ClaimEncounter: Encounter: status = planned; class = ambulatory (ActCode#AMB); serviceType = 胸腔暨重症加護

status: Active

type: Institutional

subType: 送核

use: Preauthorization

patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

created: 2024-05-30

enterer: Practitioner: identifier = National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code,Medical License number

provider: Organization 臺北市立聯合醫院

priority: 一般事前審查申請

supportingInfo

sequence: 1

category: 病人體重

value: 59.65 kg (Details: UCUM codekg = 'kg')

supportingInfo

sequence: 2

category: 病人身高

value: 170 cm (Details: UCUM codecm = 'cm')

supportingInfo

sequence: 3

category: 病人血型

value: Observation ABO and Rh group [Type] in Blood

supportingInfo

sequence: 4

category: 影像報告

value: Diagnostic Report for '左上肢動脈血管內超音波' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))'

supportingInfo

sequence: 6

category: 檢查報告

value: Diagnostic Report for 'Prostate Pathology biopsy report' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))'

supportingInfo

sequence: 8

category: 檢驗(查)

value: Observation Platelets [#/volume] in Blood by Automated count

supportingInfo

sequence: 9

category: 檢驗(查)

value: Observation CBC panel - Blood by Automated count

supportingInfo

sequence: 10

category: 病人狀態評估

value: Observation Functional capacity NYHA

supportingInfo

sequence: 11

category: 用藥品項

value: MedicationRequest: status = completed; statusReason = Try another treatment first; intent = order; category = 健保; medication[x] = ANTI-COUGH SYRUP "WASHINGTON"

supportingInfo

sequence: 12

category: 放射/照光治療

value: Procedure 骨髓高溫療法

supportingInfo

sequence: 13

category: 治療計畫文件

value: DocumentReference: status = current; category = 治療計畫文件

supportingInfo

sequence: 14

category: 病歷資料

value: DocumentReference: status = current; category = 病歷資料

supportingInfo

sequence: 15

category: 結果資訊

value: Observation International Working Group(IWG) Consensus Criteria

supportingInfo

sequence: 16

category: 門診病歷

value: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

supportingInfo

sequence: 17

category: 診斷

value: Condition 右側膝部原發性骨關節炎，單側性

supportingInfo

sequence: 18

category: 過敏史

value: AllergyIntolerance

supportingInfo

sequence: 19

category: 主觀描述

value: Observation Subjective Narrative

supportingInfo

sequence: 20

category: 客觀描述

value: Observation Objective Narrative

supportingInfo

sequence: 21

category: 評估

value: ClinicalImpression: status = completed; summary = Right knee . arthritis . active

supportingInfo

sequence: 22

category: 計畫

value: CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.

Diagnoses

Procedures

Insurances

item

RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Alunbrig film-coated tablets 30mg

sequence: 1

productOrService: 藥品

modifier: 初次使用, 第一線治療

programCode: ALK陽性的晚期非小細胞肺癌第一線治療

quantity: 52 {tbl} (Details: UCUM code{tbl} = '{tbl}')

item

RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Herzuma Inj. 440mg, Lyophilized powder for injection

sequence: 2

productOrService: 藥品

modifier: 初次使用, 第一線治療

programCode: 早期乳癌-未發生腋下淋巴結轉移

quantity: 70 {tbl} (Details: UCUM code{tbl} = '{tbl}')