申請(Apply)癌症用藥癌藥事前審查之資料模型 - Mappings

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 1.2.8 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

Logical Model: ApplyModel - Mappings

Active as of 2026-10-14

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

Mappings to other Structures

No Mappings Found

Other Mappings

No Mappings Found