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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<timestamp value="2024-05-30T13:50:58.000+08:00"/>
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<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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<valueReference>🔗
<reference value="Encounter/enc-min"/>
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<use value="preauthorization"/>
<patient>🔗
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<created value="2024-05-30"/>
<enterer>🔗
<reference value="Practitioner/pra-min"/>
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<provider>🔗
<reference value="Organization/org-hosp-example"/>
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<code value="geneInfo"/>
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<valueReference>🔗
<reference value="Observation/obs-diagnostic-min"/>
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<coding>
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<code value="tests"/>
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<valueReference>🔗
<reference value="Observation/obs-lab-min"/>
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<valueReference>🔗
<reference value="Observation/obs-pat-nyha"/>
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<valueReference>🔗
<reference value="MedicationRequest/medReq-treat"/>
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<sequence value="11"/>
<category>
<coding>
<system
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<code value="radiotherapy"/>
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<valueReference>🔗
<reference value="Procedure/pro-min"/>
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<valueReference>🔗
<reference value="DocumentReference/doc-careplan-min"/>
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<coding>
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<valueReference>🔗
<reference value="DocumentReference/doc-medicalRecord-min"/>
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<coding>
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</category>
<valueReference>🔗
<reference value="Observation/obs-tx-min"/>
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<diagnosis>
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<sequence value="1"/>
<diagnosisCodeableConcept>
<coding>
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<procedure>
<sequence value="1"/>
<date value="2024-01-01"/>
<procedureCodeableConcept>
<coding>
<system
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<code value="3E0Y704"/>
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<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/cov-min"/>
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<item>
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<valueReference>🔗
<reference value="MedicationRequest/medReq-apply-2"/>
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<sequence value="1"/>
<productOrService>
<coding>
<system
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<code value="1"/>
<display value="藥品"/>
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<modifier>
<coding>
<system
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<modifier>
<coding>
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<display value="第一線治療"/>
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<programCode>
<coding>
<system
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<code value="C50P1"/>
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<quantity>
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<system value="http://unitsofmeasure.org"/>
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</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Encounter/enc-min"/>
<resource>
<Encounter>
<id value="enc-min"/>
<meta>
<profile
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<text>
<status value="generated"/>
<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-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:
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:
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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<status value="planned"/>
<class>
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<serviceType>
<coding>
<system
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<code value="AJ"/>
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</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Patient/pat-min"/>
<resource>
<Patient>
<id value="pat-min"/>
<meta>
<profile
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<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NNxxx"/>
</coding>
</type>
<system value="http://www.moi.gov.tw"/>
<value value="A123456789"/>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="https://tpech.gov.taipei"/>
<value value="123456"/>
</identifier>
<name>
<use value="usual"/>
<text value="王大明"/>
</name>
<gender value="male"/>
<birthDate value="2001-01-01"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Practitioner/pra-min"/>
<resource>
<Practitioner>
<id value="pra-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NNxxx"/>
</coding>
</type>
<system value="http://www.moi.gov.tw"/>
<value value="F123456789"/>
</identifier>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Organization/org-hosp-example"/>
<resource>
<Organization>
<id value="org-hosp-example"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Organization-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/organization-identifier-tw"/>
<value value="0101090517"/>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
</coding>
</type>
<name value="臺北市立聯合醫院"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/DiagnosticReport/diaRep-ima-min"/>
<resource>
<DiagnosticReport>
<id value="diaRep-ima-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-image-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw"/>
<code value="B34JZZ3"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-05-07"/>
<performer>🔗
<reference value="Practitioner/pra-min"/>
</performer>
<imagingStudy>🔗
<reference value="ImagingStudy/imaStu-min"/>
</imagingStudy>
<conclusion value="影像報告結果"/>
<presentedForm>
<contentType value="application/pdf"/>
<url value="file://ImagingDiagnosticReport01.pdf"/>
<title value="影像報告"/>
</presentedForm>
<presentedForm>
<contentType value="application/pdf"/>
<url value="file://ImagingDiagnosticReport02.pdf"/>
<title value="影像報告"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/ImagingStudy/imaStu-min"/>
<resource>
<ImagingStudy>
<id value="imaStu-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ImagingStudy-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:dicom:uid"/>
<value value="urn:oid:2.16.886.2102.54.4546465747.465465465"/>
</identifier>
<status value="registered"/>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<series>
<uid value="2.16.886.2102.54.4546465747.465465466"/>
<modality>
<system value="http://dicom.nema.org/resources/ontology/DCM"/>
<code value="CT"/>
</modality>
<bodySite>
<system value="http://snomed.info/sct"/>
<code value="774007"/>
<display value="Head and neck structure"/>
</bodySite>
<instance>
<uid value="2.25.88017001449189502323411118737039844241"/>
<sopClass>
<system value="urn:ietf:rfc:3986"/>
<code value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/>
</sopClass>
</instance>
<instance>
<uid value="2.25.88017001449189502323411118737039844242"/>
<sopClass>
<system value="urn:ietf:rfc:3986"/>
<code value="urn:oid:1.2.840.10008.5.1.4.1.1.2"/>
</sopClass>
</instance>
</series>
</ImagingStudy>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Media/med-min"/>
<resource>
<Media>
<id value="med-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Media-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="completed"/>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="774007"/>
<display value="Head and neck structure"/>
</coding>
</bodySite>
<content>
<contentType value="image/jpeg"/>
<url value="file://US01.jpg"/>
</content>
</Media>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Observation/obs-cancer-figo"/>
<resource>
<Observation>
<id value="obs-cancer-figo"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-cancer-stage-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"/>
<code value="cancerStage"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385361009"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-05-07"/>
<performer>🔗
<reference value="Practitioner/pra-min"/>
</performer>
<valueCodeableConcept>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nci-thesaurus"/>
<code value="C96244"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/DiagnosticReport/diaRep-min"/>
<resource>
<DiagnosticReport>
<id value="diaRep-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="66117-3"/>
</coding>
<text value="Prostate"/>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-05-07"/>
<performer>🔗
<reference value="Practitioner/pra-min"/>
</performer>
<conclusion value="細胞檢查報告結果"/>
<presentedForm>
<contentType value="application/pdf"/>
<url value="file://PathologyReport01.pdf"/>
<title value="PathologyReport01"/>
</presentedForm>
<presentedForm>
<contentType value="application/pdf"/>
<url value="file://PathologyReport02.pdf"/>
<title value="PathologyReport02"/>
</presentedForm>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Observation/obs-diagnostic-min"/>
<resource>
<Observation>
<id value="obs-diagnostic-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-diagnostic-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"/>
<code value="geneInfo"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="69548-6"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-05-07"/>
<performer>🔗
<reference value="Organization/org-gene-example"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA9634-2"/>
<display value="Absent"/>
</coding>
</valueCodeableConcept>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="POS"/>
</coding>
</interpretation>
<method>
<coding>
<system value="http://loinc.org"/>
<code value="LA26418-6"/>
</coding>
</method>
<specimen>🔗
<reference value="Specimen/spe-min"/>
</specimen>
<derivedFrom>🔗
<reference value="DocumentReference/doc-gene-min"/>
</derivedFrom>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="21636-6"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA6692-3"/>
</coding>
</valueCodeableConcept>
<interpretation>
<coding>
<system value="http://loinc.org"/>
<code value="LA6692-3"/>
</coding>
</interpretation>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Specimen/spe-min"/>
<resource>
<Specimen>
<id value="spe-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Specimen-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="LP7057-5"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<receivedTime value="2024-05-06T09:00:00.000Z"/>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-gene-min"/>
<resource>
<DocumentReference>
<id value="doc-gene-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<status value="current"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type"/>
<code value="gene"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="file://GenReport01.pdf"/>
<title value="GenReport01"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Observation/obs-lab-min"/>
<resource>
<Observation>
<id value="obs-lab-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-laboratory-result-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"/>
<code value="examinationReport"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="777-3"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-01-01"/>
<performer>🔗
<reference value="Practitioner/pra-min"/>
</performer>
<valueQuantity>
<value value="5.1"/>
<unit value="mmol/l"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="H"/>
</coding>
<text value="高"/>
</interpretation>
<referenceRange>
<low>
<value value="2.9"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="4.9"/>
<unit value="mmol/l"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
<derivedFrom>🔗
<reference value="DocumentReference/doc-test-min"/>
</derivedFrom>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-test-min"/>
<resource>
<DocumentReference>
<id value="doc-test-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<status value="current"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type"/>
<code value="test"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="file://TestReport01.pdf"/>
<title value="TestReport01"/>
</attachment>
</content>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="file://TestReport02.pdf"/>
<title value="TestReport02"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Observation/obs-pat-nyha"/>
<resource>
<Observation>
<id value="obs-pat-nyha"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-pat-assessment-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"/>
<code value="patientAssessment"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="88020-3"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-01-01"/>
<performer>🔗
<reference value="Practitioner/pra-min"/>
</performer>
<valueString value="class1"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/MedicationRequest/medReq-treat"/>
<resource>
<MedicationRequest>
<id value="medReq-treat"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-treat-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<status value="completed"/>
<statusReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"/>
<code value="altchoice"/>
</coding>
</statusReason>
<intent value="order"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-drug-category"/>
<code value="nhi"/>
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw"/>
<code value="A000755151"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2024-05-01"/>
<end value="2024-05-07"/>
</boundsPeriod>
</repeat>
<code>
<text value="1W3D"/>
</code>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="4"/>
<unit value="tablets"/>
<system value="http://unitsofmeasure.org"/>
<code value="{tbl}"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Procedure/pro-min"/>
<resource>
<Procedure>
<id value="pro-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Procedure-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<status value="completed"/>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw"/>
<code value="D7Y08ZZ"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<performedDateTime value="2024-05-06T09:00:00.000Z"/>
<usedReference>🔗
<reference value="Substance/sub-min"/>
</usedReference>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Substance/sub-min"/>
<resource>
<Substance>
<id value="sub-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Substance-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw"/>
<code value="D7Y08ZZ"/>
</coding>
</code>
<ingredient>
<quantity>
<numerator>
<value value="5000"/>
<unit value="mg"/>
</numerator>
<denominator>
<value value="0"/>
</denominator>
</quantity>
<substanceCodeableConcept>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw"/>
<code value="D7Y08ZZ"/>
</coding>
</substanceCodeableConcept>
</ingredient>
</Substance>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-careplan-min"/>
<resource>
<DocumentReference>
<id value="doc-careplan-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<status value="current"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type"/>
<code value="careplan"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="file://CarePlanReport01.pdf"/>
<title value="免疫檢查點抑制劑治療計畫"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Observation/obs-tx-min"/>
<resource>
<Observation>
<id value="obs-tx-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-tx-assessment-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-tx-ast"/>
<code value="IWGC"/>
<display
value="International Working Group(IWG) Consensus Criteria"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<effectiveDateTime value="2024-05-07"/>
<performer>🔗
<reference value="Practitioner/pra-min"/>
</performer>
<valueString value="Partial remission (PR)"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/MedicationRequest/medReq-apply-2"/>
<resource>
<MedicationRequest>
<id value="medReq-apply-2"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-apply-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="on-hold"/>
<intent value="plan"/>
<medicationCodeableConcept>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw"/>
<code value="BC23323100"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<dosageInstruction>
<timing>
<repeat>
<boundsPeriod>
<start value="2024-03-11"/>
<end value="2024-07-28"/>
</boundsPeriod>
<count value="1"/>
</repeat>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
<code value="Q4WD1"/>
</coding>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
<code value="Q4WD2"/>
</coding>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
<code value="Q4WD3"/>
</coding>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
<code value="Q4WD4"/>
</coding>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
<code value="Q4WD5"/>
</coding>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
<code value="AC1H"/>
</coding>
</code>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="200"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/m2"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<quantity>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
</quantity>
</dispenseRequest>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Coverage/cov-min"/>
<resource>
<Coverage>
<id value="cov-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Coverage-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<beneficiary>🔗
<reference value="Patient/pat-min"/>
</beneficiary>
<payor>🔗
<reference value="Organization/org-nhi"/>
</payor>
</Coverage>
</resource>
</entry>
<entry>
<fullUrl value="https://twcore.mohw.gov.tw/ig/pas/Organization/org-nhi"/>
<resource>
<Organization>
<id value="org-nhi"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-govt-twcore"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203"/>
<code value="GOI"/>
</coding>
</type>
<system value="https://oid.nat.gov.tw/"/>
<value value="A21030000I"/>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="govt"/>
</coding>
</type>
<name value="衛生福利部中央健康保險署"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/Organization/org-gene-example"/>
<resource>
<Organization>
<id value="org-gene-example"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Organization-genetic-testing-twpas"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://dep.mohw.gov.tw"/>
<value value="2023LDTB0002"/>
</identifier>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://twcore.mohw.gov.tw/ig/pas/DocumentReference/doc-medicalRecord-min"/>
<resource>
<DocumentReference>
<id value="doc-medicalRecord-min"/>
<meta>
<profile
value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas"/>
</meta>
<text>
<status value="generated"/>
<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-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>
</text>
<status value="current"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-pdf-type"/>
<code value="medrec"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/pat-min"/>
</subject>
<content>
<attachment>
<contentType value="application/pdf"/>
<url value="file://王大明病歷.pdf"/>
<title value="王大明病歷"/>
</attachment>
</content>
</DocumentReference>
</resource>
</entry>
</Bundle>