臺灣健保癌症用藥事前審查實作指引
1.0.8 - STU1.0.8

臺灣健保癌症用藥事前審查實作指引 - Downloaded Version 1.0.8 See the Directory of published versions

## : 事前審查品項-多用法 - JSON Representation

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    {
      "resourceType" : "MedicationRequest",
      "id" : "medReq-apply",
      "meta" : {
        "profile" : [
          🔗 "https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MedicationRequest-apply-twpas.html\">事前審查品項-MedicationRequest Apply TWPAS</a></p></div><p><b>狀態</b>：On Hold</p><p><b>目的</b>：Plan</p><p><b>事前審查品項代碼</b>：Alunbrig film-coated tablets 30mgL<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-medication.html\">NHI-健保事前審查-用藥品項值集</a>#BC27730100)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> &quot;王大明&quot;</p><blockquote><p><b>事前審查藥物預定處方起始日期</b>：2024-01-01</p><p><b>事前審查藥物預定處方終止日期</b>：2024-02-11</p><p><b>事前審查藥品使用頻率及服用時間</b>：Every day at institution specified times.、飯前1小時使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"ValueSet-medication-frequency-hl7-nhi.html\">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集</a>#BIW、#AC1H)</span></p><p><b>事前審查藥品每次處方劑量</b>：75 mg/m2</p><p><b>事前審查藥品療程／週期數</b>：42</p><p><b>給藥途徑／作用部位</b>：Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://snomed.info/sct/\">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></p></blockquote><blockquote><p><b>事前審查藥物預定處方起始日期</b>：2024-02-12</p><p><b>事前審查藥物預定處方終止日期</b>：2024-03-10</p><p><b>事前審查藥品使用頻率及服用時間</b>：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"ValueSet-medication-frequency-hl7-nhi.html\">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集</a>#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H)</span></p><p><b>事前審查藥品每次處方劑量</b>：150 mg/m2</p><p><b>事前審查藥品療程／週期數</b>：1</p><p><b>給藥途徑／作用部位</b>：Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://snomed.info/sct/\">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></p></blockquote></div>"
      },
      "status" : "on-hold",
      "intent" : "plan",
      "medicationCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication",
            "code" : "BC27730100"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/pat-min"
      },
      "dosageInstruction" : [
        {
          "timing" : {
            "repeat" : {
              "boundsPeriod" : {
                "start" : "2024-01-01",
                "end" : "2024-02-11"
              },
              "count" : 42
            },
            "code" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
                  "code" : "QD"
                },
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "AC1H"
                }
              ]
            }
          },
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006"
              }
            ]
          },
          "doseAndRate" : [
            {
              "doseQuantity" : {
                "value" : 75,
                "system" : "http://unitsofmeasure.org",
                "code" : "mg/m2"
              }
            }
          ]
        },
        {
          "timing" : {
            "repeat" : {
              "boundsPeriod" : {
                "start" : "2024-02-12",
                "end" : "2024-03-10"
              },
              "count" : 1
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "Q4WD1"
                },
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "Q4WD2"
                },
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "Q4WD3"
                },
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "Q4WD4"
                },
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "Q4WD5"
                },
                {
                  "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/medication-frequency-nhi-tw",
                  "code" : "AC1H"
                }
              ]
            }
          },
          "route" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "26643006"
              }
            ]
          },
          "doseAndRate" : [
            {
              "doseQuantity" : {
                "value" : 150,
                "system" : "http://unitsofmeasure.org",
                "code" : "mg/m2"
              }
            }
          ]
        }
      ]
    }