臺灣核心實作指引(TW Core IG)
0.3.1 - Trial Use
臺灣核心實作指引(TW Core IG)
0.3.1 - Trial Use
This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.1: Releases) 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
{
"resourceType" : "AllergyIntolerance",
"id" : "all-cat-example",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>貓毛過敏</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>：Environment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-category\">AllergyIntoleranceCategory</a>#environment)</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>：患者對貓毛過敏，可能導致打噴嚏、呼吸急促(Allergy to animal protein) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#717234006)</span></p><p><b>過敏或不耐症被識別的時間</b>：2023-12-05T14:00:00</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>：2023-12-05T15:30:00</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>暴露於此過敏或不耐症物質的不良反應</b>：</p><blockquote><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>：打噴嚏、呼吸急促</p><p><b>嚴重程度</b>：Mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/reaction-event-severity\">AllergyIntoleranceSeverity</a>#mild)</span></p><p><b>如何接觸到該物質</b>：呼吸道途徑(Respiratory tract route) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#447694001)</span></p><p><b>備註</b>：患者接觸貓毛後出現打噴嚏和呼吸急促，症狀於2023年12月5日下午3:30發作</p></blockquote></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"type" : "allergy",
"category" : [
"environment"
],
"criticality" : "high",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "717234006",
"display" : "Allergy to animal protein"
}
],
"text" : "對貓毛過敏"
},
"patient" : {
🔗 "reference" : "Patient/pat-example",
"display" : "陳加玲"
},
"onsetDateTime" : "2023-12-05T14:00:00+08:00",
"recordedDate" : "2023-12-05T15:30:00+08:00",
"recorder" : {
🔗 "reference" : "Practitioner/pra-dr-example",
"display" : "王依昇"
},
"asserter" : {
🔗 "reference" : "Practitioner/pra-nurse-example",
"display" : "陳莉"
},
"lastOccurrence" : "2023-12-05T15:30:00+08:00",
"note" : [
{
"text" : "患者對貓毛過敏，可能導致打噴嚏、呼吸急促"
}
],
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "490008",
"display" : "Upper respiratory tract hypersensitivity reaction"
}
]
}
],
"description" : "打噴嚏、呼吸急促",
"severity" : "mild",
"exposureRoute" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "447694001",
"display" : "Respiratory tract route"
}
],
"text" : "呼吸道途徑"
},
"note" : [
{
"text" : "患者接觸貓毛後出現打噴嚏和呼吸急促，症狀於2023年12月5日下午3:30發作"
}
]
}
]
}