# 處方 FHIR JSON

#### [處方XML](https://hackmd.io/HfKmPdaeRkOFuWwEo9cARA)
| XML | 中文欄位 | 格式 | 對應的FHIR Resource | FHIR程式範例 |
| -------- | -------- | -------- | -------- | -------- |
| A11 | 卡片號碼 | X(12) | Text | --- |
| A12 | 身分證號 | X(10) | [Patient.Identifier](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#Patient) | --- |
| A13 | 出生日期 | 9(07) | [Patient.Birthdate](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#Patient) | --- |
| A14 | 醫院代號 | X(10) | [Organization.qualification.code](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#Organization) |--- |
| A15 | 醫事人員 | X(10) | [ServiceRequest.performer](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A16 | 安全模組 | X(256) | --- | --- |
| A17 | 就診日期時間 | 9(13) | [Encounter.actualPeriod](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#Encounter) | --- |
| A18 | 就醫序號 | Ｘ(04) | [ServiceRequest.Identifier](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A19 | 補卡註記 | 9(01) | --- | --- |
| A22 | 安全簽章 | X(256) | --- | --- |
| A23 | 就醫類別 | X(02) | [Appointment.serviceType](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#Appointment) | --- |
| A25~A29 | 診斷碼 | X(09) | --- | --- |
| A31 | 門診費用 | 9(08) | --- | --- |
| A32 | 部分負擔 | 9(08) | [ServiceRequest.reason](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A71 | 就診日期時間 | 9(13) | [Encounter.actualPeriod](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#Encounter) | --- |
| A72 | 醫令類別 | X(01) | --- | --- |
| A73 | 診療項目代碼 | X(12) | [ServiceRequest.code](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A74 | 診療部位 | X(6) | [ServiceRequest.bodySite](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A75 | 用法 | X(18) | [ServiceRequest.basedon.MedicationRequest.dosageInstruction](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A76 | 天數 | 9(02) | [ServiceRequest.occurenceTiming.Timing.repeat.duration](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A77 | 總量 | 9(07) | [ServiceRequest.quantityQuantity](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A78 | 交付註記 | 9(02) | [ServiceRequest.note](https://hackmd.io/kQuAfevzSZ2fjtp9CSFctw?both#ServiceRequest) | --- |
| A79 | 處方簽章 | X(40) | --- | --- |

#### ServiceRequest

{
    "resourceType" : "ServiceRequest",
    "identifier" : 
    [
        { 
            "use" : "official", 
            "type" : 
            { 
                "coding" : 
                [
                    { 
                        "code" : "0001", 
                        "display" : "就醫序號", 
                        "userSelected" : true
                    }
                ], 
                "text" : "就醫序號" 
            } 
        }
    ],
    "performer" : 
    [
        { 
            "resourceType" : "Practitioner",
            "identifier" : 
            [
                { 
                    "use" : "<code>", 
                    "type" : 
                    { 
                        "coding" : 
                        [
                            { 
                                "system" : "https://bthr.gov.taipei/News_Content.aspx?n=A75E2BF58F8BC883&s=A0B263D2B83B811B", 
                                "version" : "2022-08-24", 
                                "code" : "A238697754", 
                                "display" : "身分證字號", 
                                "userSelected" : true
                            }
                        ],
                        "text" : "身分證號"  
                    },
                    "assigner" : 
                    { 
                        "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" : "醫院代號"
                                }
                            }
                        ] 
                    } 
                }
            ]
        }
    ],
    "reason" : 
    [
        { 
            "concept" : 
            { 
                "coding" : 
                [
                    { 
                        "code" : "50",
                        "display" : "部分負擔", 
                        "userSelected" : true
                    }
                ], 
                "text" : "部分負擔" 
            }
        }
    ],
    "quantityQuantity" : 
    { 
        "value" : 28.0, 
        "comparator" : "<code>", 
        "unit" : "單位", 
        "system" : "<uri>", 
        "code" : "<code>" 
    },
    "basedOn" : 
    [
        { 
            "resourceType" : "MedicationRequest",
            "dosageInstruction" : 
            [
                { 
                    "text" : "用法:"
                }
            ]
        }
    ],
    "bodySite" : 
    [
        {
            "coding" : 
            [
                { 
                    "system" : "https://www.hl7.org/fhir/valueset-body-site.html", 
                    "version" : "FHIR HL7", 
                    "code" : " 10200004", 
                    "display" : "肝", 
                    "userSelected" : true
                }
            ], 
  "text" : "診療部位"  
        }
    ],
    "note" : 
    [
        { 
            "authorReference" : 
            {  
                "display" : "交付註記"
            },
           "text" : "交付註記:"
        }
    ],
    "code" : 
    { 
        "concept" : 
        { 
            "coding" : 
            [
                { 
                    "system" : "https://www.nhi.gov.tw/Content_List.aspx?n=8858783BC0803C2F&topn=23C660CAACAA159D", 
                    "version" : "2022-10-14", 
                    "code" : "00102B", 
                    "display" : "一般門診診察費1.醫院門診診察費(不含牙科門診)2.地區醫院3.未開處方或處方由本院所自行調劑", 
                    "userSelected" :true
                }
            ], 
            "text" : "診療項目代碼" 
        } 
    },
    "occurrenceTiming" : 
    { 
        "repeat" : 
        { 
            "duration" : 3
        }
    }
}

#### Patient

{
    "resourceType" : "Patient",
    "identifier" : 
    [ 
        { 
            "use" : "official", 
            "type" : 
            {  
                "coding" : 
                [
                    { 
                        "system" : "https://bthr.gov.taipei/News_Content.aspx?n=A75E2BF58F8BC883&s=A0B263D2B83B811B", 
                        "version" : "2022-08-24", 
                        "code" : "Z230879923", 
                        "display" : "身分證字號", 
                        "userSelected" : true
                    }
                ],
                "text" : "身分證號" 
            }, 
            "system" : "https://zh.wikipedia.org/zh-tw/%E4%B8%AD%E8%8F%AF%E6%B0%91%E5%9C%8B%E5%9C%8B%E6%B0%91%E8%BA%AB%E5%88%86%E8%AD%89"
        }
    ],
    "birthDate" : "1979-04-15"
}

#### 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" : "醫院代號"
            }
        }
    ]
}

#### Encounter

{
    "resourceType" : "Encounter",
    "actualPeriod" : 
    { 
        "start" : "2020-01-11", 
        "end" : "2020-01-11" 
    }
}

#### Appointment

{
    "resourceType" : "Appointment",
    "serviceType" : 
    [
        { 
            "concept" : 
            {
                "coding" : 
                [
                    { 
                        "system" : "https://www.nhi.gov.tw/Content_List.aspx?n=264416706E2EF4DA&topn=5FE8C9FEAE863B46",
                        "version" : "2023-02-01", 
                        "code" : "12", 
                        "display" : "門診西醫醫院", 
                        "userSelected" : true
                    }
                ], 
                "text" : "醫事類別代碼" 
            }
        }
    ]
}

參考資料:
[健保卡資料上傳](https://www.tma.tw/files/meeting/N202233164737_001.pdf)