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

: 事前審查品項-多用法 - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "medReq-apply",
  "meta" : {
    "profile" : [
      🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-apply-twpas"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MedicationRequest-apply-twpas.html\">事前審查品項-MedicationRequest Apply TWPAS</a></p></div><p><b>狀態</b>：On Hold</p><p><b>目的</b>：Plan</p><p><b>事前審查品項代碼</b>：TEMODAL CAPSULES 100MG 60ML<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw\">臺灣健保署健保用藥品項代碼值集</a>#BC23324100)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> &quot;王大明&quot;</p><blockquote><p><b>事前審查藥物預定處方起始日期</b>：2024-01-01</p><p><b>事前審查藥物預定處方終止日期</b>：2024-02-11</p><p><b>事前審查藥品使用頻率及服用時間</b>：Every day at institution specified times.、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>#BIW、#AC1H)</span></p><p><b>事前審查藥品每次處方劑量</b>：75 mg/m2</p><p><b>事前審查藥品處方頻次(cycles)</b>：42</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></blockquote><blockquote><p><b>事前審查藥物預定處方起始日期</b>：2024-02-12</p><p><b>事前審查藥物預定處方終止日期</b>：2024-03-10</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>：150 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></blockquote></div>"
  },
  "status" : "on-hold",
  "intent" : "plan",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw",
        "code" : "BC23324100"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/pat-min"
  },
  "dosageInstruction" : [
    {
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2024-01-01",
            "end" : "2024-02-11"
          },
          "count" : 42
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation",
              "code" : "QD"
            },
            {
              "system" : "https://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" : 75,
            "system" : "http://unitsofmeasure.org",
            "code" : "mg/m2"
          }
        }
      ]
    },
    {
      "timing" : {
        "repeat" : {
          "boundsPeriod" : {
            "start" : "2024-02-12",
            "end" : "2024-03-10"
          },
          "count" : 1
        },
        "code" : {
          "coding" : [
            {
              "system" : "https://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" : 150,
            "system" : "http://unitsofmeasure.org",
            "code" : "mg/m2"
          }
        }
      ]
    }
  ]
}