臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0

臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

: 跌倒紀錄範例 - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "ltc-observation-falling-history-example",
  "meta" : {
    "profile" : [
      🔗 "http://ltc-ig.fhir.tw/StructureDefinition/LTCObservationFallingHistory"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ltc-observation-falling-history-example</b></p><a name=\"ltc-observation-falling-history-example\"> </a><a name=\"hcltc-observation-falling-history-example\"> </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-LTCObservationFallingHistory.html\">安全防護-跌倒紀錄</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 101440-6}\">History of Falls</span></p><p><b>subject</b>: <a href=\"Patient-ltc-patient-chen-ming-hui.html\">陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN):\u00a0A123456789\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2024-01-10 14:30:00+0800</p><p><b>performer</b>: <a href=\"PractitionerRole-ltc-practitioner-role-nurse-example.html\">PractitionerRole Registered nurse</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA33635-6}\">發生跌倒</span></p><p><b>note</b>: @2024-01-10 14:30:00+0800</p><blockquote><div><p>住民在浴室滑倒,當時地面濕滑,已加強防滑措施並提醒住民注意安全</p>\n</div></blockquote><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 246112005}\">Severity</span></td><td><span title=\"Codes:{http://snomed.info/sct 255604002}\">Mild</span></td></tr></table></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "101440-6",
        "display" : "History of Falls"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/ltc-patient-chen-ming-hui"
  },
  "effectiveDateTime" : "2024-01-10T14:30:00+08:00",
  "performer" : [
    {
      🔗 "reference" : "PractitionerRole/ltc-practitioner-role-nurse-example"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "LA33635-6",
        "display" : "Observed"
      }
    ],
    "text" : "發生跌倒"
  },
  "note" : [
    {
      "time" : "2024-01-10T14:30:00+08:00",
      "text" : "住民在浴室滑倒,當時地面濕滑,已加強防滑措施並提醒住民注意安全"
    }
  ],
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "246112005",
            "display" : "Severity"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "255604002",
            "display" : "Mild"
          }
        ]
      }
    }
  ]
}