臺灣健保事前審查實作指引, 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 1.1.0 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

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• Detailed Descriptions
• Mappings
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• JSON
• TTL

Logical Model: ApplyModel - Mappings

Mappings for the ApplyModel logical model.

Mappings to Structures in this Implementation Guide

Name	Mapping to TWPAS Claim	Mapping to TWPAS Patient	Mapping to TWPAS Organization	Mapping to TWPAS Encounter	Mapping to TWPAS DiagnosticReportImage	Mapping to TWPAS ImagingStudy	Mapping to TWPAS Media	Mapping to TWPAS ObservationCancerStage	Mapping to TWPAS DiagnosticReport	Mapping to TWPAS ObservationDiagnostic	Mapping to TWPAS ObservationLaboratoryResult	Mapping to TWPAS ObservationPatientAssessment	Mapping to TWPAS MedicationRequestTreatTWPAS	Mapping to TWPAS Procedure	Mapping to TWPAS Substance	Mapping to TWPAS DocumentReference	Mapping to TWPAS ObservationTreatmentAssessment	Mapping to TWPAS MedicationRequestApply	Mapping to TWPAS ClaimResponse Self Assessment	Mapping to TWPAS Practitioner	Mapping to TWPAS Bundle
ApplyModel
hosp
@id
extension
modifierExtension
hospId	Claim.provider.reference		Organization.identifier.value
applType	Claim.subType.coding.code
funcType	//nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter').valueReference.reference			Encounter.serviceType.coding.code
applPrsnId	Claim.enterer.reference																			Practitioner.identifier.value
applDate	Claim.created
immediateDate																					Bundle.timestamp
tmhbType	Claim.priority.coding.code
oldAcptNo	Claim.identifier.value
patient
@id
extension
modifierExtension
name		Patient.name.text
idCard	Claim.patient.reference	Patient.identifier.where(type.coding.code = 'NNxxx').value
patId		Patient.identifier.where(type.coding.code = 'MR').value
birthday		Patient.birthDate
gender		Patient.gender
weight	Claim.supportingInfo.where(category.coding.code = 'weight').valueQuantity.value
height	Claim.supportingInfo.where(category.coding.code = 'height').valueQuantity.value
pregnant	Claim.supportingInfo.where(category.coding.code = 'pregnancyBreastfeedingStatus').valueBoolean
diagnosis
@id
extension
modifierExtension
icd10cmCode	Claim.diagnosis.diagnosisCodeableConcept.coding.code
diagDate	//hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').valueDate
diagCurrentStatus	Claim.diagnosis.type.text
medrec	Claim.supportingInfo.where(category.coding.code = 'medicalRecord').valueReference.reference															DocumentReference.content.attachment.url
medrecTitle																DocumentReference.content.attachment.title
imageStudy
@id
extension
modifierExtension
imgItem	Claim.supportingInfo.where(category.coding.code = 'imagingReport').valueReference.reference				DiagnosticReport.code.coding.code
imgResult					DiagnosticReport.conclusion
imgBodySite					DiagnosticReport.code.text	ImagingStudy.series.bodySite.code	Media.bodySite.coding.code
imgDate					DiagnosticReport.effectiveDateTime
imgDicom					DiagnosticReport.imagingStudy.reference	ImagingStudy.series.instance.uid
imgNonDicom					DiagnosticReport.media.link.reference		Media.contnet.url
imgInterpreter					DiagnosticReport.performer.reference															Practitioner.identifier.value
cancerStage
@id
extension
modifierExtension
assessItem	Claim.supportingInfo.where(category.coding.code = 'cancerStage').valueReference.reference							Observation.code.coding.code
assessScore								Observation.valueCodeableConcept.coding.code
assessDate								Observation.effectiveDateTime
assessPerformer								Observation.performer.reference												Practitioner.identifier.value
examinationReport
@id
extension
modifierExtension
reportType									DiagnosticReport.code.coding.code
speType									DiagnosticReport.code.text
reportResult
@id
extension
modifierExtension
reportResultString									DiagnosticReport.conclusion
reportResultPdf	Claim.supportingInfo.where(category.coding.code = 'examinationReport').valueReference.reference								DiagnosticReport.presentedForm.url
reportResultPdfTitle									DiagnosticReport.presentedForm.title
reportDate									DiagnosticReport.effectiveDateTime
reportPerformer									DiagnosticReport.performer.reference											Practitioner.identifier.value
gene
@id
extension
modifierExtension
genTestCode	Claim.supportingInfo.where(category.coding.code = 'geneInfo').valueReference.reference									Observation.component.code.coding.code
genTestValue										Observation.component.value[x]
mutationType										Observation.component.where(code.coding.code = '48019-4').valueCodeableConcept.coding.code
specimenType										Observation.specimen.reference
genMethod										Observation.method.coding.code
genDate										Observation.effectiveDateTime
genOrg			Organization.identifier.value							Observation.performer.reference
genResult										Observation.valueCodeableConcept.coding.code
genInterpretation										Observation.interpretation.coding.code
genPdf										Observation.derivedFrom.reference						DocumentReference.content.attachment.url
genPdfTitle																DocumentReference.content.attachment.title
evaluate
@id
extension
modifierExtension
tests
@id
extension
modifierExtension
inspect	Claim.supportingInfo.where(category.coding.code = 'tests').valueReference.reference										Observation.code.coding.code
inspectResultTxt											Observation.interpretation.coding.code
inspectResult[x]											Observation.value
consultValueLower											Observation.referenceRange.low.value
consultValueMax											Observation.referenceRange.high.value
consultValueCat											Observation.referenceRange.type.coding.code
consultValueDesc											Observation.referenceRange.text
inspectSet											Observation.component
caseTime											Observation.effectiveDateTime
inspectPdf											Observation.derivedFrom.reference					DocumentReference.content.attachment.url
inspectPdfTitle																DocumentReference.content.attachment.title
inspectPerformer											Observation.performer.reference									Practitioner.identifier.value
patientAssessment
@id
extension
modifierExtension
patAst	Claim.supportingInfo.where(category.coding.code = 'patientAssessment').valueReference.reference											Observation.code.coding.code
patAstResult												Observation.value
patAstDate												Observation.effectiveDateTime
patAstPdf
patAstPdfTitle
patAstPerformer												Observation.performer.reference								Practitioner.identifier.value
treat
@id
extension
modifierExtension
medicationRequest
@id
extension
modifierExtension
drugType													MedicationRequest.category.coding.code
drugStatus													MedicationRequest.status
drugCode	Claim.supportingInfo.where(category.coding.code = 'medicationRequest').valueReference.reference												MedicationRequest.medicationCodeableConcept.coding.code
drugFre													MedicationRequest.dosageInstruction.timing.code.text
drugRoute													MedicationRequest.dosageInstruction.route
dose													MedicationRequest.dosageInstruction.doseAndRate.doseQuantity.value
doseUnit													MedicationRequest.dosageInstruction.doseAndRate.doseQuantity.code
sDate													MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start
eDate													MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end
eReason													MedicationRequest.statusReason
radiotherapy
@id
extension
modifierExtension
rt	Claim.supportingInfo.where(category.coding.code = 'radiotherapy').valueReference.reference													Procedure.code.coding.code
rtStatus														Procedure.status
realInspectTime														Procedure.performedDateTime
rtDose														Procedure.usedReference.reference	Substance.ingredient.quantity.numerator.value
rtUnit															Substance.ingredient.quantity.numerator.code
opCode	Claim.procedure.procedureCodeableConcept.coding
opDate	Claim.procedure.date
carePlanDocument	Claim.supportingInfo.where(category.coding.code = 'carePlanDocument').valueReference.reference															DocumentReference.content.attachment.url
carePlanDocumentTitle																DocumentReference.content.attachment.title
result
@id
extension
modifierExtension
txAst	Claim.supportingInfo.where(category.coding.code = 'treatmentAssessment').valueReference.reference																Observation.code.coding.code
txAstResult																	Observation.valueString
txAstDate																	Observation.effectiveDateTime
apply
@id
extension
modifierExtension
continuation	//nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status').coding.code
lot	//nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy').coding.code
orderType	Claim.item.productOrService.coding.code
cancerDrugType	//nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService').valueReference.reference																	MedicationRequest.medicationCodeableConcept.coding.code
applyReason	Claim.item.programCode
applySide	Claim.item.bodySite
applQty	Claim.item.quantity.value
applQtyUnit	Claim.item.quantity.code
applDrugFre																		MedicationRequest.dosageInstruction.timing.code.coding
applDrugRoute																		MedicationRequest.dosageInstruction.route
applDosage																		MedicationRequest.dosageInstruction.doseAndRate.dose[x].value
applDosageUnit																		MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit
useSdate																		MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start
useEdate																		MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end
applDrugCycle																		MedicationRequest.dosageInstruction.timing.repeat.count
approver																			requestor
approveDate																			ClaimResponse.created
approveComment																			ClaimResponse.item.adjudication.reason
approveNum																			ClaimResponse.item.adjudication.value
acceptanceStatus																			ClaimResponse.item.detail.adjudication.reason
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