臺灣癌症用藥事前審查實作指引
0.1.1 - ci-build
臺灣癌症用藥事前審查實作指引
0.1.1 - ci-build
This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v0.1.1: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
{
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"timestamp" : "2024-05-30T13:50:58.000Z",
"entry" : [
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Claim/cla-1",
"resource" : {
"resourceType" : "Claim",
"id" : "cla-1",
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🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Claim-twpas"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Claim-twpas.html\">事前審查-Claim TWPAS</a></p></div><p><b>狀態</b>：Active</p><p><b>類型</b>：Institutional<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/claim-type\">ClaimTypeCodes</a>#institutional)</span></p><p><b>申報類別</b>：送核<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-apply-type.html\">NHI-申報類別值集</a>#1)</span></p><p><b>目的</b>：Preauthorization</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>申請日期</b>：2024-05-30</p><p><b>申請醫師</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>醫事機構代碼</b>：<a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a></p><p><b>申請案件類別</b>：一般事前審查申請<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-tmhb-type.html\">NHI-申請案件類別值集</a>#1)</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：1</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type weight}\">病人體重</span></p><p><b>value</b>：59.65 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：2</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type height}\">病人身高</span></p><p><b>value</b>：170 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：3</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type pregnancyBreastfeedingStatus}\">是否懷孕或哺乳</span></p><p><b>value</b>：false</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：4</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type imagingReport}\">影像報告</span></p><p><b>value</b>：<a href=\"DiagnosticReport-diaRep-ima-min.html\">DiagnosticReport/diaRep-ima-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：5</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type cancerStage}\">癌症分期量表</span></p><p><b>value</b>：<a href=\"Observation-obs-cancer-figo.html\">Observation/obs-cancer-figo</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：6</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type examinationReport}\">檢查報告</span></p><p><b>value</b>：<a href=\"DiagnosticReport-diaRep-min.html\">DiagnosticReport/diaRep-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：7</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type companionDiagnostics}\">基因資訊</span></p><p><b>value</b>：<a href=\"Observation-obs-diagnostic-min.html\">Observation/obs-diagnostic-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：8</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type tests}\">檢驗(查)</span></p><p><b>value</b>：<a href=\"Observation-obs-lab-min.html\">Observation/obs-lab-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：9</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type patientAssessment}\">病人狀態評估</span></p><p><b>value</b>：<a href=\"Observation-obs-pat-nyha.html\">Observation/obs-pat-nyha</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：10</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type medicationRequest}\">用藥品項</span></p><p><b>value</b>：<a href=\"MedicationRequest-medReq-treat.html\">MedicationRequest/medReq-treat</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：11</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type radiotherapy}\">放射治療</span></p><p><b>value</b>：<a href=\"Procedure-pro-min.html\">Procedure/pro-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：12</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type carePlanDocument}\">治療計畫文件</span></p><p><b>value</b>：<a href=\"DocumentReference-doc-careplan-min.html\">DocumentReference/doc-careplan-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：13</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type treatmentAssessment}\">結果資訊</span></p><p><b>value</b>：<a href=\"Observation-obs-tx-min.html\">Observation/obs-tx-min</a></p></blockquote><h3>Diagnoses</h3><p><b>診斷日期</b>：2024-01-01</p><p><b>國際疾病分類代碼</b>：慢性右心臟衰竭<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣健保署2021年中文版ICD-10-CM值集</a>#I50.812)</span></p><p><b>簡要病摘</b>：Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI</p><h3>Procedures</h3><p><b>手術(或其他處置)日期</b>：2024-01-01</p><p><b>手術(或其他處置)項目</b>：2024-01-01<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw\">臺灣健保署2021年中文版ICD-10-PCS值集</a>#3E0Y704)</span></p><h3>Insurances</h3><p><b>sequence</b>：1</p><p><b>coverage</b>：<a href=\"Coverage-cov-min.html\">Coverage/cov-min</a></p><h3>Items</h3><p><b>事前審查品項</b>：<a href=\"MedicationRequest-medReq-apply.html\">MedicationRequest/medReq-apply</a></p><p><b>醫令類別</b>：癌症用藥<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-order-type.html\">臺灣健保署2021年中文版ICD-10-CM值集</a>#4)</span></p><p><b>給付適應症</b>：停經後雌激素接受器為陽性或不清楚之局部晚期或轉移性乳癌第一線治療</p></div>"
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"patient" : {
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{
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🔗 "reference" : "Observation/obs-lab-min"
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{
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"category" : {
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"valueReference" : {
🔗 "reference" : "Observation/obs-pat-nyha"
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{
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"category" : {
"coding" : [
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"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type",
"code" : "medicationRequest"
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]
},
"code" : {
"coding" : [
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"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-line-of-therapy",
"code" : "1",
"display" : "第一線治療"
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"valueReference" : {
🔗 "reference" : "MedicationRequest/medReq-treat"
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{
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"category" : {
"coding" : [
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"code" : "radiotherapy"
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},
"valueReference" : {
🔗 "reference" : "Procedure/pro-min"
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{
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"valueReference" : {
🔗 "reference" : "Observation/obs-tx-min"
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"diagnosis" : [
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"extension" : [
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"sequence" : 1,
"diagnosisCodeableConcept" : {
"coding" : [
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"type" : [
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"text" : "Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI"
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"procedure" : [
{
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"date" : "2024-01-01",
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"item" : [
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🔗 "reference" : "MedicationRequest/medReq-apply"
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"sequence" : 1,
"productOrService" : {
"coding" : [
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"code" : "4",
"display" : "癌症用藥"
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},
"programCode" : [
{
"text" : "停經後雌激素接受器為陽性或不清楚之局部晚期或轉移性乳癌第一線治療"
}
]
}
]
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{
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"resource" : {
"resourceType" : "Encounter",
"id" : "enc-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Encounter-twpas"
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Encounter-twpas.html\">就醫科別-Encounter TWPAS</a></p></div><p><b>就醫現況</b>：Finished <span style=\"background: LightGoldenRodYellow; margin:\r\n 4px; border: 1px solid khaki\">(<a href=\"https://hl7.org/fhir/R4/codesystem-encounter-status.html\">EncounterStatus</a>#finished)</span></p><p><b>就醫分類</b>：ambulatory <span style=\"background: LightGoldenRodYellow; margin:\r\n 4px; border: 1px solid khaki\">(<a href=\"https://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html\">ActEncounterCode CT</a>#AMB)</span></p><p><b>就醫科別</b>：胸腔暨重症加護 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw/\">臺灣健保署就醫科別</a>#AJ)</span></p></div>"
},
"status" : "finished",
"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://twcore.mohw.gov.tw/ig/pas/Patient/pat-min",
"resource" : {
"resourceType" : "Patient",
"id" : "pat-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient-twpas.html\">病人資訊-Patient TWPAS</a></p></div><blockquote><p><b>識別碼型別</b>：National Person Identifier <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#NNxxx）</span><br/><b>身分證字號（official）</b>：A123456789 （http://www.moi.gov.tw）</p></blockquote><blockquote><p><b>識別碼型別</b>：Medical record number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：123456 （https://tpech.gov.taipei）</p></blockquote><p><b>姓名（usual）</b>：王大明</p><p><b>性別</b>：男</p><p><b>出生日期</b>：2001-01-01</p></div>"
},
"identifier" : [
{
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},
"system" : "http://www.moi.gov.tw",
"value" : "A123456789"
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{
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"system" : "https://tpech.gov.taipei",
"value" : "123456"
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"text" : "王大明"
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],
"gender" : "male",
"birthDate" : "2001-01-01"
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},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Practitioner/pra-min",
"resource" : {
"resourceType" : "Practitioner",
"id" : "pra-min",
"meta" : {
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🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-twpas"
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Practitioner-twpas.html\">醫事人員-Practitioner TWPAS</a></p></div><p><b>識別碼型別</b>：National Person Identifier <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#NNxxx）</span></p><p><b>身分證字號（official）</b>：F123456789 （http://www.moi.gov.tw）</p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NNxxx"
}
]
},
"system" : "http://www.moi.gov.tw",
"value" : "F123456789"
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Organization/org-hosp-example",
"resource" : {
"resourceType" : "Organization",
"id" : "org-hosp-example",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Organization-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫事機構</b></h3><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-twpas.html\">機構-Organization TWPAS</a></p></div><p><b>機構名稱</b>：臺北市立聯合醫院</p><p><b>識別碼型別</b>：Provider number<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">IdentifierType</a>#PRN）</span><br/><b>機構代碼（official）</b>：0101090517 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>：Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#prov)</span></p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "https://twcore.mohw.gov.tw/ig/twcore/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://twcore.mohw.gov.tw/ig/pas/DiagnosticReport/diaRep-ima-min",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "diaRep-ima-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-image-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReport-image-twpas.html\">影像報告-DiagnosticReport Image TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>影像報告</b>：左上肢動脈血管內超音波 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw\">臺灣健保署2021年中文版ICD-10-PCS值集</a>#B34JZZ3)</span></p><p><b>影像報告日期</b>：2024-05-07</p><p><b>簽發影像報告醫師</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>影像檢查的身體部位／DICOM影像</b>：<a href=\"ImagingStudy-imaStu-min.html\">ImagingStudy/imaStu-min</a></p><p><b>影像報告結果</b>：影像報告結果</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-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"
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/ImagingStudy/imaStu-min",
"resource" : {
"resourceType" : "ImagingStudy",
"id" : "imaStu-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ImagingStudy-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile：<a href=\"StructureDefinition-ImagingStudy-twpas.html\">DICOM影像-ImagingStudy TWPAS</a></p></div><p><b>狀態</b>：registered</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>Study UID</b>：urn:oid:2.16.886.2102.54.4546465747.465465465</p><p><b>DICOM影像</b>：2.25.88017001449189502323411118737039844241、2.25.88017001449189502323411118737039844242</p><p><b>影像檢查的身體部位</b>：Head and neck structure<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://snomed.info/sct\">SNOMED CT</a>#774007)</span></p><p><b>儀器</b>：Ultrasound<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_D.html\">DICOM</a>#US)</span></p></div>"
},
"identifier" : [
{
"system" : "urn:dicom:uid",
"value" : "urn:oid:2.16.886.2102.54.4546465747.465465465"
}
],
"status" : "registered",
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"series" : [
{
"uid" : "2.16.886.2102.54.4546465747.465465465",
"modality" : {
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "US"
},
"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://twcore.mohw.gov.tw/ig/pas/Media/med-min",
"resource" : {
"resourceType" : "Media",
"id" : "med-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Media-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Media-twpas.html\">非DICOM影像-Media TWPAS</a></p></div><p><b>狀態</b>：completed</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>影像檢查的身體部位</b>：Head and neck structure<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://snomed.info/sct\">SNOMED CT</a>#774007)</span></p><p><b>非DICOM影像</b>：file://US01.jpg（#image/jpeg）</p></div>"
},
"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://twcore.mohw.gov.tw/ig/pas/Observation/obs-cancer-figo",
"resource" : {
"resourceType" : "Observation",
"id" : "obs-cancer-figo",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-cancer-stage-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-cancer-stage-twpas.html\">癌症分期量表-Observation Cancer Stage TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>癌症分期量表項目</b>：FIGO stage for gynaecological malignancy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://snomed.info/sct/\">SCT + NHI-癌症分期量表項目值集</a>#385361009)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>癌症分期量表評估日期</b>：2024-05-07</p><p><b>簽發癌症分期報告醫師</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>癌症分期分數或結果</b>：FIGO Stage I <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-nci-thesaurus.html\">NCI Thesaurus</a>#C96244)</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385361009"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-05-07",
"performer" : [
{
🔗 "reference" : "Practitioner/pra-min"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus",
"code" : "C96244"
}
]
}
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/DiagnosticReport/diaRep-min",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "diaRep-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReport-twpas.html\">檢查報告-DiagnosticReport TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>報告類型</b>：Prostate Pathology biopsy report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org\">EncounterStatus</a>#66117-3)</span></p><p><b>檢體種類</b>：Prostate</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>報告日期</b>：2024-05-07</p><p><b>檢查報告醫師</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>報告結果-文數字</b>：細胞檢查報告結果</p><p><b>檢查報告名稱</b>：病理報告</p><p><b>檢查報告</b>：file://PathologyReport01.pdf</p><p><b>非DICOM影像</b>：<a href=\"http://example.nondicom.url\">http://example.nondicom.url</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66117-3"
}
]
},
"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" : "病理報告"
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Observation/obs-diagnostic-min",
"resource" : {
"resourceType" : "Observation",
"id" : "obs-diagnostic-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-diagnostic-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-diagnostic-twpas.html\">基因資訊-Observation Diagnostic TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>類型</b>：基因資訊<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-supporting-info-type.html/\">NHI-補充資訊類別值集</a>#companionDiagnostics)</span></p><p><b>code</b>：Genetic variant assessment<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC</a>#69548-6)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>基因檢測日期</b>：2024-05-07</p><p><b>基因檢測機構</b>：<a href=\"Organization-org-hosp-example.html\">Organization 臺北市立聯合醫院</a></p><p><b>基因檢測分析結果</b>：Absent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC Answer List LL1971-2 </a>#LA9634-2)</span></p><p><b>基因臨床判讀結果</b>：Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/\">ObservationInterpretationCodes </a>#POS)</span></p><p><b>基因檢測檢體類型</b>：<a href=\"Specimen-spe-min.html\">Specimen/spe-min</a></p><p><b>基因報告</b>：<a href=\"DocumentReference-doc-gene-min.html\">DocumentReference/doc-gene-min</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type",
"code" : "companionDiagnostics"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69548-6"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-05-07",
"performer" : [
{
🔗 "reference" : "Organization/org-hosp-example"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA9634-2",
"display" : "Absent"
}
]
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "POS",
"display" : "Positive"
}
]
}
],
"method" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA26418-6"
}
]
},
"specimen" : {
🔗 "reference" : "Specimen/spe-min"
},
"derivedFrom" : [
{
🔗 "reference" : "DocumentReference/doc-gene-min"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21636-6"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6692-3"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48019-4"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6692-3",
"display" : "Deletion"
}
]
}
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Specimen/spe-min",
"resource" : {
"resourceType" : "Specimen",
"id" : "spe-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Specimen-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Specimen-twpas.html\">基因檢測檢體-Specimen TWPAS</a></p></div><p><b>類型</b>：基因資訊<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC-基因檢測檢體類型值集</a>#LP7057-5)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>基因檢測日期</b>：2024-05-06T09:00:00.000Z</p></div>"
},
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LP7057-5"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"receivedTime" : "2024-05-06T09:00:00.000Z"
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-gene-min",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "doc-gene-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference-twpas.html\">文件參照-DocumentReference TWPAS</a></p></div><p><b>狀態</b>：current</p><p><b>報告類型</b>：基因報告 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-nhi-pdf-type.html\">NHI-文件類型</a>#gene)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>基因報告(application/pdf)</b>：file://GenReport01.pdf</p></div>"
},
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type",
"code" : "gene"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "file://GenReport01.pdf"
}
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Observation/obs-lab-min",
"resource" : {
"resourceType" : "Observation",
"id" : "obs-lab-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-laboratory-result-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-laboratory-result-twpas.html\">檢驗檢查-Observation Laboratory Result TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>類型</b>：檢查報告<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-supporting-info-type.html/\">NHI-補充資訊類別值集</a>#examinationReport)</span></p><p><b>檢驗(查)名稱或套組代碼</b>：Platelets [#/volume] in Blood by Automated count <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINCCodes</a>#777-3)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>檢驗(查)報告日期</b>：2024-01-01</p><p><b>簽發檢驗(查)報告醫事人員身分證號</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>檢驗(查)結果</b>：4.5 mmol/l</p><p><b>檢驗(查)檢驗(查)結果判讀</b>：Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/\">ObservationInterpretationCodes </a>#POS)</span></p><p><b>檢驗(查)結果之參考範圍下限</b>：2.9 mmol/L</p><p><b>檢驗(查)結果之參考範圍上限</b>：4.9 mmol/L</p><p><b>檢驗(查)附件</b>：<a href=\"DocumentReference-doc-test-min.html\">DocumentReference/doc-test-min</a></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type",
"code" : "examinationReport"
}
]
}
],
"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" : 4.5,
"unit" : "mmol/l"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "POS",
"display" : "Positive"
}
]
}
],
"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://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-test-min",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "doc-test-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference-twpas.html\">文件參照-DocumentReference TWPAS</a></p></div><p><b>狀態</b>：current</p><p><b>報告類型</b>：檢驗(查)附件 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-nhi-pdf-type.html\">NHI-文件類型</a>#test)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>檢驗(查)附件 (application/pdf)</b>：file://TestReport01.pdf</p></div>"
},
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type",
"code" : "test"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "file://TestReport01.pdf"
}
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Observation/obs-pat-nyha",
"resource" : {
"resourceType" : "Observation",
"id" : "obs-pat-nyha",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-pat-assessment-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-pat-assessment-twpas.html\">病人狀態評估-Observation Patient Assessment TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>病人狀態評估項目代碼</b>：Functional capacity NYHA <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org\">LOINC + NHI-病人狀態評估項目值集 </a>#88020-3)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>病人狀態評估日期</b>：2024-01-01</p><p><b>評估項目醫事人員身分證號</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>病人狀態評估結果</b>：class1</p></div>"
},
"status" : "final",
"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://twcore.mohw.gov.tw/ig/pas/MedicationRequest/medReq-treat",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "medReq-treat",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-treat-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile：<a href=\"StructureDefinition-MedicationRequest-treat-twpas.html\">用藥品項-MedicationRequest Treat TWPAS</a></p></div><p><b>藥物使用狀態</b>：completed</p><p><b>藥物處方終止原因</b>：Try another treatment first <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-medicationrequest-status-reason.html\">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>意圖</b>：Order <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/CodeSystem/medicationrequest-intent\">medicationRequest Intent</a>#order)</span></p><p><b>自費註記</b>：健保 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-nhi-drug-category.html\">NHI-藥物類型</a>#nhi)</span></p><p><b>藥品代碼</b>：ANTI-CUGH SYRUP 60ML <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.2.2/CodeSystem-medication-nhi-tw.html\">臺灣健保用藥品項</a>#A000755151)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> ""</p><p><b>藥品使用頻率及服用時間</b>：1W3D</p><p><b>藥物每次處方劑量(單位)</b>：4 (Tablet <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm\">Orderable Drug Form</a>#TAB)</span>)</p><p><b>藥物處方起始日期</b>：2024-05-01</p><p><b>藥物處方終止日期</b>：2024-05-07</p></div>"
},
"status" : "completed",
"statusReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason",
"code" : "altchoice"
}
]
},
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-drug-category",
"code" : "nhi"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw",
"code" : "A000755151"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2024-05-01",
"end" : "2024-05-07"
}
},
"code" : {
"text" : "1W3D"
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 4,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
]
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Procedure/pro-min",
"resource" : {
"resourceType" : "Procedure",
"id" : "pro-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Procedure-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Procedure-twpas.html\">放射治療-Procedure TWPAS</a></p></div><p><b>放射治療狀態</b>：completed</p><p><b>放射治療項目</b>：左上肢動脈血管內超音波 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.2.2/CodeSystem-icd-10-pcs-2021-tw.html\">臺灣2021年中文版ICD-10-PCS</a>#B34JZZ3)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>放射治療日期</b>：2024-05-06 09:00:00+0000</p><p><b>放射治療總劑量</b>：<a href=\"Substance-sub-min.html\">Substance/sub-min</a> 5000 mg</p></div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw",
"code" : "B34JZZ3"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"performedDateTime" : "2024-05-06T09:00:00.000Z",
"usedReference" : [
{
🔗 "reference" : "Substance/sub-min"
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Substance/sub-min",
"resource" : {
"resourceType" : "Substance",
"id" : "sub-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Substance-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Substance-twpas.html\">放射治療總劑量-Substance TWPAS</a></p></div><p><b>放射治療項目</b>：左上肢動脈血管內超音波 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.2.2/CodeSystem-icd-10-pcs-2021-tw.html\">臺灣2021年中文版ICD-10-PCS</a>#B34JZZ3)</span></p><p><b>放射治療總劑量(單位)</b>：5000 (mg)</p></div>"
},
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw",
"code" : "B34JZZ3"
}
]
},
"ingredient" : [
{
"quantity" : {
"numerator" : {
"value" : 5000,
"unit" : "mg"
},
"denominator" : {
"value" : 0
}
},
"substanceCodeableConcept" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw",
"code" : "B34JZZ3"
}
]
}
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-careplan-min",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "doc-careplan-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference-twpas.html\">文件參照-DocumentReference TWPAS</a></p></div><p><b>狀態</b>：current</p><p><b>報告類型</b>：治療計畫文件 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-nhi-pdf-type.html\">NHI-文件類型</a>#careplan)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>附件報告名稱</b>：免疫檢查點抑制劑治療計畫</p><p><b>治療計畫文件 (application/pdf)</b>：file://CarePlanReport01.pdf</p></div>"
},
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/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://twcore.mohw.gov.tw/ig/pas/Observation/obs-tx-min",
"resource" : {
"resourceType" : "Observation",
"id" : "obs-tx-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-tx-assessment-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-tx-assessment-twpas.html\">治療後疾病狀態評估-Observation Treatment Assessment TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>治療後疾病狀態評估項目</b>：International Working Group(IWG) Consensus Criteria<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-tx-ast.html\">NHI-治療後疾病狀態評估項目值集</a>#IWGC)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>治療後疾病狀態評估日期</b>：2024-01-01</p><p><b>治療後疾病狀態評估結果</b>：Partial remission (PR)</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/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://twcore.mohw.gov.tw/ig/pas/MedicationRequest/medReq-apply",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "medReq-apply",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-apply-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MedicationRequest-apply-twpas.html\">事前審查品項-MedicationRequest Apply TWPAS</a></p></div><p><b>狀態</b>：On Hold</p><p><b>目的</b>：Plan</p><p><b>續用註記</b>：初次使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-continuation-status.html\">NHI-續用註記值集</a>#1)</span></p><p><b>事前審查品項代碼</b>：ANTI-CUGH SYRUP 60ML<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw\">臺灣健保署健保用藥品項代碼值集</a>#A000755151)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>事前審查藥物預定處方起始日期</b>：2024-05-07</p><p><b>事前審查藥物預定處方終止日期</b>：2024-05-21</p><p><b>事前審查藥品每日處方頻次</b>：每週二次、每週一和週四使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-medication-frequency-nhi-tw.html\">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集</a>#BIW、#QW(1,4))</span></p><p><b>事前審查藥品每次處方劑量</b>：2 TAB</p><p><b>事前審查申請數量</b>：30</p><p><b>事前審查申請數量單位</b>：TAB</p></div>"
},
"status" : "on-hold",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-continuation-status",
"code" : "1",
"display" : "初次使用"
}
]
}
],
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw",
"code" : "A000755151"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2024-05-07",
"end" : "2024-05-21"
}
},
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "BIW"
},
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "QW(1,4)"
}
]
}
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 2,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"value" : 30,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Coverage/cov-min",
"resource" : {
"resourceType" : "Coverage",
"id" : "cov-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Coverage-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile：<a href=\"StructureDefinition-Coverage-twpas.html\">健保事前審查計畫-Coverage TWPAS</a></p></div><p><b>狀態</b>：active</p><p><b>受益人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>保險人</b>：<a href=\"Organization-org-nhi.html\">Organization/org-nhi</a> "衛生福利部中央健康保險署"</p></div>"
},
"status" : "active",
"beneficiary" : {
🔗 "reference" : "Patient/pat-min"
},
"payor" : [
{
🔗 "reference" : "Organization/org-nhi"
}
]
}
}
]
}