# FHIR Patient examples
- 紀錄各式健康醫療整合流程之病人資訊
-- 其中定義許多欄位，利於各式健康醫療情境選用(並非所有欄位都需要)

## TW core patient
- 節錄

{
  "resourceType" : "Patient",
  "id" : "pat-example",
  "identifier" : [{
    "use" : "official",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "NNxxx",
        "_code" : {
          "extension" : [{
            "extension" : [{
              "url" : "suffix",
              "valueString" : "TWN"
            },
            {
              "url" : "valueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/iso3166-1-3"
            }],
            "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix"
          }]
        }
      }]
    },
    "system" : "http://www.moi.gov.tw/",
    "value" : "A123456789"
  },
  {
    "use" : "official",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR"
      }]
    },
    "system" : "https://www.tph.mohw.gov.tw/",
    "value" : "8862168"
  }],
  "active" : true,
  "name" : [{
    "use" : "official",
    "text" : "陳加玲",
    "family" : "Chen",
    "given" : ["Chia Lin"]
  }],
  "telecom" : [{
    "system" : "phone",
    "value" : "0911327999",
    "use" : "mobile",
    "period" : {
      "start" : "2022-07-31",
      "end" : "2024-07-31"
    }
  }],
  "gender" : "female",
  "birthDate" : "1990-01-01",
  "address" : [{
    "extension" : [{
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-section",
      "valueString" : "三段"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number",
      "valueString" : "210號"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-village",
      "valueString" : "大有里"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-neighborhood",
      "valueString" : "19鄰"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-lane",
      "valueString" : "52巷"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-alley",
      "valueString" : "6弄"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-floor",
      "valueString" : "2樓"
    },
    {
      "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-room",
      "valueString" : "B室"
    }],
    "text" : "臺北市大同區大有里19鄰承德路三段52巷6弄210號2樓B室",
    "line" : ["承德路"],
    "city" : "臺北市",
    "district" : "大同區",
    "_postalCode" : {
      "extension" : [{
        "url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-postal-code",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/postal-code3-tw",
            "code" : "103"
          }]
        }
      }]
    },
    "country" : "TW"
  }],
  "maritalStatus" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
      "code" : "U"
    }]
  },
  "contact" : [{
    "relationship" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
        "code" : "FTH"
      }]
    }],
    "name" : {
      "use" : "official",
      "text" : "李立偉",
      "family" : "Li",
      "given" : ["Li Wei"]
    },
    "telecom" : [{
      "system" : "phone",
      "value" : "0917159753",
      "use" : "mobile",
      "period" : {
        "start" : "2022-07-31",
        "end" : "2024-07-31"
      }
    }]
  }],
  "communication" : [{
    "language" : {
      "coding" : [{
        "system" : "urn:ietf:bcp:47",
        "code" : "zh-TW"
      }]
    }
  }],
  "managingOrganization" : {
    "reference" : "Organization/org-hosp-example"
  }
}

## 2019 MI-TW patient 公開規範
## 匿名病人用途
去個資雲端儲存
如
運動數據平台
PHR 及 EMR 互通應用

## 匿名病人建立流程
PHR 先建
ID 個人保存
另外管道通知

## 匿名病人在健康照護應用
民眾端分享健康紀錄及授權就醫醫院
醫院端分享診斷、檢查、及處方 給民眾端

## 匿名 encounter
- 參考到病人
- 被健康醫療過程其他 resource 參考
- 時間平移
- 形成標準化匿名健康紀錄

## Exercises
- 上傳 FHIR patient
- 查詢調閱 FHIR Patient
## 進階應用
- 發展新增病人網頁表單
- 設計病人查詢及查詢結果呈現介面

## JSON examples
## For PHR or AI
- 匿名病人
- example 1

{ "resourceType": "Patient" }

- example 2

{ "resourceType": "Patient",
  "name": [ {
    "use": "nickname",
    "text": "甄美麗" } ]
}

### For Identifier

{ "resourceType": "Patient",
  "identifier": [ {
    "system": "https://www.dicom.org.tw/cs/ResidentNumber_tw",
    "value": "UB20000020"
  } ],
  "active": true,
  "name": [ {
    "text": "黃久東",
    "family": "黃",
    "given": [ "久東" ]
  } ],
  "gender": "female",
  "birthDate": "1980-02-25"}

## For contact

{ "resourceType": "Patient",
    "identifier": [ {
    "system": "https://www.dicom.org.tw/cs/identityCardNumber_tw",
    "value": "N160554208"
  } ],
  "active": true,
  "name": [ {
    "text": "梁志偉",
    "family": "梁",
    "given": [ "志偉" ]
  } ],
  "telecom": [ {
    "system": "email",
    "value": "[e-mail]"
  }, {
    "system": "phone",
    "value": "0948749847",
    "use": "mobile"
  }, {
    "system": "url",
    "value": "https://line.me/ti/p/OoF2T5be8V"
  } ],
  "gender": "male",
  "birthDate": "1990-04-11",
  "address": [ {
    "text": "814 臺灣省高雄市仁武區四維路1段87號",
    "line": [ "四維路1段87號" ],
    "city": "仁武區",
    "district": "高雄市",
    "postalCode": "814",
    "country": "臺灣省"
  } ],
  "contact": [ {
    "relationship": [ {
      "coding": [ {
        "system": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
        "code": "I"
      } ],
      "text": "Insurance Company"
    } ],
    "name": {
      "text": "周淑貞",
      "family": "周",
      "given": [ "淑貞" ]
    },
    "telecom": [ {
      "system": "email",
      "value": "[e-mail]"
    }, {
      "system": "phone",
      "value": "0912330571",
      "use": "mobile"
    }, {
      "system": "url",
      "value": "https://line.me/ti/p/xNjEbVBMRY"
    } ],
    "address": {
      "text": "264 臺灣省宜蘭縣員山鄉大同路4段2號",
      "line": [ "大同路4段2號" ],
      "city": "員山鄉",
      "district": "宜蘭縣",
      "postalCode": "264",
      "country": "臺灣省"
    },
    "gender": "female"
  }, {
    "relationship": [ {
      "coding": [ {
        "system": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
        "code": "I"
      } ],
      "text": "Insurance Company"
    } ],
    "name": {
      "text": "孫承翰",
      "family": "孫",
      "given": [ "承翰" ]
    },
    "telecom": [ {
      "system": "email",
      "value": "[e-mail]"
    }, {
      "system": "phone",
      "value": "0928357961",
      "use": "mobile"
    }, {
      "system": "url",
      "value": "https://line.me/ti/p/xt5y02jFvk"
    } ],
    "address": {
      "text": "721 臺灣省臺南市麻豆區育英路7段3號",
      "line": [ "育英路7段3號" ],
      "city": "麻豆區",
      "district": "臺南市",
      "postalCode": "721",
      "country": "臺灣省"
    },
    "gender": "male"
  }, {
    "relationship": [ {
      "coding": [ {
        "system": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
        "code": "C"
      } ],
      "text": "Emergency Contact"
    } ],
    "name": {
      "text": "廖婷婷",
      "family": "廖",
      "given": [ "婷婷" ]
    },
    "telecom": [ {
      "system": "email",
      "value": "[e-mail]"
    }, {
      "system": "phone",
      "value": "0913746099",
      "use": "mobile"
    }, {
      "system": "url",
      "value": "https://line.me/ti/p/ROUE6LPN7d"
    } ],
    "address": {
      "text": "235 臺灣省新北市中和區中央街6段12號",
      "line": [ "中央街6段12號" ],
      "city": "中和區",
      "district": "新北市",
      "postalCode": "235",
      "country": "臺灣省"
    },
    "gender": "other"
  } ]
}

## 新增組織、新增組織所屬病人
### 新增組織、新增組織所屬病人

{ "resourceType": "Organization",
  "name": "台中晉嘉醫院"
}

### 新增組織所屬病人

{ "resourceType": "Patient",
   "name": [ {
    "use": "official",
    "text": "張晉嘉"  } ],
  "gender": "male",
  "birthDate": "1999-01-21",
  "managingOrganization": {
    "reference": "Organization/11421615"  }}

### 查詢組織所有的病人
- https://hapi.fhir.org/baseR4/Patient?organization=11421615
- https://fhir.tcumi.com:58443/r5/fhir/Organization/2b902f6c-d950-4944-9c08-bac6f03a751e

## PHR FHIR server 新增匿名病人

{ "resourceType": "Patient",
  "id":"1419f03e-2e39-46c8-89fa-ecd978c59b88", 
  "managingOrganization": {
    "reference": "Organization/2b902f6c-d950-4944-9c08-bac6f03a751e"  }}

## 已上傳之生醫訊號連結
- https://fhir.tcumi.com:58443/r5/fhir/Observation?subject=1419f03e-2e39-46c8-89fa-ecd978c59b88

## 包裝成 documentReference 上傳到索引中心
- [documentReference to vital signs](https://hackmd.io/eaHe24gFTo6Qmjv6AEbzfQ?view#Vital-Signs-dRef)
- https://fhir.tcumi.com:58443/r5/fhir/DocumentReference/8b41af2b-4c09-4b43-a80e-6f9b7efe2295
## Portal 新增服務機構及窗口
- 機構

{
  "resourceType": "Organization",
  "id": "05c6b1f9-0f2c-4415-a83f-981cc33a9808",
   "name": "TCUMI hospital"
}

- 服務窗口

{
  "resourceType": "PractitionerRole",
  "id": "d833956e-1a25-45e8-921f-611c1c7d9083",
  "active": true,
  "organization": {
    "reference": "Organization/05c6b1f9-0f2c-4415-a83f-981cc33a9808"
  },
  "code": [
    {
      "coding": [
        {
          "system": "http://www.misac/role",
          "code": "contactWindow",
          "display": "contact window"
        }
      ],
      "text": "contact window"
    }  ]
  
}

# Patient and person specifiction problem in core IGs
- 各國公告之 core IG 並無應用情境

## Reference
- [MI-TW 2020 patient](https://mos2718.github.io/MITW/2020/patient.html)
- [MI-TW 2020](https://github.com/mos2718/MITW)
- 再新增人口統計用
- [印尼 Patient core IG](https://simplifier.net/guide/SATUSEHAT-FHIR-R4-Implementation-Guide/Home/FHIRProfiles/Patient.page.md?version=current)

{
   "resourceType": "Patient",
   "meta": {
      "profile": [
         "https://fhir.kemkes.go.id/r4/StructureDefinition/Patient"
      ]
   },
   "identifier": [
      {
         "use": "official",
         "system": "https://fhir.kemkes.go.id/id/nik",
         "value": "3174031002890009"
      },
      {
         "use": "official",
         "system": "https://fhir.kemkes.go.id/id/paspor",
         "value": "A01111222"
      },
      {
         "use": "official",
         "system": "https://fhir.kemkes.go.id/id/kk",
         "value": "367400001111111"
      }
   ],
   "active": true,
   "name": [
      {
         "use": "official",
         "text": "John Smith"
      }
   ],
   "telecom": [
      {
         "system": "phone",
         "value": "08123456789",
         "use": "mobile"
      },
      {
         "system": "phone",
         "value": "[phone]",
         "use": "home"
      },
      {
         "system": "email",
         "value": "[e-mail]",
         "use": "home"
      }
   ],
   "gender": "female",
   "birthDate": "1945-11-17",
   "deceasedBoolean": false,
   "address": [
      {
         "use": "home",
         "line": [
            "Gd. Prof. Dr. Sujudi Lt.5, Jl. H.R. Rasuna Said Blok X5 Kav. 4-9 Kuningan"
         ],
         "city": "Jakarta",
         "postalCode": "12950",
         "country": "ID",
         "extension": [
            {
               "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/administrativeCode",
               "extension": [
                  {
                     "url": "province",
                     "valueCode": "10"
                  },
                  {
                     "url": "city",
                     "valueCode": "1010"
                  },
                  {
                     "url": "district",
                     "valueCode": "1010101"
                  },
                  {
                     "url": "village",
                     "valueCode": "1010101101"
                  },
                  {
                     "url": "rt",
                     "valueCode": "2"
                  },
                  {
                     "url": "rw",
                     "valueCode": "2"
                  }
               ]
            }
         ]
      }
   ],
   "maritalStatus": {
      "coding": [
         {
            "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
            "code": "M",
            "display": "Married"
         }
      ],
      "text": "Married"
   },
   "multipleBirthInteger": 0,
   "contact": [
      {
         "relationship": [
            {
               "coding": [
                  {
                     "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
                     "code": "C"
                  }
               ]
            }
         ],
         "name": {
            "use": "official",
            "text": "Jane Smith"
         },
         "telecom": [
            {
               "system": "phone",
               "value": "0690383372",
               "use": "mobile"
            }
         ]
      }
   ],
   "communication": [
      {
         "language": {
            "coding": [
               {
                  "system": "urn:ietf:bcp:47",
                  "code": "id-ID",
                  "display": "Indonesian"
               }
            ],
            "text": "Indonesian"
         },
         "preferred": true
      }
   ],
   "extension": [
      {
         "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/birthPlace",
         "valueAddress": {
            "city": "Bandung",
            "country": "ID"
         }
      },
      {
         "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/citizenshipStatus",
         "valueCode": "WNI"
      }
   ]
}

## Patient build block: 病人，[MI-TW Patient 規格](https://hackmd.io/HErarBSCTvqgc6gjFqsDOA?view)
### Patient.Name

"name": [
    {
      "use": "official",
      "family": "朱",
      "given": ["家宜" ],
      "text":"朱家宜"  
    }]