臺灣血液透析實作指引 (TW HD IG)
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臺灣血液透析實作指引 (TW HD IG) - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: 範例:血液透析文件 Bundle


Document Subject

王小明(official) Male, DoB: 1965-03-12 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))


Marital Status:Married
Other Ids:Medical record number/MR-0001 (use: official, )
病患類別 (Patient Category)健保
透析代號 (Dialysis ID)https://fhir.muen.tw/ig/hd/identifier/dialysis-id/HD-2018-001
透析狀態 (Dialysis Status)長期血液透析
是否為原住民 (Indigenous Status)false
本院開始治療日期 (First Dialysis Date at This Facility)2018-06-01
教育程度 (Education Level)大專(含)以上
首次治療日期 (First Dialysis Date)2018-06-01

Document Content

原發病與感染

透析處方與治療

檢驗與評估


Additional Resources Included in Document


Entry 2 - fullUrl = https://fhir.muen.tw/fhir/Patient/hd-patient-example

Resource Patient:

王小明(official) Male, DoB: 1965-03-12 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))


Marital Status:Married
Other Ids:Medical record number/MR-0001 (use: official, )
病患類別 (Patient Category)健保
透析代號 (Dialysis ID)https://fhir.muen.tw/ig/hd/identifier/dialysis-id/HD-2018-001
透析狀態 (Dialysis Status)長期血液透析
是否為原住民 (Indigenous Status)false
本院開始治療日期 (First Dialysis Date at This Facility)2018-06-01
教育程度 (Education Level)大專(含)以上
首次治療日期 (First Dialysis Date)2018-06-01

Entry 3 - fullUrl = https://fhir.muen.tw/fhir/Organization/hd-org-example

Resource Organization:

identifier: https://fhir.muen.tw/ig/hd/identifier/org/MUEN-HD-001

active: true

name: 沐恩血液透析中心


Entry 4 - fullUrl = https://fhir.muen.tw/fhir/Condition/hd-primary-renal-disease-example

Resource Condition:

clinicalStatus: Active

category: Problem List Item

code: 糖尿病腎病變

subject: 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))


Entry 5 - fullUrl = https://fhir.muen.tw/fhir/Condition/hd-infection-example

Resource Condition:

感染菌種 (Infection Organism): Staphylococcus aureus

感染結果 (Infection Outcome): 治癒

clinicalStatus: Active

category: Encounter Diagnosis

code: 導管出口處感染

subject: 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))


Entry 6 - fullUrl = https://fhir.muen.tw/fhir/Procedure/hd-prescription-example

Resource Procedure:

透析方式 (Dialysis Modality): Hemodialysis procedure

血液流速 (Blood Flow Rate): 250 mL/min (Details: UCUM codemL/min = 'mL/min')

透析液流速 (Dialysate Flow Rate): 500 mL/min (Details: UCUM codemL/min = 'mL/min')

每週次數 (Sessions Per Week): 3

每次透析時間 (Duration Per Session): 4 h (Details: UCUM codeh = 'h')

抗凝劑 (Anticoagulant): heparin

抗凝劑初劑量 (Anticoagulant Initial Dose): 2000 [iU] (Details: UCUM code[iU] = '[iU]')

抗凝劑維持劑量 (Anticoagulant Maintenance Dose): 1000 [iU] (Details: UCUM code[iU] = '[iU]')

透析液鹼基 (Dialysate Base): Bicarbonate

透析液鈣離子濃度 (Dialysate Calcium): 3 meq/L (Details: UCUM codemeq/L = 'meq/L')

透析液鉀離子濃度 (Dialysate Potassium): 2 meq/L (Details: UCUM codemeq/L = 'meq/L')

status: Completed

code: 血液透析處方

subject: 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))


Entry 7 - fullUrl = https://fhir.muen.tw/fhir/Device/hd-dialyzer-example

Resource Device:

透析器表面積 (Dialyzer Surface Area): 1.5 m2 (Details: UCUM codem2 = 'm2')

type: Asahi Rexeed-15L


Entry 8 - fullUrl = https://fhir.muen.tw/fhir/Procedure/hd-session-example

Resource Procedure:

照護場域 (Care Setting): ambulatory

是否使用 IV 鐵劑 (IV Iron Used): true

EPO 種類 (EPO Type): erythropoietin

EPO 劑量 (EPO Dose): 4000 [iU] (Details: UCUM code[iU] = '[iU]')

status: Completed

code: 血液透析治療

subject: 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))


Entry 9 - fullUrl = https://fhir.muen.tw/fhir/Observation/hd-lab-hb-example

Resource Observation:

透析時間點 (Dialysis Timing): 透析前 (Pre-dialysis)

status: Final

category: Laboratory

code: Hemoglobin [Mass/volume] in Blood

subject: 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))

effective: 2024-03-01

value: 10.5 g/dL (Details: UCUM codeg/dL = 'g/dL')


Entry 10 - fullUrl = https://fhir.muen.tw/fhir/Observation/hd-functional-status-example

Resource Observation:

status: Final

category: Survey

code: 生活活動評估

subject: 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))

effective: 2024-03-01

value: 能從事正常活動,只有輕微之疾病症狀