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

Generated Narrative: Claim cla-imm

Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS

ClaimEncounter: Encounter: status = planned; class = ambulatory (ActCode#AMB); serviceType = 胸腔暨重症加護

status: Active

type: Institutional

subType: 送核

use: Preauthorization

patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

created: 2024-05-30

enterer: Practitioner: identifier = National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code,Medical License number

provider: Organization 臺北市立聯合醫院

priority: 一般事前審查申請

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: 病人血型

value: Observation ABO and Rh group [Type] in Blood

supportingInfo

sequence: 4

category: 影像報告

value: Diagnostic Report for '左上肢動脈血管內超音波' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))'

supportingInfo

sequence: 6

category: 檢查報告

value: Diagnostic Report for 'Prostate Pathology biopsy report' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))'

supportingInfo

sequence: 8

category: 檢驗(查)

value: Observation Platelets [#/volume] in Blood by Automated count

supportingInfo

sequence: 9

category: 檢驗(查)

value: Observation CBC panel - Blood by Automated count

supportingInfo

sequence: 10

category: 病人狀態評估

value: Observation Functional capacity NYHA

supportingInfo

sequence: 11

category: 用藥品項

value: MedicationRequest: status = completed; statusReason = Try another treatment first; intent = order; category = 健保; medication[x] = ANTI-COUGH SYRUP "WASHINGTON"

supportingInfo

sequence: 12

category: 放射治療

value: Procedure 骨髓高溫療法

supportingInfo

sequence: 13

category: 治療計畫文件

value: DocumentReference: status = current; category = 治療計畫文件

supportingInfo

sequence: 14

category: 病歷資料

value: DocumentReference: status = current; category = 病歷資料

supportingInfo

sequence: 15

category: 結果資訊

value: Observation International Working Group(IWG) Consensus Criteria

supportingInfo

sequence: 16

category: 門診病歷

value: Composition 門診病歷

supportingInfo

sequence: 17

category: 過敏史

value: AllergyIntolerance

supportingInfo

sequence: 18

category: 照光治療

value: Procedure 窄頻UVB(nb-UVB)

Diagnoses

-ExtensionSequenceDiagnosis[x]Type
*1慢性右心臟衰竭Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

Procedures

-SequenceDateProcedure[x]
*12024-01-01經自然開口或人工造口心包腔液態近接放射性同位素抗腫瘤藥劑輸入

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active

item

RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Alunbrig film-coated tablets 30mg

sequence: 1

productOrService: 藥品

modifier: 初次使用, 第一線治療

programCode: ALK陽性的晚期非小細胞肺癌第一線治療

quantity: 52 {tbl} (Details: UCUM code{tbl} = '{tbl}')

item

RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Herzuma Inj. 440mg, Lyophilized powder for injection

sequence: 2

productOrService: 藥品

modifier: 初次使用, 第一線治療

programCode: 早期乳癌-未發生腋下淋巴結轉移

quantity: 70 {tbl} (Details: UCUM code{tbl} = '{tbl}')

" }, "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter", "valueReference" : { "reference" : "Encounter/enc-min" } }], "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" : "1", "display" : "送核" }] }, "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" : "bloodgroup" }] }, "valueReference" : { "reference" : "Observation/obs-blood-group" } }, { "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" : 6, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "examinationReport" }] }, "valueReference" : { "reference" : "DiagnosticReport/diaRep-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" : "tests" }] }, "valueReference" : { "reference" : "Observation/obs-lab-cbc" } }, { "sequence" : 10, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "patientAssessment" }] }, "valueReference" : { "reference" : "Observation/obs-pat-nyha" } }, { "sequence" : 11, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "medicationRequest" }] }, "valueReference" : { "reference" : "MedicationRequest/medReq-treat" } }, { "sequence" : 12, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "radiotherapy" }] }, "valueReference" : { "reference" : "Procedure/pro-min" } }, { "sequence" : 13, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "carePlanDocument" }] }, "valueReference" : { "reference" : "DocumentReference/doc-careplan-min" } }, { "sequence" : 14, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "medicalRecord" }] }, "valueReference" : { "reference" : "DocumentReference/doc-medicalRecord-min" } }, { "sequence" : 15, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "treatmentAssessment" }] }, "valueReference" : { "reference" : "Observation/obs-tx-min" } }, { "sequence" : 16, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "opd" }] }, "valueReference" : { "reference" : "Composition/opd" } }, { "sequence" : 17, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "allergy" }] }, "valueReference" : { "reference" : "AllergyIntolerance/all-min" } }, { "sequence" : 18, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "phototherapy" }] }, "valueReference" : { "reference" : "Procedure/pro-phototherapy" } }], "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" }] }], "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" } }], "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" : [{ "text" : "ALK陽性的晚期非小細胞肺癌第一線治療" }], "quantity" : { "value" : 52, "system" : "http://unitsofmeasure.org", "code" : "{tbl}" } }, { "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService", "valueReference" : { "reference" : "MedicationRequest/medReq-apply-2" } }], "sequence" : 2, "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/Composition/opd", "resource" : { "resourceType" : "Composition", "id" : "opd", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Composition opd

Profile: 門診病歷-Composition OPD TWPAS

status: Final

type: Outpatient Note

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

date: 2024-05-30

author: Organization 臺北市立聯合醫院

title: 門診病歷

" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "34108-1" }] }, "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" }, "date" : "2024-05-30", "author" : [{ "reference" : "Organization/org-hosp-example" }], "title" : "門診病歷", "section" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "10154-3" }] }, "entry" : [{ "reference" : "Observation/obs-subjective" }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "61149-1" }] }, "entry" : [{ "reference" : "Observation/obs-objective" }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "51848-0" }] }, "entry" : [{ "reference" : "ClinicalImpression/cliImp-min" }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "18776-5" }] }, "entry" : [{ "reference" : "CarePlan/careplan-min" }] }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Encounter/enc-opd", "resource" : { "resourceType" : "Encounter", "id" : "enc-opd", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-opd-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter enc-opd

Profile: 門診病歷-Encounter OPD TWPAS

status: finished

class: ActCode: AMB (ambulatory)

serviceType: Family practice (qualifier value)

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

Participants

-Individual
*Practitioner: identifier = National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code,Medical License number

period: 2025-11-11 --> (ongoing)

diagnosis

condition: Condition 右側膝部原發性骨關節炎，單側性

rank: 1

diagnosis

condition: Condition 本態性(原發性)高血壓

rank: 2

serviceProvider: Organization 臺北市立聯合醫院

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "AMB" }, "serviceType" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419772000" }] }, "subject" : { "reference" : "Patient/pat-min" }, "participant" : [{ "individual" : { "reference" : "Practitioner/pra-min" } }], "period" : { "start" : "2025-11-11" }, "diagnosis" : [{ "condition" : { "reference" : "Condition/con-diagnosis" }, "rank" : 1 }, { "condition" : { "reference" : "Condition/con-comorbidity" }, "rank" : 2 }], "serviceProvider" : { "reference" : "Organization/org-hosp-example" } } }, { "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/Condition/con-diagnosis", "resource" : { "resourceType" : "Condition", "id" : "con-diagnosis", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Condition-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition con-diagnosis

Profile: 診斷-Condition TWPAS

clinicalStatus: Active

category: Diagnosis Narrative

code: 右側膝部原發性骨關節炎，單側性

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active" }] }, "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "29548-5" }] }], "code" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw", "code" : "M17.11" }] }, "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Condition/con-comorbidity", "resource" : { "resourceType" : "Condition", "id" : "con-comorbidity", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Condition-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Condition con-comorbidity

Profile: 診斷-Condition TWPAS

clinicalStatus: Active

category: Diagnosis Narrative

code: 本態性(原發性)高血壓

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical", "code" : "active" }] }, "category" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "29548-5" }] }], "code" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw", "code" : "I10" }] }, "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-blood-group", "resource" : { "resourceType" : "Observation", "id" : "obs-blood-group", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-blood-group-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation obs-blood-group

Profile: 血型-Observation Blood Group TWPAS

status: Final

category: 病人血型

code: ABO and Rh group [Type] in Blood

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

effective: 2024-05-07

value: Blood group A (ABO blood group)

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "bloodgroup" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "882-1" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-05-07", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "112144000" }] } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/AllergyIntolerance/all-min", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "all-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance all-min

Profile: 過敏史-AllergyIntolerance TWPAS

clinicalStatus: Active

code: 對 A 藥物過敏，過敏反應為全身性皮疹、呼吸喘，約在服用後15分鐘發生。曾於2023年5月因感冒服用過 A 藥，出現上述過敏反應，故此後避免使用。

patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active" }] }, "code" : { "text" : "對 A 藥物過敏，過敏反應為全身性皮疹、呼吸喘，約在服用後15分鐘發生。曾於2023年5月因感冒服用過 A 藥，出現上述過敏反應，故此後避免使用。" }, "patient" : { "reference" : "Patient/pat-min" } } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-subjective", "resource" : { "resourceType" : "Observation", "id" : "obs-subjective", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-subjective-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation obs-subjective

Profile: 主觀描述-Observation Subjective TWPAS

status: Final

category: Survey

code: Subjective Narrative

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

effective: 2025-11-11

value: Pain and tenderness of Right knee since yesterday.

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "61150-9" }] }, "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" }, "effectiveDateTime" : "2025-11-11", "valueString" : "Pain and tenderness of Right knee since yesterday." } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Observation/obs-objective", "resource" : { "resourceType" : "Observation", "id" : "obs-objective", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-objective-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation obs-objective

Profile: 客觀描述-Observation Objective TWPAS

status: Final

category: Survey

code: Objective Narrative

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

effective: 2025-11-11

value: BP 110/70 mmHg PR 80/min BT 38.50C

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "61149-1" }] }, "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" }, "effectiveDateTime" : "2025-11-11", "valueString" : "BP 110/70 mmHg PR 80/min BT 38.50C" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/ClinicalImpression/cliImp-min", "resource" : { "resourceType" : "ClinicalImpression", "id" : "cliImp-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ClinicalImpression cliImp-min

Profile: 評估-ClinicalImpression TWPAS

status: Completed

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

summary: Right knee . arthritis . active

" }, "status" : "completed", "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" }, "summary" : "Right knee . arthritis . active" } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/CarePlan/careplan-min", "resource" : { "resourceType" : "CarePlan", "id" : "careplan-min", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/CarePlan-twpas"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: CarePlan careplan-min

Profile: 計畫-CarePlan TWPAS

status: Completed

intent: Plan

category: Assessment and Plan of Treatment

description: 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.

subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number\u00a0(use:\u00a0official,\u00a0))

encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

" }, "status" : "completed", "intent" : "plan", "category" : [{ "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw", "code" : "assess-plan" }] }], "description" : "1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.", "subject" : { "reference" : "Patient/pat-min" }, "encounter" : { "reference" : "Encounter/enc-opd" } } }, { "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/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-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/Observation/obs-lab-cbc", "resource" : { "resourceType" : "Observation", "id" : "obs-lab-cbc", "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)

套組代碼：CBC panel - Blood by Automated count (LOINCCodes#58410-2)

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)附件：DocumentReference/doc-test-min

檢驗(查)名稱：Leukocytes [#/volume] in Blood by Automated count (LOINCCodes#6690-2)
檢驗(查)結果：3.6 × 10^3/μL
檢驗(查)結果之參考範圍下限：3.9 × 10^3/μL
檢驗(查)結果之參考範圍上限：10.6 × 10^3/μL

檢驗(查)名稱：Erythrocytes [#/volume] in Blood by Automated count (LOINCCodes#789-8)
檢驗(查)結果：4.7 × 10^6/μL
檢驗(查)結果之參考範圍下限：4.5 × 10^3/μL
檢驗(查)結果之參考範圍上限：5.9 × 10^3/μL

檢驗(查)名稱：Hemoglobin [Mass/volume] in Blood (LOINCCodes#718-7)
檢驗(查)結果：14 g/dL
檢驗(查)結果之參考範圍下限：13.5 g/dL
檢驗(查)結果之參考範圍上限：17.5 g/dL

檢驗(查)名稱：Hematocrit [Volume Fraction] of Blood by Automated count (LOINCCodes#4544-3)
檢驗(查)結果：45 %
檢驗(查)結果之參考範圍下限：41 %
檢驗(查)結果之參考範圍上限：53 %

檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3)
檢驗(查)結果：101 × 10^3/μL
檢驗(查)結果之參考範圍下限：150 × 10^3/μL
檢驗(查)結果之參考範圍上限：400 × 10^3/μL

" }, "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" : "58410-2" }] }, "subject" : { "reference" : "Patient/pat-min" }, "effectiveDateTime" : "2024-01-01", "performer" : [{ "reference" : "Practitioner/pra-min" }], "derivedFrom" : [{ "reference" : "DocumentReference/doc-test-min" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "6690-2" }] }, "valueQuantity" : { "value" : 3.6, "unit" : "10*3/uL" }, "referenceRange" : [{ "low" : { "value" : 3.9, "unit" : "10*3/uL" }, "high" : { "value" : 10.6, "unit" : "10*3/uL" } }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "789-8" }] }, "valueQuantity" : { "value" : 4.7, "unit" : "10*6/uL" }, "referenceRange" : [{ "low" : { "value" : 4.5, "unit" : "10*6/uL" }, "high" : { "value" : 5.9, "unit" : "10*6/uL" } }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "718-7" }] }, "valueQuantity" : { "value" : 14, "unit" : "g/dL" }, "referenceRange" : [{ "low" : { "value" : 13.5, "unit" : "g/dL" }, "high" : { "value" : 17.5, "unit" : "g/dL" } }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "4544-3" }] }, "valueQuantity" : { "value" : 45, "unit" : "%" }, "referenceRange" : [{ "low" : { "value" : 41, "unit" : "%" }, "high" : { "value" : 53, "unit" : "%" } }] }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "777-3" }] }, "valueQuantity" : { "value" : 101, "unit" : "10*3/uL" }, "referenceRange" : [{ "low" : { "value" : 150, "unit" : "10*3/uL" }, "high" : { "value" : 400, "unit" : "10*3/uL" } }] }] } }, { "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/Procedure/pro-phototherapy", "resource" : { "resourceType" : "Procedure", "id" : "pro-phototherapy", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-phototherapy-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 照光治療-Procedure Phototherapy TWPAS

照光治療狀態：completed

照光治療種類：窄頻UVB(nb-UVB) (NHI-健保事前審查-照光治療種類#nb-UVB)

病人：Patient/pat-min "王大明"

照光治療起始日期：2024-01-01

照光治療終止日期：2024-03-31

照光治療總次數：Substance/sub-phototherapy 24

照光治療紀錄：DocumentReference/doc-phototherapy-min file://ptReport01.pdf

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-phototherapy", "code" : "nb-UVB", "display" : "窄頻UVB(nb-UVB)" }] }, "subject" : { "reference" : "Patient/pat-min" }, "performedPeriod" : { "start" : "2024-01-01", "end" : "2024-03-31" }, "report" : [{ "reference" : "DocumentReference/doc-phototherapy-min" }], "usedReference" : [{ "reference" : "Substance/sub-phototherapy" }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/Substance/sub-phototherapy", "resource" : { "resourceType" : "Substance", "id" : "sub-phototherapy", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-phototherapy-twpas"] }, "text" : { "status" : "generated", "div" : "

Profile: 照光治療總次數-Substance Phototherapy TWPAS

照光治療項目：窄頻UVB(nb-UVB) (NHI-健保事前審查-照光治療種類#nb-UVB)

照光治療總次數：24

" }, "code" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-phototherapy", "code" : "nb-UVB" }] }, "ingredient" : [{ "quantity" : { "numerator" : { "value" : 24 }, "denominator" : { "value" : 1 } }, "substanceCodeableConcept" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-phototherapy", "code" : "nb-UVB" }] } }] } }, { "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", "resource" : { "resourceType" : "MedicationRequest", "id" : "medReq-apply", "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：Alunbrig film-coated tablets 30mgL (NHI-健保事前審查-用藥品項值集#BC27730100)

病人：Patient/pat-min "王大明"

事前審查藥物預定處方起始日期：2024-01-01

事前審查藥物預定處方終止日期：2024-02-11

事前審查藥品使用頻率及服用時間：Every day at institution specified times.、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#BIW、#AC1H)

事前審查藥品每次處方劑量：75 mg/m2

事前審查藥品療程／週期數：42

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

事前審查藥物預定處方起始日期：2024-02-12

事前審查藥物預定處方終止日期：2024-03-10

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：150 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" : "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" } }] }] } }, { "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/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

" }, "status" : "current", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type", "code" : "medrec" }] }], "subject" : { "reference" : "Patient/pat-min" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://王大明病歷.pdf", "title" : "王大明病歷" } }] } }, { "fullUrl" : "https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-patientAssessment-min", "resource" : { "resourceType" : "DocumentReference", "id" : "doc-patientAssessment-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：病人狀態評估報告 (NHI-文件類型#patientAssessment)

病人：Patient/pat-min "王大明"

病人狀態評估報告 (application/pdf)：file://病人狀態評估報告.pdf

病人狀態評估報告名稱：病人狀態評估報告名稱

" }, "status" : "current", "category" : [{ "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type", "code" : "patientAssessment" }] }], "subject" : { "reference" : "Patient/pat-min" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://病人狀態評估報告.pdf", "title" : "病人狀態評估報告名稱" } }] } }] }