{ "resourceType" : "Bundle", "id" : "bun-3", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Bundle-twpas"] }, "type" : "collection", "entry" : [{ "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Claim/cla-3", "resource" : { "resourceType" : "Claim", "id" : "cla-3", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 癌藥事前審查-Claim TWPAS

狀態：Active

類型：Institutional (ClaimTypeCodes#institutional)

就醫科別：Encounter/enc-min "胸腔暨重症加護"

原受理編號：202405301000002

申報類別：申復 (NHI-申報類別值集#3)

目的：Preauthorization

病人：Patient/pat-min "王大明"

申請日期：2024-05-30

申請醫師：Practitioner/pra-min

醫事機構代碼：Organization/org-hosp-example

申請案件類別：一般事前審查申請 (NHI-申請案件類別值集#1)

supportingInfo

sequence：1

category：病人體重

value：59.65 kg (Details: UCUM codekg = 'kg')

supportingInfo

sequence：2

category：病人身高

value：170 cm (Details: UCUM codecm = 'cm')

supportingInfo

sequence：3

category：是否懷孕或哺乳

value：false

supportingInfo

sequence：4

category：影像報告

value：DiagnosticReport/diaRep-ima-min

supportingInfo

sequence：5

category：癌症分期量表

value：Observation/obs-cancer-figo

supportingInfo

sequence：6

category：檢查報告

value：DiagnosticReport/diaRep-min

supportingInfo

sequence：7

category：基因資訊

value：Observation/obs-diagnostic-min

supportingInfo

sequence：8

category：檢驗(查)

value：Observation/obs-lab-min

supportingInfo

sequence：9

category：病人狀態評估

value：Observation/obs-pat-nyha

supportingInfo

sequence：10

category：用藥品項

value：MedicationRequest/medReq-treat

supportingInfo

sequence：11

category：放射治療

value：Procedure/pro-min

supportingInfo

sequence：12

category：治療計畫文件

value：DocumentReference/doc-careplan-min

supportingInfo

sequence：13

category：病歷資料

value：DocumentReference/doc-medicalRecord-min

supportingInfo

sequence：14

category：結果資訊

value：Observation/obs-tx-min

Diagnoses

診斷日期：2024-01-01

國際疾病分類代碼：慢性右心臟衰竭 (臺灣健保署2023年中文版ICD-10-CM值集#I50.812)

共病：第一型糖尿病，伴有糖尿病的神經病變 (臺灣健保署2023年中文版ICD-10-CM值集#E10.40)

簡要病摘：Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

Procedures

手術(或其他處置)日期：2024-01-01

手術(或其他處置)項目：經由自體開口或人工造口心包腔近接放射性同位素抗腫瘤液態藥劑輸入 (臺灣健保署2023年中文版ICD-10-PCS值集#3E0Y704)

Insurances

sequence：1

coverage：Coverage/cov-min

Items

事前審查品項：MedicationRequest/medReq-apply-2

事前審查申請數量(單位)：70 (tablets (Common UCUM units#{tbl}))

醫令類別：藥品 (NHI-健保事前審查-醫令類別值集#1)

續用註記：初次使用 (NHI-續用註記值集#1)

用藥線別：第一線治療 (NHI-用藥線別值集#1)

給付適應症：C50P1 (NHI-給付適應症值集#C50P1)

" }, "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter", "valueReference" : { "reference" : "Encounter/enc-min" } }], "identifier" : [{ "value" : "202405301000002" }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "institutional" }] }, "subType" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type", "code" : "3", "display" : "申復" }] }, "use" : "preauthorization", "patient" : { "reference" : "Patient/pat-min" }, "created" : "2024-05-30", "enterer" : { "reference" : "Practitioner/pra-min" }, "provider" : { "reference" : "Organization/org-hosp-example" }, "priority" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tmhb-type", "code" : "1", "display" : "一般事前審查申請" }] }, "supportingInfo" : [{ "sequence" : 1, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "weight" }] }, "valueQuantity" : { "value" : 59.65, "system" : "http://unitsofmeasure.org", "code" : "kg" } }, { "sequence" : 2, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "height" }] }, "valueQuantity" : { "value" : 170, "system" : "http://unitsofmeasure.org", "code" : "cm" } }, { "sequence" : 3, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "pregnancyBreastfeedingStatus" }] }, "valueBoolean" : false }, { "sequence" : 4, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "imagingReport" }] }, "valueReference" : { "reference" : "DiagnosticReport/diaRep-ima-min" } }, { "sequence" : 5, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "cancerStage" }] }, "valueReference" : { "reference" : "Observation/obs-cancer-figo" } }, { "sequence" : 6, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "examinationReport" }] }, "valueReference" : { "reference" : "DiagnosticReport/diaRep-min" } }, { "sequence" : 7, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "geneInfo" }] }, "valueReference" : { "reference" : "Observation/obs-diagnostic-min" } }, { "sequence" : 8, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "tests" }] }, "valueReference" : { "reference" : "Observation/obs-lab-min" } }, { "sequence" : 9, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "patientAssessment" }] }, "valueReference" : { "reference" : "Observation/obs-pat-nyha" } }, { "sequence" : 10, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "medicationRequest" }] }, "valueReference" : { "reference" : "MedicationRequest/medReq-treat" } }, { "sequence" : 11, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "radiotherapy" }] }, "valueReference" : { "reference" : "Procedure/pro-min" } }, { "sequence" : 12, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "carePlanDocument" }] }, "valueReference" : { "reference" : "DocumentReference/doc-careplan-min" } }, { "sequence" : 13, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "medicalRecord" }] }, "valueReference" : { "reference" : "DocumentReference/doc-medicalRecord-min" } }, { "sequence" : 14, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "treatmentAssessment" }] }, "valueReference" : { "reference" : "Observation/obs-tx-min" } }], "diagnosis" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate", "valueDate" : "2024-01-01" }], "sequence" : 1, "diagnosisCodeableConcept" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw", "code" : "I50.812" }] }, "type" : [{ "text" : "Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI" }] }, { "sequence" : 2, "diagnosisCodeableConcept" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw", "code" : "E10.40" }] } }], "procedure" : [{ "sequence" : 1, "date" : "2024-01-01", "procedureCodeableConcept" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw", "code" : "3E0Y704" }] } }], "insurance" : [{ "sequence" : 1, "focal" : true, "coverage" : { "reference" : "Coverage/cov-min" } }], "item" : [{ "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService", "valueReference" : { "reference" : "MedicationRequest/medReq-apply-2" } }], "sequence" : 1, "productOrService" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-order-type", "code" : "1", "display" : "藥品" }] }, "modifier" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status", "code" : "1", "display" : "初次使用" }] }, { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy", "code" : "1", "display" : "第一線治療" }] }], "programCode" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-reason", "code" : "C50P1" }] }], "quantity" : { "value" : 70, "system" : "http://unitsofmeasure.org", "code" : "{tbl}" } }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Encounter/enc-min", "resource" : { "resourceType" : "Encounter", "id" : "enc-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 就醫科別-Encounter TWPAS

就醫現況：Planned (EncounterStatus#planned)

就醫分類：ambulatory (ActEncounterCode CT#AMB)

就醫科別：胸腔暨重症加護 (臺灣健保署就醫科別#AJ)

" }, "status" : "planned", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB" }, "serviceType" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw", "code" : "AJ" }] } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Patient/pat-min", "resource" : { "resourceType" : "Patient", "id" : "pat-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 病人資訊-Patient TWPAS

識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx）
身分證字號（official）：A123456789 （http://www.moi.gov.tw）

識別碼型別：Medical record number （ Identifier Type Codes#MR）
病歷號（official）：123456 （https://tpech.gov.taipei）

姓名（usual）：王大明

性別：男

出生日期：2001-01-01

" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NNxxx" }] }, "system" : "http://www.moi.gov.tw", "value" : "A123456789" }, { "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR" }] }, "system" : "https://tpech.gov.taipei", "value" : "123456" }], "name" : [{ "use" : "usual", "text" : "王大明" }], "gender" : "male", "birthDate" : "2001-01-01" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Practitioner/pra-min", "resource" : { "resourceType" : "Practitioner", "id" : "pra-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 醫事人員-Practitioner TWPAS

識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx）

身分證字號（official）：F123456789 （http://www.moi.gov.tw）

識別碼型別：Medical License number （ Identifier Type Codes#MD）

醫師證號：KP00017 （https://dep.mohw.gov.tw/DOMA）

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NNxxx" }] }, "system" : "http://www.moi.gov.tw", "value" : "F123456789" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MD" }] }, "system" : "https://dep.mohw.gov.tw/DOMA", "value" : "KP00017" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Organization/org-hosp-example", "resource" : { "resourceType" : "Organization", "id" : "org-hosp-example", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas"] }, "text" : { "status" : "generated", "div" : "

醫事機構

Profile: 機構-Organization TWPAS

機構名稱：臺北市立聯合醫院

識別碼型別：Provider number（ IdentifierType#PRN）
機構代碼（official）：0101090517 (https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw)

機構種類：Healthcare Provider ( OrganizationType#prov)

" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PRN" }] }, "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw", "value" : "0101090517" }], "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov" }] }], "name" : "臺北市立聯合醫院" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-ima-min", "resource" : { "resourceType" : "DiagnosticReport", "id" : "diaRep-ima-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 影像報告-DiagnosticReport Image TWPAS

狀態：final

病人：Patient/pat-min "王大明"

影像報告：左上肢動脈血管內超音波 (臺灣健保署2023年中文版ICD-10-PCS值集#B34JZZ3)

影像報告日期：2024-05-07

簽發影像報告醫師：Practitioner/pra-min

影像檢查的身體部位／DICOM影像：ImagingStudy/imaStu-min

影像報告結果：影像報告結果

影像報告名稱：影像報告01

影像報告：file://ImagingDiagnosticReport01.pdf

影像報告名稱：影像報告02

影像報告：file://ImagingDiagnosticReport02.pdf

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "imagingReport" }] }], "code" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw", "code" : "B34JZZ3" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "Practitioner/pra-min" }], "imagingStudy" : [{ "reference" : "ImagingStudy/imaStu-min" }], "conclusion" : "影像報告結果", "presentedForm" : [{ "contentType" : "application/pdf", "url" : "file://ImagingDiagnosticReport01.pdf", "title" : "影像報告" }, { "contentType" : "application/pdf", "url" : "file://ImagingDiagnosticReport02.pdf", "title" : "影像報告" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/ImagingStudy/imaStu-min", "resource" : { "resourceType" : "ImagingStudy", "id" : "imaStu-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile：DICOM影像-ImagingStudy TWPAS

狀態：registered

病人：Patient/pat-min "王大明"

Study UID：urn:oid:2.16.886.2102.54.4546465747.465465465

Series Instance UID：2.16.886.2102.54.4546465747.465465466

SOP Instance UIDs：2.25.88017001449189502323411118737039844241, 2.25.88017001449189502323411118737039844242

影像檢查的身體部位：Head and neck structure (SNOMED CT#774007)

儀器：CT Image Storage (DICOM#CT)

" }, "identifier" : [{ "system" : "urn:dicom:uid", "value" : "urn:oid:2.16.886.2102.54.4546465747.465465465" }], "status" : "registered", "subject" : { "reference" : "Patient/pat-min" }, "series" : [{ "uid" : "2.16.886.2102.54.4546465747.465465466", "modality" : { "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "CT" }, "bodySite" : { "system" : "http://snomed.info/sct", "code" : "774007", "display" : "Head and neck structure" }, "instance" : [{ "uid" : "2.25.88017001449189502323411118737039844241", "sopClass" : { "system" : "urn:ietf:rfc:3986", "code" : "urn:oid:1.2.840.10008.5.1.4.1.1.2" } }, { "uid" : "2.25.88017001449189502323411118737039844242", "sopClass" : { "system" : "urn:ietf:rfc:3986", "code" : "urn:oid:1.2.840.10008.5.1.4.1.1.2" } }] }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Media/med-min", "resource" : { "resourceType" : "Media", "id" : "med-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 非DICOM影像-Media TWPAS

狀態：completed

病人：Patient/pat-min "王大明"

影像檢查的身體部位：Head and neck structure (SNOMED CT#774007)

非DICOM影像：file://US01.jpg（#image/jpeg）

" }, "status" : "completed", "subject" : { "reference" : "Patient/pat-min" }, "bodySite" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "774007", "display" : "Head and neck structure" }] }, "content" : { "contentType" : "image/jpeg", "url" : "file://US01.jpg" } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-cancer-figo", "resource" : { "resourceType" : "Observation", "id" : "obs-cancer-figo", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-cancer-stage-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 癌症分期量表-Observation Cancer Stage TWPAS

狀態：final

癌症分期量表項目：FIGO stage for gynaecological malignancy (SCT + NHI-癌症分期量表項目值集#385361009)

病人：Patient/pat-min

癌症分期量表評估日期：2024-05-07

簽發癌症分期報告醫師：Practitioner/pra-min

癌症分期分數或結果：FIGO Stage I (NCI Thesaurus#C96244)

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "cancerStage" }] }], "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385361009" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "Practitioner/pra-min" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nci-thesaurus", "code" : "C96244" }] } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-min", "resource" : { "resourceType" : "DiagnosticReport", "id" : "diaRep-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 檢查報告-DiagnosticReport TWPAS

狀態：final

報告類型：Prostate Pathology biopsy report (EncounterStatus#66117-3)

檢體種類：Prostate

病人：Patient/pat-min "王大明"

報告日期：2024-05-07

檢查報告醫師：Practitioner/pra-min

報告結果-文數字：細胞檢查報告結果

檢查報告名稱：PathologyReport01

檢查報告：file://PathologyReport01.pdf

檢查報告名稱：PathologyReport02

檢查報告：file://PathologyReport02.pdf

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "examinationReport" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "66117-3" }], "text" : "Prostate" }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "Practitioner/pra-min" }], "conclusion" : "細胞檢查報告結果", "presentedForm" : [{ "contentType" : "application/pdf", "url" : "file://PathologyReport01.pdf", "title" : "PathologyReport01" }, { "contentType" : "application/pdf", "url" : "file://PathologyReport02.pdf", "title" : "PathologyReport02" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-diagnostic-min", "resource" : { "resourceType" : "Observation", "id" : "obs-diagnostic-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 基因資訊-Observation Diagnostic TWPAS

狀態：final

類型：基因資訊 (NHI-補充資訊類別值集#geneInfo)

code：Genetic variant assessment (LOINC#69548-6)

病人：Patient/pat-min

基因檢測日期：2024-05-07

基因檢測代碼：KRAS gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal （ LOINC-基因檢測代碼值集#21702-6）
基因檢測實際結果：KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected
基因突變類型：Not detected （ LOINC-基因突變類型值集#LA11883-8）

基因檢測機構：Organization 2023LDTB0002

基因檢測分析結果：基因檢測報告結果

基因臨床判讀結果：Positive (ObservationInterpretationCodes #POS)

基因檢測方法：PCR (LOINC Answer List LL4048-6 #LA26418-6)

基因檢測檢體類型：Specimen/spe-min

基因報告：DocumentReference/doc-gene-min

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "geneInfo" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "69548-6" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "Organization/org-gene-example" }], "valueString" : "基因檢測報告結果", "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "POS" }] }], "method" : { "coding" : [{ "system" : "http://loinc.org", "code" : "LA26418-6" }] }, "specimen" : { "reference" : "Specimen/spe-min" }, "derivedFrom" : [{ "reference" : "DocumentReference/doc-gene-min" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21702-6" }] }, "valueString" : "KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected", "interpretation" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "LA11883-8", "display" : "Not detected" }], "text" : "Not detected" }] }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Specimen/spe-min", "resource" : { "resourceType" : "Specimen", "id" : "spe-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 基因檢測檢體-Specimen TWPAS

類型：基因資訊 (LOINC-基因檢測檢體類型值集#LP7057-5)

病人：Patient/pat-min

基因檢測日期：2024-05-06T09:00:00.000Z

" }, "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "LP7057-5" }] }, "subject" : { "reference" : "Patient/pat-min" }, "receivedTime" : "2024-05-06T09:00:00.000Z" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-gene-min", "resource" : { "resourceType" : "DocumentReference", "id" : "doc-gene-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 文件參照-DocumentReference TWPAS

狀態：current

報告類型：基因報告 (NHI-文件類型#gene)

病人：Patient/pat-min "王大明"

基因報告(application/pdf)：file://GenReport01.pdf

基因報告名稱：GenReport01

" }, "status" : "current", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type", "code" : "gene" }] }], "subject" : { "reference" : "Patient/pat-min" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://GenReport01.pdf", "title" : "GenReport01" } }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-min", "resource" : { "resourceType" : "Observation", "id" : "obs-lab-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 檢驗檢查-Observation Laboratory Result TWPAS

狀態：final

類型：檢驗(查) (NHI-補充資訊類別值集#tests)

檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3)

病人：Patient/pat-min

檢驗(查)報告日期：2024-01-01

簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min

檢驗(查)結果：5.1 mmol/l

檢驗(查)結果判讀：高，High (ObservationInterpretationCodes #H)

檢驗(查)結果之參考範圍下限：2.9 mmol/L

檢驗(查)結果之參考範圍上限：4.9 mmol/L

檢驗(查)附件：DocumentReference/doc-test-min

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "tests" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "777-3" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-01-01", "performer" : [{ "reference" : "Practitioner/pra-min" }], "valueQuantity" : { "value" : 5.1, "unit" : "mmol/l" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code" : "H" }], "text" : "高" }], "referenceRange" : [{ "low" : { "value" : 2.9, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" }, "high" : { "value" : 4.9, "unit" : "mmol/l", "system" : "http://unitsofmeasure.org", "code" : "mmol/L" } }], "derivedFrom" : [{ "reference" : "DocumentReference/doc-test-min" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-test-min", "resource" : { "resourceType" : "DocumentReference", "id" : "doc-test-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 文件參照-DocumentReference TWPAS

狀態：current

報告類型：檢驗(查)附件 (NHI-文件類型#test)

病人：Patient/pat-min "王大明"

檢驗(查)附件 (application/pdf)：file://TestReport01.pdf

檢驗(查)附件名稱：TestReport01

檢驗(查)附件 (application/pdf)：file://TestReport02.pdf

檢驗(查)附件名稱：TestReport02

" }, "status" : "current", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type", "code" : "test" }] }], "subject" : { "reference" : "Patient/pat-min" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://TestReport01.pdf", "title" : "TestReport01" } }, { "attachment" : { "contentType" : "application/pdf", "url" : "file://TestReport02.pdf", "title" : "TestReport02" } }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-pat-nyha", "resource" : { "resourceType" : "Observation", "id" : "obs-pat-nyha", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-pat-assessment-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 病人狀態評估-Observation Patient Assessment TWPAS

狀態：final

病人狀態評估項目代碼：Functional capacity NYHA (LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 #88020-3)

病人：Patient/pat-min

病人狀態評估日期：2024-01-01

評估項目醫事人員身分證號：Practitioner/pra-min

病人狀態評估結果：class1

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "patientAssessment" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "88020-3" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-01-01", "performer" : [{ "reference" : "Practitioner/pra-min" }], "valueString" : "class1" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-treat", "resource" : { "resourceType" : "MedicationRequest", "id" : "medReq-treat", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile：用藥品項-MedicationRequest Treat TWPAS

藥物使用狀態：completed

藥物處方終止原因：Try another treatment first (MedicationRequest Status Reason Codes#altchoice)

意圖：Order ( medicationRequest Intent#order)

自費註記：健保 (NHI-藥物類型#nhi)

藥品代碼：ANTI-CUGH SYRUP 60ML (NHI-健保事前審查-用藥品項值集#A000755151)

病人：Patient/pat-min ""

藥品使用頻率及服用時間：1W3D

藥物每次處方劑量(單位)：4 (tablets (Common UCUM units#{tbl}))

藥物處方起始日期：2024-05-01

藥物處方終止日期：2024-05-07

給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)

" }, "status" : "completed", "statusReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason", "code" : "altchoice" }] }, "intent" : "order", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-drug-category", "code" : "nhi" }] }], "medicationCodeableConcept" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication", "code" : "A000755151" }] }, "subject" : { "reference" : "Patient/pat-min" }, "dosageInstruction" : [{ "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-05-01", "end" : "2024-05-07" } }, "code" : { "text" : "1W3D" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 4, "unit" : "tablets", "system" : "http://unitsofmeasure.org", "code" : "{tbl}" } }] }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Procedure/pro-min", "resource" : { "resourceType" : "Procedure", "id" : "pro-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 放射治療-Procedure TWPAS

放射治療狀態：completed

放射治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ)

病人：Patient/pat-min "王大明"

放射治療日期：2024-05-06 09:00:00+0000

放射治療總劑量：Substance/sub-min 5000 mg

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw", "code" : "D7Y08ZZ" }] }, "subject" : { "reference" : "Patient/pat-min" }, "performedDateTime" : "2024-05-06T09:00:00.000Z", "usedReference" : [{ "reference" : "Substance/sub-min" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Substance/sub-min", "resource" : { "resourceType" : "Substance", "id" : "sub-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 放射治療總劑量-Substance TWPAS

放射治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ)

放射治療總劑量(單位)：5000 (/mg)

" }, "code" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw", "code" : "D7Y08ZZ" }] }, "ingredient" : [{ "quantity" : { "numerator" : { "value" : 5000, "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 0 } }, "substanceCodeableConcept" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw", "code" : "D7Y08ZZ" }] } }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-careplan-min", "resource" : { "resourceType" : "DocumentReference", "id" : "doc-careplan-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 文件參照-DocumentReference TWPAS

狀態：current

報告類型：治療計畫文件 (NHI-文件類型#careplan)

病人：Patient/pat-min "王大明"

治療計畫文件名稱：免疫檢查點抑制劑治療計畫

治療計畫文件 (application/pdf)：file://CarePlanReport01.pdf

" }, "status" : "current", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type", "code" : "careplan" }] }], "subject" : { "reference" : "Patient/pat-min" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://CarePlanReport01.pdf", "title" : "免疫檢查點抑制劑治療計畫" } }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-tx-min", "resource" : { "resourceType" : "Observation", "id" : "obs-tx-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS

狀態：final

治療後疾病狀態評估項目：International Working Group(IWG) Consensus Criteria (NHI-治療後疾病狀態評估項目值集#IWGC)

病人：Patient/pat-min

治療後疾病狀態評估日期：2024-01-01

治療後疾病狀態評估結果：Partial remission (PR)

" }, "status" : "final", "code" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tx-ast", "code" : "IWGC", "display" : "International Working Group(IWG) Consensus Criteria" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "Practitioner/pra-min" }], "valueString" : "Partial remission (PR)" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply-2", "resource" : { "resourceType" : "MedicationRequest", "id" : "medReq-apply-2", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 事前審查品項-MedicationRequest Apply TWPAS

狀態：On Hold

目的：Plan

事前審查品項代碼：Herzuma Inj. 440mg (NHI-健保事前審查-用藥品項值集#KC011162B5)

病人：Patient/pat-min "王大明"

事前審查藥物預定處方起始日期：2024-03-11

事前審查藥物預定處方終止日期：2024-07-28

事前審查藥品使用頻率及服用時間：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 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H)

事前審查藥品每次處方劑量：200 mg/m2

事前審查藥品療程／週期數：1

給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)

" }, "status" : "on-hold", "intent" : "plan", "medicationCodeableConcept" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication", "code" : "KC011162B5" }] }, "subject" : { "reference" : "Patient/pat-min" }, "dosageInstruction" : [{ "timing" : { "repeat" : { "boundsPeriod" : { "start" : "2024-03-11", "end" : "2024-07-28" }, "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" : 200, "system" : "http://unitsofmeasure.org", "code" : "mg/m2" } }] }], "dispenseRequest" : { "quantity" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm" } } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Coverage/cov-min", "resource" : { "resourceType" : "Coverage", "id" : "cov-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile：健保事前審查計畫-Coverage TWPAS

狀態：active

受益人：Patient/pat-min "王大明"

保險人：Organization/org-nhi "衛生福利部中央健康保險署"

" }, "status" : "active", "beneficiary" : { "reference" : "Patient/pat-min" }, "payor" : [{ "reference" : "Organization/org-nhi" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Organization/org-nhi", "resource" : { "resourceType" : "Organization", "id" : "org-nhi", "meta" : { "profile" : ["https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-govt-twcore"] }, "text" : { "status" : "generated", "div" : "

Profile: 臺灣核心-政府機構（TW Core Organization Government）

機構名稱：衛生福利部中央健康保險署

識別碼型別：Government Organization Identifier（ 臺灣識別碼類型值集#GOI）
機關代號（official）：A21030000I (https://oid.nat.gov.tw/)

機構種類：Government ( OrganizationType#govt)

" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203", "code" : "GOI" }] }, "system" : "https://oid.nat.gov.tw/", "value" : "A21030000I" }], "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "govt" }] }], "name" : "衛生福利部中央健康保險署" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Organization/org-gene-example", "resource" : { "resourceType" : "Organization", "id" : "org-gene-example", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-genetic-testing-twpas"] }, "text" : { "status" : "generated", "div" : "

基因檢測機構

Profile: 基因檢測機構-Organization Genetic Testing TWPAS

機構代碼：2023LDTB0002 (https://dep.mohw.gov.tw)

" }, "identifier" : [{ "system" : "https://dep.mohw.gov.tw", "value" : "2023LDTB0002" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-medicalRecord-min", "resource" : { "resourceType" : "DocumentReference", "id" : "doc-medicalRecord-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 文件參照-DocumentReference TWPAS

狀態：current

報告類型：病歷資料 (NHI-文件類型#medrec)

病人：Patient/pat-min "王大明"

病歷資料 (application/pdf)：file://王大明病歷.pdf

病歷資料名稱：王大明病歷

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