臺灣電子處方箋與調劑單張實作指引(TW EMPD IG)
0.2.0 - ci-build

臺灣電子處方箋與調劑單張實作指引(TW EMPD IG), published by NHI. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/empd/ and changes regularly. See the Directory of published versions

## Example Bundle: bun-ds

Document Details

Profile: 調劑單張-Bundle

Final Document at 2024-02-19 14:30:00+0100 by Organization 洪文武診所, Organization 洪文武藥局, Practitioner 洪文武(official), Practitioner 洪藥師(official) for 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, )) in encounter Encounter: status = finished; class = 西醫一般案件 (案件分類#01); serviceType = Family practice; period = 2023-02-23 --> (ongoing)

Document Subject

Profile: 調劑單張-病人基本資料

甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

Person Age | 39 a (Details: UCUM codea = 'a')

Document Content

## Social history Narrative

## Vital signs, weight, height, head circumference, oxygen saturation and BMI panel

## Diagnosis Narrative

## Medication prescribed Narrative Narrative

## Signature of person collecting or coordinating collection of assessment information Provider

## Additional Resources Included in Document

Entry 2 - fullUrl = https://nhicore.nhi.gov.tw/empd/Patient/pat-ds

Resource Patient:

> Profile: 調劑單張-病人基本資料

> 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

> Person Age | 39 a (Details: UCUM codea = 'a')

Entry 3 - fullUrl = https://nhicore.nhi.gov.tw/empd/Organization/org-ds

Resource Organization:

> Profile: 調劑單張-醫事機構基本資料

> identifier: Provider number/3531020884

> name: 洪文武診所

> ### Contacts

> - | Telecom
> * | ph: 02-29765731(Work)

Entry 4 - fullUrl = https://nhicore.nhi.gov.tw/empd/Organization/org-dis-ds

Resource Organization:

> Profile: 調劑單張-醫事機構基本資料

> identifier: Provider number/3531020884

> name: 洪文武藥局

> ### Contacts

> - | Telecom | Address
> * | ph: 02-29765731(Work) | 新北市三重區集美街162號1樓(work)

Entry 5 - fullUrl = https://nhicore.nhi.gov.tw/empd/Practitioner/pra-ds

Resource Practitioner:

> Profile: 調劑單張-醫事人員基本資料

> identifier: Medical License number/A01 (use: official, )

> name: 洪文武(Official)

> telecom: ph: 02-29765731(Work)

Entry 6 - fullUrl = https://nhicore.nhi.gov.tw/empd/Practitioner/pra-dis-ds

Resource Practitioner:

> Profile: 調劑單張-醫事人員基本資料

> name: 洪藥師(Official)

> telecom: ph: 02-29765731(Work)

> ### Qualifications

> - | Identifier | Code
> * | `https://www.mohw.gov.tw/`/A1*****8028 (use: official, ) | Pharmacist

Entry 7 - fullUrl = https://nhicore.nhi.gov.tw/empd/Encounter/enc-ds

Resource Encounter:

> Profile: 調劑單張-門診基本資料

> status: completed

> class: 西醫一般案件

> serviceType: No display for Encounter.serviceType (concept: Family practice)

> subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

Entry 8 - fullUrl = https://nhicore.nhi.gov.tw/empd/Condition/con-ds

Resource Condition:

> Profile: 調劑單張-診斷

> clinicalStatus: Active

> category: Problem List Item

> code: 霍亂

> subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

> note:

> > 001

Entry 9 - fullUrl = https://nhicore.nhi.gov.tw/empd/Observation/obs-ds

Resource Observation:

> Profile: 調劑單張-病患體重

> status: Final

> category: Vital Signs

> code: Body weight

> subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

> encounter: Encounter: status = finished; class = 西醫一般案件 (案件分類#01); serviceType = Family practice; period = 2023-02-23 --> (ongoing)

> effective: 2023-12-21

> performer: Practitioner 洪藥師(official)

> value: 50 kg (Details: UCUM codekg = 'kg')

Entry 10 - fullUrl = https://nhicore.nhi.gov.tw/empd/Coverage/cov-ds

Resource Coverage:

> Profile: 電子處方箋/調劑單張-就醫身分別

> status: Active

> type: 普通疾病

> beneficiary: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

Entry 11 - fullUrl = https://nhicore.nhi.gov.tw/empd/ChargeItem/cha-ds

Resource ChargeItem:

> Profile: 調劑單張-藥物服務代碼

> status: Billed

> code: 藥事服務代碼

> subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

Entry 12 - fullUrl = https://nhicore.nhi.gov.tw/empd/Medication/med-01-ds

Resource Medication:

> Profile: 調劑單張-藥物處方內容(Medication)

> identifier: 1

> code: YEN KUANG EYE DROPS

> > ingredient

Entry 13 - fullUrl = https://nhicore.nhi.gov.tw/empd/Medication/MedicationSelfEMPD-non01

Resource Medication:

> Profile: 電子處方箋與調劑單張-無健保代碼之藥品與特材(Medication)

> code: 普拿疼肌肉關節長效錠

Entry 14 - fullUrl = https://nhicore.nhi.gov.tw/empd/MedicationRequest/med-req-01-ds

Resource MedicationRequest:

> Profile: 調劑單張-處方內容(MedicationRequest)

> Extension-給藥總日份: 7 days

> identifier: `http://www.moi.gov.tw/`/Med000001, 7

> status: Active

> intent: Order

> category: 慢性病處方箋, 自行調劑、檢驗(查)或物理治療, 自費

> subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

> encounter: Encounter: status = finished; class = 西醫一般案件 (案件分類#01); serviceType = Family practice; period = 2023-02-23 --> (ongoing)

> authoredOn: 2024-01-12 00:00:00+0800

> insurance: Coverage: status = active; type = 普通疾病

> note: ,

> > A

> > 否

> ### DosageInstructions

> - | Method
> * | Use

> ### DispenseRequests

> - | ValidityPeriod | NumberOfRepeatsAllowed
> * | 2024-01-12 00:00:00+0800 --> 2024-01-19 00:00:00+0800 | 1

Entry 15 - fullUrl = https://nhicore.nhi.gov.tw/empd/MedicationDispense/med-dis-01-ds

Resource MedicationDispense:

> Profile: 調劑單張-調劑內容(MedicationDispense)

> identifier: 3, 7

> status: preparation

> subject: 甄○康(official) Female, DoB: 1985-01-02 ( Medical record number: Z199999829 (use: official, ))

> quantity: 6 顆

> daysSupply: 10 Day (Details: UCUM coded = 'd')

> note: ,

> > A

> > 否

> > dosageInstruction

> > timing: Code , 4

> > route: 口服

> > ### DoseAndRates

> > - | Dose[x]
> > * | 1 顆

> ### Substitutions

> - | WasSubstituted | Reason
> * | true | 不可替代時始需註明

Entry 16 - fullUrl = https://nhicore.nhi.gov.tw/empd/Media/media-ds

Resource DocumentReference:

> Profile: 調劑單張-領藥者數位簽章