>
</subject>
<effectivePeriod>
<start value="2022-03-30"/>
<end value="2022-04-06"/>
</effectivePeriod>
<performer>🔗
<reference value="Practitioner/IC-Pra7"/>
</performer>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="RR"/>
</coding>
<text value="正常"/>
</interpretation>
<note>
<text value="無"/>
</note>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="420135007"/>
<display value="Whole blood"/>
</coding>
<text value="血液"/>
</bodySite>
<specimen>🔗
<reference value="Specimen/IC-Spe4"/>
</specimen>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="58410-2"/>
<display value="CBC panel - Blood by Automated count"/>
</coding>
</code>
<valueQuantity>
<value value="7.33"/>
<unit value="10^3/ul"/>
</valueQuantity>
<referenceRange>
<text value="3.8-10.0"/>
</referenceRange>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Specimen/IC-Spe4"/>
<resource>
<Specimen>
<id value="IC-Spe4"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckSpecimen"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<subject>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"/>
</subject>
<collection>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="106004"/>
</coding>
<text value="Posterior carpal region"/>
</bodySite>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5"/>
<resource>
<Practitioner>
<id value="IC-Pra5"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPractitioner"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://www.vghtpe.gov.tw/Index.action"/>
<value value="12345"/>
</identifier>
<name>
<text value="賴護士"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Encounter/IC-Enc6"/>
<resource>
<Encounter>
<id value="IC-Enc6"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckEncounter"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://www.vghtpe.gov.tw/Index.action"/>
<value value="Encounter唯一碼"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="OBSENC"/>
<display value="observation encounter"/>
</class>
<serviceType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394609007"/>
</coding>
<text value="Medical Services"/>
</serviceType>
<subject>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Patient/IC-Pat2"/>
</subject>
<participant>
<individual>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra5"/>
</individual>
</participant>
<period>
<start value="2022-03-30"/>
</period>
<serviceProvider>🔗
<reference
value="https://twcore.mohw.gov.tw/ig/emr/Organization/IC-Org1"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/emr/Practitioner/IC-Pra7"/>
<resource>
<Practitioner>
<id value="IC-Pra7"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/InspectionCheckPractitioner"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://www.vghtpe.gov.tw/Index.action"/>
<value value="12345"/>
</identifier>
<name>
<text value="賴一施"/>
</name>
</Practitioner>
</resource>
</entry>
</Bundle>