臺灣健保署基礎實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/base/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ClaimTWNHIBASE - Mappings

Active as of 2026-10-19

Mappings for the Claim-twnhibase resource profile.

Mappings to Structures in this Implementation Guide

Name	Mapping to TWNHIBASE Claim
Claim
Claim / id
Claim / meta
Claim / implicitRules
Claim / language
Claim / text
Claim / contained
Claim / extension
Claim / modifierExtension
Claim / identifier
Claim / status
Claim / type
Claim / subType
Claim / subType / id
Claim / subType / extension
Claim / subType / coding
Claim / subType / coding / id
Claim / subType / coding / extension
Claim / subType / coding / system
Claim / subType / coding / version
Claim / subType / coding / code	BaseModel.hosp.applType
Claim / subType / coding / display
Claim / subType / coding / userSelected
Claim / subType / text
Claim / use
Claim / patient
Claim / billablePeriod
Claim / created	BaseModel.hosp.applDate
Claim / enterer
Claim / insurer
Claim / provider
Claim / priority
Claim / fundsReserve
Claim / related
Claim / related / id
Claim / related / extension
Claim / related / modifierExtension
Claim / related / claim
Claim / related / relationship
Claim / related / reference
Claim / prescription
Claim / originalPrescription
Claim / payee
Claim / payee / id
Claim / payee / extension
Claim / payee / modifierExtension
Claim / payee / type
Claim / payee / party
Claim / referral
Claim / facility
Claim / careTeam
Claim / careTeam / id
Claim / careTeam / extension
Claim / careTeam / modifierExtension
Claim / careTeam / sequence
Claim / careTeam / provider
Claim / careTeam / responsible
Claim / careTeam / role
Claim / careTeam / qualification
Claim / Slices for supportingInfo
Claim / Slices for supportingInfo / supportingInfo:All Slices
Claim / Slices for supportingInfo / supportingInfo:All Slices / id
Claim / Slices for supportingInfo / supportingInfo:All Slices / extension
Claim / Slices for supportingInfo / supportingInfo:All Slices / modifierExtension
Claim / Slices for supportingInfo / supportingInfo:All Slices / sequence
Claim / Slices for supportingInfo / supportingInfo:All Slices / category
Claim / Slices for supportingInfo / supportingInfo:All Slices / code
Claim / Slices for supportingInfo / supportingInfo:All Slices / timing[x]
Claim / Slices for supportingInfo / supportingInfo:All Slices / value[x]
Claim / Slices for supportingInfo / supportingInfo:All Slices / reason
Claim / Slices for supportingInfo / supportingInfo:geneInfo
Claim / Slices for supportingInfo / supportingInfo:geneInfo / id
Claim / Slices for supportingInfo / supportingInfo:geneInfo / extension
Claim / Slices for supportingInfo / supportingInfo:geneInfo / modifierExtension
Claim / Slices for supportingInfo / supportingInfo:geneInfo / sequence
Claim / Slices for supportingInfo / supportingInfo:geneInfo / category
Claim / Slices for supportingInfo / supportingInfo:geneInfo / code
Claim / Slices for supportingInfo / supportingInfo:geneInfo / timing[x]
Claim / Slices for supportingInfo / supportingInfo:geneInfo / value[x]
Claim / Slices for supportingInfo / supportingInfo:geneInfo / reason
Claim / diagnosis
Claim / diagnosis / id
Claim / diagnosis / Slices for extension
Claim / diagnosis / Slices for extension / extension:recordedDate
Claim / diagnosis / modifierExtension
Claim / diagnosis / sequence
Claim / diagnosis / diagnosis[x]
Claim / diagnosis / diagnosis[x] / id
Claim / diagnosis / diagnosis[x] / extension
Claim / diagnosis / diagnosis[x] / Slices for coding
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / id
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / extension
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / system
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / version
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / code
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / display
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / userSelected
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / id
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / extension
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / system
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / version
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / code
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / display
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / userSelected
Claim / diagnosis / diagnosis[x] / text
Claim / diagnosis / type
Claim / diagnosis / type / id
Claim / diagnosis / type / extension
Claim / diagnosis / type / coding
Claim / diagnosis / type / text	BaseModel.diagnosis.diagCurrentStatus
Claim / diagnosis / onAdmission
Claim / diagnosis / packageCode
Claim / procedure
Claim / procedure / id
Claim / procedure / extension
Claim / procedure / modifierExtension
Claim / procedure / sequence
Claim / procedure / type
Claim / procedure / date
Claim / procedure / procedure[x]
Claim / procedure / udi
Claim / insurance
Claim / insurance / id
Claim / insurance / extension
Claim / insurance / modifierExtension
Claim / insurance / sequence
Claim / insurance / focal
Claim / insurance / identifier
Claim / insurance / coverage
Claim / insurance / businessArrangement
Claim / insurance / preAuthRef
Claim / insurance / claimResponse
Claim / accident
Claim / accident / id
Claim / accident / extension
Claim / accident / modifierExtension
Claim / accident / date
Claim / accident / type
Claim / accident / location[x]
Claim / item
Claim / item / id
Claim / item / extension
Claim / item / modifierExtension
Claim / item / sequence
Claim / item / careTeamSequence
Claim / item / diagnosisSequence
Claim / item / procedureSequence
Claim / item / informationSequence
Claim / item / revenue
Claim / item / category
Claim / item / productOrService
Claim / item / modifier
Claim / item / programCode
Claim / item / serviced[x]
Claim / item / location[x]
Claim / item / quantity
Claim / item / unitPrice
Claim / item / factor
Claim / item / net
Claim / item / udi
Claim / item / bodySite
Claim / item / subSite
Claim / item / encounter
Claim / item / detail
Claim / item / detail / id
Claim / item / detail / extension
Claim / item / detail / modifierExtension
Claim / item / detail / sequence
Claim / item / detail / revenue
Claim / item / detail / category
Claim / item / detail / productOrService
Claim / item / detail / modifier
Claim / item / detail / programCode
Claim / item / detail / quantity
Claim / item / detail / unitPrice
Claim / item / detail / factor
Claim / item / detail / net
Claim / item / detail / udi
Claim / item / detail / subDetail
Claim / item / detail / subDetail / id
Claim / item / detail / subDetail / extension
Claim / item / detail / subDetail / modifierExtension
Claim / item / detail / subDetail / sequence
Claim / item / detail / subDetail / revenue
Claim / item / detail / subDetail / category
Claim / item / detail / subDetail / productOrService
Claim / item / detail / subDetail / modifier
Claim / item / detail / subDetail / programCode
Claim / item / detail / subDetail / quantity
Claim / item / detail / subDetail / unitPrice
Claim / item / detail / subDetail / factor
Claim / item / detail / subDetail / net
Claim / item / detail / subDetail / udi
Claim / total
Documentation for this format

Mappings to other Structures

No Mappings Found

Other Mappings

Name	Workflow Pattern	FiveWs Pattern Mapping	RIM Mapping
Claim	Request		Entity. Role or Act
Claim / id
Claim / meta
Claim / implicitRules
Claim / language
Claim / text			Act.text?
Claim / contained			N/A
Claim / extension			N/A
Claim / modifierExtension			N/A
Claim / identifier	Request.identifier	FiveWs.identifier
Claim / status	Request.status	FiveWs.status
Claim / type		FiveWs.class
Claim / subType		FiveWs.class
Claim / subType / id			n/a
Claim / subType / extension			n/a
Claim / subType / coding			union(. ./translation)
Claim / subType / coding / id			n/a
Claim / subType / coding / extension			n/a
Claim / subType / coding / system			./codeSystem
Claim / subType / coding / version			./codeSystemVersion
Claim / subType / coding / code			./code
Claim / subType / coding / display			CV.displayName
Claim / subType / coding / userSelected			CD.codingRationale
Claim / subType / text			./originalText[mediaType/code="text/plain"]/data
Claim / use		FiveWs.class
Claim / patient	Request.subject	FiveWs.subject
Claim / billablePeriod		FiveWs.done[x]
Claim / created	Request.authoredOn	FiveWs.recorded
Claim / enterer		FiveWs.author
Claim / insurer	Request.performer
Claim / provider	Request.requester	FiveWs.source
Claim / priority	Request.priority
Claim / fundsReserve
Claim / related
Claim / related / id			n/a
Claim / related / extension			n/a
Claim / related / modifierExtension			N/A
Claim / related / claim	Request.replaces
Claim / related / relationship
Claim / related / reference
Claim / prescription
Claim / originalPrescription
Claim / payee
Claim / payee / id			n/a
Claim / payee / extension			n/a
Claim / payee / modifierExtension			N/A
Claim / payee / type
Claim / payee / party
Claim / referral		FiveWs.cause
Claim / facility		FiveWs.where[x]
Claim / careTeam
Claim / careTeam / id			n/a
Claim / careTeam / extension			n/a
Claim / careTeam / modifierExtension			N/A
Claim / careTeam / sequence
Claim / careTeam / provider		FiveWs.actor
Claim / careTeam / responsible
Claim / careTeam / role
Claim / careTeam / qualification
Claim / Slices for supportingInfo	Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:All Slices
Claim / Slices for supportingInfo / supportingInfo:All Slices / id			n/a
Claim / Slices for supportingInfo / supportingInfo:All Slices / extension			n/a
Claim / Slices for supportingInfo / supportingInfo:All Slices / modifierExtension			N/A
Claim / Slices for supportingInfo / supportingInfo:All Slices / sequence
Claim / Slices for supportingInfo / supportingInfo:All Slices / category
Claim / Slices for supportingInfo / supportingInfo:All Slices / code
Claim / Slices for supportingInfo / supportingInfo:All Slices / timing[x]
Claim / Slices for supportingInfo / supportingInfo:All Slices / value[x]
Claim / Slices for supportingInfo / supportingInfo:All Slices / reason
Claim / Slices for supportingInfo / supportingInfo:geneInfo	Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:geneInfo / id			n/a
Claim / Slices for supportingInfo / supportingInfo:geneInfo / extension			n/a
Claim / Slices for supportingInfo / supportingInfo:geneInfo / modifierExtension			N/A
Claim / Slices for supportingInfo / supportingInfo:geneInfo / sequence
Claim / Slices for supportingInfo / supportingInfo:geneInfo / category
Claim / Slices for supportingInfo / supportingInfo:geneInfo / code
Claim / Slices for supportingInfo / supportingInfo:geneInfo / timing[x]
Claim / Slices for supportingInfo / supportingInfo:geneInfo / value[x]
Claim / Slices for supportingInfo / supportingInfo:geneInfo / reason
Claim / diagnosis	Request.reasonReference
Claim / diagnosis / id			n/a
Claim / diagnosis / Slices for extension
Claim / diagnosis / Slices for extension / extension:recordedDate
Claim / diagnosis / modifierExtension			N/A
Claim / diagnosis / sequence
Claim / diagnosis / diagnosis[x]
Claim / diagnosis / diagnosis[x] / id			n/a
Claim / diagnosis / diagnosis[x] / extension			n/a
Claim / diagnosis / diagnosis[x] / Slices for coding			union(. ./translation)
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023			union(. ./translation)
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / id			n/a
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / extension			n/a
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / system			./codeSystem
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / version			./codeSystemVersion
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / code			./code
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / display			CV.displayName
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2023 / userSelected			CD.codingRationale
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014			union(. ./translation)
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / id			n/a
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / extension			n/a
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / system			./codeSystem
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / version			./codeSystemVersion
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / code			./code
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / display			CV.displayName
Claim / diagnosis / diagnosis[x] / Slices for coding / coding:icd10-cm-2014 / userSelected			CD.codingRationale
Claim / diagnosis / diagnosis[x] / text			./originalText[mediaType/code="text/plain"]/data
Claim / diagnosis / type
Claim / diagnosis / type / id			n/a
Claim / diagnosis / type / extension			n/a
Claim / diagnosis / type / coding			union(. ./translation)
Claim / diagnosis / type / text			./originalText[mediaType/code="text/plain"]/data
Claim / diagnosis / onAdmission
Claim / diagnosis / packageCode
Claim / procedure
Claim / procedure / id			n/a
Claim / procedure / extension			n/a
Claim / procedure / modifierExtension			N/A
Claim / procedure / sequence
Claim / procedure / type
Claim / procedure / date
Claim / procedure / procedure[x]
Claim / procedure / udi
Claim / insurance			Coverage
Claim / insurance / id			n/a
Claim / insurance / extension			n/a
Claim / insurance / modifierExtension			N/A
Claim / insurance / sequence
Claim / insurance / focal
Claim / insurance / identifier	Request.identifier	FiveWs.identifier
Claim / insurance / coverage
Claim / insurance / businessArrangement
Claim / insurance / preAuthRef
Claim / insurance / claimResponse
Claim / accident
Claim / accident / id			n/a
Claim / accident / extension			n/a
Claim / accident / modifierExtension			N/A
Claim / accident / date
Claim / accident / type
Claim / accident / location[x]
Claim / item
Claim / item / id			n/a
Claim / item / extension			n/a
Claim / item / modifierExtension			N/A
Claim / item / sequence
Claim / item / careTeamSequence
Claim / item / diagnosisSequence
Claim / item / procedureSequence
Claim / item / informationSequence
Claim / item / revenue
Claim / item / category
Claim / item / productOrService
Claim / item / modifier
Claim / item / programCode
Claim / item / serviced[x]		FiveWs.done[x]
Claim / item / location[x]		FiveWs.where[x]
Claim / item / quantity
Claim / item / unitPrice
Claim / item / factor
Claim / item / net
Claim / item / udi
Claim / item / bodySite
Claim / item / subSite
Claim / item / encounter	Request.context
Claim / item / detail
Claim / item / detail / id			n/a
Claim / item / detail / extension			n/a
Claim / item / detail / modifierExtension			N/A
Claim / item / detail / sequence
Claim / item / detail / revenue
Claim / item / detail / category
Claim / item / detail / productOrService
Claim / item / detail / modifier
Claim / item / detail / programCode
Claim / item / detail / quantity
Claim / item / detail / unitPrice
Claim / item / detail / factor
Claim / item / detail / net
Claim / item / detail / udi
Claim / item / detail / subDetail
Claim / item / detail / subDetail / id			n/a
Claim / item / detail / subDetail / extension			n/a
Claim / item / detail / subDetail / modifierExtension			N/A
Claim / item / detail / subDetail / sequence
Claim / item / detail / subDetail / revenue
Claim / item / detail / subDetail / category
Claim / item / detail / subDetail / productOrService
Claim / item / detail / subDetail / modifier
Claim / item / detail / subDetail / programCode
Claim / item / detail / subDetail / quantity
Claim / item / detail / subDetail / unitPrice
Claim / item / detail / subDetail / factor
Claim / item / detail / subDetail / net
Claim / item / detail / subDetail / udi
Claim / total
Documentation for this format