FHIR IG analytics| Package | tw.gov.mohw.emr |
| Resource Type | Bundle |
| Id | Bundle-example-DMS.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "example-DMS",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/BundleDMS"
]
},
"identifier": {
"system": "https://twcore.mohw.gov.tw/ig/index.html",
"value": "Bundle_EMR"
},
"type": "document",
"timestamp": "2023-01-04T13:01:56+08:00",
"entry": [
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Composition/DMS-Com24",
"resource": {
"resourceType": "Composition",
"id": "DMS-Com24",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/CompositionDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_DMS-Com24\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition DMS-Com24</b></p><a name=\"DMS-Com24\"> </a><a name=\"hcDMS-Com24\"> </a><a name=\"DMS-Com24-en-US\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 11490-0}\">出院病摘</span></p><p><b>encounter</b>: <a href=\"Encounter-DMS-Enc3.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); serviceType = General surgery (qualifier value); period = 2022-07-08 12:12:00+0000 --> 2022-07-09 12:12:00+0000</a></p><p><b>date</b>: 2023-01-04 13:01:56+0800</p><p><b>author</b>: </p><ul><li><a href=\"Organization-DMS-Org1.html\">Organization 國立臺灣大學醫學院附設醫院</a></li><li><a href=\"Organization-DMS-Org6.html\">Organization 轉入醫事機構名稱</a></li><li><a href=\"Organization-DMS-Org22.html\">Organization 轉出醫事機構名稱</a></li><li><a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></li></ul><p><b>title</b>: 出院病摘</p><p><b>custodian</b>: <a href=\"Organization-DMS-Org1.html\">Organization 國立臺灣大學醫學院附設醫院</a></p></div>"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11490-0",
"display": "Physician Discharge summary"
}
],
"text": "出院病摘"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"encounter": {
"reference": "Encounter/DMS-Enc3"
},
"date": "2023-01-04T13:01:56+08:00",
"author": [
{
"reference": "Organization/DMS-Org1"
},
{
"reference": "Organization/DMS-Org6"
},
{
"reference": "Organization/DMS-Org22"
},
{
"reference": "Practitioner/DMS-Pra23"
}
],
"title": "出院病摘",
"custodian": {
"reference": "Organization/DMS-Org1"
},
"section": [
{
"title": "出院病摘中的出院指示",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8653-8"
}
]
},
"entry": [
{
"reference": "CarePlan/DMS-Care5"
}
]
},
{
"title": "出院病摘中的住院臆斷",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46241-6"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs7"
}
]
},
{
"title": "出院病摘中的出院診斷",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11535-2"
}
]
},
"entry": [
{
"reference": "Condition/DMS-Con8"
}
]
},
{
"title": "出院病摘中的癌症期別",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22037-6"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs9"
}
]
},
{
"title": "出院病摘中的主訴",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10154-3"
}
]
},
"entry": [
{
"reference": "Condition/DMS-Con10"
}
]
},
{
"title": "出院病摘中的病史",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10164-2"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs11"
}
]
},
{
"title": "出院病摘中的家族圖譜",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "74027-4"
}
]
},
"entry": [
{
"reference": "Media/DMS-Med12"
}
]
},
{
"title": "出院病摘中的理學檢查發現",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29545-1"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs13"
}
]
},
{
"title": "出院病摘中的檢驗",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30954-2"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs14"
}
]
},
{
"title": "出院病摘中的特殊檢查",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "19146-0"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs15"
}
]
},
{
"title": "出院病摘中的醫學影像檢查(ImageingStudy)",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "19005-8"
}
]
},
"entry": [
{
"reference": "ImagingStudy/DMS-Img16"
},
{
"reference": "Media/DMS-Med17"
}
]
},
{
"title": "出院病摘中的病理報告",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22034-3"
}
]
},
"entry": [
{
"reference": "Observation/DMS-Obs18"
}
]
},
{
"title": "出院病摘中的手術日期及方法",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8724-7"
}
]
},
"entry": [
{
"reference": "Procedure/DMS-Pro19"
}
]
},
{
"title": "出院病摘中的住院治療經過",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8648-8"
}
]
},
"entry": [
{
"reference": "Procedure/DMS-Pro20"
},
{
"reference": "Location/DMS-Loc4"
}
]
},
{
"title": "出院病摘中的合併症與併發症",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "55109-3"
}
]
},
"entry": [
{
"reference": "Condition/DMS-Con21"
}
]
}
]
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Organization/DMS-Org1",
"resource": {
"resourceType": "Organization",
"id": "DMS-Org1",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/OrganizationDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_DMS-Org1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization DMS-Org1</b></p><a name=\"DMS-Org1\"> </a><a name=\"hcDMS-Org1\"> </a><a name=\"DMS-Org1-en-US\"> </a><p><b>identifier</b>: 0401180014</p><p><b>name</b>: 國立臺灣大學醫學院附設醫院</p></div>"
},
"identifier": [
{
"value": "0401180014"
}
],
"name": "國立臺灣大學醫學院附設醫院"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Patient/DMS-Pat2",
"resource": {
"resourceType": "Patient",
"id": "DMS-Pat2",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PatientDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_DMS-Pat2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient DMS-Pat2</b></p><a name=\"DMS-Pat2\"> </a><a name=\"hcDMS-Pat2\"> </a><a name=\"DMS-Pat2-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/3djnjkndxksnx (use: official, )</td></tr></table></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "https://www.ntuh.gov.tw/",
"value": "3djnjkndxksnx"
},
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NNxxx",
"_code": {
"extension": [
{
"extension": [
{
"url": "suffix",
"valueString": "TWN"
},
{
"url": "valueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/iso3166-1-3"
}
],
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix"
}
]
}
}
]
},
"system": "http://www.moi.gov.tw",
"value": "A123456789"
}
],
"active": true,
"name": [
{
"use": "usual",
"text": "黃睿駿"
}
],
"gender": "male",
"birthDate": "1999-01-01"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Encounter/DMS-Enc3",
"resource": {
"resourceType": "Encounter",
"id": "DMS-Enc3",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/EncounterDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_DMS-Enc3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter DMS-Enc3</b></p><a name=\"DMS-Enc3\"> </a><a name=\"hcDMS-Enc3\"> </a><a name=\"DMS-Enc3-en-US\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode IMP</a>: inpatient encounter</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 394609007}\">Medical Services</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></td></tr></table><p><b>period</b>: 2022-07-08 12:12:00+0000 --> 2022-07-09 12:12:00+0000</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-DMS-Con10.html\">Condition </a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}\">Chief complaint</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition other-hcf}\">使用退燒藥、已經康復無需復健、避免辛辣食物、定時量測與紀錄體溫、預約990831回診范依施醫師、出院不須帶藥</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td><td><b>PhysicalType</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-DMS-Loc4.html\">Location 病床</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type bd}\">出院床號</span></td></tr></table></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"serviceType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394609007"
}
],
"text": "Medical Services"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"participant": [
{
"individual": {
"reference": "Practitioner/DMS-Pra23"
}
}
],
"period": {
"start": "2022-07-08T12:12:00.000Z",
"end": "2022-07-09T12:12:00.000Z"
},
"diagnosis": [
{
"condition": {
"reference": "Condition/DMS-Con10"
},
"use": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/diagnosis-role",
"code": "CC",
"display": "Chief complaint"
}
]
}
}
],
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code": "other-hcf",
"display": "Other healthcare facility"
}
],
"text": "使用退燒藥、已經康復無需復健、避免辛辣食物、定時量測與紀錄體溫、預約990831回診范依施醫師、出院不須帶藥"
}
},
"location": [
{
"location": {
"reference": "Location/DMS-Loc4"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "bd",
"display": "Bed"
}
],
"text": "出院床號"
}
}
]
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Location/DMS-Loc4",
"resource": {
"resourceType": "Location",
"id": "DMS-Loc4",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/LocationDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_DMS-Loc4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location DMS-Loc4</b></p><a name=\"DMS-Loc4\"> </a><a name=\"hcDMS-Loc4\"> </a><a name=\"DMS-Loc4-en-US\"> </a><p><b>identifier</b>: Bed01</p><p><b>name</b>: 病床</p></div>"
},
"identifier": [
{
"value": "Bed01"
}
],
"name": "病床"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/CarePlan/DMS-Care5",
"resource": {
"resourceType": "CarePlan",
"id": "DMS-Care5",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/CarePlanInstructionDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_DMS-Care5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan DMS-Care5</b></p><a name=\"DMS-Care5\"> </a><a name=\"hcDMS-Care5\"> </a><a name=\"DMS-Care5-en-US\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 8653-8}\">Hospital Discharge instructions</span></p><p><b>description</b>: 出院指示</p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p></div>"
},
"status": "active",
"intent": "proposal",
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "8653-8"
}
]
}
],
"description": "出院指示",
"subject": {
"reference": "Patient/DMS-Pat2"
}
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Organization/DMS-Org6",
"resource": {
"resourceType": "Organization",
"id": "DMS-Org6",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/OrganizationDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_DMS-Org6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization DMS-Org6</b></p><a name=\"DMS-Org6\"> </a><a name=\"hcDMS-Org6\"> </a><a name=\"DMS-Org6-en-US\"> </a><p><b>identifier</b>: 8791831</p><p><b>name</b>: 轉入醫事機構名稱</p></div>"
},
"identifier": [
{
"value": "8791831"
}
],
"name": "轉入醫事機構名稱"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs7",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs7",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSassumption"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs7</b></p><a name=\"DMS-Obs7\"> </a><a name=\"hcDMS-Obs7\"> </a><a name=\"DMS-Obs7-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 46241-6}\">住院臆斷</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 有軌電車乘客在交通意外事故中與機動車輛碰撞時受傷之初期照護</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46241-6",
"display": "Hospital admission diagnosis Narrative - Reported"
}
],
"text": "住院臆斷"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "有軌電車乘客在交通意外事故中與機動車輛碰撞時受傷之初期照護"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Condition/DMS-Con8",
"resource": {
"resourceType": "Condition",
"id": "DMS-Con8",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ConditionDMSDiagnosis"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_DMS-Con8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition DMS-Con8</b></p><a name=\"DMS-Con8\"> </a><a name=\"hcDMS-Con8\"> </a><a name=\"DMS-Con8-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">出院診斷</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 11535-2}\">出院診斷</span></p><p><b>code</b>: <span title=\"Codes:\">結核病(Tuberculosis)</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "remission",
"display": "Remission"
}
],
"text": "出院診斷"
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "11535-2"
}
],
"text": "出院診斷"
}
],
"code": {
"text": "結核病(Tuberculosis)"
},
"subject": {
"reference": "Patient/DMS-Pat2"
}
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs9",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs9",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationCSDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs9</b></p><a name=\"DMS-Obs9\"> </a><a name=\"hcDMS-Obs9\"> </a><a name=\"DMS-Obs9-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 22037-6}\">癌症期別</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 第二期</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22037-6",
"display": "Staging Cancer Narrative"
}
],
"text": "癌症期別"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "第二期"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Condition/DMS-Con10",
"resource": {
"resourceType": "Condition",
"id": "DMS-Con10",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ConditionDMSCC"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_DMS-Con10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition DMS-Con10</b></p><a name=\"DMS-Con10\"> </a><a name=\"hcDMS-Con10\"> </a><a name=\"DMS-Con10-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">主訴</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 10154-3}\">主訴</span></p><p><b>code</b>: <span title=\"Codes:\">2小時前開始出現伴隨噁心的激烈心窩部疼痛。</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "remission",
"display": "Remission"
}
],
"text": "主訴"
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "10154-3"
}
],
"text": "主訴"
}
],
"code": {
"text": "2小時前開始出現伴隨噁心的激烈心窩部疼痛。"
},
"subject": {
"reference": "Patient/DMS-Pat2"
}
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs11",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs11",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSMedicalHistory"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs11\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs11</b></p><a name=\"DMS-Obs11\"> </a><a name=\"hcDMS-Obs11\"> </a><a name=\"DMS-Obs11-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 10164-2}\">病史</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 病人左側胸部曾受到壓傷。</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10164-2",
"display": "History of Present illness Narrative"
}
],
"text": "病史"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "病人左側胸部曾受到壓傷。"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Media/DMS-Med12",
"resource": {
"resourceType": "Media",
"id": "DMS-Med12",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MediaDMSFamily"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Media_DMS-Med12\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Media DMS-Med12</b></p><a name=\"DMS-Med12\"> </a><a name=\"hcDMS-Med12\"> </a><a name=\"DMS-Med12-en-US\"> </a><p><b>status</b>: Completed</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 74027-4}\">Family pedigree identifier</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><h3>Contents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Title</b></td></tr><tr><td style=\"display: none\">*</td><td>image/jpeg</td><td>Base64編碼之JPEG檔</td></tr></table></div>"
},
"status": "completed",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "74027-4"
}
]
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"content": {
"contentType": "image/jpeg",
"title": "Base64編碼之JPEG檔"
}
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs13",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs13",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSPhysicalExamination"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs13\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs13</b></p><a name=\"DMS-Obs13\"> </a><a name=\"hcDMS-Obs13\"> </a><a name=\"DMS-Obs13-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29545-1}\">理學檢查發現</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 皮膚與口腔粘膜蒼白,其餘身體檢查無明顯異常。</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "29545-1",
"display": "Physical findings Narrative"
}
],
"text": "理學檢查發現"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "皮膚與口腔粘膜蒼白,其餘身體檢查無明顯異常。"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs14",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs14",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSLaboratoryData"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs14\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs14</b></p><a name=\"DMS-Obs14\"> </a><a name=\"hcDMS-Obs14\"> </a><a name=\"DMS-Obs14-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 30954-2}\">Glucose blood</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 60~85mg/dL</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30954-2",
"display": "Relevant diagnostic tests/laboratory data Narrative"
}
],
"text": "Glucose blood"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "60~85mg/dL"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs15",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs15",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSSpecificExamination"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs15\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs15</b></p><a name=\"DMS-Obs15\"> </a><a name=\"hcDMS-Obs15\"> </a><a name=\"DMS-Obs15-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 19146-0}\">心電圖</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 心律不整</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "19146-0",
"display": "Referral lab test results"
}
],
"text": "心電圖"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "心律不整"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/ImagingStudy/DMS-Img16",
"resource": {
"resourceType": "ImagingStudy",
"id": "DMS-Img16",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/DMSImagingStudy"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ImagingStudy_DMS-Img16\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ImagingStudy DMS-Img16</b></p><a name=\"DMS-Img16\"> </a><a name=\"hcDMS-Img16\"> </a><a name=\"DMS-Img16-en-US\"> </a><p><b>status</b>: Available</p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>started</b>: 2023-08-21 00:00:00+0800</p><p><b>referrer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 181007}\">出血性支氣管肺炎</span></p><h3>Series</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Uid</b></td><td><b>Modality</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>[not stated] : X光</td><td>[not stated] : 胸部</td></tr></table></div>"
},
"status": "available",
"subject": {
"reference": "Patient/DMS-Pat2"
},
"started": "2023-08-21T00:00:00+08:00",
"referrer": {
"reference": "Practitioner/DMS-Pra23"
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "181007"
}
],
"text": "出血性支氣管肺炎"
}
],
"series": [
{
"uid": "1",
"modality": {
"display": "X光"
},
"bodySite": {
"display": "胸部"
}
}
]
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Media/DMS-Med17",
"resource": {
"resourceType": "Media",
"id": "DMS-Med17",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/MediaDMSImagingStudy"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Media_DMS-Med17\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Media DMS-Med17</b></p><a name=\"DMS-Med17\"> </a><a name=\"hcDMS-Med17\"> </a><a name=\"DMS-Med17-en-US\"> </a><p><b>status</b>: Completed</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 19005-8}\">Radiology Imaging study [Impression] (narrative)</span></p><p><b>modality</b>: <span title=\"Codes:\">出院病摘醫療影像檢查Imaging Study</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><h3>Contents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Title</b></td></tr><tr><td style=\"display: none\">*</td><td>image/jpeg</td><td>Base64編碼之JPEG檔</td></tr></table></div>"
},
"status": "completed",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "19005-8"
}
]
},
"modality": {
"text": "出院病摘醫療影像檢查Imaging Study"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"content": {
"contentType": "image/jpeg",
"title": "Base64編碼之JPEG檔"
}
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Observation/DMS-Obs18",
"resource": {
"resourceType": "Observation",
"id": "DMS-Obs18",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ObservationDMSPathologyReport"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_DMS-Obs18\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation DMS-Obs18</b></p><a name=\"DMS-Obs18\"> </a><a name=\"hcDMS-Obs18\"> </a><a name=\"DMS-Obs18-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 22034-3}\">病理報告</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>effective</b>: 2023-10-01 16:52:00+0800</p><p><b>performer</b>: <a href=\"Practitioner-DMS-Pra23.html\">Practitioner 賴一施</a></p><p><b>value</b>: 肌肉活組織切片標本的顯微鏡檢查顯示骨骼細胞的脂肪浸潤與退化性變化。</p></div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "22034-3",
"display": "Pathology report Cancer Narrative"
}
],
"text": "病理報告"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"effectiveDateTime": "2023-10-01T16:52:00+08:00",
"performer": [
{
"reference": "Practitioner/DMS-Pra23"
}
],
"valueString": "肌肉活組織切片標本的顯微鏡檢查顯示骨骼細胞的脂肪浸潤與退化性變化。"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Procedure/DMS-Pro19",
"resource": {
"resourceType": "Procedure",
"id": "DMS-Pro19",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ProcedureDMSSurgicalMethod"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_DMS-Pro19\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure DMS-Pro19</b></p><a name=\"DMS-Pro19\"> </a><a name=\"hcDMS-Pro19\"> </a><a name=\"DMS-Pro19-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 8724-7}\">Surgical operation note description Narrative</span></p><p><b>code</b>: <span title=\"Codes:\">選擇右肋緣下1 cm(或以膽囊三角體表投影處選擇斜切口),做平行於肋弓的斜切口,切口長約4~6 cm, 切開腹直肌前鞘,進腹腔先結紮膽囊動脈和膽囊管,後以電刀或剪刀自膽囊底部分離膽囊至膽囊管,切斷膽囊管去膽囊,將膽囊管殘端雙重結紮。</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>performed</b>: 2023-08-21 00:00:00+0800</p></div>"
},
"status": "completed",
"category": {
"coding": [
{
"system": "http://loinc.org",
"code": "8724-7"
}
]
},
"code": {
"text": "選擇右肋緣下1 cm(或以膽囊三角體表投影處選擇斜切口),做平行於肋弓的斜切口,切口長約4~6 cm, 切開腹直肌前鞘,進腹腔先結紮膽囊動脈和膽囊管,後以電刀或剪刀自膽囊底部分離膽囊至膽囊管,切斷膽囊管去膽囊,將膽囊管殘端雙重結紮。"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"performedDateTime": "2023-08-21T00:00:00+08:00"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Procedure/DMS-Pro20",
"resource": {
"resourceType": "Procedure",
"id": "DMS-Pro20",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ProcedureDMSHospitalCourse"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_DMS-Pro20\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure DMS-Pro20</b></p><a name=\"DMS-Pro20\"> </a><a name=\"hcDMS-Pro20\"> </a><a name=\"DMS-Pro20-en-US\"> </a><p><b>status</b>: Completed</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 8648-8}\">Hospital course Narrative</span></p><p><b>code</b>: <span title=\"Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw BU46ZZZ}\">子宮超音波</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p><p><b>note</b>: 未確認流感病毒所致流行性感冒併明示類型肺炎</p></div>"
},
"status": "completed",
"category": {
"coding": [
{
"system": "http://loinc.org",
"code": "8648-8"
}
]
},
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw",
"code": "BU46ZZZ"
}
],
"text": "子宮超音波"
},
"subject": {
"reference": "Patient/DMS-Pat2"
},
"note": [
{
"text": "未確認流感病毒所致流行性感冒併明示類型肺炎"
}
]
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Condition/DMS-Con21",
"resource": {
"resourceType": "Condition",
"id": "DMS-Con21",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ConditionDMSComorbiditiesandComplications"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_DMS-Con21\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition DMS-Con21</b></p><a name=\"DMS-Con21\"> </a><a name=\"hcDMS-Con21\"> </a><a name=\"DMS-Con21-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">治癒出院</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 55109-3}\">合併症與併發症</span></p><p><b>code</b>: <span title=\"Codes:\">有發燒現象、無併發症</span></p><p><b>subject</b>: <a href=\"Patient-DMS-Pat2.html\">黃睿駿 Male, DoB: 1999-01-01 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))</a></p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "remission",
"display": "Remission"
}
],
"text": "治癒出院"
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "55109-3"
}
],
"text": "合併症與併發症"
}
],
"code": {
"text": "有發燒現象、無併發症"
},
"subject": {
"reference": "Patient/DMS-Pat2"
}
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Organization/DMS-Org22",
"resource": {
"resourceType": "Organization",
"id": "DMS-Org22",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/OrganizationDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_DMS-Org22\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization DMS-Org22</b></p><a name=\"DMS-Org22\"> </a><a name=\"hcDMS-Org22\"> </a><a name=\"DMS-Org22-en-US\"> </a><p><b>identifier</b>: 0601160016</p><p><b>name</b>: 轉出醫事機構名稱</p></div>"
},
"identifier": [
{
"value": "0601160016"
}
],
"name": "轉出醫事機構名稱"
}
},
{
"fullUrl": "https://twcore.mohw.gov.tw/ig/emr/Practitioner/DMS-Pra23",
"resource": {
"resourceType": "Practitioner",
"id": "DMS-Pra23",
"meta": {
"profile": [
"https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PractitionerDMS"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_DMS-Pra23\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner DMS-Pra23</b></p><a name=\"DMS-Pra23\"> </a><a name=\"hcDMS-Pra23\"> </a><a name=\"DMS-Pra23-en-US\"> </a><p><b>identifier</b>: National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code/A123456789 (use: official, )</p><p><b>name</b>: 賴一施</p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NNxxx"
}
]
},
"system": "http://www.moi.gov.tw",
"value": "A123456789"
}
],
"name": [
{
"text": "賴一施"
}
]
}
}
]
}