臺灣健保癌症用藥事前審查實作指引
1.0.8 - ci-build

臺灣健保癌症用藥事前審查實作指引, 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 1.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

Example Bundle: 事前審查回覆

Bundle bun-response of type searchset

Entry 1 - fullUrl = https://nhicore.nhi.gov.tw/pas/ClaimResponse/claim-response-example

Search:Mode = match

Resource ClaimResponse:

狀態：Active

類型：Institutional

用途：Preauthorization

病人：Patient/pat-min

核定日期：2024-07-30

關聯的事前審查：Claim/cla-1

保險商：Organization 衛生福利部中央健康保險署

處置狀態：Processing Complete

案件受理狀態：審畢結果

item

itemSequence：1

受理審查案件核定註記

-類型受理審查案件核定註記核定數量
*Submitted Amount同意備查 ( NHI-健保事前審查-核定註記#1) )2

個別醫令核定註記

-類型Claim.item.sequence個別醫令核定註記
*Submitted Amount1同意備查 ( NHI-健保事前審查-核定註記#1) )
*Submitted Amount2同意備查 ( NHI-健保事前審查-核定註記#1) )