臺灣核心實作指引(TW Core IG)
1.0.0 - STU 1.0.0 Taiwan flag

臺灣核心實作指引(TW Core IG), published by 衛生福利部. 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/TU9IVy1UV0NvcmVJRw/VFcgQ29yZSBJRyBJVFJJ/ and changes regularly. See the Directory of published versions

: 藥物過敏或不耐症 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/AllergyIntolerance/all-medication-example> a fhir:AllergyIntolerance ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "all-medication-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore" ;
       fhir:index 0 ;
       fhir:link <https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>藥物過敏</b></h3><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/allergyintolerance-clinical\">AllergyIntoleranceClinicalStatusCodes</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/allergyintolerance-verification\">AllergyIntoleranceVerificationStatusCodes</a>#confirmed)</span></p><p><b>根本原因或運作機制</b>：Allergy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-type\">AllergyIntoleranceType</a>#allergy)</span></p><p><b>確定的物質的類別</b>：Medication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-category\">AllergyIntoleranceCategory</a>#medication)</span></p><p><b>嚴重程度</b>：High Risk <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/allergy-intolerance-criticality\">AllergyIntoleranceCriticality</a>#high)</span></p><p><b>過敏或不耐症的識別</b>：青黴素過敏(Penicillin allergy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#91936005)</span></p><p><b>過敏或不耐症被識別的時間</b>：2023-10-15T08:45:00</p><p><b>病人</b>：<a href=\"Patient-pat-example.html\">Patient/pat-example</a> \"陳加玲\"</p><p><b>紀錄者</b>：<a href=\"Practitioner-pra-dr-example.html\">Practitioner/pra-dr-example</a> \"王依昇\"</p><p><b>被記錄的日期</b>：2023-10-15T12:00:00</p><p><b>關於過敏的資訊來源</b>：<a href=\"Practitioner-pra-nurse-example.html\">Practitioner/pra-nurse-example</a> \"陳莉\"</p><p><b>最後一次已知反應發生的日期與時間</b>：2023-12-05T15:30:00</p><p><b>過敏或不耐受物質的不良反應紀錄</b>：</p><blockquote><p><b>過敏產生的特定物質或醫藥產品</b>：青黴素(Medicinal product containing penicillin and acting as antibacterial agent (product)) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#6369005)</span></p><p><b>與此事件相關的臨床症狀/體徵)</b>：Upper respiratory tract hypersensitivity reaction <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#490008)</span></p><p><b>對整個過敏事件的描述</b>：呼吸急促、皮膚發紅</p><p><b>嚴重程度</b>：Severe <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/reaction-event-severity\">AllergyIntoleranceSeverity</a>#severe)</span></p><p><b>如何接觸到該物質</b>：口服(Oral use) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://snomed.info/sct\">SNOMED CT</a>#26643006)</span></p><p><b>備註</b>：患者在服用青黴素後出現呼吸急促和皮膚發紅，症狀於2023年10月15日中午12:00發作</p></blockquote></div>"
  ] ;
  fhir:AllergyIntolerance.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ] ;
       fhir:Coding.display [ fhir:value "Active" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ] ;
  fhir:AllergyIntolerance.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ] ;
       fhir:Coding.display [ fhir:value "Confirmed" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ] ;
  fhir:AllergyIntolerance.type [ fhir:value "allergy"] ;
  fhir:AllergyIntolerance.category [
     fhir:value "medication" ;
     fhir:index 0
  ] ;
  fhir:AllergyIntolerance.criticality [ fhir:value "high"] ;
  fhir:AllergyIntolerance.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:91936005 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "91936005" ] ;
       fhir:Coding.display [ fhir:value "Penicillin allergy" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "青黴素過敏" ]
  ] ;
  fhir:AllergyIntolerance.patient [
     fhir:link <http://hl7.org/fhir/Patient/pat-example> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-example" ] ;
     fhir:Reference.display [ fhir:value "陳加玲" ]
  ] ;
  fhir:AllergyIntolerance.onsetDateTime [ fhir:value "2023-10-15T08:45:00Z"^^xsd:dateTime] ;
  fhir:AllergyIntolerance.recordedDate [ fhir:value "2023-10-15T12:00:00Z"^^xsd:dateTime] ;
  fhir:AllergyIntolerance.recorder [
     fhir:link <http://hl7.org/fhir/Practitioner/pra-dr-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/pra-dr-example" ] ;
     fhir:Reference.display [ fhir:value "王依昇" ]
  ] ;
  fhir:AllergyIntolerance.asserter [
     fhir:link <http://hl7.org/fhir/Practitioner/pra-nurse-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/pra-nurse-example" ] ;
     fhir:Reference.display [ fhir:value "陳莉" ]
  ] ;
  fhir:AllergyIntolerance.lastOccurrence [ fhir:value "2023-10-15T12:00:00Z"^^xsd:dateTime] ;
  fhir:AllergyIntolerance.note [
     fhir:index 0 ;
     fhir:Annotation.text [ fhir:value "患者對青黴素過敏，可能導致呼吸急促、皮膚發紅" ]
  ] ;
  fhir:AllergyIntolerance.reaction [
     fhir:index 0 ;
     fhir:AllergyIntolerance.reaction.substance [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:6369005 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "6369005" ] ;
         fhir:Coding.display [ fhir:value "Medicinal product containing penicillin and acting as antibacterial agent (product)" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "青黴素" ]
     ] ;
     fhir:AllergyIntolerance.reaction.manifestation [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:490008 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "490008" ] ;
         fhir:Coding.display [ fhir:value "Upper respiratory tract hypersensitivity reaction" ]
       ]
     ] ;
     fhir:AllergyIntolerance.reaction.description [ fhir:value "呼吸急促、皮膚發紅" ] ;
     fhir:AllergyIntolerance.reaction.severity [ fhir:value "severe" ] ;
     fhir:AllergyIntolerance.reaction.exposureRoute [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:26643006 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "26643006" ] ;
         fhir:Coding.display [ fhir:value "Oral use" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "口服" ]
     ] ;
     fhir:AllergyIntolerance.reaction.note [
       fhir:index 0 ;
       fhir:Annotation.text [ fhir:value "患者在服用青黴素後出現呼吸急促和皮膚發紅，症狀於2023年10月15日中午12:00發作" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/pat-example> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/pra-dr-example> a fhir:Practitioner .

<http://hl7.org/fhir/Practitioner/pra-nurse-example> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/AllergyIntolerance/all-medication-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/AllergyIntolerance/all-medication-example.ttl> .