臺灣健保癌症用藥事前審查實作指引
1.0.1 - release
臺灣健保癌症用藥事前審查實作指引
1.0.1 - release
This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.1: Release) 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
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{
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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>就醫科別</b>：<a href=\"Encounter-enc-min.html\">Encounter/enc-min</a> "胸腔暨重症加護"</p><p><b>原受理編號</b>：202405301000002</p><p><b>申報類別</b>：申復<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>#3)</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 geneInfo}\">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 medicalRecord}\">病歷資料</span></p><p><b>value</b>：<a href=\"DocumentReference-doc-medicalRecord-min.html\">DocumentReference/doc-medicalRecord-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：14</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-2023-tw\">臺灣健保署2023年中文版ICD-10-CM值集</a>#I50.812)</span></p><p><b>共病</b>：第一型糖尿病，伴有糖尿病的神經病變<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw\">臺灣健保署2023年中文版ICD-10-CM值集</a>#E10.40)</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-2023-tw\">臺灣健保署2023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-2.html\">MedicationRequest/medReq-apply-2</a></p><p><b>事前審查申請數量(單位)</b>：70 (tablets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://hl7.org/fhir/R4/valueset-ucum-common.html\">Common UCUM units</a>#{tbl})</span>)</p><p><b>醫令類別</b>：藥品<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-order-type.html\">NHI-健保事前審查-醫令類別值集</a>#1)</span></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>用藥線別</b>：第一線治療<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-line-of-therapy.html\">NHI-用藥線別值集</a>#1)</span></p><p><b>給付適應症</b>：C50P1<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-apply-reason.html\">NHI-給付適應症值集</a>#C50P1)</span></p></div>"
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"meta" : {
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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;\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>：Planned <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>#planned)</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>"
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🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-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-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" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NNxxx"
}
]
},
"system" : "http://www.moi.gov.tw",
"value" : "A123456789"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "https://tpech.gov.taipei",
"value" : "123456"
}
],
"name" : [
{
"use" : "usual",
"text" : "王大明"
}
],
"gender" : "male",
"birthDate" : "2001-01-01"
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Practitioner/pra-min",
"resource" : {
"resourceType" : "Practitioner",
"id" : "pra-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-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-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/pas/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/pas/CodeSystem/organization-identifier-tw",
"value" : "0101090517"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "臺北市立聯合醫院"
}
},
{
"fullUrl" : "https://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-2023-tw\">臺灣健保署2023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><blockquote><p><b>影像報告名稱</b>：影像報告01</p><p><b>影像報告</b>：file://ImagingDiagnosticReport01.pdf</p></blockquote><blockquote><p><b>影像報告名稱</b>：影像報告02</p><p><b>影像報告</b>：file://ImagingDiagnosticReport02.pdf</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw",
"code" : "B34JZZ3"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-05-07",
"performer" : [
{
🔗 "reference" : "Practitioner/pra-min"
}
],
"imagingStudy" : [
{
🔗 "reference" : "ImagingStudy/imaStu-min"
}
],
"conclusion" : "影像報告結果",
"presentedForm" : [
{
"contentType" : "application/pdf",
"url" : "file://ImagingDiagnosticReport01.pdf",
"title" : "影像報告"
},
{
"contentType" : "application/pdf",
"url" : "file://ImagingDiagnosticReport02.pdf",
"title" : "影像報告"
}
]
}
},
{
"fullUrl" : "https://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>Series Instance UID</b>：2.16.886.2102.54.4546465747.465465466</p><p><b>SOP Instance UIDs</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>：CT Image Storage<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>#CT)</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" : "2.16.886.2102.54.4546465747.465465466",
"modality" : {
"system" : "http://dicom.nema.org/resources/ontology/DCM",
"code" : "CT"
},
"bodySite" : {
"system" : "http://snomed.info/sct",
"code" : "774007",
"display" : "Head and neck structure"
},
"instance" : [
{
"uid" : "2.25.88017001449189502323411118737039844241",
"sopClass" : {
"system" : "urn:ietf:rfc:3986",
"code" : "urn:oid:1.2.840.10008.5.1.4.1.1.2"
}
},
{
"uid" : "2.25.88017001449189502323411118737039844242",
"sopClass" : {
"system" : "urn:ietf:rfc:3986",
"code" : "urn:oid:1.2.840.10008.5.1.4.1.1.2"
}
}
]
}
]
}
},
{
"fullUrl" : "https://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",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type",
"code" : "cancerStage"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "385361009"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-05-07",
"performer" : [
{
🔗 "reference" : "Practitioner/pra-min"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://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><blockquote><p><b>檢查報告名稱</b>：PathologyReport01</p><p><b>檢查報告</b>：file://PathologyReport01.pdf</p></blockquote><blockquote><p><b>檢查報告名稱</b>：PathologyReport02</p><p><b>檢查報告</b>：file://PathologyReport02.pdf</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "66117-3"
}
],
"text" : "Prostate"
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-05-07",
"performer" : [
{
🔗 "reference" : "Practitioner/pra-min"
}
],
"conclusion" : "細胞檢查報告結果",
"presentedForm" : [
{
"contentType" : "application/pdf",
"url" : "file://PathologyReport01.pdf",
"title" : "PathologyReport01"
},
{
"contentType" : "application/pdf",
"url" : "file://PathologyReport02.pdf",
"title" : "PathologyReport02"
}
]
}
},
{
"fullUrl" : "https://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>#geneInfo)</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><blockquote><p><b>基因檢測代碼</b>：BRCA1 gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://loinc.org/\">LOINC-基因檢測代碼值集</a>#21636-6）</span><br/><b>基因突變類型</b>：Deletion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://loinc.org/\">LOINC-基因突變類型值集</a>#LA6692-3）</span></p></blockquote><p><b>基因檢測機構</b>：<a href=\"Organization-org-gene-example.html\">Organization 2023LDTB0002</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>基因檢測方法</b>：PCR <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC Answer List LL4048-6 </a>#LA26418-6)</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" : "geneInfo"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "69548-6"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-05-07",
"performer" : [
{
🔗 "reference" : "Organization/org-gene-example"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA9634-2",
"display" : "Absent"
}
]
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "POS"
}
]
}
],
"method" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA26418-6"
}
]
},
"specimen" : {
🔗 "reference" : "Specimen/spe-min"
},
"derivedFrom" : [
{
🔗 "reference" : "DocumentReference/doc-gene-min"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "21636-6"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6692-3"
}
]
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA6692-3"
}
]
}
]
}
]
}
},
{
"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><p><b>基因報告名稱</b>：GenReport01</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",
"title" : "GenReport01"
}
}
]
}
},
{
"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</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>：5.1 mmol/l</p><p><b>檢驗(查)結果判讀</b>：高，High <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/\">ObservationInterpretationCodes </a>#H)</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" : 5.1,
"unit" : "mmol/l"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "H"
}
],
"text" : "高"
}
],
"referenceRange" : [
{
"low" : {
"value" : 2.9,
"unit" : "mmol/l",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"high" : {
"value" : 4.9,
"unit" : "mmol/l",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
}
}
],
"derivedFrom" : [
{
🔗 "reference" : "DocumentReference/doc-test-min"
}
]
}
},
{
"fullUrl" : "https://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><blockquote><p><b>檢驗(查)附件 (application/pdf)</b>：file://TestReport01.pdf</p><p><b>檢驗(查)附件名稱</b>：TestReport01</p></blockquote><blockquote><p><b>檢驗(查)附件 (application/pdf)</b>：file://TestReport02.pdf</p><p><b>檢驗(查)附件名稱</b>：TestReport02</p></blockquote></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",
"title" : "TestReport01"
}
},
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "file://TestReport02.pdf",
"title" : "TestReport02"
}
}
]
}
},
{
"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",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type",
"code" : "patientAssessment"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "88020-3"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"effectiveDateTime" : "2024-01-01",
"performer" : [
{
🔗 "reference" : "Practitioner/pra-min"
}
],
"valueString" : "class1"
}
},
{
"fullUrl" : "https://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=\"https://hl7.org/fhir/R4/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/0.3.2/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 (tablets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://hl7.org/fhir/R4/valueset-ucum-common.html\">Common UCUM units</a>#{tbl})</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><p><b>給藥途徑／作用部位</b>：Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://snomed.info/sct/\">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></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"
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 4,
"unit" : "tablets",
"system" : "http://unitsofmeasure.org",
"code" : "{tbl}"
}
}
]
}
]
}
},
{
"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>：骨髓高溫療法 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.3.2/CodeSystem-icd-10-pcs-2023-tw.html\">臺灣2023年中文版ICD-10-PCS</a>#D7Y08ZZ)</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-2023-tw",
"code" : "D7Y08ZZ"
}
]
},
"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>：骨髓高溫療法 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/0.3.2/CodeSystem-icd-10-pcs-2023-tw.html\">臺灣2023年中文版ICD-10-PCS</a>#D7Y08ZZ)</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-2023-tw",
"code" : "D7Y08ZZ"
}
]
},
"ingredient" : [
{
"quantity" : {
"numerator" : {
"value" : 5000,
"unit" : "mg"
},
"denominator" : {
"value" : 0
}
},
"substanceCodeableConcept" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw",
"code" : "D7Y08ZZ"
}
]
}
}
]
}
},
{
"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>治療計畫文件名稱</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-2",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "medReq-apply-2",
"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>事前審查品項代碼</b>：TEMODAL CAPSULES 20MG <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>#BC23323100)</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>：2024-03-11</p><p><b>事前審查藥物預定處方終止日期</b>：2024-07-28</p><p><b>事前審查藥品使用頻率及服用時間</b>：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<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"ValueSet-medication-frequency-hl7-nhi.html\">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集</a>#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H)</span></p><p><b>事前審查藥品每次處方劑量</b>：200 mg/m2</p><p><b>事前審查藥品處方頻次(cycles)</b>：1</p><p><b>給藥途徑／作用部位</b>：Oral use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://snomed.info/sct/\">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></p></div>"
},
"status" : "on-hold",
"intent" : "plan",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw",
"code" : "BC23323100"
}
]
},
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"dosageInstruction" : [
{
"timing" : {
"repeat" : {
"boundsPeriod" : {
"start" : "2024-03-11",
"end" : "2024-07-28"
},
"count" : 1
},
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "Q4WD1"
},
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "Q4WD2"
},
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "Q4WD3"
},
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "Q4WD4"
},
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "Q4WD5"
},
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw",
"code" : "AC1H"
}
]
}
},
"route" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "26643006"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 200,
"system" : "http://unitsofmeasure.org",
"code" : "mg/m2"
}
}
]
}
],
"dispenseRequest" : {
"quantity" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"
}
}
}
},
{
"fullUrl" : "https://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"
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Organization/org-nhi",
"resource" : {
"resourceType" : "Organization",
"id" : "org-nhi",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-govt-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<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=\"https://twcore.mohw.gov.tw/ig/twcore/0.3.2/StructureDefinition-Organization-govt-twcore.html\">臺灣核心-政府機構（TW Core Organization Government）</a></p></div><p><b>機構名稱</b>：衛生福利部中央健康保險署</p><p><b>識別碼型別</b>：Government Organization Identifier<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203\">臺灣識別碼類型值集</a>#GOI）</span><br/><b>機關代號（official）</b>：A21030000I (https://oid.nat.gov.tw/)</p><p><b>機構種類</b>：Government <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#govt)</span></p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203",
"code" : "GOI"
}
]
},
"system" : "https://oid.nat.gov.tw/",
"value" : "A21030000I"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "govt"
}
]
}
],
"name" : "衛生福利部中央健康保險署"
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/Organization/org-gene-example",
"resource" : {
"resourceType" : "Organization",
"id" : "org-gene-example",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Organization-genetic-testing-twpas"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>基因檢測機構</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-genetic-testing-twpas.html\">基因檢測機構-Organization Genetic Testing TWPAS</a></p></div><p><b>機構代碼</b>：2023LDTB0002 (https://dep.mohw.gov.tw)</p></div>"
},
"identifier" : [
{
"system" : "https://dep.mohw.gov.tw",
"value" : "2023LDTB0002"
}
]
}
},
{
"fullUrl" : "https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-medicalRecord-min",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "doc-medicalRecord-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>：病歷資料 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-nhi-pdf-type.html\">NHI-文件類型</a>#medrec)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>病歷資料 (application/pdf)</b>：file://王大明病歷.pdf</p><p><b>病歷資料名稱</b>：王大明病歷</p></div>"
},
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type",
"code" : "medrec"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/pat-min"
},
"content" : [
{
"attachment" : {
"contentType" : "application/pdf",
"url" : "file://王大明病歷.pdf",
"title" : "王大明病歷"
}
}
]
}
}
]
}