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" : "Composition",
"id" : "hah-summary",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/HAHCompositionSummary"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition hah-summary</b></p><a name=\"hah-summary\"> </a><a name=\"hchah-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 discharge-summary}, {http://loinc.org 18842-5}\">Discharge summary</span></p><p><b>encounter</b>: <a href=\"Encounter-hah-admission.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = 在宅急症照護; period = 2026-09-01 09:00:00+0800 --> 2026-09-05 12:00:00+0800</a></p><p><b>date</b>: 2026-09-05 12:00:00+0800</p><p><b>author</b>: <a href=\"Practitioner-hah-practitioner.html\">Practitioner 李示範</a></p><p><b>title</b>: 王測試在宅急症結案摘要</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" : "discharge-summary"
},
{
"system" : "http://loinc.org",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
},
"subject" : {
🔗 "reference" : "Patient/hah-patient"
},
"encounter" : {
🔗 "reference" : "Encounter/hah-admission"
},
"date" : "2026-09-05T12:00:00+08:00",
"author" : [
{
🔗 "reference" : "Practitioner/hah-practitioner"
}
],
"title" : "王測試在宅急症結案摘要",
"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>本次在宅照護完成；包含實地與視訊訪視。</p></div>"
},
"entry" : [
{
🔗 "reference" : "EpisodeOfCare/hah-episode"
},
{
🔗 "reference" : "Encounter/hah-admission"
},
{
🔗 "reference" : "Encounter/hah-visit"
},
{
🔗 "reference" : "Encounter/hah-video-visit"
},
{
🔗 "reference" : "ClinicalImpression/hah-impression"
},
{
🔗 "reference" : "QuestionnaireResponse/hah-assessment"
}
]
},
{
"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>呼吸道感染，療程結束時已解除。</p></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/hah-condition"
}
]
},
{
"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>已記錄青黴素過敏及皮疹反應。</p></div>"
},
"entry" : [
{
🔗 "reference" : "AllergyIntolerance/hah-allergy"
}
]
},
{
"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>示範輸注與取消給藥；不是臨床處方建議。</p></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationRequest/hah-medication-order"
},
{
🔗 "reference" : "MedicationAdministration/hah-infusion"
},
{
🔗 "reference" : "MedicationAdministration/hah-medication-not-done"
}
]
},
{
"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>附體溫與血糖檢驗。</p></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/hah-temperature"
},
{
🔗 "reference" : "DiagnosticReport/hah-report"
}
]
},
{
"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>附照護目標、計畫、衛教、同意及設備。</p></div>"
},
"entry" : [
{
🔗 "reference" : "CarePlan/hah-plan"
},
{
🔗 "reference" : "Goal/hah-goal"
},
{
🔗 "reference" : "Procedure/hah-procedure"
},
{
🔗 "reference" : "Consent/hah-consent"
},
{
🔗 "reference" : "Device/hah-device"
}
]
},
{
"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>已完成本次會診與檢驗工作；後續回診資訊尚未提供。</p></div>"
},
"entry" : [
{
🔗 "reference" : "ServiceRequest/hah-consult-request"
},
{
🔗 "reference" : "ServiceRequest/hah-lab-request"
},
{
🔗 "reference" : "Task/hah-task"
},
{
🔗 "reference" : "Communication/hah-communication"
},
{
🔗 "reference" : "DocumentReference/hah-attachment"
}
]
}
]
}