# 健保事前審查計畫-Coverage TWNHIBASE - 臺灣健保署基礎實作指引 v0.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **健保事前審查計畫-Coverage TWNHIBASE**

## Resource Profile: 健保事前審查計畫-Coverage TWNHIBASE 

| | |
| :--- | :--- |
| *Official URL*:https://nhicore.nhi.gov.tw/base/StructureDefinition/Coverage-twnhibase | *Version*:0.0.1 |
| Draft as of 2025-10-29 | *Computable Name*:CoverageTWNHIBASE |

 
此健保事前審查計畫-Coverage TWNHIBASE Profile說明本IG如何進一步定義FHIR的Coverage Resource以呈現健保署基礎事前審查之健保事前審查計畫 

**Usages:**

* Examples for this Profile: [Coverage/cov-min](Coverage-cov-min.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/tw.gov.mohw.nhi.base|current/StructureDefinition/Coverage-twnhibase)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-Coverage-twnhibase.csv), [Excel](StructureDefinition-Coverage-twnhibase.xlsx), [Schematron](StructureDefinition-Coverage-twnhibase.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "Coverage-twnhibase",
  "url" : "https://nhicore.nhi.gov.tw/base/StructureDefinition/Coverage-twnhibase",
  "version" : "0.0.1",
  "name" : "CoverageTWNHIBASE",
  "title" : "健保事前審查計畫-Coverage TWNHIBASE",
  "status" : "draft",
  "date" : "2025-10-29T03:09:05+00:00",
  "publisher" : "衛生福利部中央健康保險署",
  "contact" : [
    {
      "name" : "衛生福利部中央健康保險署",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nhi.gov.tw"
        }
      ]
    }
  ],
  "description" : "此健保事前審查計畫-Coverage TWNHIBASE Profile說明本IG如何進一步定義FHIR的Coverage Resource以呈現健保署基礎事前審查之健保事前審查計畫",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "cdanetv4",
      "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
      "name" : "Canadian Dental Association eclaims standard"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "cpha3pharm",
      "uri" : "http://www.pharmacists.ca/",
      "name" : "Canadian Pharmacy Associaiton eclaims standard"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Coverage",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Coverage",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Coverage",
        "path" : "Coverage"
      },
      {
        "id" : "Coverage.meta",
        "path" : "Coverage.meta",
        "min" : 1
      },
      {
        "id" : "Coverage.meta.profile",
        "path" : "Coverage.meta.profile",
        "min" : 1,
        "max" : "1",
        "patternCanonical" : "https://nhicore.nhi.gov.tw/base/StructureDefinition/Coverage-twnhibase"
      },
      {
        "id" : "Coverage.status",
        "path" : "Coverage.status",
        "patternCode" : "active"
      },
      {
        "id" : "Coverage.beneficiary",
        "path" : "Coverage.beneficiary",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/base/StructureDefinition/Patient-twnhibase"
            ]
          }
        ]
      },
      {
        "id" : "Coverage.payor",
        "path" : "Coverage.payor",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-govt-twcore"
            ]
          }
        ]
      }
    ]
  }
}

```
