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
<Bundle xmlns="http://hl7.org/fhir">
<id value="hd-document-bundle-example"/>
<meta>
<profile
value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-document-bundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:5b1c7e10-0000-4000-8000-000000000001"/>
</identifier>
<type value="document"/>
<timestamp value="2024-03-01T10:00:00+08:00"/>
<entry>
<fullUrl
value="https://fhir.muen.tw/fhir/Composition/hd-composition-example"/>
<resource>
<Composition>
<id value="hd-composition-example"/>
<meta>
<profile
value="https://fhir.muen.tw/ig/hd/StructureDefinition/hd-composition"/>
<profile
value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Composition-twcore"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="34133-9"/>
<display value="Summary of episode note"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/hd-patient-example"/>
</subject>
<date value="2024-03-01T10:00:00+08:00"/>
<author>🔗
<reference value="Organization/hd-org-example"/>
</author>
<title value="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>