FHIR IG analytics| Package | tw.cohesion.fhir.clinemr |
| Resource Type | Bundle |
| Id | Bundle-BundleDCR-min.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
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"id": "BundleDCR-min",
"meta": {
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"type": "document",
"timestamp": "2023-08-21T14:30:00+01:00",
"entry": [
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Composition/CompositionDCR-min",
"resource": {
"resourceType": "Composition",
"id": "CompositionDCR-min",
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"versionId": "2",
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>牙醫診所門診單</b></h3><p><b>病歷表單版本</b>:2</p><p><b>臨床狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/composition-status\">CompositionStatus</a>#final)</span></p><p><b>種類</b>:Outpatient Note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#34108-1)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>文件產生時間</b>:2023-09-10T10:30:00</p><p><b>醫事機構代碼</b>:<a href=\"Organization-OrganizationDCR-min.html\">OrganizationDCR-min</a> \"3214567890\"<br/><b>醫事機構名稱</b>:<a href=\"Organization-OrganizationDCR-min.html\">OrganizationDCR-min</a> \"捷達世牙醫診所\"</p><p><b>文件標題</b>:牙醫門診單</p><p><b>文件敏感性</b>:normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-Confidentiality/\">v3 Code System Confidentiality</a>#N)</span></p><p><b>病摘小節內容:</b></p><blockquote><p><b>section[PatientInformation]:</b><br/><span style=\"display: block; margin-left: 20px;\"><b>section[educationlevel]</b>: <a href=\"Observation-ObservationEducationLevelDCR-min.html\">Observation/ObservationEducationLevelDCR-min</a><br/><b>section[occupation]</b>: <a href=\"Observation-ObservationOccupationDCR-min.html\">Observation/ObservationOccupationDCR-min</a><br/><b>section[bloodtype]</b>: <a href=\"Observation-ObservationBloodtypeDCR-min.html\">Observation/ObservationBloodtypeDCR-min</a></span></p><p><b>section[AllergyIntolerance]</b>: <a href=\"AllergyIntolerance-AllergyIntoleranceDCR-min.html\">Allergyintolerance/AllergyIntoleranceDCR-min</a></p><p><b>section[ConditionPastMedicalHistory]</b>: <a href=\"Condition-ConditionPastMedicalHistoryDCR-min.html\">Condition/ConditionPastMedicalHistoryDCR-min</a></p><p><b>section[ConditionMajorIllness]</b>: <a href=\"Observation-ObservationMajorIllnessDCR-min.html\">Observation/ObservationMajorIllnessDCR-min</a><br/><b>section[ConditionMajorIllness]</b>: <a href=\"Condition-ConditionMajorIllnessDCR-min.html\">Condition/ConditionMajorIllnessDCR-min</a><br/><b>section[ConditionMajorIllness]</b>: <a href=\"Condition-ConditionMajorIllnessDCR-pro.html\">Condition/ConditionMajorIllnessDCR-pro</a></p><p><b>section[Medication]</b>:<br/><span style=\"display: block; margin-left: 20px;\"><b>section[medication]</b>: <a href=\"Medication-MedicationDCR-min.html\">Medication/MedicationDCR-min</a><br/><b>section[medication]</b>: <a href=\"Medication-MedicationDCR-pro.html\">Medication/MedicationDCR-pro</a><br/><b>section[medicationrequest]</b>: <a href=\"MedicationRequest-MedicationRequestDCR-min.html\">MedicationRequest/MedicationRequestDCR-min</a><br/><b>section[medicationrequest]</b>: <a href=\"MedicationRequest-MedicationRequestDCR-pro.html\">MedicationRequest/MedicationRequestDCR-pro</a></span></p><p><b>section[ConditionDiagnosis]</b>:<br/><span style=\"display: block; margin-left: 20px;\"><b>section[conditiondiagnosis]</b>: <a href=\"Condition-ConditionDiagnosisDCR-min.html\">Condition/ConditionDiagnosisDCR-min</a><br/><b>section[practitioner]</b>: <a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a><br/><b>section[careplan]</b>: <a href=\"CarePlan-CarePlanDCR-min.html\">CarePlan/CarePlanDCR-min</a></span></p><p><b>section[ConditionChiefComplaint]</b>: <a href=\"Condition-ConditionChiefComplaintDCR-min.html\">Condition/ConditionChiefComplaintDCR-min</a></p><p><b>section[ObservationVitalSign]</b>: <a href=\"Observation-ObservationVitalSignDCR-min.html\">Observation/ObservationVitalSignDCR-min</a></p><p><b>section[Procedure]</b>: <a href=\"Procedure-ProcedureDCR-min.html\">Procedure/ProcedureDCR-min</a></p><p><b>section[ObservationLabResults]</b>:<br/><span style=\"display: block; margin-left: 20px;\"><b>section[observation]</b>: <a href=\"Observation-ObservationDCR-min.html\">Observation/ObservationDCR-min</a><br/><b>section[servicerequest]</b>: <a href=\"ServiceRequest-ServiceRequestDCR-min.html\">ServiceRequest/ServiceRequestDCR-min</a><br/><b>section[diagnosticreport]</b>: <a href=\"DiagnosticReport-DiagnosticReportDCR-min.html\">DiagnosticReport/DiagnosticReportDCR-min</a><br/><b>section[organizationinspection]</b>: <a href=\"Organization-OrganizationInspectionClinEMR-min.html\">Organization/OrganizationInspectionClinEMR-min</a></span></p><p><b>section[DocumentReference]</b>: <a href=\"DocumentReference-DocumentReferenceDCR-min.html\">DocumentReference/DocumentReferenceDCR-min</a></p></blockquote></div>"
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{
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"encounter": {
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"date": "2010-04-21T14:30:00+08:00",
"author": [
{
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"title": "牙醫門診單",
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{
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{
"title": "過敏史",
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{
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{
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{
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{
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>病患基本資料</b></h3><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>身份證號(official)</b>:B212123457 (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\">IdentifierType</a>#MR)</span><br/><b>病歷號(official)</b>:9876543210 (https://tpech.gov.taipei/)</p></blockquote><p><b>姓名(usual)</b>:王童</p><p><b>聯絡方式</b>:Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone)</span><br/><b>住宅電話</b>:(Home)0222600888 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#home)</span><br/><b>聯絡方式</b>:Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone)</span><br/><b>公司電話</b>:(Work)0222678902#2231 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#work)</span><br/><b>聯絡方式</b>:Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone)</span><br/><b>行動電話</b>:(Mobile)0911123123 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#mobile)</span><br/><b>聯絡方式</b>:Email <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#email)</span><br/><b>病人電子郵件地址</b>:beautiful@hotmail.com<br/></p><p><b>性別</b>:Female</p><p><b>出生日期</b>:1966-11-23</p><p><b>病人子女數[extension: <a href=\"StructureDefinition-cohesion-childnumber.html\">childnumber</a>]</b>:2</p><p><b>病人戶籍地址</b>:(114)台北市內湖區基湖路一段32號<br/><b>郵遞區號(postalCode) [extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-tw-postal-code.html\">tw-postal-code</a>] </b>: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem-postal-code3-tw.html\">114</a><br/><b>縣/市(city)</b>:台北市<br/><b>鄉/鎮/市/區(district)</b>:內湖區<br/><b>路/街(line)</b>:基湖路<br/><b>段(section) [extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-tw-section.html\">tw-section</a>] </b>:一段<br/><b>號(number) [extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-tw-number.html\">tw-number</a>] </b>:32號<br/><br/></p><p><b>病人聯絡地址</b>:(114)台北市內湖區基湖路一段32號<br/><b>郵遞區號(postalCode) [extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-tw-postal-code.html\">tw-postal-code</a>] </b>: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem-postal-code3-tw.html\">114</a><br/><b>縣/市(city)</b>:台北市<br/><b>鄉/鎮/市/區(district)</b>:內湖區<br/><b>路/街(line)</b>:基湖路<br/><b>段(section) [extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-tw-section.html\">tw-section</a>] </b>:一段<br/><b>號(number) [extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition-tw-number.html\">tw-number</a>] </b>:32號<br/><br/></p><p><b>婚姻</b>:Never Married <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-MaritalStatus\">Marital Status Codes</a>#M)</span></p><p><b>緊急聯絡人姓名(official)</b>:王小明<br/><b>緊急聯絡人與病人關係</b>:unrelated friend <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-RoleCode\">PatientRelationshipType</a>#FRND)</span><br/><b>聯絡方式</b>:Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone)</span><br/><b>聯絡電話</b>:(Home)0917159753 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#home</span><br/><b>聯絡方式</b>:Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone)</span><br/><b>聯絡電話</b>:(Work)0917159753 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#work)</span><br/><b>聯絡方式</b>:Phone <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/valueset-contact-point-system.html\">ContactPointSystem</a>#phone)</span><br/><b>聯絡電話</b>:(Mobile)0917159753 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://build.fhir.org/codesystem-contact-point-use.html\">ContactPointUse</a>#mobile)</span></p></div>"
},
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{
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"system": "phone",
"value": "0911123123",
"use": "mobile"
},
{
"system": "email",
"value": "beautiful@hotmail.com"
}
],
"gender": "female",
"birthDate": "1966-11-23",
"address": [
{
"extension": [
{
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number",
"valueString": "32號"
}
],
"use": "home",
"text": "台北市內湖區基湖路一段32號",
"line": [
"基湖路"
],
"city": "內湖區",
"district": "台北市",
"_postalCode": {
"extension": [
{
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-postal-code",
"valueCodeableConcept": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/postal-code3-tw",
"code": "114"
}
]
}
}
]
}
},
{
"extension": [
{
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number",
"valueString": "32號"
}
],
"use": "billing",
"text": "台北市內湖區基湖路一段32號",
"line": [
"基湖路"
],
"city": "內湖區",
"district": "台北市",
"_postalCode": {
"extension": [
{
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-postal-code",
"valueCodeableConcept": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/postal-code3-tw",
"code": "114"
}
]
}
}
]
}
}
],
"maritalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code": "M"
}
]
},
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "FRND"
}
]
}
],
"name": {
"text": "王小明"
},
"telecom": [
{
"system": "phone",
"value": "0228976000",
"use": "home"
},
{
"system": "phone",
"value": "0228825252",
"use": "work"
},
{
"system": "phone",
"value": "0922123123",
"use": "mobile"
}
]
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Organization/OrganizationDCR-min",
"resource": {
"resourceType": "Organization",
"id": "OrganizationDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫事機構基本資料</b></h3><p><b>機構名稱</b>:捷達世牙醫診所</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>:3214567890 (https://twcore.mohw.gov.tw/ig/twcore/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://terminology.hl7.org/CodeSystem/organization-type\">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/twcore/CodeSystem/organization-identifier-tw",
"value": "3214567890"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov"
}
]
}
],
"name": "捷達世牙醫診所"
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Encounter/EncounterDCR-min",
"resource": {
"resourceType": "Encounter",
"id": "EncounterDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>就醫相關內容</b></h3><p><b>識別碼型別</b>:Serial Number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#SNO</span><br/><b>掛號序號</b>:0035</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/4.0.0/ValueSet-v3-ActEncounterCode.html\">ActEncounterCode</a>#AMB)</span></p><p><b>就醫現況</b>:Finished <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/encounter-status\">EncounterStatus</a>#finished)</span></p><p><b>看診科別</b>:牙科 <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>#40)</span></p><p><b>掛號(報到)時間</b>:2010-10-10 17:30:00-0500</p><p><b>就醫身份[extension: <a href=\"StructureDefinition-cohesion-medicalidentity.html\">medicalidentity</a>]</b>:健保</p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>看診醫師身分證字號</b>: <a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"A135792648\"<br/><b>看診醫師姓名</b>: <a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"黃啟揚\"</p></div>"
},
"extension": [
{
"url": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-medicalidentity",
"valueCodeableConcept": {
"text": "健保"
}
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "SNO"
}
]
},
"system": "http://fhir.cohesiondata.com/identifiers/encounter",
"value": "0035"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"serviceType": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw",
"code": "40",
"display": "牙科"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"participant": [
{
"individual": {
"reference": "Practitioner/PractitionerClinEMR-min"
}
}
],
"period": {
"start": "2010-10-10T17:30:00-05:00"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/ObservationEducationLevelDCR-min",
"resource": {
"resourceType": "Observation",
"id": "ObservationEducationLevelDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationeducationlevel-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>教育程度</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:\tSocial History <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>項目</b>:最高教育程度 <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://loinc.org\">LOINCCodes</a>#80913-7)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>教育程度</b>:大學</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "80913-7",
"display": "Highest level of education [US Standard Certificate of Death]"
}
],
"text": "最高教育程度"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"valueCodeableConcept": {
"text": "大學"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/ObservationOccupationDCR-min",
"resource": {
"resourceType": "Observation",
"id": "ObservationOccupationDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationoccupation-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>職業</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:\tSocial History <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>項目</b>:Occupation [Type] <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://loinc.org\">LOINCCodes</a>#85658-3)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>職業</b>:服務業</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "social-history"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85658-3",
"display": "Occupation [Type]"
}
],
"text": "Occupation [Type]"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"valueCodeableConcept": {
"text": "服務業"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/ObservationBloodtypeDCR-min",
"resource": {
"resourceType": "Observation",
"id": "ObservationBloodtypeDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationbloodtype-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>血型</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>項目</b>:ABO and Rh group [Type] in Blood <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://loinc.org\">LOINCCodes</a>#882-1)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>自述血型</b>:A+</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "882-1",
"display": "ABO and Rh group [Type] in Blood"
}
],
"text": "ABO and Rh group [Type] in Blood"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"valueCodeableConcept": {
"text": "A+"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/AllergyIntolerance/AllergyIntoleranceDCR-min",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "AllergyIntoleranceDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/allergyintolerance-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>過敏或不耐症</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>過敏或不耐症的識別</b>:Penicillin</p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
],
"text": "Active"
},
"code": {
"text": "Penicillin"
},
"patient": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Condition/ConditionPastMedicalHistoryDCR-min",
"resource": {
"resourceType": "Condition",
"id": "ConditionPastMedicalHistoryDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditionpastmedicalhistory-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>過去病史</b></h3><p><b>臨床狀態</b>:Resolved <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-clinical\">ConditionClinicalStatusCodes</a>#resolved)</span></p><p><b>病情、問題或診斷分類</b>:History of Past illness Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://loinc.org/\">LOINC</a>#11348-0)</span></p><p><b>病情、問題或診斷識別</b>:紅斑性狼瘡</p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "resolved"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "11348-0"
}
]
}
],
"code": {
"text": "紅斑性狼瘡"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/ObservationMajorIllnessDCR-min",
"resource": {
"resourceType": "Observation",
"id": "ObservationMajorIllnessDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationmajorillness-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>重大傷病註記資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>項目</b>:History of Major illnesses and injuries Narrative <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://loinc.org\">LOINC</a>#11338-1)</span></p><p><b>病人</b>:<a href=\"Patient-PatientMCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>重大傷病註記</b>:是</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11338-1",
"display": "History of Major illnesses and injuries Narrative"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"valueBoolean": true
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Condition/ConditionMajorIllnessDCR-min",
"resource": {
"resourceType": "Condition",
"id": "ConditionMajorIllnessDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditionmajorillness-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>重大傷病資料</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/condition-clinical\">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:History of Major illnesses and injuries Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#11338-1)</span></p><p><b>重大傷病代碼</b>:G80.0 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣2021年中文版ICD-10-CM</a>#G80.0)</span><br/><b>重大傷病名稱</b>:僵直性四肢癱型腦性麻痺 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣2021年中文版ICD-10-CM</a>#E08.649)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "11338-1"
}
]
}
],
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw",
"code": "G80.0",
"display": "僵直性四肢癱型腦性麻痺"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Condition/ConditionMajorIllnessDCR-pro",
"resource": {
"resourceType": "Condition",
"id": "ConditionMajorIllnessDCR-pro",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditionmajorillness-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>重大傷病資料</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/condition-clinical\">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:History of Major illnesses and injuries Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://loinc.org/\">LOINC</a>#11338-1)</span></p><p><b>重大傷病代碼</b>:L93 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣2021年中文版ICD-10-CM</a>#L93)</span><br/><b>重大傷病名稱</b>:紅斑性狼瘡 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣2021年中文版ICD-10-CM</a>#E08.649)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "11338-1"
}
]
}
],
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw",
"code": "L93",
"display": "紅斑性狼瘡"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Medication/MedicationDCR-min",
"resource": {
"resourceType": "Medication",
"id": "MedicationDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/medication-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>藥品的詳細資料</b></h3><p><b>藥品健保碼</b>:A040130100 <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</a>#A040130100)</span></p><p><b>藥品商品名</b>:TINTEN TABLETS 500MG <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</a>#A040130100)</span></p></div>"
},
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw",
"code": "A040130100",
"display": "TINTEN TABLETS 500MG"
}
],
"text": "TINTEN TABLETS 500MG"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Medication/MedicationDCR-pro",
"resource": {
"resourceType": "Medication",
"id": "MedicationDCR-pro",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/medication-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>藥品的詳細資料</b></h3><p><b>藥品健保碼</b>:A040130100 <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</a>#A040130100)</span></p><p><b>藥品藥品碼</b>:衛署藥製字第022664號 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-fda-tw\">臺灣食藥署藥品及醫療器材代碼</a>#衛署藥製字第022664號)</span></p><p><b>藥品商品名</b>:\"太田\"阿莫克西林膠囊500毫克(安莫西林) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-fda-tw\">臺灣食藥署藥品及醫療器材代碼</a>#衛署藥製字第022664號)</span></p></div>"
},
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw",
"code": "A040130100",
"display": "TINTEN TABLETS 500MG"
},
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-fda-tw",
"code": "衛署藥製字第022664號",
"display": "\"太田\"阿莫克西林膠囊500毫克(安莫西林)"
}
]
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/MedicationRequest/MedicationRequestDCR-min",
"resource": {
"resourceType": "MedicationRequest",
"id": "MedicationRequestDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/medicationrequest-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>藥品請求的詳細資料</b></h3><p><b>藥品請求的狀態</b>:Completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason\">MedicationRequest Status Reason Codes</a>#completed)</span></p><p><b>藥品請求的意圖</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>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>藥品</b>:<a href=\"Medication-MedicationDCR-min.html\">Medication/MedicationDCR-min</a></p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>藥品調劑方式</b>:磨粉</p><p><b>藥品使用頻率</b>:TIDPC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-frequency-nhi-tw\">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 </a>#TID)</span></p><p><b>用藥部位</b>:胃部</p><p><b>用藥開始時間</b>:2010-04-01<br/><b>用藥結束時間</b>:2010-04-03</p><p><b>服藥天數</b>:3d</p><p><b>藥品服用方法</b>:口服 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-path-tw\">臺灣衛福部統計處給藥途徑</a>#PO)</span></p><p><b>用量</b>:500</p><p><b>用量單位</b>:mg</p><p><b>藥品總用量</b>:4500mg</p></div>"
},
"status": "completed",
"intent": "order",
"medicationReference": {
"reference": "Medication/MedicationDCR-min"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"note": [
{
"text": "磨粉"
}
],
"dosageInstruction": [
{
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2010-04-01",
"end": "2010-04-03"
},
"duration": 3,
"durationUnit": "d"
},
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-frequency-nhi-tw",
"code": "TID",
"display": "每日三次"
}
],
"text": "TIDPC"
}
},
"site": {
"text": "胃部"
},
"route": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-path-tw",
"code": "PO",
"display": "口眼"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 500,
"unit": "mg"
}
}
]
}
],
"dispenseRequest": {
"quantity": {
"value": 4500,
"unit": "mg"
}
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/MedicationRequest/MedicationRequestDCR-pro",
"resource": {
"resourceType": "MedicationRequest",
"id": "MedicationRequestDCR-pro",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/medicationrequest-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>藥品請求的詳細資料</b></h3><p><b>藥品請求的狀態</b>:Completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason\">MedicationRequest Status Reason Codes</a>#completed)</span></p><p><b>藥品請求的意圖</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>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>藥品</b>:<a href=\"Medication-MedicationDCR-pro.html\">Medication/MedicationDCR-pro</a>\"sodium fluoride\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>藥品調劑方式</b>:磨粉</p><p><b>藥品使用頻率</b>:TIDPC <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-frequency-nhi-tw\">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 </a>#TID)</span></p><p><b>用藥部位</b>:胃部</p><p><b>用藥開始時間</b>:2010-04-01<br/><b>用藥結束時間</b>:2010-04-03</p><p><b>服藥天數</b>:3d</p><p><b>藥品服用方法</b>:口服 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-path-tw\">臺灣衛福部統計處給藥途徑</a>#PO)</span></p><p><b>用量</b>:500</p><p><b>用量單位</b>:mg</p><p><b>藥品總用量</b>:4500mg</p></div>"
},
"status": "completed",
"intent": "order",
"medicationReference": {
"reference": "Medication/MedicationDCR-min"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"note": [
{
"text": "磨粉"
}
],
"dosageInstruction": [
{
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2010-04-01",
"end": "2010-04-03"
},
"duration": 3,
"durationUnit": "d"
},
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-frequency-nhi-tw",
"code": "TID",
"display": "每日三次"
}
],
"text": "TIDPC"
}
},
"site": {
"text": "胃部"
},
"route": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-path-tw",
"code": "PO",
"display": "口眼"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 500,
"unit": "mg"
}
}
]
}
],
"dispenseRequest": {
"quantity": {
"value": 4500,
"unit": "mg"
}
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Condition/ConditionDiagnosisDCR-min",
"resource": {
"resourceType": "Condition",
"id": "ConditionDiagnosisDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>診斷資料</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/condition-clinical\">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-category\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>診斷代碼</b>:K02.51 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣2021年中文版ICD-10-CM</a>#K02.51)</span><br/><b>診斷名稱</b>:齲齒在凹陷及裂縫表面侷限於牙釉質 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw\">臺灣2021年中文版ICD-10-CM</a>#K02.51)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis",
"display": "Encounter Diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw",
"code": "K02.51",
"display": "齲齒在凹陷及裂縫表面侷限於牙釉質"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Practitioner/PractitionerClinEMR-min",
"resource": {
"resourceType": "Practitioner",
"id": "PractitionerClinEMR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫師基本資料</b></h3><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>身份證號(official)</b>:A135792648 (http://www.moi.gov.tw/)</p><p><b>姓名(official)</b>:黃啟揚</p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NNxxx"
}
]
},
"system": "http://www.moi.gov.tw",
"value": "A135792648"
}
],
"name": [
{
"use": "official",
"text": "黃啟揚"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/CarePlan/CarePlanDCR-min",
"resource": {
"resourceType": "CarePlan",
"id": "CarePlanDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/careplan-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>關懷計畫</b></h3><p><b>狀態</b>:Completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/request-status\">RequestStatus</a>#completed)</span></p><p><b>類別</b>:Proposal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/request-intent\">Care Plan Intent</a>#proposal)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>醫師囑咐</b>:術後兩小時方可進食</p></div>"
},
"status": "completed",
"intent": "proposal",
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"note": [
{
"text": "術後兩小時方可進食"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Condition/ConditionChiefComplaintDCR-min",
"resource": {
"resourceType": "Condition",
"id": "ConditionChiefComplaintDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditionchiefcomplaint-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>病人主訴</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/condition-clinical\">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>:Problem List Item <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-category\">Condition Category Codes</a>#problem-list-item)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>病人主訴</b>:牙齒痛兩天</p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"note": [
{
"text": "牙齒痛兩天"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/ObservationVitalSignDCR-min",
"resource": {
"resourceType": "Observation",
"id": "ObservationVitalSignDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationvitalsign-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>生命徵象資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Vitals+wt+ht+hc+SaO2+BMI Pnl <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://loinc.org\">Vital Signs</a>#85353-1)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>執行日期</b>:2010-04-01 10:20:23-0500</p><p><b>檢查者</b>: <a href=\"Practitioner-PractitionerClinEMR-pro.html\">Practitioner/PractitionerClinEMR-pro</a> \"黃啟揚\"</p><p><b>項目</b>:</p><ul><li><a href=\"Observation-obs-bloodPressure-example.html\">血壓(Observation/obs-bloodPressure-example)</a></li><li><a href=\"Observation-obs-heartrate-example.html\">脈搏(Observation/obs-heartrate-example)</a></li><li><a href=\"Observation-obs-bodyheight-example.html\">身高(Observation/obs-bodyheight-example)</a></li><li><a href=\"Observation-obs-bodyweight-example.html\">體重(Observation/obs-bodyweight-example)</a></li><li><a href=\"Observation-obs-bodytemp-example.html\">體溫(Observation/obs-bodytemp-example)</a></li></ul></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85353-1"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-01T10:20:23-05:00",
"performer": [
{
"reference": "Organization/OrganizationDCR-min"
}
],
"hasMember": [
{
"reference": "Observation/obs-bloodPressure-example-dcr"
},
{
"reference": "Observation/obs-heartrate-example-dcr"
},
{
"reference": "Observation/obs-bodyheight-example-dcr"
},
{
"reference": "Observation/obs-bodyweight-example-dcr"
},
{
"reference": "Observation/obs-bodytemp-example-dcr"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/obs-bloodPressure-example-dcr",
"resource": {
"resourceType": "Observation",
"id": "obs-bloodPressure-example-dcr",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationbloodpressure-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>血壓資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Blood pressure panel with all children optional <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#85354-9 \"Blood pressure panel with all children optional\")</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>檢查者</b>:<a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"黃啟揚\"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗結果</b></p><blockquote><p><b>檢驗項目</b>:Systolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8480-6)</span></p><p><b>檢驗值</b>:120 mmHg <span style=\"background: LightGoldenRodYellow\"></span></p></blockquote><blockquote><p><b>檢驗項目</b>:Diastolic blood pressure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8462-4)</span></p><p><b>檢驗值</b>:95 mmHg</p></blockquote></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "85354-9",
"display": "Blood pressure panel with all children optional"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-01",
"performer": [
{
"reference": "Practitioner/PractitionerClinEMR-min"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
]
},
"valueQuantity": {
"value": 120,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
},
{
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Diastolic blood pressure"
}
]
},
"valueQuantity": {
"value": 95,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/obs-heartrate-example-dcr",
"resource": {
"resourceType": "Observation",
"id": "obs-heartrate-example-dcr",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationheartrate-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>脈搏資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Heart rate <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8867-4 \"Heart rate\")</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>檢查者</b>:<a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"黃啟揚\"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:17 /min</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8867-4",
"display": "Heart rate"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-01",
"performer": [
{
"reference": "Practitioner/PractitionerClinEMR-min"
}
],
"valueQuantity": {
"value": 17,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/obs-bodyheight-example-dcr",
"resource": {
"resourceType": "Observation",
"id": "obs-bodyheight-example-dcr",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationbodyheight-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>身高資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Body height <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8302-2 \"Body height\")</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>檢查者</b>:<a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"黃啟揚\"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:162 cm</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8302-2",
"display": "Body height"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-01",
"performer": [
{
"reference": "Practitioner/PractitionerClinEMR-min"
}
],
"valueQuantity": {
"value": 162,
"unit": "cm",
"system": "http://unitsofmeasure.org",
"code": "cm"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/obs-bodyweight-example-dcr",
"resource": {
"resourceType": "Observation",
"id": "obs-bodyweight-example-dcr",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationbodyweight-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>體重資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Body weight <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#29463-7 \"Body weight\")</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>檢查者</b>:<a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"黃啟揚\"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:50 kg</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29463-7",
"display": "Body weight"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-01",
"performer": [
{
"reference": "Practitioner/PractitionerClinEMR-min"
}
],
"valueQuantity": {
"value": 50,
"unit": "kg",
"system": "http://unitsofmeasure.org",
"code": "kg"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/obs-bodytemp-example-dcr",
"resource": {
"resourceType": "Observation",
"id": "obs-bodytemp-example-dcr",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observationbodytemp-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>體溫資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Vital Signs <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>檢驗項目</b>:Body temperature <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#8310-5 \"Body temperature\")</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>檢查者</b>:<a href=\"Practitioner-PractitionerClinEMR-min.html\">Practitioner/PractitionerClinEMR-min</a> \"黃啟揚\"</p><p><b>執行日期</b>:2010-04-01</p><p><b>檢驗值</b>:36.6 ℃</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "vital-signs",
"display": "Vital Signs"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8310-5",
"display": "Body temperature"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-01",
"performer": [
{
"reference": "Practitioner/PractitionerClinEMR-min"
}
],
"valueQuantity": {
"value": 36.6,
"unit": "℃",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Procedure/ProcedureDCR-min",
"resource": {
"resourceType": "Procedure",
"id": "ProcedureDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-dcr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>處置或手術基本資料</b></h3><p><b>處置或手術狀態</b>:completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/event-status\">EventStatus</a>#completed)</span></p><p><b>處置健保碼</b>:89008C <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣健保署醫療服務給付項目</a>#89008C)</span></p><p><b>處置說明</b>:後牙複合樹脂充填-單面 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣健保署醫療服務給付項目</a>#89008C)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>處置劑量</b>:3 mL</p></div>"
},
"status": "completed",
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw",
"code": "89008C",
"display": "後牙複合樹脂充填-單面"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"note": [
{
"text": "3 mL"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Procedure/ProcedureDCR-pro",
"resource": {
"resourceType": "Procedure",
"id": "ProcedureDCR-pro",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-dcr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>處置或手術基本資料</b></h3><p><b>處置或手術狀態</b>:completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/event-status\">EventStatus</a>#completed)</span></p><p><b>處置院內碼</b>:89008C</p><p><b>處置健保碼</b>:89008C <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣健保署醫療服務給付項目</a>#89008C)</span></p><p><b>處置說明</b>:後牙複合樹脂充填-單面 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣健保署醫療服務給付項目</a>#89008C)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>處置部位</b>:17 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://browser.ihtsdotools.org/\">TeethCodes</a>#17)</span></p><p><b>處置劑量</b>:2 mL</p></div>"
},
"identifier": [
{
"value": "89008C"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw",
"code": "89008C",
"display": "後牙複合樹脂充填-單面"
}
]
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"bodySite": [
{
"coding": [
{
"system": "http://hl7.org/fhir/ex-fdi",
"code": "17",
"display": "17"
}
]
}
],
"note": [
{
"text": "2 mL"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/ServiceRequest/ServiceRequestDCR-min",
"resource": {
"resourceType": "ServiceRequest",
"id": "ServiceRequestDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>服務請求</b></h3><p><b>狀態</b>:Completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/request-status\">RequestStatus</a>#completed)</span></p><p><b>類別</b>:Order <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/request-intent\">Care Plan Intent</a>#order)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>檢驗檢查開單機構代碼</b>:<a href=\"Organization-OrganizationDCR-min.html\">Organization/OrganizationDCR-min</a> \"3214567890\"<br/><b>檢驗檢查開單機構名稱</b>:<a href=\"Organization-OrganizationDCR-min.html\">Organization/OrganizationDCR-min</a> \"捷達世牙醫診所\"</p><p><b>檢驗檢查開單日期</b>:2010-04-10 10:09:45-05:00</p></div>"
},
"status": "completed",
"intent": "order",
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"occurrenceDateTime": "2010-04-10T10:09:45-05:00",
"requester": {
"reference": "Organization/OrganizationDCR-min"
}
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Observation/ObservationDCR-min",
"resource": {
"resourceType": "Observation",
"id": "ObservationDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>檢驗檢查資料</b></h3><p><b>狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/observation-status\">ObservationStatus</a>#final)</span></p><p><b>分類</b>:Laboratory <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>檢驗項目名稱</b>:尿液常規檢查 <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06012C)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>檢查日期</b>:2010-04-11 10:20:23-0800</p><p><b>檢查完成日期</b>:2010-04-11 10:20:23-0800</p><p><b>檢驗檢查機構代碼</b>: <a href=\"Organization-OrganizationInspectionClinEMR-min.html\">Organization/OrganizationInspectionClinEMR-min</a> \"3214567890\"</p><p><b>檢驗檢查機構名稱</b>: <a href=\"Organization-OrganizationInspectionClinEMR-min.html\">Organization/OrganizationInspectionClinEMR-min</a> \"捷達世檢驗所\"</p><p><b>檢驗項目</b>:尿蛋白 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06003C) </span><b>檢驗結果值</b>:Negative(-)</p><p><b>檢驗項目</b>:尿糖 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06004C) </span><b>檢驗結果值</b>:Positive(+) <b>檢驗結果備註說明</b>:陽性</p><p><b>檢驗項目</b>:尿膽素原 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06005C) </span><b>檢驗結果值</b>:Negative(-)</p><p><b>檢驗項目</b>:尿膽紅素 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06006C) </span><b>檢驗結果值</b>:0.2 mg/dL <b>檢驗結果判斷註記</b>:L <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation\">ObservationInterpretationCodes</a>#L)</span> <b>檢驗結果備註說明</b>:低於正常值</p><p><b>檢驗項目</b>:尿酮體 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06007C) </span><b>檢驗結果值</b>:Negative(-)</p><p><b>檢驗項目</b>:酸鹼度PH <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw\">臺灣醫療服務給付項目</a>#06014B) </span><b>檢驗結果值</b>:8.1 <b>檢驗結果判斷註記</b>:H <span style=\"background: LightGoldenRodYellow; margin:4px; border:1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation\">ObservationInterpretationCodes</a>#H)</span> <b>檢驗結果備註說明</b>:高於正常值</p></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw",
"code": "06012C",
"display": "尿一般檢查(包括蛋白、糖、尿膽元、膽紅素、尿沈渣、比重、顏色、混濁度、白血球酯脢、潛血、酸鹼度及酮體)"
}
],
"text": "尿液常規檢查"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"effectiveDateTime": "2010-04-11T10:20:23-05:00",
"issued": "2010-04-11T10:20:23-05:00",
"performer": [
{
"reference": "Organization/OrganizationInspectionClinEMR-min"
}
],
"component": [
{
"code": {
"text": "尿蛋白"
},
"valueString": "Negative(-)"
},
{
"code": {
"text": "尿糖"
},
"valueString": "Positive(+)",
"interpretation": [
{
"text": "陽性"
}
]
},
{
"code": {
"text": "尿膽素原"
},
"valueQuantity": {
"value": 0.2,
"unit": "mg/dL"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "L"
}
]
}
]
},
{
"code": {
"text": "尿膽紅素"
},
"valueString": "Negative(-)"
},
{
"code": {
"text": "尿酮體"
},
"valueString": "Negative(-)"
},
{
"code": {
"text": "酸鹼度PH"
},
"valueQuantity": {
"value": 8.1
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H"
}
],
"text": "高於正常值"
}
]
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/DiagnosticReport/DiagnosticReportDCR-min",
"resource": {
"resourceType": "DiagnosticReport",
"id": "DiagnosticReportDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/diagnosticreport-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>診斷報告</b></h3><p><b>診斷狀態</b>:Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html\">DiagnosticReportStatus</a>#final)</span></p><p><b>診斷分類</b>:Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-service-sections.html\">DiagnosticServiceSectionCodes</a>#LAB)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p><p><b>報告日期</b>:2010-04-11 11:10:20-0800</p><p><b>檢驗檢查名稱</b>:血色素Hb</p><p><b>檢驗結果</b>:<a href=\"Observation-ObservationDCR-min.html\">Observation/ObservationDCR-min</a></p><p><b>基於請求</b>:<a href=\"ServiceRequest-ServiceRequestDCR-min.html\">ServiceRequest/ServiceRequestDCR-min</a></p></div>"
},
"basedOn": [
{
"reference": "ServiceRequest/ServiceRequestDCR-min"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
}
]
}
],
"code": {
"text": "血色素Hb"
},
"subject": {
"reference": "Patient/PatientDCR-min"
},
"encounter": {
"reference": "Encounter/EncounterDCR-min"
},
"effectiveDateTime": "2010-04-11T11:10:20+08:00",
"result": [
{
"reference": "Observation/ObservationDCR-min"
}
]
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/Organization/OrganizationInspectionClinEMR-min",
"resource": {
"resourceType": "Organization",
"id": "OrganizationInspectionClinEMR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/organizationinspection-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>檢驗檢查機構基本資料</b></h3><p><b>機構名稱</b>:捷達世檢驗所</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>:3214567890 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>:Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/organization-type\">OrganizationType</a>#laboratory)</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/twcore/CodeSystem/organization-identifier-tw",
"value": "3214567890"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "laboratory"
}
]
}
],
"name": "捷達世檢驗所"
}
},
{
"fullUrl": "https://fhir.cohesiondata.com/clinemr/DocumentReference/DocumentReferenceDCR-min",
"resource": {
"resourceType": "DocumentReference",
"id": "DocumentReferenceDCR-min",
"meta": {
"profile": [
"https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>文件參考</b></h3><p><b>狀態</b>:Current <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-document-reference-status.html\">DocumentReferenceStatus</a>#current)</span></p><p><b>病人</b>:<a href=\"Patient-PatientDCR-min.html\">Patient/PatientDCR-min</a> \"王童\"</p><p><b>紀錄中使用的檔案</b>:</p><blockquote><p><b>檔案</b>:<a href=\"11.png\"> 11.png</a></p><p><b>檔案內容</b>:JVBERi0xLjUNCiW1tbW1DQoxIDAgb2JqDQo8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyh6aC1UVykgL1N0cnVjdFRyZWVSb290IDE3IDAgUi9NYXJrSW5mbzw8L01hcmtlZCB0cnVlPj4+Pg0KZW5kb2JqDQoyIDAgb2JqDQo8PC9UeXBlL1BhZ2VzL0NvdW50IDIvS2lkc1sgMyAwIFIgMTQgMCBSXSA+Pg0KZW5kb2JqDQozIDAgb2JqDQo8PC9UeXBlL1BhZ2UvUGFyZW50IDIgMCBSL1Jlc291cmNlczw8L0ZvbnQ8PC9GMSA1IDAgUi9GMiA3IDAgUi9GMyA5IDAgUj4+L1Byb2NTZXRbL1BERi9UZXh0L0ltYWdlQi9JbWFnZUMvSW1hZ2VJXSA+Pi9NZWRpYUJveFsg</p><p><b>圖檔報告牙位</b>:11 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://hl7.org/fhir/R4/codesystem-teeth.html\">TeethCodes</a>#11)</span></p></blockquote><p><b>就醫事件</b>:<a href=\"Encounter-EncounterDCR-min.html\">Encounter/EncounterDCR-min</a></p></div>"
},
"status": "current",
"subject": {
"reference": "Patient/PatientDCR-min"
},
"content": [
{
"attachment": {
"extension": [
{
"url": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-position",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/ex-fdi",
"code": "11",
"display": "11"
}
]
}
}
],
"contentType": "image/png",
"data": "JVBERi0xLjUNCiW1tbW1DQoxIDAgb2JqDQo8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyh6aC1UVykgL1N0cnVjdFRyZWVSb290IDE3IDAgUi9NYXJrSW5mbzw8L01hcmtlZCB0cnVlPj4+Pg0KZW5kb2JqDQoyIDAgb2JqDQo8PC9UeXBlL1BhZ2VzL0NvdW50IDIvS2lkc1sgMyAwIFIgMTQgMCBSXSA+Pg0KZW5kb2JqDQozIDAgb2JqDQo8PC9UeXBlL1BhZ2UvUGFyZW50IDIgMCBSL1Jlc291cmNlczw8L0ZvbnQ8PC9GMSA1IDAgUi9GMiA3IDAgUi9GMyA5IDAgUj4+L1Byb2NTZXRbL1BERi9UZXh0L0ltYWdlQi9JbWFnZUMvSW1hZ2VJXSA+Pi9NZWRpYUJveFsg",
"url": "11.png",
"title": "11.png"
}
}
],
"context": {
"encounter": [
{
"reference": "Encounter/EncounterDCR-min"
}
]
}
}
}
]
}