bun-noillness
type: Bundle
node role: treeRoot
id:
  v: bun-noillness
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/ci/StructureDefinition/Bundle-twci
    l: Bundle-twci
type:
  v: collection
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/ci/Task/tas-min
    l: tas-min
  resource: tas-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/ci/QuestionnaireResponse/queRes-noillness
    l: queRes-noillness
  resource: queRes-noillness
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/ci/Patient/pat-min
    l: pat-min
  resource: pat-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/ci/Condition/con-min
    l: con-min
  resource: con-min

tas-min
type: Task
id:
  v: tas-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/ci/StructureDefinition/Task-twci
    l: Task-twci
text:
  status:
    v: generated
  div:
    v: Profile: 重大傷病申請-Task TWCI 重大傷病：Condition/con-min 狀態：Requested (TaskStatus #requested ) 意圖：Order (TaskIntent #order ) 核定結果：同意42天 (TaskStatus #5 ) 重大傷病申請書回覆：QuestionnaireResponse/queRes-min 病人資訊：Patient/pat-min
based on:
  l: con-min
  reference:
    v: Condition/con-min
status:
  v: requested
business status:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/ci/CodeSystem/nhi-approve-result
      l: nhi-approve-result
    code:
      v: 5
intent:
  v: order
focus:
  l: queRes-min
  reference:
    v: QuestionnaireResponse/queRes-min
for:
  l: pat-min
  reference:
    v: Patient/pat-min

queRes-noillness
type: QuestionnaireResponse
id:
  v: queRes-noillness
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/ci/StructureDefinition/QuestionnaireResponse-twci
    l: QuestionnaireResponse-twci
text:
  status:
    v: generated
  div:
    v: Profile: 重大傷病申請書回覆-QuestionnaireResponse TWCI LinkID Text Definition Answer<img src="[binary]" alt="doco" style="background-color: inherit"/> queRes-min Questionnaire:Catastrophic-Illness-Form 1 hosp|院所資訊 1.1 hosp.applMode|申報方式 NHI-健保重大傷病-申報方式 2: 院所代辦 1.2 hosp.applType|申報類別 NHI-健保重大傷病-申報類別 1: 送核 1.3 hosp.applDate|申請日期 2024-01-01 1.4 hosp.medCertBookDate|開立診斷書申請日期 2025-10-20 1.5 hosp.hospId|醫事機構代碼 NHI-健保重大傷病-特約醫事機構 0131060029: 衛生福利部臺北醫院 1.6 hosp.acptNo|受理編號 11218899999 1.7 hosp.acptNum|受理次數 1 2 patient|病人資訊 Patient/pat-min 3 doctor|醫師資訊 3.1 doctor.diagPrsnId|醫師身分證號 A234649456 3.2 doctor.diagPrsnName|診斷醫師姓名 王小明 4 diagnosis|疾病資訊 4.1 diagnosis.icd10cmCode|主診斷代碼 臺灣健保署2023年中文版ICD-10-CM C49.6: 軀幹結締及軟組織之惡性腫瘤 4.2 diagnosis.examinationReport|檢查報告 4.2.1 diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。 LOINC 66117-3: Prostate Pathology biopsy report 4.2.2 diagnosis.examinationReport.speType|檢體種類 Prostate ; Stomach 4.2.3 diagnosis.examinationReport.reportResultString|報告結果-文數字 Prostate labeled as lesion 1 magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate labeled as lesion 2 magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate right lateral magnetic resonance-ultrasound fusion biopsy prostatic intraepithelial neoplasia high-gradeProstate right medial magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate left medial magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate left lateral magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+4=7MACROSCOPYSites of biopsy: A. Lesion 1 (left anterior midgland TZ): 3 cores (length: up to 2.1 cm) B. Lesion 2 (right anterior apex TZ): 3 cores (length: up to 2.0 cm) C. Right lateral: 3 cores (length: up to 1.8 cm) D. Right medial: 3 cores (length: up to 1.5 cm) E. Left medial: 3 cores (length: up to 1.4 cm) F. Left lateral: 3 cores (length: up to 1.2…
questionnaire:
  v: https://nhicore.nhi.gov.tw/ci/Questionnaire/apply-catastrophic-illness
  l: apply-catastrophic-illness
status:
  v: completed
item:
  link id:
    v: 1
  text:
    v: hosp|院所資訊
  item:
    link id:
      v: 1.1
    text:
      v: hosp.applMode|申報方式
    answer:
      value: Coding
  item:
    link id:
      v: 1.2
    text:
      v: hosp.applType|申報類別
    answer:
      value: Coding
  item:
    link id:
      v: 1.3
    text:
      v: hosp.applDate|申請日期
    answer:
      value: Date
        v: 2024-01-01
  item:
    link id:
      v: 1.4
    text:
      v: hosp.medCertBookDate|開立診斷書申請日期
    answer:
      value: Date
        v: 2025-10-28
  item:
    link id:
      v: 1.5
    text:
      v: hosp.hospId|醫事機構代碼
    answer:
      value: Coding
  item:
    link id:
      v: 1.6
    text:
      v: hosp.acptNo|受理編號
    answer:
      value: String
        v: 11218899999
  item:
    link id:
      v: 1.7
    text:
      v: hosp.acptNum|受理次數
    answer:
      value: Integer
        v: 1
item:
  link id:
    v: 2
  text:
    v: patient|病人資訊
  answer:
    value: Reference
      l: pat-min
      reference:
        v: Patient/pat-min
item:
  link id:
    v: 3
  text:
    v: doctor|醫師資訊
  item:
    link id:
      v: 3.1
    text:
      v: doctor.diagPrsnId|醫師身分證號
    answer:
      value: String
        v: A234649456
  item:
    link id:
      v: 3.2
    text:
      v: doctor.diagPrsnName|診斷醫師姓名
    answer:
      value: String
        v: 王小明
item:
  link id:
    v: 4
  text:
    v: diagnosis|疾病資訊
  item:
    link id:
      v: 4.1
    text:
      v: diagnosis.icd10cmCode|主診斷代碼
    answer:
      value: Coding
  item:
    link id:
      v: 4.2
    text:
      v: diagnosis.examinationReport|檢查報告
    item:
      link id:
        v: 4.2.1
      text:
        v: diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。
      answer:
        value: Coding
    item:
      link id:
        v: 4.2.2
      text:
        v: diagnosis.examinationReport.speType|檢體種類
      answer:
        value: String
    item:
      link id:
        v: 4.2.3
      text:
        v: diagnosis.examinationReport.reportResultString|報告結果-文數字
      answer:
        value: String
    item:
      link id:
        v: 4.2.4
      text:
        v: diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。
      answer:
        value: String
    item:
      link id:
        v: 4.2.5
      text:
        v: diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱
      answer:
        value: String
    item:
      link id:
        v: 4.2.6
      text:
        v: diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。
      answer:
        value: Date
  item:
    link id:
      v: 4.2
    text:
      v: diagnosis.examinationReport|檢查報告
    item:
      link id:
        v: 4.2.1
      text:
        v: diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。
      answer:
        value: Coding
    item:
      link id:
        v: 4.2.2
      text:
        v: diagnosis.examinationReport.speType|檢體種類
      answer:
        value: String
    item:
      link id:
        v: 4.2.3
      text:
        v: diagnosis.examinationReport.reportResultString|報告結果-文數字
      answer:
        value: String
    item:
      link id:
        v: 4.2.4
      text:
        v: diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。
      answer:
        value: String
    item:
      link id:
        v: 4.2.5
      text:
        v: diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱

pat-min
type: Patient
id:
  v: pat-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/ci/StructureDefinition/Patient-twci
    l: Patient-twci
text:
  status:
    v: generated
  div:
    v: Profile: 病人資訊-Patient TWCI 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx） 身分證號（official）：A123456789 （http://www.moi.gov.tw） 識別碼型別：Medical record number （ Identifier Type Codes#MR） 病歷號（official）：123456 （https://tpech.gov.taipei） 姓名（usual）：王大明 性別：男（male） 出生日期：2001-01-01 手機號碼：0912345678 連絡電話：0227065866 電子郵件信箱：a123456@nhi.gov.tw 郵遞區號：106 連絡住址：台北市大安區信義路三段140號
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NNxxx
  system:
    v: http://www.moi.gov.tw
    l: www.moi.gov.tw
  value:
    v: A123456789
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  system:
    v: https://tpech.gov.taipei
    l: tpech.gov.taipei
  value:
    v: 123456
name:
  use:
    v: usual
  text:
    v: 王大明
telecom:
  system:
    v: sms
  value:
    v: 0912345678
telecom:
  system:
    v: phone
  value:
    v: 0227065866
telecom:
  system:
    v: email
gender:
  v: male
birth date:
  v: 2001-01-01
address:
  text:
    v: 台北市大安區信義路三段140號
  postal code:
    extension:
      url:
        v: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-postal-code
        l: tw-postal-code
      value: CodeableConcept

con-min
type: Condition
id:
  v: con-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/ci/StructureDefinition/Condition-twci
    l: Condition-twci
text:
  status:
    v: generated
  div:
    v: Profile: 重大傷病-Condition TWCI 病情狀態：Active (ConditionClinicalStatusCodes #active) 重大傷病類別：癌症 (ConditionClinicalStatusCodes #01) 病人：Patient/pat-min
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/ci/CodeSystem/nhi-category
      l: nhi-category
    code:
      v: 01
subject:
  l: pat-min
  reference:
    v: Patient/pat-min

v: 2

v: 院所代辦

v: 1

v: 送核

v: 0131060029

v: 衛生福利部臺北醫院

v: C49.6

v: 軀幹結締及軟組織之惡性腫瘤

Coding
type: https://loinc.org/rdf/66117-3
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: 66117-3

String
v: Prostate ; Stomach

String
v: Prostate labeled as lesion 1 magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate labeled as lesion 2 magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate right lateral magnetic resonance-ultrasound fusion biopsy prostatic intraepithelial neoplasia high-gradeProstate right medial magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate left medial magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+3=6Prostate left lateral magnetic resonance-ultrasound fusion biopsy adenocarcinoma Gleason score 3+4=7MACROSCOPYSites of biopsy: A. Lesion 1 (left anterior midgland TZ): 3 cores (length: up to 2.1 cm) B. Lesion 2 (right anterior apex TZ): 3 cores (length: up to 2.0 cm) C. Right lateral: 3 cores (length: up to 1.8 cm) D. Right medial: 3 cores (length: up to 1.5 cm) E. Left medial: 3 cores (length: up to 1.4 cm) F. Left lateral: 3 cores (length: up to 1.2 cm)All for section and labeled as: A1 to F1. Jar 0MICROSCOPY1. Histologic diagnosis: A. Lesion 1: adenocarcinoma * Gleason score: 3+3=6 (Grade group: 1) * Area percentages of tumor part: 90% 70% 60% * Maximum cancer core length: 9.8 mm B. Lesion 2: adenocarcinoma * Gleason score: 3+3=6 (Grade group: 1) * Area percentages of tumor part: 40% 25% 5% C. Right lateral: high-grade prostatic intraepithelial neoplasia (PIN unifocal) D. Right medial: adenocarcinoma * Gleason score: 3+3=6 (Grade group: 1) * Area percentages of tumor part: 20% 0% 0% E. Left medial: adenocarcinoma * Gleason score: 3+3=6 (Grade group: 1) * Area percentages of tumor part: 40% 40% 0% F. Left lateral: adenocarcinoma * Gleason score: 3+4=7 (Grade group: 2) * Percentage of pattern 4 component: less than 5% * Area percentages of tumor part: 100% 5% 5%2. Perineural invasion: not identified3. Extraprostatic extension: not identified4. Seminal vesicle invasion: seminal vesicle not includedStomach middle to upper body lesser curvature anterio…

String
v: file://PathologyReport01.pdf

String
v: PathologyReport01

Date
v: 2024-01-01

Coding
type: https://loinc.org/rdf/66117-3
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: 66117-3

String
v: Prostate ; Stomach

String
v: 細胞檢查報告結果

String
v: file://PathologyReport02.pdf

value: String
  v: PathologyReport02

link id:
  v: 4.2.6
text:
  v: diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。
answer:
  value: Date
    v: 2024-01-02

link id:
  v: 4.3
text:
  v: diagnosis.medrec|病歷資料
item:
  link id:
    v: 4.3.1
  text:
    v: diagnosis.medrec.medrec|病歷資料
  answer:
    value: String
      v: file://Medicalrecord01.pdf
item:
  link id:
    v: 4.3.2
  text:
    v: diagnosis.medrec.medrecTitle|病歷資料名稱
  answer:
    value: String
      v: Medicalrecord01

link id:
  v: 4.4
text:
  v: diagnosis.imageStudy|影像報告
item:
  link id:
    v: 4.4.1
  text:
    v: diagnosis.imageStudy.imgItem|影像報告
  answer:
    value: Coding
      system:
        v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
        l: icd-10-pcs-2023-tw
      code:
        v: B34JZZ3
item:
  link id:
    v: 4.4.2
  text:
    v: diagnosis.imageStudy.imgResult|影像報告結果
  answer:
    value: String
      v: CT of Chest with contrast enhancement shows: COMPARISON: 2023-12-13. FINDINGS: - placement of a right port-A catheter. - a small(＜=6mm) perifissural nodule in right minor lung fissure(SE2 IM66) larger. - small pleural nodules at RUL and LUL up to 1.1cm in apical RUL larger. - no pleural effusion. - no definite mediastinal lymphadenopathy. - some mixed increased and decreased densities at the vertebral bodies of thoracolumbar spines; partial collapse of L5 vertebral body stable. 1. A small perifissural nodule in right minor lung fissure larger. 2. Small pleural nodules at RUL and LUL up to 1.1cm in apical RUL larger. 2. Bone metastases.
item:
  link id:
    v: 4.4.3
  text:
    v: diagnosis.imageStudy.imgDate|影像報告日期
  answer:
    value: Date
      v: 2024-01-01
item:
  link id:
    v: 4.4.4
  text:
    v: diagnosis.imageStudy.imgBodySite|影像檢查的身體部位
  answer:
    value: Coding
      type: http://snomed.info/id/774007
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 774007
      display:
        v: Head and neck structure
item:
  link id:
    v: 4.4.5
  text:
    v: diagnosis.imageStudy.imgDicom|DICOM影像
  item:
    link id:
      v: 4.4.5.1
    text:
      v: diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼
    answer:
      value: String
        v: urn:oid:2.16.886.2102.54.4546465747.465465465
  item:
    link id:
      v: 4.4.5.2
    text:
      v: diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例
    item:
      link id:
        v: 4.4.5.2.1
      text:
        v: diagnosis.imageStudy.imgDicom.series.uid|此系列的DICOM系列實例UID
      answer:
        value: String
    item:
      link id:
        v: 4.4.5.2.2
      text:
        v: diagnosis.imageStudy.imgDicom.series.modality|此系列實例所使用的成像儀器
      answer:
        value: Coding
    item:
      link id:
        v: 4.4.5.2.3
      text:
        v: diagnosis.imageStudy.imgDicom.series.instance|系列中的一個SOP實例
item:
  link id:
    v: 4.4.6
  text:
    v: diagnosis.imageStudy.imgNonDicom|非DICOM影像
  item:
    link id:
      v: 4.4.6.1
    text:
      v: diagnosis.imageStudy.imgNonDicom.imgNonDicom|非DICOM影像
    answer:
      value: String
        v: file://US01.jpg
  item:
    link id:
      v: 4.4.6.2
    text:
      v: diagnosis.imageStudy.imgNonDicom.imgNonDicomMimeType|非DICOM影像MimeType
    answer:
      value: Coding

String
v: 2.16.886.2102.54.4546465747.465465466

Coding
system:
  v: http://dicom.nema.org/resources/ontology/DCM
  l: DCM
code:
  v: CT

v: 4.4.5.2.3.1

v: diagnosis.imageStudy.imgDicom.series.instance.uid|DICOM影像

value: String
  v: 2.25.88017001449189502323411118737039844241

v: 4.4.5.2.3.2

v: diagnosis.imageStudy.imgDicom.series.instance.sopClass|DICOM class 類型

value: Coding
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  code:
    v: urn:oid:1.2.840.10008.5.1.4.1.1.2

v: urn:ietf:bcp:13
l: 13

v: image/jpeg

link id:
  v: 5
text:
  v: ci|重大傷病
answer:
  value: Reference
    l: con-min
    reference:
      v: Condition/con-min

link id:
  v: 6
text:
  v: cancerStage|癌症期別
item:
  link id:
    v: 6.1
  text:
    v: cancerStage.cancerStage|癌症期別，醫院自行填入癌症期別(1~4)，若為不適用者填9(不適用)。
  answer:
    value: Coding
      system:
        v: https://nhicore.nhi.gov.tw/ci/CodeSystem/cancer-stage
        l: cancer-stage
      code:
        v: 1
      display:
        v: 第一期
item:
  link id:
    v: 6.2
  text:
    v: cancerStage.assessScore|癌症分期分數或結果
  answer:
    value: String
      v: T1
item:
  link id:
    v: 6.3
  text:
    v: cancerStage.assessDate|癌症分期量表評估日期，YYYY-MM-DD，西元年月日，民國前為負數。
  answer:
    value: Date
      v: 2024-01-01

system:
  v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/postal-code3-tw
  l: postal-code3-tw
code:
  v: 106