電子病歷交換單張實作指引(EMR-IG)
0.2.0 - ci-build

This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.2.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: 電子處方箋 Bundle example

Document Details

Generated Narrative: Bundle 電子處方箋

Document Subject

Unable to resolve subject ''


Document Content

Social history Narrative

Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

Diagnosis Narrative

Medication prescribed Narrative Narrative


Additional Resources Included in Document


Entry 1 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Composition/com-ep

Resource Composition:

Generated Narrative: Composition com-ep

status: Final

type: Prescription for medication

encounter: Encounter: status = finished; class = 西醫一般案件 (casetype#01); serviceType = General surgery (qualifier value); period = 2023-02-23 --> (ongoing)

date: 2024-02-19 14:30:00+0100

author:

title: 電子處方箋

custodian: Organization 洪文武診所


Entry 2 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Patient/pat-ep

Resource Patient:

Generated Narrative: Patient pat-ep

甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))


Person Age39 a (Details: UCUM codea = 'a')

Entry 3 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Organization/org-ep

Resource Organization:

Generated Narrative: Organization org-ep

identifier: Provider number/3531020884

name: 洪文武診所

Contacts

-TelecomAddress
*ph: 02-29765731(Work)新北市三重區集美街162號1樓(work)

Entry 4 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Practitioner/pra-ep

Resource Practitioner:

Generated Narrative: Practitioner pra-ep

name: 洪文武(Official)

telecom: ph: 02-29765731(Work)

Qualifications

-IdentifierCode
*https://www.mohw.gov.tw//A1*****8028 (use: official, )Healthcare professional

Entry 5 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Encounter/enc-ep

Resource Encounter:

Generated Narrative: Encounter enc-ep

status: completed

class: 西醫一般案件

serviceType: No display for Encounter.serviceType (concept: General surgery (qualifier value))

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))


Entry 6 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Observation/obs-ep

Resource Observation:

Generated Narrative: Observation obs-ep

status: Final

category: Vital Signs

code: Body weight

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

effective: 2023-12-21

performer: Practitioner 洪文武(official)

value: 50 kg (Details: UCUM codekg = 'kg')


Entry 7 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Condition/con-ep

Resource Condition:

Generated Narrative: Condition con-ep

clinicalStatus: Active

category: Problem List Item

code: 霍亂

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

note: 001


Entry 8 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Coverage/cov-ep

Resource Coverage:

Generated Narrative: Coverage cov-ep

status: Active

type: 職業傷害

beneficiary: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))


Entry 9 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/Medication/med-01-ep

Resource Medication:

Generated Narrative: Medication med-01-ep

code: YEN KUANG EYE DROPS

ingredient


Entry 10 - fullUrl = https://twcore.mohw.gov.tw/ig/emr/MedicationRequest/med-req-01-ep

Resource MedicationRequest:

Generated Narrative: MedicationRequest med-req-01-ep

Extension-給藥總日份: 7 days

identifier: http://www.moi.gov.tw//Med000001, 7

status: Active

intent: Order

category: 一般處方箋:處方用藥,一次給予7日(含)以下之用藥量

subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

insurance: Coverage: status = active; type = 職業傷害

note: A, 否

dosageInstruction

timing: 4

route: 口服

DoseAndRates

-Dose[x]
*1.0 顆

dispenseRequest

validityPeriod: 2024-01-12 00:00:00+0800 --> 2024-01-19 00:00:00+0800

numberOfRepeatsAllowed: 1

quantity: 12 顆

ExpectedSupplyDurations

-Value
*3

Substitutions

-Allowed[x]Reason
*true不可替代時始需註明