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

: 堅果過敏或不耐症 - XML Representation

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<AllergyIntolerance xmlns="http://hl7.org/fhir">
  <id value="all-nut-example"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/AllergyIntolerance-twcore"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3><b>堅果過敏</b></h3><p><b>臨床狀態</b>：Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical">AllergyIntoleranceClinicalStatusCodes</a>#active)</span></p><p><b>驗證狀態</b>：Confirmed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification">AllergyIntoleranceVerificationStatusCodes</a>#confirmed)</span></p><p><b>根本原因或運作機制</b>：Allergy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/allergy-intolerance-type">AllergyIntoleranceType</a>#allergy)</span></p><p><b>確定的物質的類別</b>：Food <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/allergy-intolerance-category">AllergyIntoleranceCategory</a>#food)</span></p><p><b>嚴重程度</b>：High Risk <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/allergy-intolerance-criticality">AllergyIntoleranceCriticality</a>#high)</span></p><p><b>過敏或不耐症的識別</b>：堅果過敏(Nut allergy) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT</a>#91934008)</span></p><p><b>過敏或不耐症被識別的時間</b>：2023-09-03T10:15:00</p><p><b>病人</b>：<a href="Patient-pat-example.html">Patient/pat-example</a> "陳加玲"</p><p><b>紀錄者</b>：<a href="Practitioner-pra-dr-example.html">Practitioner/pra-dr-example</a> "王依昇"</p><p><b>被記錄的日期</b>：2023-09-03T14:30:00</p><p><b>關於過敏的資訊來源</b>：<a href="Practitioner-pra-nurse-example.html">Practitioner/pra-nurse-example</a> "陳莉"</p><p><b>最後一次已知反應發生的日期與時間</b>：2023-09-03T14:30:00</p><p><b>暴露於此過敏或不耐症物質的不良反應</b>：</p><blockquote><p><b>過敏產生的特定物質或醫藥產品</b>：alpha-1,4-Glucan-protein synthase (uridine diphosphate-forming)(Medicinal product containing penicillin and acting as antibacterial agent (product)) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT</a>#3193000)</span></p><p><b>與此事件相關的臨床症狀/體徵</b>：Anaphylaxis (disorder))<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ( <a href="http://snomed.info/sct">SNOMED CT</a>#39579001)</span></p><p><b>對整個過敏事件的描述</b>：皮膚發癢、紅腫</p><p><b>嚴重程度</b>：Severe <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/reaction-event-severity">AllergyIntoleranceSeverity</a>#severe)</span></p><p><b>如何接觸到該物質</b>：口服(Oral use) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT</a>#26643006)</span></p><p><b>備註</b>：患者在食用堅果後出現皮膚發癢和紅腫，症狀於2023年9月3日下午2:30發作</p></blockquote></div>
  </text>
  <clinicalStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
      <code value="active"/>
      <display value="Active"/>
    </coding>
    <text value="Active"/>
  </clinicalStatus>
  <verificationStatus>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
      <code value="confirmed"/>
      <display value="Confirmed"/>
    </coding>
    <text value="Confirmed"/>
  </verificationStatus>
  <type value="allergy"/>
  <category value="food"/>
  <criticality value="high"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="91934008"/>
      <display value="Nut allergy"/>
    </coding>
    <text value="堅果過敏"/>
  </code>
  <patient>🔗 
    <reference value="Patient/pat-example"/>
    <display value="陳加玲"/>
  </patient>
  <onsetDateTime value="2023-09-03T10:15:00Z"/>
  <recordedDate value="2023-09-03T14:30:00Z"/>
  <recorder>🔗 
    <reference value="Practitioner/pra-dr-example"/>
    <display value="王依昇"/>
  </recorder>
  <asserter>🔗 
    <reference value="Practitioner/pra-nurse-example"/>
    <display value="陳莉"/>
  </asserter>
  <lastOccurrence value="2023-09-03T14:30:00Z"/>
  <note>
    <text value="患者對堅果與添加堅果的食品過敏，可能導致皮膚發癢、紅腫"/>
  </note>
  <reaction>
    <substance>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="3193000"/>
        <display
                 value="alpha-1,4-Glucan-protein synthase (uridine diphosphate-forming)"/>
      </coding>
      <text
            value="alpha-1,4-Glucan-protein synthase (uridine diphosphate-forming)"/>
    </substance>
    <manifestation>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="39579001"/>
        <display value="Anaphylaxis (disorder)"/>
      </coding>
    </manifestation>
    <description value="皮膚發癢、紅腫"/>
    <severity value="severe"/>
    <exposureRoute>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="26643006"/>
        <display value="Oral use"/>
      </coding>
      <text value="口服"/>
    </exposureRoute>
    <note>
      <text value="患者在食用堅果後出現皮膚發癢和紅腫，症狀於2023年9月3日下午2:30發作"/>
    </note>
  </reaction>
</AllergyIntolerance>