{ "resourceType" : "Bundle", "id" : "bun-uuid-example", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/Bundle-twpas"] }, "type" : "collection", "entry" : [{ "fullUrl" : "urn:uuid:ee37d6e5-26c4-43b3-a036-6675c739a340", "resource" : { "resourceType" : "Claim", "id" : "inline-claim", "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：urn:uuid:9726648a-dd47-431b-a677-3d5e9250d84c "胸腔暨重症加護"

原受理編號：20240831010109051701

申報類別：送核 (NHI-申報類別值集#1)

目的：Preauthorization

病人：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "王大明"

申請日期：2024-05-30

申請醫師：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

醫事機構代碼：urn:uuid:fd1af332-b353-46e6-9a5f-3eec6ac9d9ff

申請案件類別：自主審查 (NHI-申請案件類別值集#3)

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：urn:uuid:75f8540e-ace9-47d4-afd8-0a3ec81ad656

supportingInfo

sequence：5

category：影像報告

value：urn:uuid:e13ae26f-836f-402b-a40f-b2c19dd1dc06

supportingInfo

sequence：6

category：影像報告

value：urn:uuid:fd9d86d3-df40-45a9-a636-4f5b1710e1c5

supportingInfo

sequence：7

category：癌症分期量表

value：urn:uuid:2b42533e-3004-4f1d-abd1-c3e55fa9981f

supportingInfo

sequence：8

category：檢查報告

value：urn:uuid:96dd114f-c596-4dab-9483-a94300e37e20

supportingInfo

sequence：9

category：基因資訊

value：urn:uuid:a7f410d8-a646-4ec5-b32a-e4c50dd9db4c

supportingInfo

sequence：10

category：檢驗(查)

value：urn:uuid:e731f6b1-aac7-4b3f-9a72-1d71f25e664c

supportingInfo

sequence：11

category：檢驗(查)

value：urn:uuid:e9dfe919-52dd-4691-96bf-1a3d244a30a3

supportingInfo

sequence：12

category：病人狀態評估

value：urn:uuid:f08b0bfb-d26b-4118-aa30-5abbd391f762

supportingInfo

sequence：13

category：用藥品項

value：urn:uuid:da01d9f1-5945-46d8-b493-18a72a7976a0

supportingInfo

sequence：14

category：放射治療

value：urn:uuid:0a37e990-e3ad-4b35-88c7-13b4283bdf10

supportingInfo

sequence：15

category：治療計畫文件

value：urn:uuid:3a625041-5d1f-4e98-81c1-dff54adcc110

supportingInfo

sequence：16

category：病歷資料

value：urn:uuid:931cd8ec-705b-4ac7-ad72-43728045f278

supportingInfo

sequence：17

category：結果資訊

value：urn:uuid:63cabc24-a403-4522-9226-1c96968590bd

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)

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：2024-01-01 (臺灣健保署2023年中文版ICD-10-PCS值集#3E0Y704)

Insurances

sequence：1

coverage：urn:uuid:79ee2767-54d9-4682-bbd4-d0add0576388

申請項目

事前審查品項：urn:uuid:46b3230a-d641-4e45-be42-2c84a5c04d67

事前審查申請數量(單位)：52 (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：ALK陽性的晚期非小細胞肺癌第一線治療

事前審查品項：urn:uuid:de63572a-412b-4004-8fd6-93612a22e673

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：C50P2 (NHI-給付適應症值集#C50P2)

" }, "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter", "valueReference" : { "reference" : "urn:uuid:9726648a-dd47-431b-a677-3d5e9250d84c" } }], "identifier" : [{ "value" : "20240831010109051701" }], "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "created" : "2024-05-30", "enterer" : { "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }, "provider" : { "reference" : "urn:uuid:fd1af332-b353-46e6-9a5f-3eec6ac9d9ff" }, "priority" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tmhb-type", "code" : "3", "display" : "自主審查" }] }, "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" : "urn:uuid:75f8540e-ace9-47d4-afd8-0a3ec81ad656" } }, { "sequence" : 5, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "imagingReport" }] }, "valueReference" : { "reference" : "urn:uuid:e13ae26f-836f-402b-a40f-b2c19dd1dc06" } }, { "sequence" : 6, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "imagingReport" }] }, "valueReference" : { "reference" : "urn:uuid:fd9d86d3-df40-45a9-a636-4f5b1710e1c5" } }, { "sequence" : 7, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "cancerStage" }] }, "valueReference" : { "reference" : "urn:uuid:2b42533e-3004-4f1d-abd1-c3e55fa9981f" } }, { "sequence" : 8, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "examinationReport" }] }, "valueReference" : { "reference" : "urn:uuid:96dd114f-c596-4dab-9483-a94300e37e20" } }, { "sequence" : 9, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "geneInfo" }] }, "valueReference" : { "reference" : "urn:uuid:a7f410d8-a646-4ec5-b32a-e4c50dd9db4c" } }, { "sequence" : 10, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "tests" }] }, "valueReference" : { "reference" : "urn:uuid:e731f6b1-aac7-4b3f-9a72-1d71f25e664c" } }, { "sequence" : 11, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "tests" }] }, "valueReference" : { "reference" : "urn:uuid:e9dfe919-52dd-4691-96bf-1a3d244a30a3" } }, { "sequence" : 12, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "patientAssessment" }] }, "valueReference" : { "reference" : "urn:uuid:f08b0bfb-d26b-4118-aa30-5abbd391f762" } }, { "sequence" : 13, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "medicationRequest" }] }, "valueReference" : { "reference" : "urn:uuid:da01d9f1-5945-46d8-b493-18a72a7976a0" } }, { "sequence" : 14, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "radiotherapy" }] }, "valueReference" : { "reference" : "urn:uuid:0a37e990-e3ad-4b35-88c7-13b4283bdf10" } }, { "sequence" : 15, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "carePlanDocument" }] }, "valueReference" : { "reference" : "urn:uuid:3a625041-5d1f-4e98-81c1-dff54adcc110" } }, { "sequence" : 16, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "medicalRecord" }] }, "valueReference" : { "reference" : "urn:uuid:931cd8ec-705b-4ac7-ad72-43728045f278" } }, { "sequence" : 17, "category" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type", "code" : "treatmentAssessment" }] }, "valueReference" : { "reference" : "urn:uuid:63cabc24-a403-4522-9226-1c96968590bd" } }], "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" : "urn:uuid:79ee2767-54d9-4682-bbd4-d0add0576388" } }], "item" : [{ "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService", "valueReference" : { "reference" : "urn:uuid:46b3230a-d641-4e45-be42-2c84a5c04d67" } }], "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" : "urn:uuid:de63572a-412b-4004-8fd6-93612a22e673" } }], "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" : "C50P2" }] }], "quantity" : { "value" : 70, "system" : "http://unitsofmeasure.org", "code" : "{tbl}" } }] } }, { "fullUrl" : "urn:uuid:9726648a-dd47-431b-a677-3d5e9250d84c", "resource" : { "resourceType" : "Encounter", "id" : "inline-encounter", "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d", "resource" : { "resourceType" : "Patient", "id" : "inline-patient", "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" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020", "resource" : { "resourceType" : "Practitioner", "id" : "inline-practitioner", "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）

" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NNxxx" }] }, "system" : "http://www.moi.gov.tw", "value" : "F123456789" }] } }, { "fullUrl" : "urn:uuid:fd1af332-b353-46e6-9a5f-3eec6ac9d9ff", "resource" : { "resourceType" : "Organization", "id" : "inline-org-hosp", "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" : "urn:uuid:75f8540e-ace9-47d4-afd8-0a3ec81ad656", "resource" : { "resourceType" : "DiagnosticReport", "id" : "inline-diaRep-ima", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

影像檢查的身體部位／DICOM影像：urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3

影像報告結果：影像報告結果

" }, "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "imagingStudy" : [{ "reference" : "urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3" }], "conclusion" : "影像報告結果" } }, { "fullUrl" : "urn:uuid:e13ae26f-836f-402b-a40f-b2c19dd1dc06", "resource" : { "resourceType" : "DiagnosticReport", "id" : "inline-diaRep-ima-2", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "王大明"

影像報告：左上肢動脈超音波 (臺灣健保署2023年中文版ICD-10-PCS值集#B34JZZZ)

影像報告日期：2024-05-07

簽發影像報告醫師：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

影像檢查的身體部位／DICOM影像：urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3

影像報告結果：影像報告結果

影像報告名稱：影像報告

影像報告：file://ImagingDiagnosticReport01.pdf

影像報告名稱：影像報告

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" : "B34JZZZ" }] }, "subject" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "imagingStudy" : [{ "reference" : "urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3" }], "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" : "urn:uuid:fd9d86d3-df40-45a9-a636-4f5b1710e1c5", "resource" : { "resourceType" : "DiagnosticReport", "id" : "inline-diaRep-ima-loinc", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "王大明"

影像報告：Diagnostic imaging study (LOINCDiagnosticReportCodes #18748-4)

影像報告日期：2024-05-07

簽發影像報告醫師：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

影像檢查的身體部位／DICOM影像：urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3

影像報告結果：影像報告結果

影像報告名稱：影像報告

影像報告：file://ImagingDiagnosticReport01.pdf

影像報告名稱：影像報告

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" : "http://loinc.org", "code" : "18748-4" }] }, "subject" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "imagingStudy" : [{ "reference" : "urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3" }], "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" : "urn:uuid:4213460c-db7c-4a32-8129-157c9f3a4cc3", "resource" : { "resourceType" : "ImagingStudy", "id" : "inline-imaStu", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "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" : "urn:uuid:2b42533e-3004-4f1d-abd1-c3e55fa9981f", "resource" : { "resourceType" : "Observation", "id" : "inline-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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

癌症分期量表評估日期：2024-05-07

簽發癌症分期報告醫師：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nci-thesaurus", "code" : "C96244" }] } } }, { "fullUrl" : "urn:uuid:96dd114f-c596-4dab-9483-a94300e37e20", "resource" : { "resourceType" : "DiagnosticReport", "id" : "inline-diaRep", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "王大明"

報告日期：2024-05-07

檢查報告醫師：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

報告結果-文數字：細胞檢查報告結果

檢查報告名稱：病理報告

檢查報告：file://PathologyReport01.pdf

檢查報告名稱：病理報告

檢查報告：file://PathologyReport02.pdf

非DICOM影像：http://example.nondicom.url

" }, "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "conclusion" : "細胞檢查報告結果", "presentedForm" : [{ "contentType" : "application/pdf", "url" : "file://PathologyReport01.pdf", "title" : "病理報告" }, { "contentType" : "application/pdf", "url" : "file://PathologyReport02.pdf", "title" : "病理報告" }] } }, { "fullUrl" : "urn:uuid:a7f410d8-a646-4ec5-b32a-e4c50dd9db4c", "resource" : { "resourceType" : "Observation", "id" : "inline-obs-diagnostic", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

基因檢測日期：2024-05-07

基因檢測代碼：BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal （ LOINC-基因檢測代碼值集#21636-6）
基因突變類型：Deletion （ LOINC-基因突變類型值集#LA6692-3）

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：urn:uuid:60d143e9-1637-4668-abdb-34fbdfee5d00

基因報告：urn:uuid:408f3e21-47c9-4f1f-9eea-1cd2a7841c97

" }, "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:41d0fbf1-850a-4c96-be9e-54ca2053c6b8" }], "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" : "urn:uuid:60d143e9-1637-4668-abdb-34fbdfee5d00" }, "derivedFrom" : [{ "reference" : "urn:uuid:408f3e21-47c9-4f1f-9eea-1cd2a7841c97" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21636-6" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://loinc.org", "code" : "LA6692-3" }] }, "interpretation" : [{ "coding" : [{ "system" : "http://loinc.org", "code" : "LA6692-3" }] }] }] } }, { "fullUrl" : "urn:uuid:60d143e9-1637-4668-abdb-34fbdfee5d00", "resource" : { "resourceType" : "Specimen", "id" : "inline-specimen", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

基因檢測日期：2024-05-06T09:00:00.000Z

" }, "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "LP7057-5" }] }, "subject" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "receivedTime" : "2024-05-06T09:00:00.000Z" } }, { "fullUrl" : "urn:uuid:408f3e21-47c9-4f1f-9eea-1cd2a7841c97", "resource" : { "resourceType" : "DocumentReference", "id" : "inline-doc-gene", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://GenReport01.pdf", "title" : "GenReport01" } }] } }, { "fullUrl" : "urn:uuid:e731f6b1-aac7-4b3f-9a72-1d71f25e664c", "resource" : { "resourceType" : "Observation", "id" : "inline-obs-lab", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

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：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

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：urn:uuid:a1aa65c7-c464-41a5-aa1a-fe5cddf487cf

" }, "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-01-01", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "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" : "urn:uuid:a1aa65c7-c464-41a5-aa1a-fe5cddf487cf" }] } }, { "fullUrl" : "urn:uuid:e9dfe919-52dd-4691-96bf-1a3d244a30a3", "resource" : { "resourceType" : "Observation", "id" : "inline-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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

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：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

檢驗(查)附件：urn:uuid:a1aa65c7-c464-41a5-aa1a-fe5cddf487cf

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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-01-01", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "derivedFrom" : [{ "reference" : "urn:uuid:a1aa65c7-c464-41a5-aa1a-fe5cddf487cf" }], "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" : "urn:uuid:a1aa65c7-c464-41a5-aa1a-fe5cddf487cf", "resource" : { "resourceType" : "DocumentReference", "id" : "inline-doc-test", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://TestReport01.pdf", "title" : "TestReport01" } }, { "attachment" : { "contentType" : "application/pdf", "url" : "file://TestReport02.pdf", "title" : "TestReport02" } }] } }, { "fullUrl" : "urn:uuid:f08b0bfb-d26b-4118-aa30-5abbd391f762", "resource" : { "resourceType" : "Observation", "id" : "inline-obs-pat", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

病人狀態評估日期：2024-01-01

評估項目醫事人員身分證號：urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020

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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-01-01", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "valueString" : "class1" } }, { "fullUrl" : "urn:uuid:da01d9f1-5945-46d8-b493-18a72a7976a0", "resource" : { "resourceType" : "MedicationRequest", "id" : "inline-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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d ""

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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "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, "system" : "http://unitsofmeasure.org", "code" : "{tbl}" } }] }] } }, { "fullUrl" : "urn:uuid:0a37e990-e3ad-4b35-88c7-13b4283bdf10", "resource" : { "resourceType" : "Procedure", "id" : "inline-procedure", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "王大明"

放射治療日期：2024-05-06 09:00:00+0000

放射治療總劑量：urn:uuid:b3c91f1b-14e3-4f44-8fa2-72f27b1d28c8 5000 mg

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw", "code" : "D7Y08ZZ" }] }, "subject" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "performedDateTime" : "2024-05-06T09:00:00.000Z", "usedReference" : [{ "reference" : "urn:uuid:b3c91f1b-14e3-4f44-8fa2-72f27b1d28c8" }] } }, { "fullUrl" : "urn:uuid:b3c91f1b-14e3-4f44-8fa2-72f27b1d28c8", "resource" : { "resourceType" : "Substance", "id" : "inline-substance", "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" : "urn:uuid:3a625041-5d1f-4e98-81c1-dff54adcc110", "resource" : { "resourceType" : "DocumentReference", "id" : "inline-doc-careplan", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://CarePlanReport01.pdf", "title" : "免疫檢查點抑制劑治療計畫" } }] } }, { "fullUrl" : "urn:uuid:63cabc24-a403-4522-9226-1c96968590bd", "resource" : { "resourceType" : "Observation", "id" : "inline-obs-tx", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d

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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "effectiveDateTime" : "2024-05-07", "performer" : [{ "reference" : "urn:uuid:1cf37d4c-1fd2-43c5-8b4e-277c0fef5020" }], "valueString" : "Partial remission (PR)" } }, { "fullUrl" : "urn:uuid:46b3230a-d641-4e45-be42-2c84a5c04d67", "resource" : { "resourceType" : "MedicationRequest", "id" : "inline-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 30mg (NHI-健保事前審查-用藥品項值集#BC27730100)

病人：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "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" : "urn:uuid:de63572a-412b-4004-8fd6-93612a22e673", "resource" : { "resourceType" : "MedicationRequest", "id" : "inline-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：TEMODAL CAPSULES 20MG (NHI-健保事前審查-用藥品項值集#KC009612B5)

病人：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "KC009612B5" }] }, "subject" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "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" : "urn:uuid:79ee2767-54d9-4682-bbd4-d0add0576388", "resource" : { "resourceType" : "Coverage", "id" : "inline-coverage", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "王大明"

保險人：urn:uuid:70e7e8b6-4605-487e-9626-be645114140f "衛生福利部中央健康保險署"

" }, "status" : "active", "beneficiary" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "payor" : [{ "reference" : "urn:uuid:70e7e8b6-4605-487e-9626-be645114140f" }] } }, { "fullUrl" : "urn:uuid:70e7e8b6-4605-487e-9626-be645114140f", "resource" : { "resourceType" : "Organization", "id" : "inline-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" : "urn:uuid:41d0fbf1-850a-4c96-be9e-54ca2053c6b8", "resource" : { "resourceType" : "Organization", "id" : "inline-org-gene", "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" : "urn:uuid:aba0bd9e-3004-4c30-a839-5f7dd94e1a56", "resource" : { "resourceType" : "ClaimResponse", "id" : "inline-claRes-self-assessment", "meta" : { "profile" : ["https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClaimResponse-self-assessment-twpas"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: ClaimResponse inline-claRes-self-assessment

Profile: 自主審查-ClaimResponse Self Assessment TWPAS

ClaimResponseRequestor: http://www.moi.gov.tw/F123456789

ClaimResponseRequestor: http://www.moi.gov.tw/A123456789

status: Active

type: Institutional

use: Preauthorization

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

created: 2024-07-30

insurer: Organization 衛生福利部中央健康保險署

outcome: Complete

item

itemSequence: 1

Adjudications

-CategoryReasonValue
*Submitted Amount同意5
" }, "extension" : [{ "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor", "valueIdentifier" : { "system" : "http://www.moi.gov.tw", "value" : "F123456789" } }, { "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor", "valueIdentifier" : { "system" : "http://www.moi.gov.tw", "value" : "A123456789" } }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "institutional" }] }, "use" : "preauthorization", "patient" : { "reference" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "created" : "2024-07-30", "insurer" : { "reference" : "urn:uuid:70e7e8b6-4605-487e-9626-be645114140f" }, "outcome" : "complete", "item" : [{ "itemSequence" : 1, "adjudication" : [{ "category" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/adjudication", "code" : "submitted" }] }, "reason" : { "coding" : [{ "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-approve-comment", "code" : "1" }] }, "value" : 5 }] }] } }, { "fullUrl" : "urn:uuid:931cd8ec-705b-4ac7-ad72-43728045f278", "resource" : { "resourceType" : "DocumentReference", "id" : "inline-doc-medicalRecord", "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：urn:uuid:047422b2-0c18-4707-801d-465833e6d65d "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" : "urn:uuid:047422b2-0c18-4707-801d-465833e6d65d" }, "content" : [{ "attachment" : { "contentType" : "application/pdf", "url" : "file://王大明病歷.pdf", "title" : "王大明病歷" } }] } }] }