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Packagetw.iii.ltc
Resource TypeComposition
IdComposition-hah-summary.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Composition hah-summary

status: Final

type: Discharge summary

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = 在宅急症照護; period = 2026-09-01 09:00:00+0800 --> 2026-09-05 12:00:00+0800

date: 2026-09-05 12:00:00+0800

author: Practitioner 李示範

title: 王測試在宅急症結案摘要

custodian: Organization 在宅急症示範醫療機構


Source1

{
  "resourceType": "Composition",
  "id": "hah-summary",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/HAHCompositionSummary"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
        "code": "discharge-summary"
      },
      {
        "system": "http://loinc.org",
        "code": "18842-5",
        "display": "Discharge summary"
      }
    ]
  },
  "subject": {
    "reference": "Patient/hah-patient"
  },
  "encounter": {
    "reference": "Encounter/hah-admission"
  },
  "date": "2026-09-05T12:00:00+08:00",
  "author": [
    {
      "reference": "Practitioner/hah-practitioner"
    }
  ],
  "title": "王測試在宅急症結案摘要",
  "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>本次在宅照護完成;包含實地與視訊訪視。</p></div>"
      },
      "entry": [
        {
          "reference": "EpisodeOfCare/hah-episode"
        },
        {
          "reference": "Encounter/hah-admission"
        },
        {
          "reference": "Encounter/hah-visit"
        },
        {
          "reference": "Encounter/hah-video-visit"
        },
        {
          "reference": "ClinicalImpression/hah-impression"
        },
        {
          "reference": "QuestionnaireResponse/hah-assessment"
        }
      ]
    },
    {
      "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>呼吸道感染,療程結束時已解除。</p></div>"
      },
      "entry": [
        {
          "reference": "Condition/hah-condition"
        }
      ]
    },
    {
      "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>已記錄青黴素過敏及皮疹反應。</p></div>"
      },
      "entry": [
        {
          "reference": "AllergyIntolerance/hah-allergy"
        }
      ]
    },
    {
      "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>示範輸注與取消給藥;不是臨床處方建議。</p></div>"
      },
      "entry": [
        {
          "reference": "MedicationRequest/hah-medication-order"
        },
        {
          "reference": "MedicationAdministration/hah-infusion"
        },
        {
          "reference": "MedicationAdministration/hah-medication-not-done"
        }
      ]
    },
    {
      "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>附體溫與血糖檢驗。</p></div>"
      },
      "entry": [
        {
          "reference": "Observation/hah-temperature"
        },
        {
          "reference": "DiagnosticReport/hah-report"
        }
      ]
    },
    {
      "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>附照護目標、計畫、衛教、同意及設備。</p></div>"
      },
      "entry": [
        {
          "reference": "CarePlan/hah-plan"
        },
        {
          "reference": "Goal/hah-goal"
        },
        {
          "reference": "Procedure/hah-procedure"
        },
        {
          "reference": "Consent/hah-consent"
        },
        {
          "reference": "Device/hah-device"
        }
      ]
    },
    {
      "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>已完成本次會診與檢驗工作;後續回診資訊尚未提供。</p></div>"
      },
      "entry": [
        {
          "reference": "ServiceRequest/hah-consult-request"
        },
        {
          "reference": "ServiceRequest/hah-lab-request"
        },
        {
          "reference": "Task/hah-task"
        },
        {
          "reference": "Communication/hah-communication"
        },
        {
          "reference": "DocumentReference/hah-attachment"
        }
      ]
    }
  ]
}