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)
0.1.0 - trial-use

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) (v0.1.0: Releases) 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 Details

Generated Narrative: Bundle 住院醫療申報檔案 TOTFB

Document Subject

Unable to resolve subject ''


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