bun-imm
type: Bundle
node role: treeRoot
id:
  v: bun-imm
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Bundle-immunologic-agent-twpas
    l: Bundle-immunologic-agent-twpas
type:
  v: collection
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Claim/cla-imm
    l: cla-imm
  resource: cla-imm
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Encounter/enc-opd
    l: enc-opd
  resource: enc-opd
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Encounter/enc-min
    l: enc-min
  resource: enc-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Patient/pat-min
    l: pat-min
  resource: pat-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Practitioner/pra-min
    l: pra-min
  resource: pra-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Organization/org-hosp-example
    l: org-hosp-example
  resource: org-hosp-example
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Condition/con-diagnosis
    l: con-diagnosis
  resource: con-diagnosis
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-blood-group
    l: obs-blood-group
  resource: obs-blood-group
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/AllergyIntolerance/all-min
    l: all-min
  resource: all-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-subjective
    l: obs-subjective
  resource: obs-subjective
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-objective
    l: obs-objective
  resource: obs-objective
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/ClinicalImpression/cliImp-min
    l: cliImp-min
  resource: cliImp-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/CarePlan/careplan-min
    l: careplan-min
  resource: careplan-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-ima-min
    l: diaRep-ima-min
  resource: diaRep-ima-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/ImagingStudy/imaStu-min
    l: imaStu-min
  resource: imaStu-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Media/med-min
    l: med-min
  resource: med-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-min
    l: diaRep-min
  resource: diaRep-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-min
    l: obs-lab-min
  resource: obs-lab-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-cbc
    l: obs-lab-cbc
  resource: obs-lab-cbc
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-test-min
    l: doc-test-min
  resource: doc-test-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-pat-nyha
    l: obs-pat-nyha
  resource: obs-pat-nyha
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-treat
    l: medReq-treat
  resource: medReq-treat
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Procedure/pro-min
    l: pro-min
  resource: pro-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Substance/sub-min
    l: sub-min
  resource: sub-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-careplan-min
    l: doc-careplan-min
  resource: doc-careplan-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-tx-min
    l: obs-tx-min
  resource: obs-tx-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply
    l: medReq-apply
  resource: medReq-apply
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply-2
    l: medReq-apply-2
  resource: medReq-apply-2
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Coverage/cov-min
    l: cov-min
  resource: cov-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Organization/org-nhi
    l: org-nhi
  resource: org-nhi
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-medicalRecord-min
    l: doc-medicalRecord-min
  resource: doc-medicalRecord-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-patientAssessment-min
    l: doc-patientAssessment-min
  resource: doc-patientAssessment-min

cla-imm
type: Claim
id:
  v: cla-imm
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
    l: Claim-immunologic-agent-twpas
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Claim cla-imm Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS 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 'B34JZZ3' 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 D7Y08ZZ 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: …
extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
    l: extension-claim-encounter
  value: Reference
    l: enc-min
    reference:
      v: Encounter/enc-min
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-type
      l: claim-type
    code:
      v: institutional
sub type:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
      l: nhi-apply-type
    code:
      v: 1
    display:
      v: 送核
use:
  v: preauthorization
patient:
  l: pat-min
  reference:
    v: Patient/pat-min
created:
  v: 2024-05-30
enterer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
provider:
  l: org-hosp-example
  reference:
    v: Organization/org-hosp-example
priority:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tmhb-type
      l: nhi-tmhb-type
    code:
      v: 1
    display:
      v: 一般事前審查申請
supporting info:
  sequence:
    v: 1
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: weight
  value: Quantity
    value:
      v: 59.65
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: kg
supporting info:
  sequence:
    v: 2
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: height
  value: Quantity
    value:
      v: 170
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: cm
supporting info:
  sequence:
    v: 3
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: bloodgroup
  value: Reference
    l: obs-blood-group
    reference:
      v: Observation/obs-blood-group
supporting info:
  sequence:
    v: 4
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: imagingReport
  value: Reference
    l: diaRep-ima-min
    reference:
      v: DiagnosticReport/diaRep-ima-min
supporting info:
  sequence:
    v: 6
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: examinationReport
  value: Reference
    l: diaRep-min
    reference:
      v: DiagnosticReport/diaRep-min
supporting info:
  sequence:
    v: 8
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: tests
  value: Reference
    l: obs-lab-min
    reference:
      v: Observation/obs-lab-min
supporting info:
  sequence:
    v: 9
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: tests
  value: Reference
    l: obs-lab-cbc
    reference:
      v: Observation/obs-lab-cbc
supporting info:
  sequence:
    v: 10
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: patientAssessment
  value: Reference
    l: obs-pat-nyha
    reference:
      v: Observation/obs-pat-nyha
supporting info:
  sequence:
    v: 11
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: medicationRequest
  value: Reference
    l: medReq-treat
    reference:
      v: MedicationRequest/medReq-treat
supporting info:
  sequence:
    v: 12
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
  value: Reference

enc-opd
type: Encounter
id:
  v: enc-opd
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-opd-twpas
    l: Encounter-opd-twpas
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Encounter enc-opd Profile: 門診病歷-Encounter OPD TWPAS EncounterSubjective: Observation Subjective Narrative EncounterObjective: Observation Objective Narrative EncounterClinicalImpression: ClinicalImpression: status = completed; summary = Right knee . arthritis . active EncounterCarePlan: 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. status: Finished class: ActCode: AMB (ambulatory) serviceType: Family practice (qualifier value) Participants - Individual * Practitioner: identifier = National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code,Medical License number period: 2025-11-11 --> (ongoing) Diagnoses - Condition * Condition M17.11 serviceProvider: Organization 臺北市立聯合醫院
extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-encounter-subjective
    l: extension-encounter-subjective
  value: Reference
    l: obs-subjective
    reference:
      v: Observation/obs-subjective
extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-encounter-objective
    l: extension-encounter-objective
  value: Reference
    l: obs-objective
    reference:
      v: Observation/obs-objective
extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-encounter-clinicalImpression
    l: extension-encounter-clinicalImpression
  value: Reference
    l: cliImp-min
    reference:
      v: ClinicalImpression/cliImp-min
extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-encounter-carePlan
    l: extension-encounter-carePlan
  value: Reference
    l: careplan-min
    reference:
      v: CarePlan/careplan-min
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: AMB
service type:
  coding: http://snomed.info/id/419772000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 419772000
participant:
  individual:
    l: pra-min
    reference:
      v: Practitioner/pra-min
period:
  start:
    v: 2025-11-11
diagnosis:
  condition:
    l: con-diagnosis
    reference:
      v: Condition/con-diagnosis
service provider:
  l: org-hosp-example
  reference:
    v: Organization/org-hosp-example

enc-min
type: Encounter
id:
  v: enc-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-twpas
    l: Encounter-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 就醫科別-Encounter TWPAS 就醫現況：Planned (EncounterStatus#planned) 就醫分類：ambulatory (ActEncounterCode CT#AMB) 就醫科別：胸腔暨重症加護 (臺灣健保署就醫科別#AJ)
status:
  v: planned
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: AMB
service type:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
      l: medical-consultation-department-nhi-tw
    code:
      v: AJ

pat-min
type: Patient
id:
  v: pat-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas
    l: Patient-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 病人資訊-Patient TWPAS 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx） 身分證字號（official）：A123456789 （http://www.moi.gov.tw） 識別碼型別：Medical record number （ Identifier Type Codes#MR） 病歷號（official）：123456 （https://tpech.gov.taipei） 姓名（usual）：王大明 性別：男 出生日期：2001-01-01
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NNxxx
  system:
    v: http://www.moi.gov.tw
    l: www.moi.gov.tw
  value:
    v: A123456789
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  system:
    v: https://tpech.gov.taipei
    l: tpech.gov.taipei
  value:
    v: 123456
name:
  use:
    v: usual
  text:
    v: 王大明
gender:
  v: male
birth date:
  v: 2001-01-01

pra-min
type: Practitioner
id:
  v: pra-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas
    l: Practitioner-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 醫事人員-Practitioner TWPAS 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx） 身分證字號（official）：F123456789 （http://www.moi.gov.tw） 識別碼型別：Medical License number （ Identifier Type Codes#MD） 醫師證號：KP00017 （https://dep.mohw.gov.tw/DOMA）
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NNxxx
  system:
    v: http://www.moi.gov.tw
    l: www.moi.gov.tw
  value:
    v: F123456789
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MD
  system:
    v: https://dep.mohw.gov.tw/DOMA
    l: DOMA
  value:
    v: KP00017

org-hosp-example
type: Organization
id:
  v: org-hosp-example
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas
    l: Organization-twpas
text:
  status:
    v: generated
  div:
    v: 醫事機構 Profile: 機構-Organization TWPAS 機構名稱：臺北市立聯合醫院 識別碼型別：Provider number（ IdentifierType#PRN） 機構代碼（official）：0101090517 (https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw) 機構種類：Healthcare Provider ( OrganizationType#prov)
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PRN
  system:
    v: https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw
    l: organization-identifier-tw
  value:
    v: 0101090517
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
      l: organization-type
    code:
      v: prov
name:
  v: 臺北市立聯合醫院

con-diagnosis
type: Condition
id:
  v: con-diagnosis
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Condition-twpas
    l: Condition-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition con-diagnosis Profile: 診斷-Condition TWPAS clinicalStatus: Active category: Diagnosis Narrative code: M17.11 subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, )) encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->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.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
category:
  coding: https://loinc.org/rdf/29548-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29548-5
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
      l: icd-10-cm-2023-tw
    code:
      v: M17.11
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
encounter:
  l: enc-opd
  reference:
    v: Encounter/enc-opd

obs-blood-group
type: Observation
id:
  v: obs-blood-group
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-blood-group-twpas
    l: Observation-blood-group-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation obs-blood-group Profile: 血型-Observation Blood Group TWPAS status: Final category: 病人血型 code: ABO and Rh group [Type] in Blood subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, )) effective: 2024-05-07 value: Blood group A
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: bloodgroup
code:
  coding: https://loinc.org/rdf/882-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 882-1
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
value: CodeableConcept
  coding: http://snomed.info/id/112144000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 112144000

all-min
type: AllergyIntolerance
id:
  v: all-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-twpas
    l: AllergyIntolerance-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance all-min Profile: 過敏史-AllergyIntolerance TWPAS clinicalStatus: Active code: 對 A 藥物過敏，過敏反應為全身性皮疹、呼吸喘，約在服用後15分鐘發生。曾於2023年5月因感冒服用過 A 藥，出現上述過敏反應，故此後避免使用。 patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
code:
  text:
    v: 對 A 藥物過敏，過敏反應為全身性皮疹、呼吸喘，約在服用後15分鐘發生。曾於2023年5月因感冒服用過 A 藥，出現上述過敏反應，故此後避免使用。
patient:
  l: pat-min
  reference:
    v: Patient/pat-min

obs-subjective
type: Observation
id:
  v: obs-subjective
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-subjective-twpas
    l: Observation-subjective-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation obs-subjective Profile: 主觀描述-Observation Subjective TWPAS status: Final category: Survey code: Subjective Narrative subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, )) encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->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.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing) effective: 2025-11-11 value: Pain and tenderness of Right knee since yesterday.
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: survey
code:
  coding: https://loinc.org/rdf/61150-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 61150-9
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
encounter:
  l: enc-opd
  reference:
    v: Encounter/enc-opd
effective: DateTime
  v: 2025-11-11
value: String
  v: Pain and tenderness of Right knee since yesterday.

obs-objective
type: Observation
id:
  v: obs-objective
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-objective-twpas
    l: Observation-objective-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation obs-objective Profile: 客觀描述-Observation Objective TWPAS status: Final category: Survey code: Objective Narrative subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, )) encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->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.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing) effective: 2025-11-11 value: BP 110/70 mmHg PR 80/min BT 38.50C
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: survey
code:
  coding: https://loinc.org/rdf/61149-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 61149-1
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
encounter:
  l: enc-opd
  reference:
    v: Encounter/enc-opd
effective: DateTime
  v: 2025-11-11
value: String
  v: BP 110/70 mmHg PR 80/min BT 38.50C

cliImp-min
type: ClinicalImpression
id:
  v: cliImp-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClinicalImpression-twpas
    l: ClinicalImpression-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ClinicalImpression cliImp-min Profile: 評估-ClinicalImpression TWPAS status: Completed subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, )) encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->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.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing) summary: Right knee . arthritis . active
status:
  v: completed
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
encounter:
  l: enc-opd
  reference:
    v: Encounter/enc-opd
summary:
  v: Right knee . arthritis . active

careplan-min
type: CarePlan
id:
  v: careplan-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/CarePlan-twpas
    l: CarePlan-twpas
text:
  status:
    v: generated
  div:
    v: Generated Narrative: CarePlan careplan-min Profile: 計畫-CarePlan TWPAS 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. subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, )) encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->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.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)
status:
  v: completed
intent:
  v: plan
category:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
      l: careplan-category-tw
    code:
      v: assess-plan
description:
  v: 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.
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
encounter:
  l: enc-opd
  reference:
    v: Encounter/enc-opd

diaRep-ima-min
type: DiagnosticReport
id:
  v: diaRep-ima-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
    l: DiagnosticReport-image-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 影像報告-DiagnosticReport Image TWPAS 狀態：final 病人：Patient/pat-min "王大明" 影像報告：左上肢動脈血管內超音波 (臺灣健保署2023年中文版ICD-10-PCS值集#B34JZZ3) 影像報告日期：2024-05-07 簽發影像報告醫師：Practitioner/pra-min 影像檢查的身體部位／DICOM影像：ImagingStudy/imaStu-min 影像報告結果：影像報告結果 影像報告名稱：影像報告01 影像報告：file://ImagingDiagnosticReport01.pdf 影像報告名稱：影像報告02 影像報告：file://ImagingDiagnosticReport02.pdf
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: imagingReport
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: B34JZZ3
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
imaging study:
  l: imaStu-min
  reference:
    v: ImagingStudy/imaStu-min
conclusion:
  v: 影像報告結果
presented form:
  content type:
    v: application/pdf
  url:
    v: file://ImagingDiagnosticReport01.pdf
    l: ImagingDiagnosticReport01.pdf
  title:
    v: 影像報告
presented form:
  content type:
    v: application/pdf
  url:
    v: file://ImagingDiagnosticReport02.pdf
    l: ImagingDiagnosticReport02.pdf
  title:
    v: 影像報告

imaStu-min
type: ImagingStudy
id:
  v: imaStu-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
    l: ImagingStudy-twpas
text:
  status:
    v: generated
  div:
    v: Profile：DICOM影像-ImagingStudy TWPAS 狀態：registered 病人：Patient/pat-min "王大明" Study UID：urn:oid:2.16.886.2102.54.4546465747.465465465 Series Instance UID：2.16.886.2102.54.4546465747.465465466 SOP Instance UIDs：2.25.88017001449189502323411118737039844241, 2.25.88017001449189502323411118737039844242 影像檢查的身體部位：Head and neck structure (SNOMED CT#774007) 儀器：CT Image Storage (DICOM#CT)
identifier:
  system:
    v: urn:dicom:uid
    l: uid
  value:
    v: urn:oid:2.16.886.2102.54.4546465747.465465465
status:
  v: registered
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
series:
  uid:
    v: 2.16.886.2102.54.4546465747.465465466
  modality:
    system:
      v: http://dicom.nema.org/resources/ontology/DCM
      l: DCM
    code:
      v: CT
  body site: http://snomed.info/id/774007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 774007
    display:
      v: Head and neck structure
  instance:
    uid:
      v: 2.25.88017001449189502323411118737039844241
    sop class:
      system:
        v: urn:ietf:rfc:3986
        l: 3986
      code:
        v: urn:oid:1.2.840.10008.5.1.4.1.1.2
  instance:
    uid:
      v: 2.25.88017001449189502323411118737039844242
    sop class:
      system:
        v: urn:ietf:rfc:3986
        l: 3986
      code:
        v: urn:oid:1.2.840.10008.5.1.4.1.1.2

med-min
type: Media
id:
  v: med-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
    l: Media-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 非DICOM影像-Media TWPAS 狀態：completed 病人：Patient/pat-min "王大明" 影像檢查的身體部位：Head and neck structure (SNOMED CT#774007) 非DICOM影像：file://US01.jpg（#image/jpeg）
status:
  v: completed
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
body site:
  coding: http://snomed.info/id/774007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 774007
    display:
      v: Head and neck structure
content:
  content type:
    v: image/jpeg
  url:
    v: file://US01.jpg

diaRep-min
type: DiagnosticReport
id:
  v: diaRep-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas
    l: DiagnosticReport-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 檢查報告-DiagnosticReport TWPAS 狀態：final 報告類型：Prostate Pathology biopsy report (EncounterStatus#66117-3) 檢體種類：Prostate 病人：Patient/pat-min "王大明" 報告日期：2024-05-07 檢查報告醫師：Practitioner/pra-min 報告結果-文數字：細胞檢查報告結果 檢查報告名稱：PathologyReport01 檢查報告：file://PathologyReport01.pdf 檢查報告名稱：PathologyReport02 檢查報告：file://PathologyReport02.pdf
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: examinationReport
code:
  coding: https://loinc.org/rdf/66117-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 66117-3
  text:
    v: Prostate
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
conclusion:
  v: 細胞檢查報告結果
presented form:
  content type:
    v: application/pdf
  url:
    v: file://PathologyReport01.pdf
    l: PathologyReport01.pdf
  title:
    v: PathologyReport01
presented form:
  content type:
    v: application/pdf
  url:
    v: file://PathologyReport02.pdf
    l: PathologyReport02.pdf
  title:
    v: PathologyReport02

obs-lab-min
type: Observation
id:
  v: obs-lab-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas
    l: Observation-laboratory-result-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 檢驗檢查-Observation Laboratory Result TWPAS 狀態：final 類型：檢驗(查) (NHI-補充資訊類別值集#tests) 檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3) 病人：Patient/pat-min 檢驗(查)報告日期：2024-01-01 簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min 檢驗(查)結果：5.1 mmol/l 檢驗(查)結果判讀：高，High (ObservationInterpretationCodes #H) 檢驗(查)結果之參考範圍下限：2.9 mmol/L 檢驗(查)結果之參考範圍上限：4.9 mmol/L 檢驗(查)附件：DocumentReference/doc-test-min
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: tests
code:
  coding: https://loinc.org/rdf/777-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 777-3
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-01-01
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: Quantity
  value:
    v: 5.1
  unit:
    v: mmol/l
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
      l: v3-ObservationInterpretation
    code:
      v: H
  text:
    v: 高
reference range:
  low:
    value:
      v: 2.9
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mmol/L
  high:
    value:
      v: 4.9
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mmol/L
derived from:
  l: doc-test-min
  reference:
    v: DocumentReference/doc-test-min

obs-lab-cbc
type: Observation
id:
  v: obs-lab-cbc
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas
    l: Observation-laboratory-result-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 檢驗檢查-Observation Laboratory Result TWPAS 狀態：final 類型：檢驗(查) (NHI-補充資訊類別值集#tests) 套組代碼：CBC panel - Blood by Automated count (LOINCCodes#58410-2) 病人：Patient/pat-min 檢驗(查)報告日期：2024-01-01 簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min 檢驗(查)附件：DocumentReference/doc-test-min 檢驗(查)名稱：Leukocytes [#/volume] in Blood by Automated count (LOINCCodes#6690-2) 檢驗(查)結果：3.6 × 10^3/μL 檢驗(查)結果之參考範圍下限：3.9 × 10^3/μL 檢驗(查)結果之參考範圍上限：10.6 × 10^3/μL 檢驗(查)名稱：Erythrocytes [#/volume] in Blood by Automated count (LOINCCodes#789-8) 檢驗(查)結果：4.7 × 10^6/μL 檢驗(查)結果之參考範圍下限：4.5 × 10^3/μL 檢驗(查)結果之參考範圍上限：5.9 × 10^3/μL 檢驗(查)名稱：Hemoglobin [Mass/volume] in Blood (LOINCCodes#718-7) 檢驗(查)結果：14 g/dL 檢驗(查)結果之參考範圍下限：13.5 g/dL 檢驗(查)結果之參考範圍上限：17.5 g/dL 檢驗(查)名稱：Hematocrit [Volume Fraction] of Blood by Automated count (LOINCCodes#4544-3) 檢驗(查)結果：45 % 檢驗(查)結果之參考範圍下限：41 % 檢驗(查)結果之參考範圍上限：53 % 檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3) 檢驗(查)結果：101 × 10^3/μL 檢驗(查)結果之參考範圍下限：150 × 10^3/μL 檢驗(查)結果之參考範圍上限：400 × 10^3/μL
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: tests
code:
  coding: https://loinc.org/rdf/58410-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 58410-2
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-01-01
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
derived from:
  l: doc-test-min
  reference:
    v: DocumentReference/doc-test-min
component:
  code:
    coding: https://loinc.org/rdf/6690-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 6690-2
  value: Quantity
    value:
      v: 3.6
    unit:
      v: 10*3/uL
  reference range:
    low:
      value:
        v: 3.9
      unit:
        v: 10*3/uL
    high:
      value:
        v: 10.6
      unit:
        v: 10*3/uL
component:
  code:
    coding: https://loinc.org/rdf/789-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 789-8
  value: Quantity
    value:
      v: 4.7
    unit:
      v: 10*6/uL
  reference range:
    low:
      value:
        v: 4.5
      unit:
        v: 10*6/uL
    high:
      value:
        v: 5.9
      unit:
        v: 10*6/uL
component:
  code:
    coding: https://loinc.org/rdf/718-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 718-7
  value: Quantity
    value:
      v: 14
    unit:
      v: g/dL
  reference range:
    low:
      value:
        v: 13.5
      unit:
        v: g/dL
    high:
      value:
        v: 17.5
      unit:
        v: g/dL
component:
  code:
    coding: https://loinc.org/rdf/4544-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 4544-3
  value: Quantity
    value:
      v: 45
    unit:
      v: %
  reference range:
    low:
      value:
        v: 41
      unit:
        v: %
    high:
      value:
        v: 53
      unit:
        v: %
component:
  code:
    coding: https://loinc.org/rdf/777-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 777-3
  value: Quantity
    value:
      v: 101
    unit:
      v: 10*3/uL
  reference range:
    low:
      value:
        v: 150
      unit:
        v: 10*3/uL
    high:
      value:
        v: 400
      unit:
        v: 10*3/uL

doc-test-min
type: DocumentReference
id:
  v: doc-test-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：檢驗(查)附件 (NHI-文件類型#test) 病人：Patient/pat-min "王大明" 檢驗(查)附件 (application/pdf)：file://TestReport01.pdf 檢驗(查)附件名稱：TestReport01 檢驗(查)附件 (application/pdf)：file://TestReport02.pdf 檢驗(查)附件名稱：TestReport02
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: test
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://TestReport01.pdf
      l: TestReport01.pdf
    title:
      v: TestReport01
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://TestReport02.pdf
      l: TestReport02.pdf
    title:
      v: TestReport02

obs-pat-nyha
type: Observation
id:
  v: obs-pat-nyha
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-pat-assessment-twpas
    l: Observation-pat-assessment-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 病人狀態評估-Observation Patient Assessment TWPAS 狀態：final 病人狀態評估項目代碼：Functional capacity NYHA (LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 #88020-3) 病人：Patient/pat-min 病人狀態評估日期：2024-01-01 評估項目醫事人員身分證號：Practitioner/pra-min 病人狀態評估結果：class1
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: patientAssessment
code:
  coding: https://loinc.org/rdf/88020-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 88020-3
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-01-01
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: String
  v: class1

medReq-treat
type: MedicationRequest
id:
  v: medReq-treat
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
    l: MedicationRequest-treat-twpas
text:
  status:
    v: generated
  div:
    v: Profile：用藥品項-MedicationRequest Treat TWPAS 藥物使用狀態：completed 藥物處方終止原因：Try another treatment first (MedicationRequest Status Reason Codes#altchoice) 意圖：Order ( medicationRequest Intent#order) 自費註記：健保 (NHI-藥物類型#nhi) 藥品代碼：ANTI-CUGH SYRUP 60ML (NHI-健保事前審查-用藥品項值集#A000755151) 病人：Patient/pat-min "" 藥品使用頻率及服用時間：1W3D 藥物每次處方劑量(單位)：4 (tablets (Common UCUM units#{tbl})) 藥物處方起始日期：2024-05-01 藥物處方終止日期：2024-05-07 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)
status:
  v: completed
status reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason
      l: medicationrequest-status-reason
    code:
      v: altchoice
intent:
  v: order
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-drug-category
      l: nhi-drug-category
    code:
      v: nhi
medication: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication
      l: nhi-medication
    code:
      v: A000755151
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
dosage instruction:
  timing:
    repeat:
      bounds: Period
    code:
      text:
        v: 1W3D
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 4
      unit:
        v: tablets
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: {tbl}

pro-min
type: Procedure
id:
  v: pro-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
    l: Procedure-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 放射/照光治療-Procedure TWPAS 放射/照光治療狀態：completed 放射/照光治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ) 病人：Patient/pat-min "王大明" 放射/照光治療日期：2024-05-06 09:00:00+0000 放射/照光治療總劑量：Substance/sub-min 5000 mg
status:
  v: completed
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: D7Y08ZZ
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
performed: DateTime
  v: 2024-05-06T09:00:00.000Z
used reference:
  l: sub-min
  reference:
    v: Substance/sub-min

sub-min
type: Substance
id:
  v: sub-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
    l: Substance-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 放射/照光治療總劑量-Substance TWPAS 放射/照光治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ) 放射/照光治療總劑量(單位)：5000 (/mg)
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: D7Y08ZZ
ingredient:
  quantity:
    numerator:
      value:
        v: 5000
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg
    denominator:
      value:
        v: 0
  substance: CodeableConcept
    coding:
      system:
        v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
        l: icd-10-pcs-2023-tw
      code:
        v: D7Y08ZZ

doc-careplan-min
type: DocumentReference
id:
  v: doc-careplan-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：治療計畫文件 (NHI-文件類型#careplan) 病人：Patient/pat-min "王大明" 治療計畫文件名稱：免疫檢查點抑制劑治療計畫 治療計畫文件 (application/pdf)：file://CarePlanReport01.pdf
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: careplan
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://CarePlanReport01.pdf
      l: CarePlanReport01.pdf
    title:
      v: 免疫檢查點抑制劑治療計畫

obs-tx-min
type: Observation
id:
  v: obs-tx-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas
    l: Observation-tx-assessment-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS 狀態：final 治療後疾病狀態評估項目：International Working Group(IWG) Consensus Criteria (NHI-治療後疾病狀態評估項目值集#IWGC) 病人：Patient/pat-min 治療後疾病狀態評估日期：2024-01-01 治療後疾病狀態評估結果：Partial remission (PR)
status:
  v: final
code:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tx-ast
      l: nhi-tx-ast
    code:
      v: IWGC
    display:
      v: International Working Group(IWG) Consensus Criteria
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: String
  v: Partial remission (PR)

medReq-apply
type: MedicationRequest
id:
  v: medReq-apply
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas
    l: MedicationRequest-apply-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 事前審查品項-MedicationRequest Apply TWPAS 狀態：On Hold 目的：Plan 事前審查品項代碼：Alunbrig film-coated tablets 30mgL (NHI-健保事前審查-用藥品項值集#BC27730100) 病人：Patient/pat-min "王大明" 事前審查藥物預定處方起始日期：2024-01-01 事前審查藥物預定處方終止日期：2024-02-11 事前審查藥品使用頻率及服用時間：Every day at institution specified times.、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#BIW、#AC1H) 事前審查藥品每次處方劑量：75 mg/m2 事前審查藥品療程／週期數：42 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006) 事前審查藥物預定處方起始日期：2024-02-12 事前審查藥物預定處方終止日期：2024-03-10 事前審查藥品使用頻率及服用時間：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H) 事前審查藥品每次處方劑量：150 mg/m2 事前審查藥品療程／週期數：1 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)
status:
  v: on-hold
intent:
  v: plan
medication: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication
      l: nhi-medication
    code:
      v: BC27730100
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
dosage instruction:
  timing:
    repeat:
      bounds: Period
      count:
        v: 42
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 75
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg/m2
dosage instruction:
  timing:
    repeat:
      bounds: Period
      count:
        v: 1
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 150
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg/m2

medReq-apply-2
type: MedicationRequest
id:
  v: medReq-apply-2
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas
    l: MedicationRequest-apply-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 事前審查品項-MedicationRequest Apply TWPAS 狀態：On Hold 目的：Plan 事前審查品項代碼：Herzuma Inj. 440mg (NHI-健保事前審查-用藥品項值集#KC011162B5) 病人：Patient/pat-min "王大明" 事前審查藥物預定處方起始日期：2024-03-11 事前審查藥物預定處方終止日期：2024-07-28 事前審查藥品使用頻率及服用時間：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H) 事前審查藥品每次處方劑量：200 mg/m2 事前審查藥品療程／週期數：1 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)
status:
  v: on-hold
intent:
  v: plan
medication: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication
      l: nhi-medication
    code:
      v: KC011162B5
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
dosage instruction:
  timing:
    repeat:
      bounds: Period
      count:
        v: 1
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 200
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg/m2
dispense request:
  quantity:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm
      l: v3-orderableDrugForm

cov-min
type: Coverage
id:
  v: cov-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas
    l: Coverage-twpas
text:
  status:
    v: generated
  div:
    v: Profile：健保事前審查計畫-Coverage TWPAS 狀態：active 受益人：Patient/pat-min "王大明" 保險人：Organization/org-nhi "衛生福利部中央健康保險署"
status:
  v: active
beneficiary:
  l: pat-min
  reference:
    v: Patient/pat-min
payor:
  l: org-nhi
  reference:
    v: Organization/org-nhi

org-nhi
type: Organization
id:
  v: org-nhi
meta:
  profile:
    v: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-govt-twcore
    l: Organization-govt-twcore
text:
  status:
    v: generated
  div:
    v: Profile: 臺灣核心-政府機構（TW Core Organization Government） 機構名稱：衛生福利部中央健康保險署 識別碼型別：Government Organization Identifier（ 臺灣識別碼類型值集#GOI） 機關代號（official）：A21030000I (https://oid.nat.gov.tw/) 機構種類：Government ( OrganizationType#govt)
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: GOI
  system:
    v: https://oid.nat.gov.tw/
    l: oid.nat.gov.tw
  value:
    v: A21030000I
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
      l: organization-type
    code:
      v: govt
name:
  v: 衛生福利部中央健康保險署

doc-medicalRecord-min
type: DocumentReference
id:
  v: doc-medicalRecord-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：病歷資料 (NHI-文件類型#medrec) 病人：Patient/pat-min "王大明" 病歷資料 (application/pdf)：file://王大明病歷.pdf 病歷資料名稱：王大明病歷
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: medrec
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://王大明病歷.pdf
      l: 王大明病歷.pdf
    title:
      v: 王大明病歷

doc-patientAssessment-min
type: DocumentReference
id:
  v: doc-patientAssessment-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：病人狀態評估報告 (NHI-文件類型#patientAssessment) 病人：Patient/pat-min "王大明" 病人狀態評估報告 (application/pdf)：file://病人狀態評估報告.pdf 病人狀態評估報告名稱：病人狀態評估報告名稱
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: patientAssessment
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://病人狀態評估報告.pdf
      l: 病人狀態評估報告.pdf
    title:
      v: 病人狀態評估報告名稱

v: radiotherapy

Reference
l: pro-min
reference:
  v: Procedure/pro-min

sequence:
  v: 13
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: carePlanDocument
value: Reference
  l: doc-careplan-min
  reference:
    v: DocumentReference/doc-careplan-min

sequence:
  v: 14
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: medicalRecord
value: Reference
  l: doc-medicalRecord-min
  reference:
    v: DocumentReference/doc-medicalRecord-min

sequence:
  v: 15
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: treatmentAssessment
value: Reference
  l: obs-tx-min
  reference:
    v: Observation/obs-tx-min

sequence:
  v: 16
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: opd
value: Reference
  l: enc-opd
  reference:
    v: Encounter/enc-opd

sequence:
  v: 17
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: allergy
value: Reference
  l: all-min
  reference:
    v: AllergyIntolerance/all-min

extension:
  url:
    v: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
    l: extension-diagnosisRecordedDate
  value: Date
    v: 2024-01-01
sequence:
  v: 1
diagnosis: CodeableConcept
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
      l: icd-10-cm-2023-tw
    code:
      v: I50.812
type:
  text:
    v: Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

sequence:
  v: 1
date:
  v: 2024-01-01
procedure: CodeableConcept
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: 3E0Y704

sequence:
  v: 1
focal:
  v: true
coverage:
  l: cov-min
  reference:
    v: Coverage/cov-min

extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
    l: extension-requestedService
  value: Reference
    l: medReq-apply
    reference:
      v: MedicationRequest/medReq-apply
sequence:
  v: 1
product or service:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-order-type
      l: nhi-order-type
    code:
      v: 1
    display:
      v: 藥品
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
      l: nhi-continuation-status
    code:
      v: 1
    display:
      v: 初次使用
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
      l: nhi-line-of-therapy
    code:
      v: 1
    display:
      v: 第一線治療
program code:
  text:
    v: ALK陽性的晚期非小細胞肺癌第一線治療
quantity:
  value:
    v: 52
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {tbl}

extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
    l: extension-requestedService
  value: Reference
    l: medReq-apply-2
    reference:
      v: MedicationRequest/medReq-apply-2
sequence:
  v: 2
product or service:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-order-type
      l: nhi-order-type
    code:
      v: 1
    display:
      v: 藥品
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
      l: nhi-continuation-status
    code:
      v: 1
    display:
      v: 初次使用
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
      l: nhi-line-of-therapy
    code:
      v: 1
    display:
      v: 第一線治療
program code:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-reason
      l: nhi-apply-reason
    code:
      v: C50P1
quantity:
  value:
    v: 70
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {tbl}

v: 2024-05-01

v: 2024-05-07

v: 2024-01-01

v: 2024-02-11

v: QD

v: AC1H

v: 2024-02-12

v: 2024-03-10

v: Q4WD1

v: Q4WD2

v: Q4WD3

v: Q4WD4

v: Q4WD5

v: AC1H

v: 2024-03-11

v: 2024-07-28

v: Q4WD1

v: Q4WD2

v: Q4WD3

v: Q4WD4

v: Q4WD5

v: AC1H