FHIR IG analytics| Package | tw.gov.mohw.nhi.ngs |
| Resource Type | Bundle |
| Id | Bundle-bun-lung-min.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "bun-lung-min",
"meta": {
"profile": [
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"identifier": {
"system": "https://www.nhi.gov.tw",
"value": "121992445968"
},
"type": "document",
"timestamp": "2024-07-25T13:50:58.000+08:00",
"entry": [
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Composition/com-lung-min",
"resource": {
"resourceType": "Composition",
"id": "com-lung-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Composition-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Composition_com-lung-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-twngs.html\">基因定序檢測證明文件-Composition TWNGSS Profile</a></p></div><p><b>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>申報類別</b>：送核 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-apply-type.html\">NHI-申報類別</a>#1)</span></p><p><b>案件分類</b>：西醫慢性病 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-case-classification.html\">NHI-案件分類</a>#04)</span></p><p><b>申報日期</b>：2024-07-25</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>醫事機構</b>：<a href=\"Organization-org-hosp-min.html\">Organization/org-hosp-min</a></p><blockquote><p>相關證明文件</p><p><b>基因定序檢測報告</b>：<a href=\"DiagnosticReport-dia-lung-min.html\">DiagnosticReport/dia-lung-min</a></p><p><b>疾病資訊</b>：<a href=\"Condition-con-lung-min.html\">Condition/con-lung-min</a></p><p><b>基因檢測機構</b>：<a href=\"Organization-org-gene-min.html\">Organization/org-gene-min</a></p><p><b>基因檢測檢體</b>：<a href=\"Specimen-spe-lung-min.html\">Specimen/spe-lung-min</a></p><p><b>基因檢測裝置</b>：<a href=\"Device-dev-min.html\">Device/dev-min</a></p><p><b>基因報告</b>：<a href=\"DocumentReference-doc-lung-min.html\">DocumentReference/doc-lung-min</a></p><p><b>基因資訊</b>：<a href=\"Observation-obs-lung-min.html\">Observation/obs-lung-min</a></p><p><b>基因定序檢測申請項目</b>：<a href=\"ServiceRequest-serReq-min.html\">ServiceRequest/serReq-min</a></p></blockquote></div>"
},
"status": "final",
"type": {
"coding": [
{
"system": "https://nhicore.nhi.gov.tw/ngs/CodeSystem/nhi-apply-type",
"code": "1",
"display": "送核"
}
]
},
"category": [
{
"coding": [
{
"system": "https://nhicore.nhi.gov.tw/ngs/CodeSystem/nhi-case-classification",
"code": "04",
"display": "西醫慢性病"
}
]
}
],
"subject": {
"reference": "Patient/pat-min"
},
"date": "2024-07-25",
"author": [
{
"reference": "Organization/org-hosp-min"
}
],
"title": "Lung adenocarcinoma 基因檢測報告之證明文件",
"section": [
{
"entry": [
{
"reference": "DiagnosticReport/dia-lung-min"
},
{
"reference": "Condition/con-lung-min"
},
{
"reference": "Organization/org-gene-min"
},
{
"reference": "Specimen/spe-lung-min"
},
{
"reference": "Device/dev-min"
},
{
"reference": "DocumentReference/doc-lung-min"
},
{
"reference": "Observation/obs-lung-min"
},
{
"reference": "ServiceRequest/serReq-min"
}
]
}
]
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/DiagnosticReport/dia-lung-min",
"resource": {
"resourceType": "DiagnosticReport",
"id": "dia-lung-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/DiagnosticReport-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"DiagnosticReport_dia-lung-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DiagnosticReport-twngs.html\">基因定序檢測報告-DiagnosticReport TWNGS</a></p></div><p><b>狀態</b>：final</p><p><b>報告類型</b>：Genetic analysis report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org\">LOINC</a>#51969-4)</span></p><blockquote><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>疾病資訊</b>：<a href=\"Condition-con-lung-min.html\">Condition/con-lung-min</a></p></blockquote><p><b>費用年月</b>：2024-07-20</p><p><b>基因資訊</b>：<a href=\"Observation-obs-lung-min.html\">Observation/obs-lung-min</a></p><p><b>基因定序檢測申請項目</b>：<a href=\"ServiceRequest-serReq-min.html\">ServiceRequest/serReq-min</a></p><p><b>報告醫事機構</b>：<a href=\"Organization-org-gene-min.html\">Organization/org-gene-min</a></p></div>"
},
"extension": [
{
"url": "https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition",
"valueReference": {
"reference": "Condition/con-lung-min"
}
}
],
"basedOn": [
{
"reference": "ServiceRequest/serReq-min"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "51969-4",
"display": "Genetic analysis report"
}
]
},
"subject": {
"reference": "Patient/pat-min"
},
"effectiveDateTime": "2024-07-20",
"performer": [
{
"reference": "Organization/org-gene-min"
}
],
"result": [
{
"reference": "Observation/obs-lung-min"
}
]
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Condition/con-lung-min",
"resource": {
"resourceType": "Condition",
"id": "con-lung-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Condition-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Condition_con-lung-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Condition-twngs.html\">基因定序檢測報告之疾病資訊-Condition TWNGS</a></p></div><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>驗證狀態</b>：Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-ver-status\">ConditionVerificationStatus</a>#confirmed)</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>病情、問題或診斷識別</b>：右側支氣管或肺惡性腫瘤 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw\">臺灣2023年中文版ICD-10-CM</a>#C34.91)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>診斷日期</b>：2024-07-10</p><p><b>申請理由</b>：完整 Foundation Medicine 檢測報告請看報告查詢系統中”分子病理室檢查報告之附件”，其內容包含腫瘤的基因突變、腫瘤突變負荷(TMB)、微衛星體不穩定性(MSI)相關資訊，並針對病患接受癌症標靶治療或免疫治療提供建議</p></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "encounter-diagnosis"
}
]
}
],
"code": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw",
"code": "C34.91",
"display": "右側支氣管或肺惡性腫瘤"
}
]
},
"subject": {
"reference": "Patient/pat-min"
},
"recordedDate": "2024-07-10",
"note": [
{
"text": "完整 Foundation Medicine 檢測報告請看報告查詢系統中”分子病理室檢查報告之附件”，其內容包含腫瘤的基因突變、腫瘤突變負荷(TMB)、微衛星體不穩定性(MSI)相關資訊，並針對病患接受癌症標靶治療或免疫治療提供建議"
}
]
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Patient/pat-min",
"resource": {
"resourceType": "Patient",
"id": "pat-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Patient-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Patient_pat-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient-twngs.html\">病人資訊-Patient TWNGS</a></p></div><blockquote><p><b>病歷號</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>身分證字號（official）</b>：A123456789 （http://www.moi.gov.tw）</p></blockquote><blockquote><p><b>病歷號</b>：Medical record number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：123456 （https://tpech.gov.taipei）</p></blockquote><p><b>姓名（usual）</b>：王大明</p><p><b>性別</b>：男</p><p><b>出生日期</b>：2001-01-01</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"
},
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "https://tpech.gov.taipei",
"value": "123456"
}
],
"name": [
{
"use": "usual",
"text": "王大明"
}
],
"gender": "male",
"birthDate": "2001-01-01"
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Organization/org-hosp-min",
"resource": {
"resourceType": "Organization",
"id": "org-hosp-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Organization-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-hosp-min\"> </a><h3><b>醫事機構</b></h3><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-twngs.html\">機構-Organization TWNGS</a></p></div><p><b>機構名稱</b>：佛教慈濟醫療財團法人花蓮慈濟醫院</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>：1145010010 (https://nhicore.nhi.gov.tw/ngs/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://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#prov)</span></p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN"
}
]
},
"system": "https://nhicore.nhi.gov.tw/ngs/CodeSystem/organization-identifier-tw",
"value": "1145010010"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov"
}
]
}
],
"name": "佛教慈濟醫療財團法人花蓮慈濟醫院"
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Organization/org-gene-min",
"resource": {
"resourceType": "Organization",
"id": "org-gene-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Organization-gene-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-gene-min\"> </a><h3><b>基因檢測機構</b></h3><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-gene-twngs.html\">基因檢測機構-Organization Genetic Testing TWNGS</a></p></div><p><b>機構代碼</b>：2023LDTB0002 (https://dep.mohw.gov.tw)</p></div>"
},
"identifier": [
{
"system": "https://dep.mohw.gov.tw",
"value": "2023LDTB0002"
}
]
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Specimen/spe-lung-min",
"resource": {
"resourceType": "Specimen",
"id": "spe-lung-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Specimen-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Specimen_spe-lung-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Specimen-twngs.html\">基因檢測檢體-Specimen TWNGS</a></p></div><p><b>檢體病理編號</b>：456-7567</p><p><b>檢體類型</b>：Tissue<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC-基因檢測檢體類型值集</a>#LP7641-6)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>檢體採檢日期</b>：2024-7-20T09:00:00.000Z</p></div>"
},
"identifier": [
{
"value": "456-7567"
}
],
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "LP7641-6",
"display": "Tiss"
}
]
},
"subject": {
"reference": "Patient/pat-min"
},
"receivedTime": "2024-07-20T09:00:00.000Z"
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Device/dev-min",
"resource": {
"resourceType": "Device",
"id": "dev-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Device-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Device_dev-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Device-twngs.html\">基因定序檢測裝置-Device TWNGS</a></p></div><p><b>基因定序儀名稱</b>：illumina</p><p><b>基因定序儀型號</b>：HiSeq 4000 System</p></div>"
},
"deviceName": [
{
"name": "illumina",
"type": "user-friendly-name"
}
],
"modelNumber": "HiSeq 4000 System"
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/DocumentReference/doc-lung-min",
"resource": {
"resourceType": "DocumentReference",
"id": "doc-lung-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/DocumentReference-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\n border-radius: 5px; line-height: 60%\"><a name=\"DocumentReference_doc-lung-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference-twngs.html\">文件參照-DocumentReference TWNGS</a></p></div><p><b>狀態</b>：current</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>基因報告(application/pdf)</b>：file://GenReport01.pdf</p><p><b>基因報告名稱</b>：Lung adenocarcinoma 基因檢測</p></div>"
},
"status": "current",
"subject": {
"reference": "Patient/pat-min"
},
"content": [
{
"attachment": {
"contentType": "application/pdf",
"url": "file://GenReport01.pdf",
"title": "Lung adenocarcinoma 基因檢測"
}
}
]
}
},
{
"fullUrl": "https://nhicore.nhi.gov.tw/ngs/Observation/obs-lung-min",
"resource": {
"resourceType": "Observation",
"id": "obs-lung-min",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Observation_obs-lung-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-twngs.html\">基因資訊-Observation TWNGS</a></p></div><p><b>狀態</b>：final</p><p><b>流水號</b>：11450100101220250601220251212</p><p><b>類型</b>：Laboratory<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/observation-category\">Observation Category Codes</a>#laboratory)</span></p><p><b>項目</b>：Genetic variant assessment<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC</a>#69548-6)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>基因檢測機構</b>：<a href=\"Organization-org-gene-min.html\">Organization 2023LDTB0002</a></p><p><b>基因臨床判讀結果</b>：Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/\">ObservationInterpretationCodes </a>#POS)</span></p><p><b>基因檢測方法</b>：Sequencing<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC Answer List LL4048-6 </a>#LA26398-0)</span></p><p><b>基因檢測檢體類型</b>：<a href=\"Specimen-spe-lung-min.html\">Specimen/spe-lung-min</a></p><p><b>基因報告</b>：<a href=\"DocumentReference-doc-lung-min.html\">DocumentReference/doc-lung-min</a></p><p><b>基因定序儀型號</b>：<a href=\"Device-dev-min.html\">Device/dev-min</a></p><p><b>基因檢測日期</b>：2024-07-17</p><blockquote><p>基因檢測項目：FGFR2 gene targeted mutation analysis in Blood or Tissue by Molecular genetics method <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC</a>#38412-3)</span></p><p>基因檢測列表：EGFR、FGFR2、TP53、U2AF1、BCORL1、CIC、CREBBP、EPHB4、FLT1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://www.genenames.org/\">HGNC Gene ID</a>)</span></p><span/><p><b>DNA 變異列表 (c.HGVS)</b></p><ul><li>NM_021946.4:c.4171G>A (BCORL1) — Substitution</li><li>NM_015125.4:c.496C>T (CIC) — Substitution</li><li>NM_004380.2:c.833A>C (CREBBP) — Substitution</li><li>NM_004444.4:c.2578G>C (EPHB4) — Substitution</li></ul></blockquote></div>"
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