臺灣血液透析實作指引 (TW HD IG)
0.0.2 - ci-build
臺灣血液透析實作指引 (TW HD IG)
0.0.2 - ci-build
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
{
"resourceType" : "Bundle",
"id" : "hd-document-bundle-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-document-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:5b1c7e10-0000-4000-8000-000000000001"
},
"type" : "document",
"timestamp" : "2024-03-01T10:00:00+08:00",
"entry" : [
{
"fullUrl" : "https://fhir.muen.tw/fhir/Composition/hd-composition-example",
"resource" : {
"resourceType" : "Composition",
"id" : "hd-composition-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-composition"🔗 ,
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_hd-composition-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition hd-composition-example</b></p><a name=\"hd-composition-example\"> </a><a name=\"hchd-composition-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-hd-composition.html\">血液透析病歷文件 (HD Composition)</a>, <a href=\"https://twcore.mohw.gov.tw/ig/twcore/1.0.0/StructureDefinition-Composition-twcore.html\">TW Core Composition</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34133-9}\">Summary of episode note</span></p><p><b>date</b>: 2024-03-01 10:00:00+0800</p><p><b>author</b>: <a href=\"Organization-hd-org-example.html\">Organization 沐恩血液透析中心</a></p><p><b>title</b>: 血液透析病歷摘要</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34133-9",
"display" : "Summary of episode note"
}
]
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
},
"date" : "2024-03-01T10:00:00+08:00",
"author" : [
{
🔗 "reference" : "Organization/hd-org-example"
}
],
"title" : "血液透析病歷摘要",
"section" : [
{
"title" : "原發病與感染",
"entry" : [
{
🔗 "reference" : "Condition/hd-primary-renal-disease-example"
},
{
🔗 "reference" : "Condition/hd-infection-example"
}
]
},
{
"title" : "透析處方與治療",
"entry" : [
{
🔗 "reference" : "Procedure/hd-prescription-example"
},
{
🔗 "reference" : "Procedure/hd-session-example"
}
]
},
{
"title" : "檢驗與評估",
"entry" : [
{
🔗 "reference" : "Observation/hd-lab-hb-example"
},
{
🔗 "reference" : "Observation/hd-functional-status-example"
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Patient/hd-patient-example",
"resource" : {
"resourceType" : "Patient",
"id" : "hd-patient-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_hd-patient-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient hd-patient-example</b></p><a name=\"hd-patient-example\"> </a><a name=\"hchd-patient-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-patient.html\">血液透析病患 (HD Patient)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\">National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code/A123456789\u00a0(use:\u00a0official,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患費用類別（健保/自費）。對應 KiDiT 病患資料『病患類別』。\"><a href=\"StructureDefinition-hd-patient-category.html\">病患類別 (Patient Category)</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/patient-category 00}\">健保</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患於透析登錄系統之透析代號。對應 KiDiT 病患資料『透析代號』。\"><a href=\"StructureDefinition-hd-patient-dialysis-id.html\">透析代號 (Dialysis ID)</a></td><td colspan=\"3\"><code>https://fhir.muen.tw/ig/hd/identifier/dialysis-id</code>/HD-2018-001</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患透析治療狀態（長期HD/PD/移植/轉院/死亡等）。對應 KiDiT 病患資料『狀態』。\"><a href=\"StructureDefinition-hd-dialysis-status.html\">透析狀態 (Dialysis Status)</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/dialysis-status 1}\">長期血液透析</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患是否具原住民身分。對應 KiDiT 病患資料『是否為原住民』。\"><a href=\"StructureDefinition-hd-indigenous-status.html\">是否為原住民 (Indigenous Status)</a></td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患於本院開始透析治療之日期。對應 KiDiT 病患資料『本院開始治療日期』。\"><a href=\"StructureDefinition-hd-first-dialysis-date-this-facility.html\">本院開始治療日期 (First Dialysis Date at This Facility)</a></td><td colspan=\"3\">2018-06-01</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患教育程度。對應 KiDiT 病患資料『教育程度』。\"><a href=\"StructureDefinition-hd-education-level.html\">教育程度 (Education Level)</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/education-level 5}\">大專（含）以上</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"病患（不限院所）首次接受透析治療之日期。對應 KiDiT 病患資料『首次治療日期』。\"><a href=\"StructureDefinition-hd-first-dialysis-date.html\">首次治療日期 (First Dialysis Date)</a></td><td colspan=\"3\">2018-06-01</td></tr></table></div>"
},
"extension" : [
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-patient-dialysis-id",
"valueIdentifier" : {
"system" : "https://fhir.muen.tw/ig/hd/identifier/dialysis-id",
"value" : "HD-2018-001"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-patient-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/patient-category",
"code" : "00",
"display" : "健保"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-dialysis-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/dialysis-status",
"code" : "1",
"display" : "長期血液透析"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-education-level",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/education-level",
"code" : "5",
"display" : "大專（含）以上"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-indigenous-status",
"valueBoolean" : false
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-first-dialysis-date",
"valueDate" : "2018-06-01"
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-first-dialysis-date-this-facility",
"valueDate" : "2018-06-01"
}
],
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NNxxx"
}
]
},
"system" : "http://www.moi.gov.tw",
"value" : "A123456789"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "https://fhir.muen.tw/ig/hd/identifier/mrn",
"value" : "MR-0001"
}
],
"name" : [
{
"use" : "official",
"text" : "王小明",
"family" : "王",
"given" : [
"小明"
]
}
],
"gender" : "male",
"birthDate" : "1965-03-12",
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
}
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Organization/hd-org-example",
"resource" : {
"resourceType" : "Organization",
"id" : "hd-org-example",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_hd-org-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization hd-org-example</b></p><a name=\"hd-org-example\"> </a><a name=\"hchd-org-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/1.0.0/StructureDefinition-Organization-twcore.html\">TW Core Organization</a></p></div><p><b>identifier</b>: <code>https://fhir.muen.tw/ig/hd/identifier/org</code>/MUEN-HD-001</p><p><b>active</b>: true</p><p><b>name</b>: 沐恩血液透析中心</p></div>"
},
"identifier" : [
{
"system" : "https://fhir.muen.tw/ig/hd/identifier/org",
"value" : "MUEN-HD-001"
}
],
"active" : true,
"name" : "沐恩血液透析中心"
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Condition/hd-primary-renal-disease-example",
"resource" : {
"resourceType" : "Condition",
"id" : "hd-primary-renal-disease-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-primary-renal-disease"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_hd-primary-renal-disease-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition hd-primary-renal-disease-example</b></p><a name=\"hd-primary-renal-disease-example\"> </a><a name=\"hchd-primary-renal-disease-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-primary-renal-disease.html\">原發腎臟疾病 (HD Primary Renal Disease)</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 127013003}, {https://fhir.muen.tw/ig/hd/CodeSystem/primary-renal-disease-major B}, {https://fhir.muen.tw/ig/hd/CodeSystem/primary-renal-disease B-03}\">糖尿病腎病變</span></p><p><b>subject</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "127013003",
"display" : "Diabetic renal disease"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/primary-renal-disease-major",
"code" : "B",
"display" : "系統性疾病"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/primary-renal-disease",
"code" : "B-03",
"display" : "糖尿病"
}
],
"text" : "糖尿病腎病變"
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
}
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Condition/hd-infection-example",
"resource" : {
"resourceType" : "Condition",
"id" : "hd-infection-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-dialysis-infection"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_hd-infection-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition hd-infection-example</b></p><a name=\"hd-infection-example\"> </a><a name=\"hchd-infection-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-dialysis-infection.html\">透析相關感染 (Dialysis Infection)</a></p></div><p><b>感染菌種 (Infection Organism)</b>: <span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/infection-organism 1.1}, {http://snomed.info/sct 3092008}\">Staphylococcus aureus</span></p><p><b>感染結果 (Infection Outcome)</b>: <span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/infection-outcome 1}\">治癒</span></p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 736442006}, {https://fhir.muen.tw/ig/hd/CodeSystem/infection-type 2}\">導管出口處感染</span></p><p><b>subject</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p></div>"
},
"extension" : [
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-infection-organism",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/infection-organism",
"code" : "1.1",
"display" : "Staphylococcus aureus"
},
{
"system" : "http://snomed.info/sct",
"code" : "3092008",
"display" : "Staphylococcus aureus"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-infection-outcome",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/infection-outcome",
"code" : "1",
"display" : "治癒"
}
]
}
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "736442006",
"display" : "Catheter related bloodstream infection"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/infection-type",
"code" : "2",
"display" : "導管出口處感染"
}
],
"text" : "導管出口處感染"
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
}
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Procedure/hd-prescription-example",
"resource" : {
"resourceType" : "Procedure",
"id" : "hd-prescription-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-prescription"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_hd-prescription-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure hd-prescription-example</b></p><a name=\"hd-prescription-example\"> </a><a name=\"hchd-prescription-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-prescription.html\">血液透析處方 (Hemodialysis Prescription)</a></p></div><p><b>透析方式 (Dialysis Modality)</b>: <span title=\"Codes:{http://snomed.info/sct 302497006}, {https://fhir.muen.tw/ig/hd/CodeSystem/dialysis-modality 2}\">Hemodialysis procedure</span></p><p><b>血液流速 (Blood Flow Rate)</b>: 250 mL/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL/min = 'mL/min')</span></p><p><b>透析液流速 (Dialysate Flow Rate)</b>: 500 mL/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL/min = 'mL/min')</span></p><p><b>每週次數 (Sessions Per Week)</b>: 3</p><p><b>每次透析時間 (Duration Per Session)</b>: 4 h<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeh = 'h')</span></p><p><b>抗凝劑 (Anticoagulant)</b>: <span title=\"Codes:{http://www.whocc.no/atc B01AB01}, {https://fhir.muen.tw/ig/hd/CodeSystem/anticoagulant 1}\">heparin</span></p><p><b>抗凝劑初劑量 (Anticoagulant Initial Dose)</b>: 2000 [iU]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU] = '[iU]')</span></p><p><b>抗凝劑維持劑量 (Anticoagulant Maintenance Dose)</b>: 1000 [iU]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU] = '[iU]')</span></p><p><b>透析液鹼基 (Dialysate Base)</b>: <span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/dialysate-base 2}\">Bicarbonate</span></p><p><b>透析液鈣離子濃度 (Dialysate Calcium)</b>: 3 meq/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemeq/L = 'meq/L')</span></p><p><b>透析液鉀離子濃度 (Dialysate Potassium)</b>: 2 meq/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemeq/L = 'meq/L')</span></p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 302497006}\">血液透析處方</span></p><p><b>subject</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>performed</b>: 2024-03-01</p><p><b>usedReference</b>: <a href=\"Device-hd-dialyzer-example.html\">Device: extension = 1.5 m2; type = Asahi Rexeed-15L</a></p></div>"
},
"extension" : [
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-modality",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "302497006",
"display" : "Hemodialysis procedure"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/dialysis-modality",
"code" : "2",
"display" : "High efficient HD"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-blood-flow-rate",
"valueQuantity" : {
"value" : 250,
"system" : "http://unitsofmeasure.org",
"code" : "mL/min"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-flow-rate",
"valueQuantity" : {
"value" : 500,
"system" : "http://unitsofmeasure.org",
"code" : "mL/min"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-sessions-per-week",
"valueInteger" : 3
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-duration-per-session",
"valueQuantity" : {
"value" : 4,
"system" : "http://unitsofmeasure.org",
"code" : "h"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-anticoagulant",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "B01AB01",
"display" : "heparin"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/anticoagulant",
"code" : "1",
"display" : "肝素"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-anticoagulant-initial-dose",
"valueQuantity" : {
"value" : 2000,
"system" : "http://unitsofmeasure.org",
"code" : "[iU]"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-anticoagulant-maintenance-dose",
"valueQuantity" : {
"value" : 1000,
"system" : "http://unitsofmeasure.org",
"code" : "[iU]"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-base",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/dialysate-base",
"code" : "2",
"display" : "Bicarbonate"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-calcium",
"valueQuantity" : {
"value" : 3,
"system" : "http://unitsofmeasure.org",
"code" : "meq/L"
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-potassium",
"valueQuantity" : {
"value" : 2,
"system" : "http://unitsofmeasure.org",
"code" : "meq/L"
}
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "302497006",
"display" : "Hemodialysis procedure"
}
],
"text" : "血液透析處方"
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
},
"performedDateTime" : "2024-03-01",
"usedReference" : [
{
🔗 "reference" : "Device/hd-dialyzer-example"
}
]
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Device/hd-dialyzer-example",
"resource" : {
"resourceType" : "Device",
"id" : "hd-dialyzer-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-dialyzer"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_hd-dialyzer-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device hd-dialyzer-example</b></p><a name=\"hd-dialyzer-example\"> </a><a name=\"hchd-dialyzer-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-dialyzer.html\">透析器 (Dialyzer)</a></p></div><p><b>透析器表面積 (Dialyzer Surface Area)</b>: 1.5 m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codem2 = 'm2')</span></p><p><b>type</b>: <span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/dialyzer-model 36}\">Asahi Rexeed-15L</span></p><p><b>patient</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p></div>"
},
"extension" : [
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-device-surface-area",
"valueQuantity" : {
"value" : 1.5,
"system" : "http://unitsofmeasure.org",
"code" : "m2"
}
}
],
"type" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/dialyzer-model",
"code" : "36",
"display" : "Asahi Rexeed-15L"
}
]
},
"patient" : {
🔗 "reference" : "Patient/hd-patient-example"
}
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Procedure/hd-session-example",
"resource" : {
"resourceType" : "Procedure",
"id" : "hd-session-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_hd-session-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure hd-session-example</b></p><a name=\"hd-session-example\"> </a><a name=\"hchd-session-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-session.html\">血液透析治療紀錄 (Hemodialysis Session)</a></p></div><p><b>照護場域 (Care Setting)</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}, {https://fhir.muen.tw/ig/hd/CodeSystem/hd-care-setting outpatient}\">ambulatory</span></p><p><b>是否使用 IV 鐵劑 (IV Iron Used)</b>: true</p><p><b>EPO 種類 (EPO Type)</b>: <span title=\"Codes:{http://www.whocc.no/atc B03XA01}, {https://fhir.muen.tw/ig/hd/CodeSystem/epo-type 2}\">erythropoietin</span></p><p><b>EPO 劑量 (EPO Dose)</b>: 4000 [iU]<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU] = '[iU]')</span></p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 302497006}\">血液透析治療</span></p><p><b>subject</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>performed</b>: 2024-03-01</p></div>"
},
"extension" : [
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-care-setting",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/hd-care-setting",
"code" : "outpatient",
"display" : "門診 (Outpatient)"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-iv-iron-used",
"valueBoolean" : true
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-epo-type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://www.whocc.no/atc",
"code" : "B03XA01",
"display" : "erythropoietin"
},
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/epo-type",
"code" : "2",
"display" : "Epoepin-b (Recormon)"
}
]
}
},
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-epo-dose",
"valueQuantity" : {
"value" : 4000,
"system" : "http://unitsofmeasure.org",
"code" : "[iU]"
}
}
],
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "302497006",
"display" : "Hemodialysis procedure"
}
],
"text" : "血液透析治療"
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
},
"performedDateTime" : "2024-03-01"
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Observation/hd-lab-hb-example",
"resource" : {
"resourceType" : "Observation",
"id" : "hd-lab-hb-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-lab-observation"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_hd-lab-hb-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation hd-lab-hb-example</b></p><a name=\"hd-lab-hb-example\"> </a><a name=\"hchd-lab-hb-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-lab-observation.html\">血液透析檢驗 (HD Laboratory Observation)</a></p></div><p><b>透析時間點 (Dialysis Timing)</b>: <span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/hd-dialysis-timing pre-dialysis}\">透析前 (Pre-dialysis)</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 718-7}\">Hemoglobin [Mass/volume] in Blood</span></p><p><b>subject</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2024-03-01</p><p><b>value</b>: 10.5 g/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/dL = 'g/dL')</span></p></div>"
},
"extension" : [
{
"url" : "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-observation-dialysis-timing",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/hd-dialysis-timing",
"code" : "pre-dialysis",
"display" : "透析前 (Pre-dialysis)"
}
]
}
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "718-7",
"display" : "Hemoglobin [Mass/volume] in Blood"
}
]
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
},
"effectiveDateTime" : "2024-03-01",
"valueQuantity" : {
"value" : 10.5,
"unit" : "g/dL",
"system" : "http://unitsofmeasure.org",
"code" : "g/dL"
}
}
},
{
"fullUrl" : "https://fhir.muen.tw/fhir/Observation/hd-functional-status-example",
"resource" : {
"resourceType" : "Observation",
"id" : "hd-functional-status-example",
"meta" : {
"profile" : [
🔗 "https://fhir.muen.tw/ig/hd/StructureDefinition/hd-functional-status"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_hd-functional-status-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation hd-functional-status-example</b></p><a name=\"hd-functional-status-example\"> </a><a name=\"hchd-functional-status-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-hd-functional-status.html\">生活活動評估 (HD Functional Status)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:\">生活活動評估</span></p><p><b>subject</b>: <a href=\"Patient-hd-patient-example.html\">王小明(official) Male, DoB: 1965-03-12 ( Medical record number\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2024-03-01</p><p><b>value</b>: <span title=\"Codes:{https://fhir.muen.tw/ig/hd/CodeSystem/functional-status 90}\">能從事正常活動，只有輕微之疾病症狀</span></p></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
],
"code" : {
"text" : "生活活動評估"
},
"subject" : {
🔗 "reference" : "Patient/hd-patient-example"
},
"effectiveDateTime" : "2024-03-01",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.muen.tw/ig/hd/CodeSystem/functional-status",
"code" : "90",
"display" : "能從事正常活動，只有輕微之疾病症狀"
}
]
}
}
}
]
}