# 上傳檢驗(查)結果 112年 基本資料段
### 一:基本資料段

| xml | 健保資料名稱 | 長度 | 全對應的FHIR Resource | 備註 | FHIR程式範例 | encounter對應 | diagnosticreport對應 |
| -------- | -------- | -------- | -------- | -------- | -------- | -------- | -------- |
| h1 | 報告類別 | 1 | [Diagnosticreport.category](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ?view#DiagnosticReport) | --- | "code" :"1","display" : "檢體檢驗報告" | | DiagnosticReport.category |
| h2 | 醫事機構代碼 | 10 | [encounter.serviceProvider](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Organization) | --- | "code" : "1145010010", "display" : "佛教慈濟醫療財團法人花蓮慈濟醫院", | encounter.serviceProvider | diagnosticreport.subject.organization.Identifier |
| h3 | 醫事類別 | 2 | [Encounter.Appointment.serviceType](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Appointment) | PractitionerRole.Organization | "code" : "12", "display" : "門診西醫醫院", | |
| h4 | 費用年月 | 5 | --- | --- | --- | |
| h5 | 申報類別 | 1 | --- | --- | --- | |
| h6 | 申報日期 | 7 | --- | --- | --- | |
| h7 | 案件分類 | 2 | --- | --- | --- | |
| h8 | 流水編號 | 6 | --- | --- | --- | |
| h9 | 身分證統一編號 | 10 | [Encounter.subject.patient.identifier](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Encounter) | --- | "code" : "L230874419","display" : "身分證字號", | encounter.subject.patient | diagnosticreport.subject.patient.identifier |
| h10 | 出生日期 | 7 | [Diagnosticreport.subject.patient.BirthDate](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ?both#Patient) | --- | "birthDate" : "1999-08-05" | | Diagnosticreport.subject.patient.BirthDate |
| h11 | 就醫日期 | 7 |[Diagnosticreport.encounter.actualPeriod](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Encounter) | --- | "start" : "2022-09-11", | | Diagnosticreport.encounter.actualPeriod |
| h12 | 治療結束日期 | 7 |[Encounter.actualPeriod](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Encounter) | --- | "end" : "2022-12-19" | |
| h13 | 入院年月日 | 7 |[Encounter.plannedStartDate](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Encounter) | --- | "plannedStartDate" : "2022-09-12", | |
| h14 | 出院年月日 | 7 |[Encounter.plannedEndDate](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Encounter) | --- | "plannedEndDate" : "2022-12-19" | |
| h15 | 申報期間-起 | 7 | --- | --- | --- | |
| h16 | 申報期間-迄 | 7 | --- | --- | --- | |
| h17 | 醫令序 | 5 |[Observation.Identifier](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation) |==Y00000-Y00010者,醫令序應填報0。==| "display" : "醫令序", | |
| h18 | 醫令代碼 | 12 | [Diagnosticreport.supportingInfo.reference.observation.category](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation) | --- | "code" : "08002C", "display" : "白血球計數", | | Diagnosticreport.supportingInfo.reference.observation.category |
| h19 | 檢驗(查)結果上傳日期時間 | 13 | [Diagnosticreport.result.observation.issued]((https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation)) | --- | "issued" : "2023-02-07T13:28:17.239+02:00", | | Diagnosticreport.result.observation.issued
| h20 | 醫囑醫師身分證號 | 10 | [DiagnosticReport.performer](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#DiagnosticReport) | 不需要醫生身分證字號 ||Encounter.participant.actor|DiagnosticReport.performer.Practitioner.identifier |
| h21 | 報告/病理醫師身分證號 | 10 | [Observation.performer](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation) | 不需要醫生身分證字號 | |
| h22 | 醫囑日期時間 | 11 | [DiagnosticReport.basedOn.ServiceRequest.authoredOn](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#DiagnosticReport) | Encounter.participant.period | "issued" : "2022-09-01T06:17:10.470+00:00" | | DiagnosticReport.basedOn.ServiceRequest.authoredOn
| h23 | 採檢/實際檢查/手術日期時間 | 11 | [DiagnosticReport.result.Observation.effectiveDatetime](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#DiagnosticReport)[Observation](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#DiagnosticReport) | --- | "effectiveDateTime" : "2022-12-31T13:28:17.239+02:00", | | DiagnosticReport.result.Observation.effectiveDatetime |
| h24 | 醫師確認報告時間 | 11 |[DiagnosticReport.encounter](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#DiagnosticReport) | --- | "start" : "2023-01-07T08:00:10.470+00:00", "end" : "2023-01-07T08:05:10.470+00:00" | |
| h25 | 檢體採檢方法/來源/類別 | 200 |[Observation.method](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation)/[Observation.bodySite](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation)/[Observation.code(檢驗名稱)](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#Observation) | --- | "display" : "切片", /"code" : " 10200004","display" : "肝",/"code" : "09013C","display" : "尿酸", | | DiagnosticReport.result.Observation.code |
| h26 | 就醫序號 | 4 | [Encounter.Identifier](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#ServiceRequest) | --- | "code" : "IC02","display" : "慢性病連續處方第二次", | |
| h27 | 依附就醫生兒出生日期 | 7 | [FamilyMemberHistory.bornDate](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#FamilyMemberHistory) | --- | "bornDate" : "2023-01-09", | |
| h28 | 依附就醫新生兒胞胎註記 | 1 | [FamilyMemberHistory.note](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#FamilyMemberHistory) | --- | "authorString" : "依附就醫新生兒胞胎註記","text" : "單胞胎:男性填「A」,女性填「a」。雙胞胎:第1胎:男性填「A」,女性填「a」。第2胎:男性填「B」,女性填「b」。依此類推" | |
| h29 | 醫令調劑方式 | 1 | --- | --- | --- | |
| h30 | 原開立處方醫事服務機構代碼 | 10 | [PractitionerRole.Organization](https://hackmd.io/ZWmBIFXBQd6m6vynb4LGnQ#PractitionerRole) | --- | "code" : "1145010010","display" : "佛教慈濟醫療財團法人花蓮慈濟醫院", | |

#### PractitionerRole

{
    "resourceType" : "PractitionerRole",
    "organization" : 
    { 
        "resourceType" : "Organization",
        "qualification" : 
        [
            { 
                "code" : 
                {
                    "coding" : 
                    [
                        { 
                            "system" : "https://www.nhi.gov.tw/Content_List.aspx?n=07FEBAA0B8C34D90&topn=D39E2B72B0BDFA15", 
                            "version" : "2023-03-03",
                            "code" : "1145010010", 
                            "display" : "佛教慈濟醫療財團法人花蓮慈濟醫院", 
                            "userSelected" : true 
                        }
                    ], 
                    "text" : "原開立處方醫事服務機構代碼"
                }
            }
        ]
    }
}

#### Patient

{
    "resourceType" : "Patient",
    "identifier" : 
    [ 
        { 
            "use" : "official", 
            "type" : 
            {  
                "coding" : 
                [
                    { 
                        "code" : "L230874419", 
                        "display" : "身分證字號", 
                        "userSelected" : true
                    }
                ],
                "text" : "身分證統一編號" 
            }
        }
    ],
    "birthDate" : "1999-08-05"
}

#### Organization

{
    "resourceType" : "Organization",
    "qualification" : 
    [
        { 
            "code" : 
            {
                "coding" : 
                [
                    { 
                        "code" : "3532016991", 
                        "display" : "良祺復健科診所", 
                        "userSelected" : true 
                    }
                ], 
                "text" : "醫事機構代碼"
            }
        }
    ]
}

#### Observation

{
    "resourceType" : "Observation",
    "identifier" : 
    [
        { 
            "use" : "official",
            "type" : 
            { 
                "coding" : 
                [
                    { 
                        "code" : "1", 
                        "display" : "醫令序", 
                        "userSelected" : true
                    }
                ], 
                "text" : "醫令序"
            }
        }
    ], 
    "category" : 
    [
        { 
            "coding" : 
            [
                { 
                    "code" : "12009C",
                    "display" : "類風濕性關節炎因子試驗-乳膠凝集法", 
                    "userSelected" : true
                }
            ], 
            "text" : "醫令代碼"
        }
    ],
    "effectiveDateTime" : "2022-12-31T13:28:17.239+02:00",
    "issued" : "2023-02-07T13:28:17.239+02:00",
    "method" : 
    { 
        "coding" : 
        [
            { 
                "display" : "切片", 
                "userSelected" : true
            }
        ], 
        "text" : "採檢方法"
    },
    "bodySite" : 
    { 
        "coding" : 
        [
            {  
                "code" : " 10200004", 
                "display" : "肝", 
                "userSelected" : true
            }
        ], 
        "text" : "檢體來源" 
    },
    "code" : 
    [
        { 
            "coding" : 
        [
            {  
                "display" : "blood", 
                "userSelected" : true
            },
            {  
                "display" : "Serum", 
                "userSelected" : true
            }
        ], 
        "text" : "檢體類別"
        }
    ]
}

#### FamilyMemberHistory

{
    "resourceType" : "FamilyMemberHistory",
    "bornDate" : "2023-01-09",
    "note" : 
    [
        { 
            "authorReference" : 
            { 
                "resourceType" : "Patient",
                "identifier" : 
                [ 
                    { 
                        "use" : "official", 
                        "type" : 
                        {  
                            "coding" : 
                            [
                                { 
                                    "code" : "L230874419", 
                                    "display" : "身分證字號", 
                                    "userSelected" : true
                                }
                            ],
                            "text" : "身分證統一編號" 
                        }
                    }
                ] 
            },
            "authorString" : "依附就醫新生兒胞胎註記",
            "text" : "單胞胎:男性填「A」,女性填「a」。雙胞胎:第1胎:男性填「A」,女性填「a」。第2胎:男性填「B」,女性填「b」。依此類推" 
        }
    ] 
}

#### Encounter

{
    "resourceType" : "Encounter",
    "identifier" : 
    [
        { 
            "use" : "official", 
            "type" : 
            { 
                "coding" : 
                [
                    { 
                        "code" : "0002", 
                        "display" : "第二次就診"
                    }
                ], 
                "text" : "就醫序號" 
            },
            "period" : 
            { 
                "start" : "2022-04-07", 
                "end" : "2022-04-07" 
            }, 
            "assigner" : 
            { 
                "display" : "良祺復健科診所" 
            }  
        }
    ],
    "class" : 
    [
        { 
            "coding" : 
            [
                { 
                    "code" : "1", 
                    "display" : "檢體檢驗報告"
                },
                { 
                    "code" : "2", 
                    "display" : "影像報告"
                },
                { 
                    "code" : "3", 
                    "display" : "病理報告"
                },
                { 
                    "code" : "4", 
                    "display" : "人工關節植入物資料"
                }
            ], 
            "text" : "報告類別代碼" 
        }
    ],
    "appointment" : 
    [
        { 
            "serviceType" : 
            [
                { 
                    "concept" : 
                    {
                        "coding" : 
                        [
                            { 
                                "code" : "11", 
                                "display" : "門診西醫診所", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "12", 
                                "display" : "門診西醫醫院", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "13", 
                                "display" : "門診牙醫", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "14", 
                                "display" : "門診中醫", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "15", 
                                "display" : "門診洗腎", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "19", 
                                "display" : "門診其他醫事機構", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "21", 
                                "display" : "住診西醫診所", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "22", 
                                "display" : "住診西醫醫院", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "29", 
                                "display" : "住診其他醫事機構", 
                                "userSelected" : true
                            },
                            { 
                                "code" : "50", 
                                "display" : "特約檢驗所", 
                                "userSelected" : true
                            }
                        ], 
                        "text" : "醫事類別" 
                    }
                }
            ] 
        }
    ],
    "actualPeriod" : 
    { 
        "start" : "2022-09-11", 
        "end" : "2022-12-19" 
    },
    "plannedStartDate" : "2022-09-12", 
    "plannedEndDate" : "2022-12-19"
}

#### DiagnosticReport

{
    "resourceType" : "DiagnosticReport",
    "identifier" : 
    [
        { 
            "use" : "1",
            "type" : 
            { 
                "coding" : 
                [
                    { 
                        "system" : "https://www.nhi.gov.tw/", 
                        "version" : "112-02",  
                        "display" : "流水號", 
                        "userSelected" : true 
                    }
                ], 
                "text" : "流水編號" 
            },
            "system" : "https://www.nhi.gov.tw/",
            "value" : "number",
            "period" : 
            {  
                "start" : "2023-01-17", 
                "end" : "2023-01-17"  
            },
            "assigner" : 
            {  
                "reference" : "衛生福利部中央健康保險署", 
                "type" : "https://www.nhi.gov.tw/", 
                "display" : "衛生福利部中央健康保險署" 
            } 
        }
    ],
    "encounter" :
    {
        "resourceType" : "Encounter",
        "period" : 
        { 
            "start" : "2023-01-07T08:00:10.470+00:00", 
            "end" : "2023-01-07T08:05:10.470+00:00"  
        }  
    },
    "issued" : "2022-09-01T06:17:10.470+00:00"
}

參考資料:
[特約醫事服務機構上傳檢驗（查）結果格式說明_特約醫事服務機構上傳檢驗（查）結果、人工關節植入物資料及出院病歷摘要格式](https://www.nhi.gov.tw/Content_List.aspx?n=264416706E2EF4DA&topn=5FE8C9FEAE863B46)
[FHIR hl7](https://hl7.org/fhir/)