同意書實作指引(Consent Form IG)
0.1.0 - CI Build

This page is part of the 同意書實作指引 (v0.1.0: Releases Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Consent-安寧療護意願書 - XML Representation

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<Consent xmlns="http://hl7.org/fhir">
  <id value="con-palliativeCare-example"/>
  <meta>
    <profile
             value="http://hitstdio.ntunhs.edu.tw/consentForm/StructureDefinition/Consent-doma-cfpc"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3><b>切結書</b></h3><p><b>同意書識別碼</b>：urn:uuid:94013711-6bbe-4bfa-b31e-a77bfba2f73b (https://www.tph.mohw.gov.tw/)</p><p><b>同意書的狀態</b>：active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://hl7.org/fhir/R4/valueset-consent-state-codes.html">ConsentState</a>#active)</span></p><p><b>同意書的規模</b>：Privacy Consent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://terminology.hl7.org/5.0.0/CodeSystem-consentscope.html">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>同意書的類別</b>：安寧療護意願書 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-consent-category.html">Consent Category</a>#CFPC)</span></p><p><b>病人</b>：<a href="Patient-pat-example.html">Patient/pat-example</a> "陳加玲"</p><p><b>日期</b>：2021-12-01</p><p><b>同意政策和規則的機構</b>：<a href="Organization-doma-example.html">Organization/doma-example</a> "醫事司"</p><p><b>參照的文件</b>：<a href="DocumentReference-doc-example.html">DocumentReference/doc-example</a></p><p><b>政策規則</b>：安寧緩和醫療條例 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-policy-rule.html">同意書政策依據</a>#hospice-palliative-care-act)</span></p><p><b>補充說明</b>：<br/>1、依據安寧緩和醫療條例第四條之規定，疾病末期之病人簽署意願書，應有具完全行為能力者二人以上在場見證，但實施安寧緩和醫療及執行意願人維生醫療抉擇之醫療機構所屬人員不得為見證人。<br/>2、依據安寧緩和醫療條例第七條第一項第二款之規定，未成年人簽署意願書時，應得其法定代理人之同意。<br/>3、依據安寧緩和醫療條例第五條之規定，意願人得預立醫療委任代理人，並以書面載明委任意旨，於其無法表達意願時，由代理人代為簽署。</p><h4>Provisions</h4><p><b>類型</b>：Opt In <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/valueset-consent-provision-type.html">ConsentProvisionType</a>#permit)</span></p><p><b>Action</b>：Access <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/consentaction">Consent Action Codes</a>#access)</span></p><p><b>SecurityLabel</b>：treatment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/v3-ActReason">ActReason</a>#TREAT)</span></p><p><b>Class</b>：ITI BPPC (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:bppc:2007 = 'urn:ihe:iti:bppc:2007', stated as 'ITI BPPC')</p><p><b>Code</b>：Consent Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#59284-0)</span></p></div>
  </text>
  <identifier>
    <system value="https://www.tph.mohw.gov.tw/"/>
    <value value="urn:uuid:6fc7290f-4b75-439c-b871-770ef167348c"/>
  </identifier>
  <status value="active"/>
  <scope>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
      <code value="patient-privacy"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system
              value="http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/consent-category"/>
      <code value="CFPC"/>
    </coding>
  </category>
  <patient>
    <reference value="Patient/pat-example"/>
  </patient>
  <dateTime value="2021-12-01"/>
  <performer>
    <reference value="Organization/doma-example"/>
  </performer>
  <sourceReference>
    <reference value="DocumentReference/doc-example"/>
  </sourceReference>
  <policyRule>
    <coding>
      <system
              value="http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/policy-rule"/>
      <code value="hospice-palliative-care-act"/>
    </coding>
    <text
          value="補充說明：1、依據安寧緩和醫療條例第四條之規定，疾病末期之病人簽署意願書，應有具完全行為能力者二人以上在場見證，但實施安寧緩和醫療及執行意願人維生醫療抉擇之醫療機構所屬人員不得為見證人。2、依據安寧緩和醫療條例第七條第一項第二款之規定，未成年人簽署意願書時，應得其法定代理人之同意。3、依據安寧緩和醫療條例第五條之規定，意願人得預立醫療委任代理人，並以書面載明委任意旨，於其無法表達意願時，由代理人代為簽署。"/>
  </policyRule>
  <provision>
    <type value="permit"/>
    <action>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/>
        <code value="access"/>
      </coding>
    </action>
    <securityLabel>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="TREAT"/>
    </securityLabel>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59284-0"/>
      </coding>
    </code>
  </provision>
</Consent>