Generated Narrative: Composition hd-composition-example

status: Final

type: Summary of episode note

date: 2024-03-01 10:00:00+0800

author: Organization 沐恩血液透析中心

title: 血液透析病歷摘要

 <section> <title value="原發病與感染"/> <entry> <reference value="Condition/hd-primary-renal-disease-example"/> </entry> <entry> <reference value="Condition/hd-infection-example"/> </entry> </section> <section> <title value="透析處方與治療"/> <entry> <reference value="Procedure/hd-prescription-example"/> </entry> <entry> <reference value="Procedure/hd-session-example"/> </entry> </section> <section> <title value="檢驗與評估"/> <entry> <reference value="Observation/hd-lab-hb-example"/> </entry> <entry> <reference value="Observation/hd-functional-status-example"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Patient/hd-patient-example"/> <resource> <Patient> <id value="hd-patient-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-patient"/> </meta> <text> <status value="generated"/><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 (use: official, ))</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 (use: official, )</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> </text> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-patient-dialysis-id"> <valueIdentifier> <system value="https://fhir.muen.tw/ig/hd/identifier/dialysis-id"/> <value value="HD-2018-001"/> </valueIdentifier> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-patient-category"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/patient-category"/> <code value="00"/> <display value="健保"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-dialysis-status"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/dialysis-status"/> <code value="1"/> <display value="長期血液透析"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-education-level"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/education-level"/> <code value="5"/> <display value="大專（含）以上"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-indigenous-status"> <valueBoolean value="false"/> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-first-dialysis-date"> <valueDate value="2018-06-01"/> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-first-dialysis-date-this-facility"> <valueDate value="2018-06-01"/> </extension> <identifier> <use value="official"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="NNxxx"/> </coding> </type> <system value="http://www.moi.gov.tw"/> <value value="A123456789"/> </identifier> <identifier> <use value="official"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="https://fhir.muen.tw/ig/hd/identifier/mrn"/> <value value="MR-0001"/> </identifier> <name> <use value="official"/> <text value="王小明"/> <family value="王"/> <given value="小明"/> </name> <gender value="male"/> <birthDate value="1965-03-12"/> <maritalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/> <code value="M"/> <display value="Married"/> </coding> </maritalStatus> </Patient> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Organization/hd-org-example"/> <resource> <Organization> <id value="hd-org-example"/> <meta> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore"/> </meta> <text> <status value="generated"/><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> </text> <identifier> <system value="https://fhir.muen.tw/ig/hd/identifier/org"/> <value value="MUEN-HD-001"/> </identifier> <active value="true"/> <name value="沐恩血液透析中心"/> </Organization> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Condition/hd-primary-renal-disease-example"/> <resource> <Condition> <id value="hd-primary-renal-disease-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-primary-renal-disease"/> </meta> <text> <status value="generated"/><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 (use: official, ))</a></p></div> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> </coding> </clinicalStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="127013003"/> <display value="Diabetic renal disease"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/primary-renal-disease-major"/> <code value="B"/> <display value="系統性疾病"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/primary-renal-disease"/> <code value="B-03"/> <display value="糖尿病"/> </coding> <text value="糖尿病腎病變"/> </code> <subject> <reference value="Patient/hd-patient-example"/> </subject> </Condition> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Condition/hd-infection-example"/> <resource> <Condition> <id value="hd-infection-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-dialysis-infection"/> </meta> <text> <status value="extensions"/><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 (use: official, ))</a></p></div> </text> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-infection-organism"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/infection-organism"/> <code value="1.1"/> <display value="Staphylococcus aureus"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="3092008"/> <display value="Staphylococcus aureus"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-infection-outcome"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/infection-outcome"/> <code value="1"/> <display value="治癒"/> </coding> </valueCodeableConcept> </extension> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> </coding> </clinicalStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="encounter-diagnosis"/> </coding> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="736442006"/> <display value="Catheter related bloodstream infection"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/infection-type"/> <code value="2"/> <display value="導管出口處感染"/> </coding> <text value="導管出口處感染"/> </code> <subject> <reference value="Patient/hd-patient-example"/> </subject> </Condition> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Procedure/hd-prescription-example"/> <resource> <Procedure> <id value="hd-prescription-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-prescription"/> </meta> <text> <status value="extensions"/><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 (use: official, ))</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> </text> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-modality"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="302497006"/> <display value="Hemodialysis procedure"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/dialysis-modality"/> <code value="2"/> <display value="High efficient HD"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-blood-flow-rate"> <valueQuantity> <value value="250"/> <system value="http://unitsofmeasure.org"/> <code value="mL/min"/> </valueQuantity> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-flow-rate"> <valueQuantity> <value value="500"/> <system value="http://unitsofmeasure.org"/> <code value="mL/min"/> </valueQuantity> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-sessions-per-week"> <valueInteger value="3"/> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-duration-per-session"> <valueQuantity> <value value="4"/> <system value="http://unitsofmeasure.org"/> <code value="h"/> </valueQuantity> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-anticoagulant"> <valueCodeableConcept> <coding> <system value="http://www.whocc.no/atc"/> <code value="B01AB01"/> <display value="heparin"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/anticoagulant"/> <code value="1"/> <display value="肝素"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-anticoagulant-initial-dose"> <valueQuantity> <value value="2000"/> <system value="http://unitsofmeasure.org"/> <code value="[iU]"/> </valueQuantity> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-anticoagulant-maintenance-dose"> <valueQuantity> <value value="1000"/> <system value="http://unitsofmeasure.org"/> <code value="[iU]"/> </valueQuantity> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-base"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/dialysate-base"/> <code value="2"/> <display value="Bicarbonate"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-calcium"> <valueQuantity> <value value="3"/> <system value="http://unitsofmeasure.org"/> <code value="meq/L"/> </valueQuantity> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-rx-dialysate-potassium"> <valueQuantity> <value value="2"/> <system value="http://unitsofmeasure.org"/> <code value="meq/L"/> </valueQuantity> </extension> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="302497006"/> <display value="Hemodialysis procedure"/> </coding> <text value="血液透析處方"/> </code> <subject> <reference value="Patient/hd-patient-example"/> </subject> <performedDateTime value="2024-03-01"/> <usedReference> <reference value="Device/hd-dialyzer-example"/> </usedReference> </Procedure> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Device/hd-dialyzer-example"/> <resource> <Device> <id value="hd-dialyzer-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-dialyzer"/> </meta> <text> <status value="extensions"/><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 (use: official, ))</a></p></div> </text> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-device-surface-area"> <valueQuantity> <value value="1.5"/> <system value="http://unitsofmeasure.org"/> <code value="m2"/> </valueQuantity> </extension> <type> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/dialyzer-model"/> <code value="36"/> <display value="Asahi Rexeed-15L"/> </coding> </type> <patient> <reference value="Patient/hd-patient-example"/> </patient> </Device> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Procedure/hd-session-example"/> <resource> <Procedure> <id value="hd-session-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session"/> </meta> <text> <status value="extensions"/><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 (use: official, ))</a></p><p><b>performed</b>: 2024-03-01</p></div> </text> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-care-setting"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="AMB"/> <display value="ambulatory"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/hd-care-setting"/> <code value="outpatient"/> <display value="門診 (Outpatient)"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-iv-iron-used"> <valueBoolean value="true"/> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-epo-type"> <valueCodeableConcept> <coding> <system value="http://www.whocc.no/atc"/> <code value="B03XA01"/> <display value="erythropoietin"/> </coding> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/epo-type"/> <code value="2"/> <display value="Epoepin-b (Recormon)"/> </coding> </valueCodeableConcept> </extension> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-session-epo-dose"> <valueQuantity> <value value="4000"/> <system value="http://unitsofmeasure.org"/> <code value="[iU]"/> </valueQuantity> </extension> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="302497006"/> <display value="Hemodialysis procedure"/> </coding> <text value="血液透析治療"/> </code> <subject> <reference value="Patient/hd-patient-example"/> </subject> <performedDateTime value="2024-03-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Observation/hd-lab-hb-example"/> <resource> <Observation> <id value="hd-lab-hb-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-lab-observation"/> </meta> <text> <status value="extensions"/><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 (use: official, ))</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> </text> <extension url="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-observation-dialysis-timing"> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/hd-dialysis-timing"/> <code value="pre-dialysis"/> <display value="透析前 (Pre-dialysis)"/> </coding> </valueCodeableConcept> </extension> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> </coding> </category> <code> <coding> <system value="http://loinc.org"/> <code value="718-7"/> <display value="Hemoglobin [Mass/volume] in Blood"/> </coding> </code> <subject> <reference value="Patient/hd-patient-example"/> </subject> <effectiveDateTime value="2024-03-01"/> <valueQuantity> <value value="10.5"/> <unit value="g/dL"/> <system value="http://unitsofmeasure.org"/> <code value="g/dL"/> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="https://fhir.muen.tw/fhir/Observation/hd-functional-status-example"/> <resource> <Observation> <id value="hd-functional-status-example"/> <meta> <profile value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-functional-status"/> </meta> <text> <status value="generated"/><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 (use: official, ))</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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="survey"/> </coding> </category> <code> <text value="生活活動評估"/> </code> <subject> <reference value="Patient/hd-patient-example"/> </subject> <effectiveDateTime value="2024-03-01"/> <valueCodeableConcept> <coding> <system value="https://fhir.muen.tw/ig/hd/CodeSystem/functional-status"/> <code value="90"/> <display value="能從事正常活動，只有輕微之疾病症狀"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> </Bundle>