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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="ltc-observation-falling-history-example"/>
  <meta>
    <profile
             value="http://ltc-ig.fhir.tw/StructureDefinition/LTCObservationFallingHistory"/>
  </meta>
  <text>
    <status value="generated"/>
    <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): A123456789 (use: official, ))</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>
</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>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="101440-6"/>
      <display value="History of Falls"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/ltc-patient-chen-ming-hui"/>
  </subject>
  <effectiveDateTime value="2024-01-10T14:30:00+08:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/ltc-practitioner-role-nurse-example"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA33635-6"/>
      <display value="Observed"/>
    </coding>
    <text value="發生跌倒"/>
  </valueCodeableConcept>
  <note>
    <time value="2024-01-10T14:30:00+08:00"/>
    <text value="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"/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="246112005"/>
        <display value="Severity"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="255604002"/>
        <display value="Mild"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>