臺灣血液透析實作指引 (TW HD IG)
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Document Details
Profile: 血液透析文件 Bundle (HD Document Bundle)
Final Document at 2024-03-01 10:00:00+0800 by Organization 沐恩血液透析中心 for 王小明(official) Male, DoB: 1965-03-12 ( Medical record number (use: official, ))
Document Subject
Profile: 血液透析病患 (HD 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 | ||
Document Content
Entry 2 - fullUrl = https://fhir.muen.tw/fhir/Patient/hd-patient-example
Resource Patient:
Profile: 血液透析病患 (HD 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:
Profile: TW Core Organization
identifier:
https://fhir.muen.tw/ig/hd/identifier/org/MUEN-HD-001active: 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:
Profile: 原發腎臟疾病 (HD Primary Renal Disease)
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:
Profile: 透析相關感染 (Dialysis Infection)
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:
Profile: 血液透析處方 (Hemodialysis Prescription)
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:
Profile: 透析器 (Dialyzer)
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:
Profile: 血液透析治療紀錄 (Hemodialysis Session)
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:
Profile: 血液透析檢驗 (HD Laboratory 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:
Profile: 生活活動評估 (HD Functional Status)
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