臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0
臺灣長期照顧實作指引(TW LTC IG) - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "hah-transfer-document",
"meta" : {
"lastUpdated" : "2026-09-11T10:01:00+08:00",
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHBundleSummary"
]
},
"identifier" : {
"system" : "https://example.org/hah/documents",
"value" : "hah-transfer-document-v1"
},
"type" : "document",
"timestamp" : "2026-09-11T10:01:00+08:00",
"entry" : [
{
"fullUrl" : "https://example.org/fhir/Composition/hah-transfer-summary",
"resource" : {
"resourceType" : "Composition",
"id" : "hah-transfer-summary",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHCompositionSummary"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_hah-transfer-summary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition hah-transfer-summary</b></p><a name=\"hah-transfer-summary\"> </a><a name=\"hchah-transfer-summary\"> </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-HAHCompositionSummary.html\">在宅急症－結案與轉銜摘要</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-document transfer-summary}, {http://loinc.org 18761-7}\">Transfer summary note</span></p><p><b>encounter</b>: <a href=\"Encounter-hah-transfer-admission.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = 在宅急症照護; period = 2026-09-10 08:00:00+0800 --> 2026-09-11 10:00:00+0800</a></p><p><b>date</b>: 2026-09-11 10:00:00+0800</p><p><b>author</b>: <a href=\"Practitioner-hah-practitioner.html\">Practitioner 李示範</a></p><p><b>title</b>: 王測試在宅急症轉院摘要</p><p><b>custodian</b>: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "transfer-summary"
},
{
"system" : "http://loinc.org",
"code" : "18761-7",
"display" : "Transfer summary note"
}
]
},
"subject" : {
🔗 "reference" : "Patient/hah-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/hah-transfer-admission"
},
"date" : "2026-09-11T10:00:00+08:00",
"author" : [
{
🔗 "reference" : "Practitioner/hah-practitioner"
}
],
"title" : "王測試在宅急症轉院摘要",
"custodian" : {
🔗 "reference" : "Organization/hah-organization"
},
"section" : [
{
"title" : "療程經過",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "course"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次療程已轉出，接收醫院就醫結果尚未提供。</p></div>"
},
"entry" : [
{
🔗 "reference" : "EpisodeOfCare/hah-transfer-episode"
},
{
🔗 "reference" : "Encounter/hah-transfer-admission"
}
]
},
{
"title" : "診斷與問題",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "problems"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料，交班時須確認。</p></div>"
}
},
{
"title" : "過敏資訊",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "allergies"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料，交班時須確認。</p></div>"
}
},
{
"title" : "藥物與給藥",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "medications"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料，交班時須確認。</p></div>"
}
},
{
"title" : "檢查結果",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "results"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料，交班時須確認。</p></div>"
}
},
{
"title" : "照護計畫與措施",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "care"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>本次轉院摘要未提供此項資料，交班時須確認。</p></div>"
}
},
{
"title" : "後續照護與交班",
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-document",
"code" : "follow-up"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>轉院申請已建立；請接收機構續行評估。</p></div>"
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/hah-transfer-request"
}
]
}
]
}
},
{
"fullUrl" : "https://example.org/fhir/Patient/hah-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "hah-patient",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHPatient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_hah-patient\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient hah-patient</b></p><a name=\"hah-patient\"> </a><a name=\"hchah-patient\"> </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-HAHPatient.html\">在宅急症－個案</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">王測試 Male, DoB: 1945-03-15 ( Provider number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code/A123456789</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 02-00000000</li><li>臺北市中正區測試路1號(home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Emergency Contact\">Emergency Contact:</td><td colspan=\"3\"><ul><li>王家屬</li><li>ph: 02-00000001</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Managing Organization: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></li></ul></td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "https://example.org/hah/patients",
"value" : "HAH0001"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NNxxx"
}
]
},
"system" : "http://www.moi.gov.tw",
"value" : "A123456789"
}
],
"name" : [
{
"use" : "usual",
"text" : "王測試"
}
],
"telecom" : [
{
"system" : "phone",
"value" : "02-00000000"
}
],
"gender" : "male",
"birthDate" : "1945-03-15",
"address" : [
{
"use" : "home",
"text" : "臺北市中正區測試路1號"
}
],
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "C"
}
]
}
],
"name" : {
"text" : "王家屬"
},
"telecom" : [
{
"system" : "phone",
"value" : "02-00000001"
}
]
}
],
"managingOrganization" : {
🔗 "reference" : "Organization/hah-organization"
}
}
},
{
"fullUrl" : "https://example.org/fhir/EpisodeOfCare/hah-transfer-episode",
"resource" : {
"resourceType" : "EpisodeOfCare",
"id" : "hah-transfer-episode",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHEpisodeOfCare"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"EpisodeOfCare_hah-transfer-episode\"> </a><p class=\"res-header-id\"><b>Generated Narrative: EpisodeOfCare hah-transfer-episode</b></p><a name=\"hah-transfer-episode\"> </a><a name=\"hchah-transfer-episode\"> </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-HAHEpisodeOfCare.html\">在宅急症－收案療程</a></p></div><p><b>在宅急症－療程結束原因</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-outcome hospital-transfer}\">轉急診或住院</span></p><p><b>identifier</b>: <code>https://example.org/hah/episodes</code>/HAH-20260910-002</p><p><b>status</b>: Finished</p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity acute-home}\">在宅急症照護</span></p><p><b>patient</b>: <a href=\"Patient-hah-patient.html\">王測試 Male, DoB: 1945-03-15 ( Provider number)</a></p><p><b>managingOrganization</b>: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></p><p><b>period</b>: 2026-09-10 08:00:00+0800 --> 2026-09-11 10:00:00+0800</p></div>"
},
"extension" : [
{
"url" : "http://ltc-ig.fhir.tw/StructureDefinition/ExtHAHOutcome",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-outcome",
"code" : "hospital-transfer"
}
]
}
}
],
"identifier" : [
{
"system" : "https://example.org/hah/episodes",
"value" : "HAH-20260910-002"
}
],
"status" : "finished",
"type" : [
{
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
"code" : "acute-home"
}
]
}
],
"patient" : {
🔗 "reference" : "Patient/hah-patient"
},
"managingOrganization" : {
🔗 "reference" : "Organization/hah-organization"
},
"period" : {
"start" : "2026-09-10T08:00:00+08:00",
"end" : "2026-09-11T10:00:00+08:00"
}
}
},
{
"fullUrl" : "https://example.org/fhir/Encounter/hah-transfer-admission",
"resource" : {
"resourceType" : "Encounter",
"id" : "hah-transfer-admission",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHAdmissionEncounter"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_hah-transfer-admission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter hah-transfer-admission</b></p><a name=\"hah-transfer-admission\"> </a><a name=\"hchah-transfer-admission\"> </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-HAHAdmissionEncounter.html\">在宅急症－整段照護</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.4.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity acute-home}\">在宅急症照護</span></p><p><b>subject</b>: <a href=\"Patient-hah-patient.html\">王測試 Male, DoB: 1945-03-15 ( Provider number)</a></p><p><b>episodeOfCare</b>: <a href=\"EpisodeOfCare-hah-transfer-episode.html\">EpisodeOfCare: extension = 轉急診或住院; identifier = https://example.org/hah/episodes#HAH-20260910-002; status = finished; type = 在宅急症照護; period = 2026-09-10 08:00:00+0800 --> 2026-09-11 10:00:00+0800</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-hah-practitioner.html\">Practitioner 李示範</a></td></tr></table><p><b>period</b>: 2026-09-10 08:00:00+0800 --> 2026-09-11 10:00:00+0800</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Destination</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Organization-hah-receiving-hospital.html\">Organization 轉院接收示範醫院</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition other-hcf}\">Other healthcare facility</span></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-hah-organization.html\">Organization 在宅急症示範醫療機構</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP"
},
"type" : [
{
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
"code" : "acute-home"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/hah-patient"
},
"episodeOfCare" : [
{
🔗 "reference" : "EpisodeOfCare/hah-transfer-episode"
}
],
"participant" : [
{
"individual" : {
🔗 "reference" : "Practitioner/hah-practitioner"
}
}
],
"period" : {
"start" : "2026-09-10T08:00:00+08:00",
"end" : "2026-09-11T10:00:00+08:00"
},
"hospitalization" : {
"destination" : {
🔗 "reference" : "Organization/hah-receiving-hospital"
},
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "other-hcf"
}
]
}
},
"serviceProvider" : {
🔗 "reference" : "Organization/hah-organization"
}
}
},
{
"fullUrl" : "https://example.org/fhir/Practitioner/hah-practitioner",
"resource" : {
"resourceType" : "Practitioner",
"id" : "hah-practitioner",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_hah-practitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner hah-practitioner</b></p><a name=\"hah-practitioner\"> </a><a name=\"hchah-practitioner\"> </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-LTCPractitioner.html\">長期照顧－照顧服務提供者</a></p></div><p><b>identifier</b>: <code>https://example.org/practitioners</code>/HAH-STAFF-1</p><p><b>name</b>: 李示範</p></div>"
},
"identifier" : [
{
"system" : "https://example.org/practitioners",
"value" : "HAH-STAFF-1"
}
],
"name" : [
{
"use" : "usual",
"text" : "李示範"
}
]
}
},
{
"fullUrl" : "https://example.org/fhir/Organization/hah-organization",
"resource" : {
"resourceType" : "Organization",
"id" : "hah-organization",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_hah-organization\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization hah-organization</b></p><a name=\"hah-organization\"> </a><a name=\"hchah-organization\"> </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-Organization-twltc.html\">長期照顧－機構</a></p></div><p><b>identifier</b>: <code>https://example.org/organizations</code>/HAH-ORG-1</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 在宅急症示範醫療機構</p></div>"
},
"identifier" : [
{
"system" : "https://example.org/organizations",
"value" : "HAH-ORG-1"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "在宅急症示範醫療機構"
}
},
{
"fullUrl" : "https://example.org/fhir/Organization/hah-receiving-hospital",
"resource" : {
"resourceType" : "Organization",
"id" : "hah-receiving-hospital",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_hah-receiving-hospital\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization hah-receiving-hospital</b></p><a name=\"hah-receiving-hospital\"> </a><a name=\"hchah-receiving-hospital\"> </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-Organization-twltc.html\">長期照顧－機構</a></p></div><p><b>identifier</b>: <code>https://example.org/organizations</code>/HAH-HOSPITAL-2</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: 轉院接收示範醫院</p></div>"
},
"identifier" : [
{
"system" : "https://example.org/organizations",
"value" : "HAH-HOSPITAL-2"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "轉院接收示範醫院"
}
},
{
"fullUrl" : "https://example.org/fhir/ServiceRequest/hah-transfer-request",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "hah-transfer-request",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHServiceRequest"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_hah-transfer-request\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest hah-transfer-request</b></p><a name=\"hah-transfer-request\"> </a><a name=\"hchah-transfer-request\"> </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-HAHServiceRequest.html\">在宅急症－服務請求</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity referral}\">轉介</span></p><p><b>code</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/hah-activity referral}\">轉介</span></p><p><b>subject</b>: <a href=\"Patient-hah-patient.html\">王測試 Male, DoB: 1945-03-15 ( Provider number)</a></p><p><b>encounter</b>: <a href=\"Encounter-hah-transfer-admission.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = 在宅急症照護; period = 2026-09-10 08:00:00+0800 --> 2026-09-11 10:00:00+0800</a></p><p><b>authoredOn</b>: 2026-09-11 09:30:00+0800</p><p><b>requester</b>: <a href=\"Practitioner-hah-practitioner.html\">Practitioner 李示範</a></p><p><b>performer</b>: <a href=\"Organization-hah-receiving-hospital.html\">Organization 轉院接收示範醫院</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">本次照護需要超出居家服務能力，安排轉院評估。</span></p></div>"
},
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
"code" : "referral"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/hah-activity",
"code" : "referral"
}
]
},
"subject" : {
🔗 "reference" : "Patient/hah-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/hah-transfer-admission"
},
"authoredOn" : "2026-09-11T09:30:00+08:00",
"requester" : {
🔗 "reference" : "Practitioner/hah-practitioner"
},
"performer" : [
{
🔗 "reference" : "Organization/hah-receiving-hospital"
}
],
"reasonCode" : [
{
"text" : "本次照護需要超出居家服務能力，安排轉院評估。"
}
]
}
}
]
}