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 Bundle: Document(uuid)

Document Details

Generated Narrative: Bundle 陳加玲的病摘

Document Subject

病人基本資料-身分證字號

識別碼型別:National Person Identifier Identifier Type Codes#NNxxx [extension: Identifier Suffix]:TWN)
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):8862168 (https://www.tph.mohw.gov.tw)

病人的紀錄(active):使用中

姓名(official):陳加玲 Chan, Chia Lin

性別:女性

出生日期:1990-01-01

年齡[extension: person-age]:32

國籍[extension: patient-nationality]ISO3166Part1#TW)

聯絡方式:Phone ContactPointSystem#phone)
聯絡電話:(Mobile)0911327999 ContactPointUse#mobile)
聯絡電話使用效期:2022-07-31至2024-07-31

聯絡地址:(103)臺北市大同區大有里19鄰承德路三段52巷6弄210號2樓B室
郵遞區號(postalCode) [extension: tw-postal-code] 103
縣/市(city):臺北市
鄉/鎮/市/區(district):大同區
村(里)(village) [extension: tw-village] :大有里
鄰(neighborhood) [extension: tw-neighborhood] :19鄰
路/街(line):承德路
段(section) [extension: tw-section] :三段
巷/衖(lane) [extension: tw-lane] :52巷
弄(alley) [extension: tw-alley] :6弄
號(number) [extension: tw-number] :210號
樓(floor) [extension: tw-floor] :2樓
室(room) [extension: tw-room] :B室
國家(country):臺灣

婚姻狀態:unmarried 臺灣婚姻狀態值集#U)

聯絡人(official):李立偉 Li, Li Wei
關係:father PatientRelationshipType#FTH)
聯絡方式:Phone ContactPointSystem#phone)
聯絡電話:(Mobile)0917159753 ContactPointUse#mobile)
聯絡電話使用效期:2022-07-31至2024-07-31

向病人說明健康狀態時所使用的語言:中文

紀錄的保管機構Organization Inline-Organization-example "衛生福利部臺北醫院"

病人影像patient.png


Document Content

Generated Narrative: Composition Inline-Composition-example

status: Final

type: Medical records

category: Hospital Admission history and physical note

date: 2023-09-10 10:30:00+0000

author: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

title: 陳加玲的病摘

confidentiality: restricted

Attesters

-ModeTimeParty
*Personal2023-09-10 11:00:00+0000Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

custodian: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

Events

-CodePeriod
*medication list2023-09-10 08:00:00+0000 --> 2023-09-15 09:30:00+0000


Additional Resources Included in Document


Entry 1 - fullUrl = urn:uuid:110860b4-9ab4-4595-9f03-7dca4c1021f8

Resource Composition:

Generated Narrative: Composition Inline-Composition-example

status: Final

type: Medical records

category: Hospital Admission history and physical note

date: 2023-09-10 10:30:00+0000

author: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

title: 陳加玲的病摘

confidentiality: restricted

Attesters

-ModeTimeParty
*Personal2023-09-10 11:00:00+0000Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

custodian: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

Events

-CodePeriod
*medication list2023-09-10 08:00:00+0000 --> 2023-09-15 09:30:00+0000

Entry 2 - fullUrl = urn:uuid:0511b38b-2841-473c-9843-4d04c0c9c30e

Resource Practitioner:

醫師基本資料

識別碼型別:National Person Identifier Identifier Type Codes#NNxxx)
身分證字號(official):D123456789 (http://www.moi.gov.tw)

識別碼型別:Medical License number Identifier Type Codes#MD)
員工編號(official):KP00017 (https://www.tph.mohw.gov.tw)

健康照護服務提供者的紀錄(active):使用中

姓名(official):王依昇 Wang, Yi Sheng

性別:男性

出生日期:1980-11-11

聯絡方式:PhoneContactPointSystem#phone)
聯絡電話:(Mobile)0993277826ContactPointUse#mobile)
聯絡電話使用效期:2022-07-31至2024-07-31

聯絡地址:(330)桃園市桃園區五福五街31號
郵遞區號(postalCode)[extension: tw-postal-code]330
縣/市(district):桃園市
鄉/鎮/市/區(city):桃園區
路/街(line):五福五街
號(number)[extension: tw-number]:31號
國家(country):臺灣

資格證書的型別:西醫師 SNOMED CT#394802001)
資格證書的開始日期:2005-05-25

照護服務提供人員影像doctor.png


Entry 3 - fullUrl = urn:uuid:38bc075a-2e1d-4f8c-b623-4d15770d9844

Resource Patient:

病人基本資料-身分證字號

識別碼型別:National Person Identifier Identifier Type Codes#NNxxx [extension: Identifier Suffix]:TWN)
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):8862168 (https://www.tph.mohw.gov.tw)

病人的紀錄(active):使用中

姓名(official):陳加玲 Chan, Chia Lin

性別:女性

出生日期:1990-01-01

年齡[extension: person-age]:32

國籍[extension: patient-nationality]ISO3166Part1#TW)

聯絡方式:Phone ContactPointSystem#phone)
聯絡電話:(Mobile)0911327999 ContactPointUse#mobile)
聯絡電話使用效期:2022-07-31至2024-07-31

聯絡地址:(103)臺北市大同區大有里19鄰承德路三段52巷6弄210號2樓B室
郵遞區號(postalCode) [extension: tw-postal-code] 103
縣/市(city):臺北市
鄉/鎮/市/區(district):大同區
村(里)(village) [extension: tw-village] :大有里
鄰(neighborhood) [extension: tw-neighborhood] :19鄰
路/街(line):承德路
段(section) [extension: tw-section] :三段
巷/衖(lane) [extension: tw-lane] :52巷
弄(alley) [extension: tw-alley] :6弄
號(number) [extension: tw-number] :210號
樓(floor) [extension: tw-floor] :2樓
室(room) [extension: tw-room] :B室
國家(country):臺灣

婚姻狀態:unmarried 臺灣婚姻狀態值集#U)

聯絡人(official):李立偉 Li, Li Wei
關係:father PatientRelationshipType#FTH)
聯絡方式:Phone ContactPointSystem#phone)
聯絡電話:(Mobile)0917159753 ContactPointUse#mobile)
聯絡電話使用效期:2022-07-31至2024-07-31

向病人說明健康狀態時所使用的語言:中文

紀錄的保管機構Organization Inline-Organization-example "衛生福利部臺北醫院"

病人影像patient.png


Entry 4 - fullUrl = urn:uuid:6b744ffd-c264-4353-89ae-e9df7132536e

Resource Observation:

Generated Narrative: Observation Inline-Observation-example

status: Final

category: Laboratory

code: 血中尿素氮

subject: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

effective: 2022-07-31

performer: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

value: 16.6 mg/dL


Entry 5 - fullUrl = urn:uuid:e874d417-c6e5-4872-8dd7-62e6c5a9d08e

Resource Observation:

Generated Narrative: Observation Inline-ObservationBloodPressure-example

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

effective: 2022-07-31

performer: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

component

code: Systolic blood pressure

value: 110 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 56 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')


Entry 6 - fullUrl = urn:uuid:c89f7cb5-8755-4848-b96a-a9fa34120588

Resource Organization:

Generated Narrative: Organization Inline-Organization-example

identifier: Provider number/0131060029 (use: official, )

type: Healthcare Provider

name: 衛生福利部臺北醫院

telecom: ph: 0222765566


Entry 7 - fullUrl = urn:uuid:7127fcd8-c858-4824-802b-51e0d472c6d2

Resource MedicationRequest:

Generated Narrative: MedicationRequest Inline-MedicationRequest-example

identifier: http://www.moi.gov.tw/7077

status: Active

statusReason: Prescription requires clarification

intent: Order

category: Discharge

medication: 阿立批挫

subject: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

encounter: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

authoredOn: 2022-08-01 18:00:14+0800

requester: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

reasonReference: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

dosageInstruction

text: 三餐飯後,口服

timing: Code

route: 口服

DoseAndRates

-Type
*Ordered

DispenseRequests

-ValidityPeriod
*2022-08-01 18:00:14+0800 --> 2022-08-08 18:00:14+0800

Entry 8 - fullUrl = urn:uuid:bde4b381-a715-4a2e-a95a-abb52407aba1

Resource Encounter:

Generated Narrative: Encounter Inline-Encounter-example

identifier: http://healthcare.example.org/identifiers/enocunter/E22081702

status: Finished

class: ActCode PRENC: pre-admission

type: Annual diabetes mellitus screening

serviceType: 腎臟內科

subject: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

Participants

-TypePeriodIndividual
*primary performer2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

period: 2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800

reasonCode: FH: Diabetes mellitus

Hospitalizations

-DischargeDisposition
*Home

Locations

-Location
*Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

Entry 9 - fullUrl = urn:uuid:347ae3ea-82f3-41c8-9c95-88519f50a7c9

Resource Location:

Generated Narrative: Location Inline-Location-example

status: Active

name: 衛生福利部臺北醫院耳鼻喉科

description: 診治各種耳、鼻、咽、喉等上呼吸道疾病及頭頸部腫瘤 , 包括 : 感冒、咳嗽、頭痛、喉嚨痛、聲音沙啞、吞嚥困難、呼吸不順、鼻塞、鼻竇炎、鼻過敏、鼻息肉、扁桃腺肥大、耳鳴、耳痛、中耳炎、顏面神經麻痺、顎顳關節痛、口乾舌燥、打鼾、語言障礙、食道異物取出、頭頸部腫瘤、舌及口咽腫瘤手術

mode: Kind

type: Otorhinolaryngology clinic

telecom: ph: 02-2276-5566(Work)

address: 242新北市新莊區思源路127號(work)

Positions

-LongitudeLatitude
*25.043085494729105121.45941895179722

managingOrganization: Bundle: identifier = https://www.mohw.gov.tw/#urn:uuid:d8b288cc-7a2b-4c30-b878-300d4ddd0ac0; type = document; timestamp = 2024-05-18 12:34:56+0000

hoursOfOperation

daysOfWeek: Monday, Tuesday, Wednesday, Thursday, Friday

allDay: true