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Packagetw.iii.ltc
Resource TypeBundle
IdBundle-hah-transfer-document.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "hah-transfer-document",
  "meta": {
    "lastUpdated": "2026-09-11T10:01:00+08:00",
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/HAHBundleSummary"
    ]
  },
  "identifier": {
    "system": "https://example.org/hah/documents",
    "value": "hah-transfer-document-v1"
  },
  "type": "document",
  "timestamp": "2026-09-11T10:01:00+08:00",
  "entry": [
    {
      "fullUrl": "https://example.org/fhir/Composition/hah-transfer-summary",
      "resource": {
        "resourceType": "Composition",
        "id": "hah-transfer-summary",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/HAHCompositionSummary"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_hah-transfer-summary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition hah-transfer-summary</b></p><a name=\"hah-transfer-summary\"> </a><a name=\"hchah-transfer-summary\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HAHCompositionSummary.html\">在宅急症-結案與轉銜摘要</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-document transfer-summary}, {http://loinc.org 18761-7}\">Transfer summary note</span></p><p><b>encounter</b>: <a href=\"Encounter-hah-transfer-admission.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = 在宅急症照護; period = 2026-09-10 08:00:00+0800 --&gt; 2026-09-11 10:00:00+0800</a></p><p><b>date</b>: 2026-09-11 10:00:00+0800</p><p><b>author</b>: <a href=\"Practitioner-hah-practitioner.html\">Practitioner 李示範</a></p><p><b>title</b>: 王測試在宅急症轉院摘要</p><p><b>custodian</b>: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></p></div>"
        },
        "status": "final",
        "type": {
          "coding": [
            {
              "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
              "code": "transfer-summary"
            },
            {
              "system": "http://loinc.org",
              "code": "18761-7",
              "display": "Transfer summary note"
            }
          ]
        },
        "subject": {
          "reference": "Patient/hah-patient"
        },
        "encounter": {
          "reference": "Encounter/hah-transfer-admission"
        },
        "date": "2026-09-11T10:00:00+08:00",
        "author": [
          {
            "reference": "Practitioner/hah-practitioner"
          }
        ],
        "title": "王測試在宅急症轉院摘要",
        "custodian": {
          "reference": "Organization/hah-organization"
        },
        "section": [
          {
            "title": "療程經過",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "course"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次療程已轉出,接收醫院就醫結果尚未提供。</p></div>"
            },
            "entry": [
              {
                "reference": "EpisodeOfCare/hah-transfer-episode"
              },
              {
                "reference": "Encounter/hah-transfer-admission"
              }
            ]
          },
          {
            "title": "診斷與問題",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "problems"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料,交班時須確認。</p></div>"
            }
          },
          {
            "title": "過敏資訊",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "allergies"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料,交班時須確認。</p></div>"
            }
          },
          {
            "title": "藥物與給藥",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "medications"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料,交班時須確認。</p></div>"
            }
          },
          {
            "title": "檢查結果",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "results"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料,交班時須確認。</p></div>"
            }
          },
          {
            "title": "照護計畫與措施",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "care"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料,交班時須確認。</p></div>"
            }
          },
          {
            "title": "後續照護與交班",
            "code": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
                  "code": "follow-up"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>轉院申請已建立;請接收機構續行評估。</p></div>"
            },
            "entry": [
              {
                "reference": "ServiceRequest/hah-transfer-request"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Patient/hah-patient",
      "resource": {
        "resourceType": "Patient",
        "id": "hah-patient",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/HAHPatient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_hah-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient hah-patient</b></p><a name=\"hah-patient\"> </a><a name=\"hchah-patient\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HAHPatient.html\">在宅急症-個案</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">王測試 Male, DoB: 1945-03-15 ( Provider number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code/A123456789</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 02-00000000</li><li>臺北市中正區測試路1號(home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Emergency Contact\">Emergency Contact:</td><td colspan=\"3\"><ul><li>王家屬</li><li>ph: 02-00000001</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Managing Organization: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></li></ul></td></tr></table></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN"
                }
              ]
            },
            "system": "https://example.org/hah/patients",
            "value": "HAH0001"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "NNxxx"
                }
              ]
            },
            "system": "http://www.moi.gov.tw",
            "value": "A123456789"
          }
        ],
        "name": [
          {
            "use": "usual",
            "text": "王測試"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "02-00000000"
          }
        ],
        "gender": "male",
        "birthDate": "1945-03-15",
        "address": [
          {
            "use": "home",
            "text": "臺北市中正區測試路1號"
          }
        ],
        "contact": [
          {
            "relationship": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code": "C"
                  }
                ]
              }
            ],
            "name": {
              "text": "王家屬"
            },
            "telecom": [
              {
                "system": "phone",
                "value": "02-00000001"
              }
            ]
          }
        ],
        "managingOrganization": {
          "reference": "Organization/hah-organization"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/EpisodeOfCare/hah-transfer-episode",
      "resource": {
        "resourceType": "EpisodeOfCare",
        "id": "hah-transfer-episode",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/HAHEpisodeOfCare"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"EpisodeOfCare_hah-transfer-episode\"> </a><p class=\"res-header-id\"><b>Generated Narrative: EpisodeOfCare hah-transfer-episode</b></p><a name=\"hah-transfer-episode\"> </a><a name=\"hchah-transfer-episode\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HAHEpisodeOfCare.html\">在宅急症-收案療程</a></p></div><p><b>在宅急症-療程結束原因</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-outcome hospital-transfer}\">轉急診或住院</span></p><p><b>identifier</b>: <code>https://example.org/hah/episodes</code>/HAH-20260910-002</p><p><b>status</b>: Finished</p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity acute-home}\">在宅急症照護</span></p><p><b>patient</b>: <a href=\"Patient-hah-patient.html\">王測試 Male, DoB: 1945-03-15 ( Provider number)</a></p><p><b>managingOrganization</b>: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></p><p><b>period</b>: 2026-09-10 08:00:00+0800 --&gt; 2026-09-11 10:00:00+0800</p></div>"
        },
        "extension": [
          {
            "url": "http://ltc-ig.fhir.tw/StructureDefinition/ExtHAHOutcome",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-outcome",
                  "code": "hospital-transfer"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "https://example.org/hah/episodes",
            "value": "HAH-20260910-002"
          }
        ],
        "status": "finished",
        "type": [
          {
            "coding": [
              {
                "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
                "code": "acute-home"
              }
            ]
          }
        ],
        "patient": {
          "reference": "Patient/hah-patient"
        },
        "managingOrganization": {
          "reference": "Organization/hah-organization"
        },
        "period": {
          "start": "2026-09-10T08:00:00+08:00",
          "end": "2026-09-11T10:00:00+08:00"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Encounter/hah-transfer-admission",
      "resource": {
        "resourceType": "Encounter",
        "id": "hah-transfer-admission",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/HAHAdmissionEncounter"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_hah-transfer-admission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter hah-transfer-admission</b></p><a name=\"hah-transfer-admission\"> </a><a name=\"hchah-transfer-admission\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HAHAdmissionEncounter.html\">在宅急症-整段照護</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity acute-home}\">在宅急症照護</span></p><p><b>subject</b>: <a href=\"Patient-hah-patient.html\">王測試 Male, DoB: 1945-03-15 ( Provider number)</a></p><p><b>episodeOfCare</b>: <a href=\"EpisodeOfCare-hah-transfer-episode.html\">EpisodeOfCare: extension = 轉急診或住院; identifier = https://example.org/hah/episodes#HAH-20260910-002; status = finished; type = 在宅急症照護; period = 2026-09-10 08:00:00+0800 --&gt; 2026-09-11 10:00:00+0800</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-hah-practitioner.html\">Practitioner 李示範</a></td></tr></table><p><b>period</b>: 2026-09-10 08:00:00+0800 --&gt; 2026-09-11 10:00:00+0800</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Destination</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Organization-hah-receiving-hospital.html\">Organization 轉院接收示範醫院</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition other-hcf}\">Other healthcare facility</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></p></div>"
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
                "code": "acute-home"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/hah-patient"
        },
        "episodeOfCare": [
          {
            "reference": "EpisodeOfCare/hah-transfer-episode"
          }
        ],
        "participant": [
          {
            "individual": {
              "reference": "Practitioner/hah-practitioner"
            }
          }
        ],
        "period": {
          "start": "2026-09-10T08:00:00+08:00",
          "end": "2026-09-11T10:00:00+08:00"
        },
        "hospitalization": {
          "destination": {
            "reference": "Organization/hah-receiving-hospital"
          },
          "dischargeDisposition": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
                "code": "other-hcf"
              }
            ]
          }
        },
        "serviceProvider": {
          "reference": "Organization/hah-organization"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Practitioner/hah-practitioner",
      "resource": {
        "resourceType": "Practitioner",
        "id": "hah-practitioner",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_hah-practitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner hah-practitioner</b></p><a name=\"hah-practitioner\"> </a><a name=\"hchah-practitioner\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LTCPractitioner.html\">長期照顧-照顧服務提供者</a></p></div><p><b>identifier</b>: <code>https://example.org/practitioners</code>/HAH-STAFF-1</p><p><b>name</b>: 李示範</p></div>"
        },
        "identifier": [
          {
            "system": "https://example.org/practitioners",
            "value": "HAH-STAFF-1"
          }
        ],
        "name": [
          {
            "use": "usual",
            "text": "李示範"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Organization/hah-organization",
      "resource": {
        "resourceType": "Organization",
        "id": "hah-organization",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_hah-organization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization hah-organization</b></p><a name=\"hah-organization\"> </a><a name=\"hchah-organization\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-twltc.html\">長期照顧-機構</a></p></div><p><b>identifier</b>: <code>https://example.org/organizations</code>/HAH-ORG-1</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 在宅急症示範醫療機構</p></div>"
        },
        "identifier": [
          {
            "system": "https://example.org/organizations",
            "value": "HAH-ORG-1"
          }
        ],
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov"
              }
            ]
          }
        ],
        "name": "在宅急症示範醫療機構"
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Organization/hah-receiving-hospital",
      "resource": {
        "resourceType": "Organization",
        "id": "hah-receiving-hospital",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_hah-receiving-hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization hah-receiving-hospital</b></p><a name=\"hah-receiving-hospital\"> </a><a name=\"hchah-receiving-hospital\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-twltc.html\">長期照顧-機構</a></p></div><p><b>identifier</b>: <code>https://example.org/organizations</code>/HAH-HOSPITAL-2</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 轉院接收示範醫院</p></div>"
        },
        "identifier": [
          {
            "system": "https://example.org/organizations",
            "value": "HAH-HOSPITAL-2"
          }
        ],
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov"
              }
            ]
          }
        ],
        "name": "轉院接收示範醫院"
      }
    },
    {
      "fullUrl": "https://example.org/fhir/ServiceRequest/hah-transfer-request",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "hah-transfer-request",
        "meta": {
          "profile": [
            "http://ltc-ig.fhir.tw/StructureDefinition/HAHServiceRequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_hah-transfer-request\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest hah-transfer-request</b></p><a name=\"hah-transfer-request\"> </a><a name=\"hchah-transfer-request\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HAHServiceRequest.html\">在宅急症-服務請求</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity referral}\">轉介</span></p><p><b>code</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity referral}\">轉介</span></p><p><b>subject</b>: <a href=\"Patient-hah-patient.html\">王測試 Male, DoB: 1945-03-15 ( Provider number)</a></p><p><b>encounter</b>: <a href=\"Encounter-hah-transfer-admission.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = 在宅急症照護; period = 2026-09-10 08:00:00+0800 --&gt; 2026-09-11 10:00:00+0800</a></p><p><b>authoredOn</b>: 2026-09-11 09:30:00+0800</p><p><b>requester</b>: <a href=\"Practitioner-hah-practitioner.html\">Practitioner 李示範</a></p><p><b>performer</b>: <a href=\"Organization-hah-receiving-hospital.html\">Organization 轉院接收示範醫院</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">本次照護需要超出居家服務能力,安排轉院評估。</span></p></div>"
        },
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
                "code": "referral"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
              "code": "referral"
            }
          ]
        },
        "subject": {
          "reference": "Patient/hah-patient"
        },
        "encounter": {
          "reference": "Encounter/hah-transfer-admission"
        },
        "authoredOn": "2026-09-11T09:30:00+08:00",
        "requester": {
          "reference": "Practitioner/hah-practitioner"
        },
        "performer": [
          {
            "reference": "Organization/hah-receiving-hospital"
          }
        ],
        "reasonCode": [
          {
            "text": "本次照護需要超出居家服務能力,安排轉院評估。"
          }
        ]
      }
    }
  ]
}