國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)
1.0.0 - ci-build

This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle TOTFB-document範例

Document Subject

Generated Narrative: Patient pat-CDM

甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

Document Content

Charge ticket or encounter form

Duration in bed

Disease or condition diagnoses section

Procedure Narrative

Provider orders

Additional Resources Included in Document

Entry 1 - fullUrl = https://www.ghd.tw/cdm-fhir/Composition/com-TOTFB

Resource Composition:

Generated Narrative: Composition com-TOTFB

status: Final

type: Hospitalist Discharge summary

encounter: Encounter: identifier = http://healthcare.example.org/identifiers/enocunter#1101100011; status = finished; class = 西醫一般案件 (案件分類#01); type = DRG40002; serviceType = 消化內科; period = 2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800

date: 2024-06-05 00:00:00+0000

author: Organization: identifier = example123

title: 住院醫療申報檔案 TOTFB

custodian: Organization: identifier = example123

Entry 2 - fullUrl = https://www.ghd.tw/cdm-fhir/Organization/org-TOTFAB

Resource Organization:

Generated Narrative: Organization org-TOTFAB

identifier: example123

active: true

Entry 3 - fullUrl = https://www.ghd.tw/cdm-fhir/Patient/pat-CDM

Resource Patient:

Generated Narrative: Patient pat-CDM

甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

Entry 4 - fullUrl = https://www.ghd.tw/cdm-fhir/Encounter/enc-TOTFB

Resource Encounter:

Generated Narrative: Encounter enc-TOTFB

identifier: http://healthcare.example.org/identifiers/enocunter/1101100011

status: completed

class: 西醫一般案件

type: DRG40002

serviceType: No display for Encounter.serviceType (concept: 消化內科)

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

Entry 5 - fullUrl = https://www.ghd.tw/cdm-fhir/ChargeItem/cha-CDM

Resource ChargeItem:

Generated Narrative: ChargeItem cha-CDM

status: Billable

code: 送核

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

occurrence: 2024-01-25 00:00:00+0800

enteredDate: 2024-01-25 00:00:00+0800

Entry 6 - fullUrl = https://www.ghd.tw/cdm-fhir/Procedure/pro-TOTFB

Resource Procedure:

Generated Narrative: Procedure pro-TOTFB

status: Completed

code: 0016070

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = http://healthcare.example.org/identifiers/enocunter#1101100011; status = finished; class = 西醫一般案件 (案件分類#01); type = DRG40002; serviceType = 消化內科; period = 2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800

note: 主手術(處置)代碼

Entry 7 - fullUrl = https://www.ghd.tw/cdm-fhir/Condition/con-TOTFB

Resource Condition:

Generated Narrative: Condition con-TOTFB

clinicalStatus: Remission

verificationStatus: Confirmed

category: Encounter Diagnosis

code: A01.0

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = http://healthcare.example.org/identifiers/enocunter#1101100011; status = finished; class = 西醫一般案件 (案件分類#01); type = DRG40002; serviceType = 消化內科; period = 2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800

note: 主診斷代碼

Entry 8 - fullUrl = https://www.ghd.tw/cdm-fhir/Observation/obs-TOTFB

Resource Observation:

Generated Narrative: Observation obs-TOTFB

status: Final

code: Duration in bed

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = http://healthcare.example.org/identifiers/enocunter#1101100011; status = finished; class = 西醫一般案件 (案件分類#01); type = DRG40002; serviceType = 消化內科; period = 2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800

value: 3 days (Details: UCUM coded = 'd')

note: 慢性病床天數

Entry 9 - fullUrl = https://www.ghd.tw/cdm-fhir/ChargeItem/cha-TOTFB-Order

Resource ChargeItem:

Generated Narrative: ChargeItem cha-TOTFB-Order

identifier: 30

status: Billable

code: 診療明細

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

occurrence: 2024-01-21 00:00:00+0800 --> 2024-01-25 00:00:00+0800

reason: Fetal part of placenta

note: 1

Entry 10 - fullUrl = https://www.ghd.tw/cdm-fhir/MedicationRequest/med-TOTFB-Order

Resource MedicationRequest:

Generated Narrative: MedicationRequest med-TOTFB-Order

identifier: 08

status: Active

intent: Order

category: Discharge

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

encounter: Encounter: identifier = http://healthcare.example.org/identifiers/enocunter#1101100011; status = finished; class = 西醫一般案件 (案件分類#01); type = DRG40002; serviceType = 消化內科; period = 2022-08-01 17:00:14+0800 --> 2022-08-01 18:00:14+0800

dosageInstruction

timing: Code

site: Fetal part of placenta

route: 口服

DoseAndRates

-Dose[x]
*0.5

DispenseRequests

-ValidityPeriodQuantity
*2024-03-01 00:00:00+0800 --> 2024-05-01 00:00:00+080030

Entry 11 - fullUrl = https://www.ghd.tw/cdm-fhir/Observation/obs-TOTFB-Order

Resource Observation:

Generated Narrative: Observation obs-TOTFB-Order

identifier: 30

status: Final

category: 診療明細

code: 0016070

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

effective: 2024-03-01 00:00:00+0800 --> 2024-05-01 00:00:00+0800

value: 15.1 mg/dL

note: 0

Entry 12 - fullUrl = https://www.ghd.tw/cdm-fhir/Procedure/pro-TOTFB-Order

Resource Procedure:

Generated Narrative: Procedure pro-TOTFB-Order

identifier: 30

status: Completed

category: 診療明細

code: 0016070

subject: 甄○康(official) Female, DoB: 1985-01-02 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code (use: official, ))

note: 0