abstractbaseDefinitioncopyrightdate- Values Differ
description- Values Differ
experimentalfhirVersionjurisdictionkindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | TW Core Coverage (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore) |
| Right: | TW Core Coverage (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore) |
| Error | StructureDefinition.version | Values for version differ: '0.3.2' vs '1.0.0' |
| Information | StructureDefinition.date | Values for date differ: '2024-12-12T12:59:26+08:00' vs '2025-12-10T08:57:50+00:00' |
| Information | StructureDefinition.short | Values for short differ: 'Insurance or medical plan or a payment agreement' vs '保險、醫療計畫或付款協議' |
| Information | StructureDefinition.short | Values for short differ: 'A set of rules under which this content was created' vs '本資源內容的處理規則' |
| Information | Coverage.language | Example/preferred bindings differ at Coverage.language using binding from TWCoreCoverage |
| Information | StructureDefinition.short | Values for short differ: 'Extensions that cannot be ignored' vs '擴充內容可能會改變資源解釋方式' |
| Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'An Extension' |
| Information | StructureDefinition.short | Values for short differ: 'Member ID and other identifiers' vs '會員 ID 及其他識別碼' |
| Information | StructureDefinition.comment | Values for comment differ: 'The `Coverage.status` alone does not indicate whether an individual's coverage is terminated or that the individual is not covered. The `Coverage.period` needs to be considered as well.' vs '`Coverage.status` 本身並不表示個人的保險是否已終止或個人未被保險。也需要考慮 `Coverage.period`。' |
| Information | StructureDefinition.short | Values for short differ: 'Coverage category such as medical or accident' vs '保險類型' |
| Information | StructureDefinition.short | Values for short differ: 'Owner of the policy' vs '保單持有人' |
| Information | StructureDefinition.comment | Values for comment differ: 'For example: may be an individual, corporation or the subscriber's employer.' vs '保單的擁有者，可以是個人或組織' |
| Information | StructureDefinition.short | Values for short differ: 'Subscriber to the policy' vs '被保險人 (訂閱者)' |
| Information | StructureDefinition.comment | Values for comment differ: 'May be self or a parent in the case of dependants.' vs '保單中的主要被保險人' |
| Information | StructureDefinition.short | Values for short differ: 'ID assigned to the subscriber' vs '被保險人 (訂閱者) ID' |
| Information | StructureDefinition.comment | Values for comment differ: 'The identifier assigned by the Payer on the subscriber's ID card' vs '支付者在訂閱者 ID 卡上分配的識別碼' |
| Information | StructureDefinition.short | Values for short differ: 'Plan beneficiary' vs '受益人' |
| Information | StructureDefinition.comment | Values for comment differ: 'Identifier for a member assigned by the Payer.' vs '支付者分配給會員的識別碼。' |
| Information | StructureDefinition.short | Values for short differ: 'Beneficiary relationship to the subscriber' vs '與被保險人關係' |
| Information | StructureDefinition.comment | Values for comment differ: 'Relationship of the member to the person insured (subscriber)' vs '會員與被保險人 (訂閱者) 的關係' |
| Information | StructureDefinition.short | Values for short differ: 'Coverage start and end dates' vs '保險期間' |
| Information | StructureDefinition.comment | Values for comment differ: 'Date that the contract became effective and Date that the contract was terminated or coverage changed.' vs '合約生效日期和合約終止或保險變更的日期。' |
| Information | StructureDefinition.short | Values for short differ: 'Issuer of the policy' vs '保險給付者' |
| Information | StructureDefinition.comment | Values for comment differ: 'Issuer of the Policy' vs '保單的發行機構' |
| Information | StructureDefinition.short | Values for short differ: 'Additional coverage classifications' vs '保險分類資訊' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Coverage | ||
| copyright | |||
| date | 2024-12-12T12:59:26+08:00 | 2025-12-10T08:57:50+00:00 |
|
| description | 此臺灣核心-給付範圍（TW Core Coverage） Profile說明本IG如何進一步定義FHIR的Coverage Resource以呈現給付範圍資料。 | 此臺灣核心-給付範圍(TW Core Coverage) Profile 說明本 IG 如何進一步定義 FHIR 的 Coverage Resource 以呈現給付範圍資料。 |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| kind | resource | ||
| name | TWCoreCoverage | ||
| publisher | |||
| purpose | |||
| status | active | ||
| title | TW Core Coverage | ||
| type | Coverage | ||
| url | https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coverage-twcore | ||
| version | 0.3.2 | 1.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Coverage | C | 0..* | Coverage | Insurance or medical plan or a payment agreement Constraints: tw-core-9 | C | 0..* | Coverage | 保險、醫療計畫或付款協議 Constraints: tw-core-9 | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | 本資源內容的處理規則 | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
|
| ||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | 擴充內容可能會改變資源解釋方式 | |||||||||
| Slices for identifier | SΣ | 0..* | Identifier | Member ID and other identifiers Slice: Unordered, Open by pattern:type | SΣ | 0..* | Identifier | 會員 ID 及其他識別碼 Slice: Unordered, Open by pattern:type | |||||||||
| status | ?!SΣ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | ?!SΣ | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. | |||||||||
| type | SΣ | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: ?? (extensible) | SΣ | 0..1 | CodeableConcept | 保險類型 Binding: ?? (extensible) | |||||||||
| policyHolder | Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Organization) | Owner of the policy | Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson | TW Core Organization) | 保單持有人 | |||||||||
| subscriber | Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson) | Subscriber to the policy | Σ | 0..1 | Reference(TW Core Patient | TW Core RelatedPerson) | 被保險人 (訂閱者) | |||||||||
| subscriberId | SΣC | 0..1 | string | ID assigned to the subscriber | SΣC | 0..1 | string | 被保險人 (訂閱者) ID | |||||||||
| beneficiary | SΣ | 1..1 | Reference(TW Core Patient) | Plan beneficiary | SΣ | 1..1 | Reference(TW Core Patient) | 受益人 | |||||||||
| dependent | Σ | 0..1 | string | Dependent number | Σ | 0..1 | string | Dependent number | |||||||||
| relationship | S | 1..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | S | 1..1 | CodeableConcept | 與被保險人關係 Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |||||||||
| period | SΣ | 0..1 | Period | Coverage start and end dates | SΣ | 0..1 | Period | 保險期間 | |||||||||
| payor | SΣ | 1..1 | Reference(TW Core Organization S | TW Core Patient | TW Core RelatedPerson) | Issuer of the policy | SΣ | 1..1 | Reference(TW Core Organization S | TW Core Patient | TW Core RelatedPerson) | 保險給付者 | |||||||||
 Slices for class | S | 0..* | BackboneElement | Additional coverage classifications Slice: Unordered, Open by pattern:type | S | 0..* | BackboneElement | 保險分類資訊 Slice: Unordered, Open by pattern:type | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| type | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. | Σ | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. | |||||||||
| value | Σ | 1..1 | string | Value associated with the type | Σ | 1..1 | string | Value associated with the type | |||||||||
 name | Σ | 0..1 | string | Human readable description of the type and value | Σ | 0..1 | string | Human readable description of the type and value | |||||||||
| order | Σ | 0..1 | positiveInt | Relative order of the coverage | Σ | 0..1 | positiveInt | Relative order of the coverage | |||||||||
| network | Σ | 0..1 | string | Insurer network | Σ | 0..1 | string | Insurer network | |||||||||
| costToBeneficiary | 0..* | BackboneElement | Patient payments for services/products | 0..* | BackboneElement | Patient payments for services/products | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| type | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. | Σ | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. | |||||||||
| value[x] | Σ | 1..1 | ??, Money | The amount or percentage due from the beneficiary | Σ | 1..1 | ??, Money | The amount or percentage due from the beneficiary | |||||||||
 exception | 0..* | BackboneElement | Exceptions for patient payments | 0..* | BackboneElement | Exceptions for patient payments | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| type | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. | Σ | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. | |||||||||
| period | Σ | 0..1 | Period | The effective period of the exception | Σ | 0..1 | Period | The effective period of the exception | |||||||||
| subrogation | 0..1 | boolean | Reimbursement to insurer | 0..1 | boolean | Reimbursement to insurer | |||||||||||
| contract | 0..* | Reference(Contract) | Contract details | 0..* | Reference(Contract) | Contract details | |||||||||||
| Documentation for this format | |||||||||||||||||