臺灣血液透析實作指引 (TW HD IG)
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: 範例:血液透析處方 - JSON Representation

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{
  "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\"><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"
    }
  ]
}