醫查實作指引
0.1.0 - CI Build
醫查實作指引
0.1.0 - CI Build
醫查實作指引 - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>出院病例摘要</b></h3><p><b>狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://hl7.org/fhir/composition-status">CompositionStatus</a>#final)</span></p><p><b>種類</b>：Discharge summary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#18842-5)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>文件產生時間</b>：2024-05-12T14:30:00</p><p><b>文件創建單位</b>：<a href="Organization-OrganizationHosp-min.html">Organization/OrganizationHosp-min</a> "國泰醫療財團法人國泰綜合醫院"</p><p><b>文件創建者</b>：<a href="Practitioner-Practitioner-min.html">Practitioner/Practitioner-min</a> "劉伊詩"</p><p><b>出院病摘小節內容：</b></p><blockquote><p><b>section[Impression]</b>： <a href="Observation-ObservationImpression-min.html">Observation/ObservationImpression-min</a></p><p><b>section[DischargeDiagnosis]</b>： <a href="Condition-ConditionDischargeDiagnosis-min.html">Condition/ConditionDischargeDiagnosis-min</a></p><p><b>section[CancerStaging]</b>： <a href="Observation-ObservationCancerStaging-min.html">Observation/ObservationCancerStaging-min</a></p><p><b>section[ChiefComplaint]</b>： <a href="Condition-ConditionChiefComplaint-min.html">Condition/ConditionChiefComplaint-min</a></p><p><b>section[PresentIllness]</b>： <a href="Condition-ConditionPresentIllness-min.html">Condition/ConditionPresentIllness-min</a></p><p><b>section[PhysicalExamination]</b>： <a href="Observation-ObservationPhysicalExamination-min.html">Observation/ObservationPhysicalExamination-min</a></p><p><b>section[LaboratoryData]</b>： <a href="Observation-ObservationLaboratory-min.html">Observation/ObservationLaboratory-min</a><br/><b>section[LaboratoryData]</b>： <a href="Observation-ObservationLaboratory-lab.html">Observation/ObservationLaboratory-lab</a></p><p><b>section[ImagingStudy]</b>： <a href="ImagingStudy-ImagingStudy-min.html">ImagingStudy/ImagingStudy-min</a></p><p><b>section[PathologyReport]</b>： <a href="Observation-ObservationPathologyReport-min.html">Observation/ObservationPathologyReport-min</a></p><p><b>section[SurgicalMethod]</b>： <a href="Procedure-Procedure-min.html">Procedure/Procedure-min</a></p><p><b>section[HospitalCourse]</b>： <a href="Procedure-ProcedureHospitalCourse-min.html">Procedure/ProcedureHospitalCourse-min</a><br/><b>section[HospitalCourse]</b>： <a href="Location-Location-min.html">Location/Location-min</a></p><p><b>section[ComorbiditesAndOrComlications]</b>： <a href="Condition-ConditionComorbiditiesandComplications-min.html">Condition/ConditionComorbiditiesandComplications-min</a></p><p><b>section[InstructionsOnDischarge]</b>： <a href="CarePlan-CarePlan-min.html">CarePlan/CarePlan-min</a><br/><b>section[InstructionsOnDischarge]</b>： <a href="MedicationRequest-MedicationRequest-min.html">MedicationRequest/MedicationRequest-min</a></p></blockquote></div>
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<date value="2024-05-12T14:30:00+08:00"/>
<author>🔗
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<author>🔗
<reference value="Practitioner/Practitioner-min"/>
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<title value="出院病歷摘要"/>
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<title value="住院臆斷"/>
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<entry>🔗
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<display value="Hospital discharge Dx Narrative"/>
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<entry>🔗
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<section>
<title value="癌症期別"/>
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<display value="Staging Cancer Narrative"/>
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<entry>🔗
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<section>
<title value="主訴"/>
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<entry>🔗
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<section>
<title value="病史"/>
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<code value="10164-2"/>
<display value="History of Present illness Narrative"/>
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<entry>🔗
<reference value="Condition/ConditionPresentIllness-min"/>
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<section>
<title value="理學檢查發現"/>
<code>
<coding>
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<code value="29545-1"/>
<display value="Physical findings Narrative"/>
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<entry>🔗
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<section>
<title value="檢驗與特殊檢查"/>
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<system value="http://loinc.org"/>
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<display
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<entry>🔗
<reference value="Observation/ObservationLaboratory-min"/>
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<entry>🔗
<reference value="Observation/ObservationLaboratory-lab"/>
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<section>
<title value="醫療影像檢查"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18748-4"/>
<display value="Diagnostic imaging study"/>
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<entry>🔗
<reference value="ImagingStudy/ImagingStudy-min"/>
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<section>
<title value="病理報告"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="22034-3"/>
<display value="Pathology report Cancer Narrative"/>
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<entry>🔗
<reference value="Observation/ObservationPathologyReport-min"/>
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<section>
<title value="手術日期及方法"/>
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<display value="Surgical operation note description Narrative"/>
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<title value="住院治療經過"/>
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<display value="Hospital course Narrative"/>
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<entry>🔗
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<section>
<title value="合併症與併發症"/>
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<display value="Hospital Discharge instructions"/>
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<entry>🔗
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<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>病人基本資料</b></h3><blockquote><p><b>識別碼型別</b>：National Person Identifier <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">（ <a href="http://terminology.hl7.org/CodeSystem/v2-0203">Identifier Type Codes</a>#NNxxx <b>[extension: <a href="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix">Identifier Suffix</a>]：</b>TWN）</span><br/><b>身分證字號（official）</b>A123456789 （http://www.moi.gov.tw）</p></blockquote><blockquote><p><b>識別碼型別</b>：Medical record number <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">（ <a href="http://terminology.hl7.org/CodeSystem/v2-0203">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：70892114 （https://www.cgh.org.tw）</p></blockquote><p><b>姓名（official）</b>：安格斯</p><p><b>性別</b>：Male <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html">AdministrativeGender</a>#male)</span></p><p><b>出生日期</b>：2000-02-02</p></div>
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<name>
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<text value="安格斯"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>醫事機構基本資料</b></h3><p><b>機構名稱</b>：國泰醫療財團法人國泰綜合醫院</p><p><b>識別碼型別</b>：Provider number<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">（ <a href="http://terminology.hl7.org/CodeSystem/v2-0203">IdentifierType</a>#PRN）</span><br/><b>機構代碼（official）</b>：1101020018 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>：Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/codesystem-organization-type.html">OrganizationType</a>#prov)</span></p></div>
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<type>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
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<system
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<value value="1101020018"/>
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<type>
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<code value="prov"/>
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<name value="國泰醫療財團法人國泰綜合醫院"/>
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<entry>
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<meta>
<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>醫師基本資料</b></h3><p><b>姓名（official）</b>：劉伊詩</p></div>
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<name>
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<text value="劉伊詩"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>就醫資料</b></h3><p><b>就醫現況</b>：Finished</p><p><b>就醫分類</b>：pre-admission <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://terminology.hl7.org/4.0.0/ValueSet-v3-ActEncounterCode.html">ActEncounterCode</a>#PRENC)</span></p><p><b>出院科別</b>：Colorectal Surgery <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT</a>#408464004)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>出院狀況</b>：改門診治療</p><p><b>出院床號</b>：<a href="Location-Location-min.html">Location/Location-min</a> "4012S"</p><b>醫師</b>：<a href="Practitioner-Practitioner-min.html">Practitioner/Practitioner-min</a> "劉伊詩"<p><b>住院日期</b>：2023-09-06 17:00:14-0800</p><p><b>出院日期</b>：2023-09-12 18:00:14-0800</p></div>
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<display value="Colorectal Surgery"/>
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<participant>
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<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>出院床號</b></h3><p><b>出院床號</b>：4012S</p><p><b>地點名稱</b>：病床</p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>住院臆斷</b></h3><p><b>分類</b>：Hospital admission diagnosis Narrative - Reported <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC Codes</a>#46241-6)</span></p><p><b>住院臆斷狀態</b>：Preliminary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#preliminary)</span></p><p><b>住院臆斷項目</b>：Physical findings of Hemorrhoid <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.orgs">LOINC臨床分類值集</a>#32438-4)</span></p><p><b>住院臆斷</b>：Prolapsed mixed hemorrhoids</p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>檢驗日期</b>：2023-09-07</p></div>
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<status value="preliminary"/>
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<reference value="Patient/Patient-min"/>
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<entry>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>出院診斷</b></h3><p><b>臨床狀態</b>：Remission <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#remission)</span></p><p><b>病情、問題或診斷分類</b>：Hospital discharge Dx Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">Condition Category Codes</a>#11535-2)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>出院診斷</b>：Prolapsed hemorrhoids, Gr. III s/p laser hemorrhoidoplasty + partial hemorrhoidectomy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw">臺灣2021年中文版ICD-10-CM</a>#K64.4)</span></p><p><b>出院診斷日期</b>：2023-09-07 10:00:14-0800</p></div>
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<coding>
<system
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<display value="痔瘡性殘留皮膚垂下物"/>
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<text
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<subject>🔗
<reference value="Patient/Patient-min"/>
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<encounter>🔗
<reference value="Encounter/Encounter-min"/>
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<recordedDate value="2023-09-07T10:00:14+08:00"/>
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<entry>
<fullUrl
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<resource>
<Observation>
<id value="ObservationCancerStaging-min"/>
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<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>癌症期別</b></h3><p><b>分類</b>：Staging Cancer Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC Codes</a>#22037-6)</span></p><p><b>癌症期別狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>癌症期別代碼</b>：Clinical TNM stage grouping <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">mCode Cancer Stage Type</a>#399537006)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>癌症期別</b>：American Joint Committee on Cancer stage IIIC (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">mCode Cancer Stage Type</a>#1222806003)</span></p><p><b>檢驗日期</b>：2024-04-01</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="22037-6"/>
<display value="Staging Cancer Narrative"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="399537006"/>
<display value="Clinical TNM stage grouping"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<effectiveDateTime value="2024-04-01"/>
<performer>🔗
<reference value="Practitioner/Practitioner-min"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222806003"/>
<display
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</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Condition/ConditionChiefComplaint-min"/>
<resource>
<Condition>
<id value="ConditionChiefComplaint-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>病人主訴</b></h3><p><b>臨床狀態</b>：Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷分類</b>：Chief complaint Narrative - Reported <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">Condition Category Codes</a>#10154-3)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>病人主訴之病情識別</b>：肛門及直腸出血 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw">臺灣2021年中文版ICD-10-CM</a>#K62.5)</span></p><p><b>病人主訴</b>：Anal pain with anal bleeding for few days</p></div>
</text>
<clinicalStatus>
<coding>
<system
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<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="10154-3"/>
<display value="Chief complaint Narrative - Reported"/>
</coding>
</category>
<code>
<coding>
<system
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<code value="K62.5"/>
<display value="肛門及直腸出血"/>
</coding>
<text value="肛門及直腸出血"/>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<note>
<text value="Anal pain with anal bleeding for few days"/>
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</Condition>
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<entry>
<fullUrl
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<resource>
<Condition>
<id value="ConditionPresentIllness-min"/>
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<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>病史</b></h3><p><b>臨床狀態</b>：Remission <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#remission)</span></p><p><b>病情、問題或診斷分類</b>：Complications Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">Condition Category Codes</a>#55109-3)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>病史</b>：肺結核 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw">臺灣2021年中文版ICD-10-CM</a>#A15.0)</span></p></div>
</text>
<clinicalStatus>
<coding>
<system
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<code value="remission"/>
<display value="Remission"/>
</coding>
</clinicalStatus>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="10164-2"/>
<display value="History of Present illness Narrative"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw"/>
<code value="A15.0"/>
<display value="肺結核"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Observation/ObservationPhysicalExamination-min"/>
<resource>
<Observation>
<id value="ObservationPhysicalExamination-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>理學檢查發現</b></h3><p><b>分類</b>：Exam <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/observation-category">Observation Category Codes</a>#exam)</span></p><p><b>理學檢查發現狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>理學檢查發現項目</b>：Inspection of mouth <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://snomed.info/sct">SNOMED CT體檢值集</a>#39868003)</span></p><p><b>理學檢查發現結果</b>：oral lesion: No</p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>檢驗日期</b>：2023-09-07</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39868003"/>
<display value="Inspection of mouth"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<effectiveDateTime value="2023-09-07"/>
<valueString value="oral lesion: No"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Observation/ObservationLaboratory-min"/>
<resource>
<Observation>
<id value="ObservationLaboratory-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>檢驗／特殊檢查</b></h3><p><b>檢驗／特殊檢查種類</b>：特殊檢查</p><p><b>特殊檢查狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>特殊檢查</b>：心電圖(EKG)</p><p><b>特殊檢查結果</b>：Normal sinus rhythmwith sinus arrhythmia Voltage criteria for left ventricular hypertrophy Early repolarization</p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>檢驗日期</b>：2023-09-07</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
</coding>
<text value="特殊檢查"/>
</category>
<code>
<text value="心電圖(EKG)"/>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<effectiveDateTime value="2023-09-07"/>
<valueString
value="Normal sinus rhythmwith sinus arrhythmia Voltage criteria for left ventricular hypertrophy Early repolarization"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Observation/ObservationLaboratory-lab"/>
<resource>
<Observation>
<id value="ObservationLaboratory-lab"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>檢驗／特殊檢查</b></h3><p><b>分類</b>：Relevant diagnostic tests/laboratory data Narrative <span style="background: LightGoldenRodYellow; margin：4px; border：1px solid khaki">( <a href="http://loinc.org">LOINC Codes</a>#30954-2)</span></p><p><b>檢驗狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>檢驗</b>：血色素檢查 <span style="background: LightGoldenRodYellow; margin：4px; border：1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw">臺灣醫療服務給付項目</a>#08003C)</span></p><p><b>檢驗值</b>：15.9 g/dL</p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>檢驗日期</b>：2023-09-06</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display
value="Relevant diagnostic tests/laboratory data Narrative"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw"/>
<code value="08003C"/>
<display value="血色素檢查"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<effectiveDateTime value="2023-09-06"/>
<valueQuantity>
<value value="15.9"/>
<unit value="g/dL"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/ImagingStudy/ImagingStudy-min"/>
<resource>
<ImagingStudy>
<id value="ImagingStudy-min"/>
<meta>
<profile
value="https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/imagingstudy-imri"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>醫療影像檢查</b></h3><p><b>醫療影像檢查狀態</b>：Available <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/imagingstudy-status">ImagingStudyStatus</a>#available)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>醫療影像檢查開始時間</b>：2023-09-07 11:01:20-0300</p><p><b>醫療影像檢查解讀者</b>：<a href="Practitioner-Practitioner-min.html">Practitioner/Practitioner-min</a> "劉伊詩"</p><p><b>醫療影像檢查敘述</b>：No significant ro entgenological abnormality is observed.</p></div>
</text>
<status value="available"/>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<started value="2023-09-07T11:01:20+03:00"/>
<interpreter>🔗
<reference value="Practitioner/Practitioner-min"/>
</interpreter>
<description
value="No significant ro entgenological abnormality is observed."/>
</ImagingStudy>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Observation/ObservationPathologyReport-min"/>
<resource>
<Observation>
<id value="ObservationPathologyReport-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>病理報告</b></h3><p><b>分類</b>：Pathology report Cancer Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC Codes</a>#22034-3)</span></p><p><b>病理報告狀態</b>：Final <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/observation-status">ObservationStatus</a>#final)</span></p><p><b>病理報告項目</b>：Anus, hemorrhoidectomy, hemorrhoid.</p><p><b>病理報告結果</b>：The specimen submitted consists of 2 pieces of anal tissue measuring 1.4 cm in greatest dimension. Al1 for section. Microscopically, the section shows a picture of hemorrhoid, composed of dilated,tortuous and congested veins in the stroma of the anal mucosa</p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>檢驗日期</b>：2023-09-08</p><p><b>病理報告負責者</b>：<a href="Practitioner-Practitioner-min.html">Practitioner/Practitioner-min</a> "劉伊詩"</p></div>
</text>
<status value="final"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="22034-3"/>
<display value="Pathology report Cancer Narrative"/>
</coding>
</category>
<code>
<text value="Anus, hemorrhoidectomy, hemorrhoid."/>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<effectiveDateTime value="2023-09-08"/>
<performer>🔗
<reference value="Practitioner/Practitioner-min"/>
</performer>
<valueString
value="The specimen submitted consists of 2 pieces of anal tissue measuring 1.4 cm in greatest dimension.
Al1 for section. Microscopically, the section shows a picture of hemorrhoid, composed of dilated,
tortuous and congested veins in the stroma of the anal mucosa"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Procedure/Procedure-min"/>
<resource>
<Procedure>
<id value="Procedure-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>處置/手術</b></h3><p><b>處置/手術狀態</b>：Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/event-status">EventStatus</a>#completed)</span></p><p><b>處置/手術種類</b>：Surgical operation note description Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC</a>#8724-7)</span></p><p><b>處置/手術的識別碼</b>：開放性痔靜脈叢部分切除術 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw">臺灣2021年中文版ICD-10-PCS</a>#06BY0ZC)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>處置/手術日期</b>：2023-09-08 11:25:11-08:00</p></div>
</text>
<status value="completed"/>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="8724-7"/>
<display value="Surgical operation note description Narrative"/>
</coding>
</category>
<code>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw"/>
<code value="06BY0ZC"/>
<display value="開放性痔靜脈叢部分切除術"/>
</coding>
<text value="開放性痔靜脈叢部分切除術"/>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<performedDateTime value="2023-09-08T11:25:11+08:00"/>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
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<resource>
<Procedure>
<id value="ProcedureHospitalCourse-min"/>
<meta>
<profile
value="https://hitstdio.ntunhs.edu.tw/imri/StructureDefinition/procedurehospitalcourse-imri"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>住院治療經過</b></h3><p><b>住院治療經過狀態</b>：Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/event-status">EventStatus</a>#completed)</span></p><p><b>住院治療經過種類</b>：Hospital course Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC</a>#8648-8)</span></p><p><b>住院治療經過代碼</b>：Hospital course Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">LOINC</a>#8648-8)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>住院治療經過</b>：After admission, prepare operation work-up was done. The surgical method of laparoscopic cholecystectomy was done on 10/20/2023. Post operative wound pain could tolerance under analgesic drug. During the hospitalization, vital signs were stable, post operative wound appeared: no oozing, no redness or other infection signs were noted, no tenderness. To education of wound care, discharge today and outpatient department follow up was arrange.</p></div>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8648-8"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<note>
<text
value="After admission, prepare operation work-up was done. The surgical method of laparoscopic cholecystectomy was done on 10/20/2023. Post operative wound pain could tolerance under analgesic drug. During the hospitalization, vital signs were stable, post operative wound appeared: no oozing, no redness or other infection signs were noted, no tenderness. To education of wound care, discharge today and outpatient department follow up was arrange."/>
</note>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl
value="https://hitstdio.ntunhs.edu.tw/imri/Condition/ConditionComorbiditiesandComplications-min"/>
<resource>
<Condition>
<id value="ConditionComorbiditiesandComplications-min"/>
<meta>
<profile
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</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>合併症與併發症</b></h3><p><b>臨床狀態</b>：Resolved <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/condition-clinical">ConditionClinicalStatusCodes</a>#resolved)</span></p><p><b>病情、問題或診斷分類</b>：解決 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://loinc.org">Condition Category Codes</a>#55109-3)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>合併症與併發症</b>：術中及術後併發症及肌肉骨骼系統疾患，他處未歸類者 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2021-tw">臺灣2021年中文版ICD-10-CM</a>#M96)</span></p><p><b>合併症與併發症診斷日期</b>：2023-09-07 10:00:14-0800</p></div>
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<display value="Resolved"/>
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<text value="解決"/>
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<category>
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<system value="http://loinc.org"/>
<code value="55109-3"/>
<display value="Complications Document"/>
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<system
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<code value="M96"/>
<display value="術中及術後併發症及肌肉骨骼系統疾患，他處未歸類者"/>
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<text value="術中及術後併發症及肌肉骨骼系統疾患，他處未歸類者"/>
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<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<recordedDate value="2023-09-07T10:00:14+08:00"/>
</Condition>
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<fullUrl
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<id value="CarePlan-min"/>
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<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>出院指示</b></h3><p><b>狀態</b>：Completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-status">RequestStatus</a>#completed)</span></p><p><b>類別</b>：Proposal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/request-intent">Care Plan Intent</a>#proposal)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>出院指示</b>：出院指示</p><p><b>出院指示藥物</b>：<a href="MedicationRequest-MedicationRequest-min.html">MedicationRequest/MedicationRequest-min</a></p></div>
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<status value="completed"/>
<intent value="proposal"/>
<description value="出院指示"/>
<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<activity>
<reference>🔗
<reference value="MedicationRequest/MedicationRequest-min"/>
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<fullUrl
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<MedicationRequest>
<id value="MedicationRequest-min"/>
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<profile
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h3><b>藥品請求</b></h3><p><b>藥品請求的狀態</b>：Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason">MedicationRequest Status Reason Codes</a>#active)</span></p><p><b>藥品請求的意圖</b>：Proposal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/CodeSystem/medicationrequest-intent">medicationRequest Intent</a>#proposal)</span></p><p><b>開立的藥品</b>：ASPIRIN TABLETS 500MG "S.Y." <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw">臺灣健保用藥品項</a>#A003092100)</span></p><p><b>病人</b>：<a href="Patient-Patient-min.html">Patient/Patient-min</a> "安格斯"</p><p><b>就醫事件</b>：<a href="Encounter-Encounter-min.html">Encounter/Encounter-min</a></p><p><b>提出藥品請求請求者</b>：<a href="Practitioner-Practitioner-min.html">Practitioner/Practitioner-min</a>"劉伊詩"</p><p><b>給藥執行者</b>：<a href="Practitioner-Practitioner-min.html">Practitioner/Practitioner-min</a>"劉伊詩"</p><p><b>開立處方的原因</b>：<a href="CarePlan-CarePlan-min.html">CarePlan/CarePlan-min</a></p></div>
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<status value="active"/>
<intent value="proposal"/>
<medicationCodeableConcept>
<coding>
<system
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<code value="A003092100"/>
<display value="ASPIRIN TABLETS 500MG "S.Y.""/>
</coding>
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<subject>🔗
<reference value="Patient/Patient-min"/>
</subject>
<encounter>🔗
<reference value="Encounter/Encounter-min"/>
</encounter>
<requester>🔗
<reference value="Practitioner/Practitioner-min"/>
</requester>
<performer>🔗
<reference value="Practitioner/Practitioner-min"/>
</performer>
<basedOn>🔗
<reference value="CarePlan/CarePlan-min"/>
</basedOn>
</MedicationRequest>
</resource>
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</Bundle>