臺灣核心實作指引(TW Core IG)
0.3.1 - Ci-Build Trial Use

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 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Example AllergyIntolerance: 藥物過敏或不耐症

藥物過敏

臨床狀態:Active ( AllergyIntoleranceClinicalStatusCodes#active)

驗證狀態:Confirmed ( AllergyIntoleranceVerificationStatusCodes#confirmed)

根本原因或運作機制:Allergy ( AllergyIntoleranceType#allergy)

確定的物質的類別:Medication ( AllergyIntoleranceCategory#medication)

嚴重程度:High Risk ( AllergyIntoleranceCriticality#high)

過敏或不耐症的識別:青黴素過敏(Penicillin allergy) ( SNOMED CT#91936005)

過敏或不耐症被識別的時間:2023-10-15T08:45:00

病人Patient/pat-example "陳加玲"

紀錄者Practitioner/pra-dr-example "王依昇"

被記錄的日期:2023-10-15T12:00:00

關於過敏的資訊來源Practitioner/pra-nurse-example "陳莉"

最後一次已知反應發生的日期與時間:2023-12-05T15:30:00

過敏或不耐受物質的不良反應紀錄

過敏產生的特定物質或醫藥產品:青黴素(Medicinal product containing penicillin and acting as antibacterial agent (product)) ( SNOMED CT#6369005)

與此事件相關的臨床症狀/體徵):Upper respiratory tract hypersensitivity reaction ( SNOMED CT#490008)

對整個過敏事件的描述:呼吸急促、皮膚發紅

嚴重程度:Severe ( AllergyIntoleranceSeverity#severe)

如何接觸到該物質:口服(Oral use) ( SNOMED CT#26643006)

備註: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