臺灣核心實作指引(TW Core IG)
0.3.0 - Trial Use

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: 藥物過敏或不耐症 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:AllergyIntolerance ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "all-medication-example"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore"^^xsd:anyURI ;
fhir:link <https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>藥物過敏</b></h3><p><b>臨床狀態</b>：Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical\">AllergyIntoleranceClinicalStatusCodes</a>#active)</span></p><p><b>驗證狀態</b>：Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/allergyintolerance-verification\">AllergyIntoleranceVerificationStatusCodes</a>#confirmed)</span></p><p><b>根本原因或運作機制</b>：Allergy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-type\">AllergyIntoleranceType</a>#allergy)</span></p><p><b>確定的物質的類別</b>：Medication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-category\">AllergyIntoleranceCategory</a>#medication)</span></p><p><b>嚴重程度</b>：High Risk <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-criticality\">AllergyIntoleranceCriticality</a>#high)</span></p><p><b>過敏或不耐症的識別</b>：青黴素過敏(Penicillin allergy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#91936005)</span></p><p><b>過敏或不耐症被識別的時間</b>：2023-10-15T08:45:00</p><p><b>病人</b>：<a href=\"Patient-pat-example.html\">Patient/pat-example</a> \"陳加玲\"</p><p><b>紀錄者</b>：<a href=\"Practitioner-pra-dr-example.html\">Practitioner/pra-dr-example</a> \"王依昇\"</p><p><b>被記錄的日期</b>：2023-10-15T12:00:00</p><p><b>關於過敏的資訊來源</b>：<a href=\"Practitioner-pra-nurse-example.html\">Practitioner/pra-nurse-example</a> \"陳莉\"</p><p><b>最後一次已知反應發生的日期與時間</b>：2023-12-05T15:30:00</p><p><b>過敏或不耐受物質的不良反應紀錄</b>：</p><blockquote><p><b>過敏產生的特定物質或醫藥產品</b>：青黴素(Medicinal product containing penicillin and acting as antibacterial agent (product)) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#6369005)</span></p><p><b>與此事件相關的臨床症狀/體徵)</b>：Upper respiratory tract hypersensitivity reaction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#490008)</span></p><p><b>對整個過敏事件的描述</b>：呼吸急促、皮膚發紅</p><p><b>嚴重程度</b>：Severe <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/reaction-event-severity\">AllergyIntoleranceSeverity</a>#severe)</span></p><p><b>如何接觸到該物質</b>：口服(Oral use) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#26643006)</span></p><p><b>備註</b>：患者在服用青黴素後出現呼吸急促和皮膚發紅，症狀於2023年10月15日中午12:00發作</p></blockquote></div>"
  ] ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] ) ;
fhir:text [ fhir:v "Active" ]
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] ) ;
fhir:text [ fhir:v "Confirmed" ]
  ] ; # 
  fhir:type [ fhir:v "allergy"] ; # 
  fhir:category ( [ fhir:v "medication"] ) ; # 
  fhir:criticality [ fhir:v "high"] ; # 
  fhir:code [
    ( fhir:coding [
a sct:91936005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "91936005" ] ;
fhir:display [ fhir:v "Penicillin allergy" ]     ] ) ;
fhir:text [ fhir:v "青黴素過敏" ]
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/pat-example" ] ;
fhir:display [ fhir:v "陳加玲" ]
  ] ; # 
  fhir:onset [ fhir:v "2023-10-15T08:45:00Z"^^xsd:dateTime] ; # 
  fhir:recordedDate [ fhir:v "2023-10-15T12:00:00Z"^^xsd:dateTime] ; # 
  fhir:recorder [
fhir:reference [ fhir:v "Practitioner/pra-dr-example" ] ;
fhir:display [ fhir:v "王依昇" ]
  ] ; # 
  fhir:asserter [
fhir:reference [ fhir:v "Practitioner/pra-nurse-example" ] ;
fhir:display [ fhir:v "陳莉" ]
  ] ; # 
  fhir:lastOccurrence [ fhir:v "2023-10-15T12:00:00Z"^^xsd:dateTime] ; # 
  fhir:note ( [
fhir:text [ fhir:v "患者對青黴素過敏，可能導致呼吸急促、皮膚發紅" ]
  ] ) ; # 
  fhir:reaction ( [
fhir:substance [
      ( fhir:coding [
a sct:6369005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "6369005" ] ;
fhir:display [ fhir:v "Medicinal product containing penicillin and acting as antibacterial agent (product)" ]       ] ) ;
fhir:text [ fhir:v "青黴素" ]     ] ;
    ( fhir:manifestation [
      ( fhir:coding [
a sct:490008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "490008" ] ;
fhir:display [ fhir:v "Upper respiratory tract hypersensitivity reaction" ]       ] )     ] ) ;
fhir:description [ fhir:v "呼吸急促、皮膚發紅" ] ;
fhir:severity [ fhir:v "severe" ] ;
fhir:exposureRoute [
      ( fhir:coding [
a sct:26643006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26643006" ] ;
fhir:display [ fhir:v "Oral use" ]       ] ) ;
fhir:text [ fhir:v "口服" ]     ] ;
    ( fhir:note [
fhir:text [ fhir:v "患者在服用青黴素後出現呼吸急促和皮膚發紅，症狀於2023年10月15日中午12:00發作" ]     ] )
  ] ) . #