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: 結果資訊 value: Observation International Working Group(IWG) Consensus Criteria supportingInfo sequence: 16 category: 門診病歷 value: 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) supportingInfo sequence: 17 category: 過敏史 value: AllergyIntolerance Diagnoses - Extension Sequence Diagnosis[x] Type * 1 I50.812 Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI Procedures - Sequence Date Procedure[x] * 1 2024-01-01 3E0Y704 Insurances - Sequence Focal Coverage * 1 true Coverage: status = active 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}')
Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI
ALK陽性的晚期非小細胞肺癌第一線治療
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
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)
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
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）
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)
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)
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
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, ))
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。
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.
Pain and tenderness of Right knee since yesterday.
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
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
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)
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.
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
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)
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）
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
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
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
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
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
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)
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
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)
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
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)
International Working Group(IWG) Consensus Criteria
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)
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)
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"
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)
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
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