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

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Resource Profile: ClaimResponseTWPAS - Mappings

Mappings for the ClaimResponse-twpas resource profile.

Mappings to Structures in this Implementation Guide

Name	Mapping to TWPAS ClaimResponse
ClaimResponse
ClaimResponse / id
ClaimResponse / meta
ClaimResponse / meta / id
ClaimResponse / meta / extension
ClaimResponse / meta / versionId
ClaimResponse / meta / lastUpdated
ClaimResponse / meta / source
ClaimResponse / meta / profile
ClaimResponse / meta / security
ClaimResponse / meta / tag
ClaimResponse / implicitRules
ClaimResponse / language
ClaimResponse / text
ClaimResponse / contained
ClaimResponse / extension
ClaimResponse / modifierExtension
ClaimResponse / identifier
ClaimResponse / identifier / id
ClaimResponse / identifier / extension
ClaimResponse / identifier / use
ClaimResponse / identifier / type
ClaimResponse / identifier / system
ClaimResponse / identifier / value
ClaimResponse / identifier / period
ClaimResponse / identifier / assigner
ClaimResponse / status
ClaimResponse / type
ClaimResponse / subType
ClaimResponse / use
ClaimResponse / patient
ClaimResponse / created	ResponseModel.approveDate
ClaimResponse / insurer
ClaimResponse / requestor
ClaimResponse / request
ClaimResponse / outcome
ClaimResponse / disposition	ResponseModel.acptNo
ClaimResponse / preAuthRef
ClaimResponse / preAuthPeriod
ClaimResponse / payeeType
ClaimResponse / item
ClaimResponse / item / id
ClaimResponse / item / extension
ClaimResponse / item / modifierExtension
ClaimResponse / item / itemSequence
ClaimResponse / item / noteNumber
ClaimResponse / item / adjudication
ClaimResponse / item / adjudication / id
ClaimResponse / item / adjudication / extension
ClaimResponse / item / adjudication / modifierExtension
ClaimResponse / item / adjudication / category
ClaimResponse / item / adjudication / category / id
ClaimResponse / item / adjudication / category / extension
ClaimResponse / item / adjudication / category / coding
ClaimResponse / item / adjudication / category / coding / id
ClaimResponse / item / adjudication / category / coding / extension
ClaimResponse / item / adjudication / category / coding / system
ClaimResponse / item / adjudication / category / coding / version
ClaimResponse / item / adjudication / category / coding / code
ClaimResponse / item / adjudication / category / coding / display
ClaimResponse / item / adjudication / category / coding / userSelected
ClaimResponse / item / adjudication / category / text
ClaimResponse / item / adjudication / reason
ClaimResponse / item / adjudication / reason / id
ClaimResponse / item / adjudication / reason / extension
ClaimResponse / item / adjudication / reason / coding
ClaimResponse / item / adjudication / reason / text	ResponseModel.approveComment
ClaimResponse / item / adjudication / amount
ClaimResponse / item / adjudication / value
ClaimResponse / item / detail
ClaimResponse / item / detail / id
ClaimResponse / item / detail / extension
ClaimResponse / item / detail / modifierExtension
ClaimResponse / item / detail / detailSequence
ClaimResponse / item / detail / noteNumber
ClaimResponse / item / detail / adjudication
ClaimResponse / item / detail / adjudication / id
ClaimResponse / item / detail / adjudication / extension
ClaimResponse / item / detail / adjudication / modifierExtension
ClaimResponse / item / detail / adjudication / category
ClaimResponse / item / detail / adjudication / category / id
ClaimResponse / item / detail / adjudication / category / extension
ClaimResponse / item / detail / adjudication / category / coding
ClaimResponse / item / detail / adjudication / category / coding / id
ClaimResponse / item / detail / adjudication / category / coding / extension
ClaimResponse / item / detail / adjudication / category / coding / system
ClaimResponse / item / detail / adjudication / category / coding / version
ClaimResponse / item / detail / adjudication / category / coding / code
ClaimResponse / item / detail / adjudication / category / coding / display
ClaimResponse / item / detail / adjudication / category / coding / userSelected
ClaimResponse / item / detail / adjudication / category / text
ClaimResponse / item / detail / adjudication / reason	ResponseModel.approveItemComment
ClaimResponse / item / detail / adjudication / amount
ClaimResponse / item / detail / adjudication / value	ResponseModel.approveNum
ClaimResponse / item / detail / subDetail
ClaimResponse / item / detail / subDetail / id
ClaimResponse / item / detail / subDetail / extension
ClaimResponse / item / detail / subDetail / modifierExtension
ClaimResponse / item / detail / subDetail / subDetailSequence
ClaimResponse / item / detail / subDetail / noteNumber
ClaimResponse / item / detail / subDetail / adjudication
ClaimResponse / addItem
ClaimResponse / addItem / id
ClaimResponse / addItem / extension
ClaimResponse / addItem / modifierExtension
ClaimResponse / addItem / itemSequence
ClaimResponse / addItem / detailSequence
ClaimResponse / addItem / subdetailSequence
ClaimResponse / addItem / provider
ClaimResponse / addItem / productOrService
ClaimResponse / addItem / modifier
ClaimResponse / addItem / programCode
ClaimResponse / addItem / serviced[x]
ClaimResponse / addItem / location[x]
ClaimResponse / addItem / quantity
ClaimResponse / addItem / unitPrice
ClaimResponse / addItem / factor
ClaimResponse / addItem / net
ClaimResponse / addItem / bodySite
ClaimResponse / addItem / subSite
ClaimResponse / addItem / noteNumber
ClaimResponse / addItem / adjudication
ClaimResponse / addItem / detail
ClaimResponse / addItem / detail / id
ClaimResponse / addItem / detail / extension
ClaimResponse / addItem / detail / modifierExtension
ClaimResponse / addItem / detail / productOrService
ClaimResponse / addItem / detail / modifier
ClaimResponse / addItem / detail / quantity
ClaimResponse / addItem / detail / unitPrice
ClaimResponse / addItem / detail / factor
ClaimResponse / addItem / detail / net
ClaimResponse / addItem / detail / noteNumber
ClaimResponse / addItem / detail / adjudication
ClaimResponse / addItem / detail / subDetail
ClaimResponse / addItem / detail / subDetail / id
ClaimResponse / addItem / detail / subDetail / extension
ClaimResponse / addItem / detail / subDetail / modifierExtension
ClaimResponse / addItem / detail / subDetail / productOrService
ClaimResponse / addItem / detail / subDetail / modifier
ClaimResponse / addItem / detail / subDetail / quantity
ClaimResponse / addItem / detail / subDetail / unitPrice
ClaimResponse / addItem / detail / subDetail / factor
ClaimResponse / addItem / detail / subDetail / net
ClaimResponse / addItem / detail / subDetail / noteNumber
ClaimResponse / addItem / detail / subDetail / adjudication
ClaimResponse / adjudication
ClaimResponse / total
ClaimResponse / total / id
ClaimResponse / total / extension
ClaimResponse / total / modifierExtension
ClaimResponse / total / category
ClaimResponse / total / amount
ClaimResponse / payment
ClaimResponse / payment / id
ClaimResponse / payment / extension
ClaimResponse / payment / modifierExtension
ClaimResponse / payment / type
ClaimResponse / payment / adjustment
ClaimResponse / payment / adjustmentReason
ClaimResponse / payment / date
ClaimResponse / payment / amount
ClaimResponse / payment / identifier
ClaimResponse / fundsReserve
ClaimResponse / formCode
ClaimResponse / form
ClaimResponse / processNote
ClaimResponse / processNote / id
ClaimResponse / processNote / extension
ClaimResponse / processNote / modifierExtension
ClaimResponse / processNote / number
ClaimResponse / processNote / type
ClaimResponse / processNote / text
ClaimResponse / processNote / language
ClaimResponse / communicationRequest
ClaimResponse / insurance
ClaimResponse / insurance / id
ClaimResponse / insurance / extension
ClaimResponse / insurance / modifierExtension
ClaimResponse / insurance / sequence
ClaimResponse / insurance / focal
ClaimResponse / insurance / coverage
ClaimResponse / insurance / businessArrangement
ClaimResponse / insurance / claimResponse
ClaimResponse / error
ClaimResponse / error / id
ClaimResponse / error / extension
ClaimResponse / error / modifierExtension
ClaimResponse / error / itemSequence
ClaimResponse / error / detailSequence
ClaimResponse / error / subDetailSequence
ClaimResponse / error / code
Documentation for this format

Mappings to other Structures

No Mappings Found

Other Mappings

Name	Workflow Pattern	FiveWs Pattern Mapping	RIM Mapping
ClaimResponse	Event		Entity. Role or Act
ClaimResponse / id
ClaimResponse / meta
ClaimResponse / meta / id			n/a
ClaimResponse / meta / extension			n/a
ClaimResponse / meta / versionId
ClaimResponse / meta / lastUpdated
ClaimResponse / meta / source
ClaimResponse / meta / profile
ClaimResponse / meta / security
ClaimResponse / meta / tag
ClaimResponse / implicitRules
ClaimResponse / language
ClaimResponse / text			Act.text?
ClaimResponse / contained			N/A
ClaimResponse / extension			N/A
ClaimResponse / modifierExtension			N/A
ClaimResponse / identifier	Event.identifier	FiveWs.identifier
ClaimResponse / identifier / id			n/a
ClaimResponse / identifier / extension			n/a
ClaimResponse / identifier / use			Role.code or implied by context
ClaimResponse / identifier / type			Role.code or implied by context
ClaimResponse / identifier / system			II.root or Role.id.root
ClaimResponse / identifier / value			II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
ClaimResponse / identifier / period			Role.effectiveTime or implied by context
ClaimResponse / identifier / assigner			II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
ClaimResponse / status	Event.status	FiveWs.status
ClaimResponse / type		FiveWs.class
ClaimResponse / subType		FiveWs.class
ClaimResponse / use		FiveWs.class
ClaimResponse / patient		FiveWs.subject
ClaimResponse / created	Event.occurrence[x]	FiveWs.recorded
ClaimResponse / insurer	Event.performer
ClaimResponse / requestor		FiveWs.source
ClaimResponse / request	Event.basedOn	FiveWs.why[x]
ClaimResponse / outcome
ClaimResponse / disposition	Event.note
ClaimResponse / preAuthRef
ClaimResponse / preAuthPeriod
ClaimResponse / payeeType
ClaimResponse / item
ClaimResponse / item / id			n/a
ClaimResponse / item / extension			n/a
ClaimResponse / item / modifierExtension			N/A
ClaimResponse / item / itemSequence
ClaimResponse / item / noteNumber
ClaimResponse / item / adjudication
ClaimResponse / item / adjudication / id			n/a
ClaimResponse / item / adjudication / extension			n/a
ClaimResponse / item / adjudication / modifierExtension			N/A
ClaimResponse / item / adjudication / category
ClaimResponse / item / adjudication / category / id			n/a
ClaimResponse / item / adjudication / category / extension			n/a
ClaimResponse / item / adjudication / category / coding			union(. ./translation)
ClaimResponse / item / adjudication / category / coding / id			n/a
ClaimResponse / item / adjudication / category / coding / extension			n/a
ClaimResponse / item / adjudication / category / coding / system			./codeSystem
ClaimResponse / item / adjudication / category / coding / version			./codeSystemVersion
ClaimResponse / item / adjudication / category / coding / code			./code
ClaimResponse / item / adjudication / category / coding / display			CV.displayName
ClaimResponse / item / adjudication / category / coding / userSelected			CD.codingRationale
ClaimResponse / item / adjudication / category / text			./originalText[mediaType/code="text/plain"]/data
ClaimResponse / item / adjudication / reason
ClaimResponse / item / adjudication / reason / id			n/a
ClaimResponse / item / adjudication / reason / extension			n/a
ClaimResponse / item / adjudication / reason / coding			union(. ./translation)
ClaimResponse / item / adjudication / reason / text			./originalText[mediaType/code="text/plain"]/data
ClaimResponse / item / adjudication / amount
ClaimResponse / item / adjudication / value
ClaimResponse / item / detail
ClaimResponse / item / detail / id			n/a
ClaimResponse / item / detail / extension			n/a
ClaimResponse / item / detail / modifierExtension			N/A
ClaimResponse / item / detail / detailSequence
ClaimResponse / item / detail / noteNumber
ClaimResponse / item / detail / adjudication
ClaimResponse / item / detail / adjudication / id			n/a
ClaimResponse / item / detail / adjudication / extension			n/a
ClaimResponse / item / detail / adjudication / modifierExtension			N/A
ClaimResponse / item / detail / adjudication / category
ClaimResponse / item / detail / adjudication / category / id			n/a
ClaimResponse / item / detail / adjudication / category / extension			n/a
ClaimResponse / item / detail / adjudication / category / coding			union(. ./translation)
ClaimResponse / item / detail / adjudication / category / coding / id			n/a
ClaimResponse / item / detail / adjudication / category / coding / extension			n/a
ClaimResponse / item / detail / adjudication / category / coding / system			./codeSystem
ClaimResponse / item / detail / adjudication / category / coding / version			./codeSystemVersion
ClaimResponse / item / detail / adjudication / category / coding / code			./code
ClaimResponse / item / detail / adjudication / category / coding / display			CV.displayName
ClaimResponse / item / detail / adjudication / category / coding / userSelected			CD.codingRationale
ClaimResponse / item / detail / adjudication / category / text			./originalText[mediaType/code="text/plain"]/data
ClaimResponse / item / detail / adjudication / reason
ClaimResponse / item / detail / adjudication / amount
ClaimResponse / item / detail / adjudication / value
ClaimResponse / item / detail / subDetail
ClaimResponse / item / detail / subDetail / id			n/a
ClaimResponse / item / detail / subDetail / extension			n/a
ClaimResponse / item / detail / subDetail / modifierExtension			N/A
ClaimResponse / item / detail / subDetail / subDetailSequence
ClaimResponse / item / detail / subDetail / noteNumber
ClaimResponse / item / detail / subDetail / adjudication
ClaimResponse / addItem
ClaimResponse / addItem / id			n/a
ClaimResponse / addItem / extension			n/a
ClaimResponse / addItem / modifierExtension			N/A
ClaimResponse / addItem / itemSequence
ClaimResponse / addItem / detailSequence
ClaimResponse / addItem / subdetailSequence
ClaimResponse / addItem / provider		FiveWs.source
ClaimResponse / addItem / productOrService
ClaimResponse / addItem / modifier			24.C 24.D mods
ClaimResponse / addItem / programCode			24.H
ClaimResponse / addItem / serviced[x]		FiveWs.done[x]	24.A
ClaimResponse / addItem / location[x]		FiveWs.where[x]	24.B
ClaimResponse / addItem / quantity			24.G
ClaimResponse / addItem / unitPrice
ClaimResponse / addItem / factor
ClaimResponse / addItem / net			24.F
ClaimResponse / addItem / bodySite
ClaimResponse / addItem / subSite
ClaimResponse / addItem / noteNumber
ClaimResponse / addItem / adjudication
ClaimResponse / addItem / detail
ClaimResponse / addItem / detail / id			n/a
ClaimResponse / addItem / detail / extension			n/a
ClaimResponse / addItem / detail / modifierExtension			N/A
ClaimResponse / addItem / detail / productOrService
ClaimResponse / addItem / detail / modifier			24.C 24.D mods
ClaimResponse / addItem / detail / quantity			24.G
ClaimResponse / addItem / detail / unitPrice
ClaimResponse / addItem / detail / factor
ClaimResponse / addItem / detail / net			24.F
ClaimResponse / addItem / detail / noteNumber
ClaimResponse / addItem / detail / adjudication
ClaimResponse / addItem / detail / subDetail
ClaimResponse / addItem / detail / subDetail / id			n/a
ClaimResponse / addItem / detail / subDetail / extension			n/a
ClaimResponse / addItem / detail / subDetail / modifierExtension			N/A
ClaimResponse / addItem / detail / subDetail / productOrService
ClaimResponse / addItem / detail / subDetail / modifier			24.C 24.D mods
ClaimResponse / addItem / detail / subDetail / quantity			24.G
ClaimResponse / addItem / detail / subDetail / unitPrice
ClaimResponse / addItem / detail / subDetail / factor
ClaimResponse / addItem / detail / subDetail / net			24.F
ClaimResponse / addItem / detail / subDetail / noteNumber
ClaimResponse / addItem / detail / subDetail / adjudication
ClaimResponse / adjudication
ClaimResponse / total
ClaimResponse / total / id			n/a
ClaimResponse / total / extension			n/a
ClaimResponse / total / modifierExtension			N/A
ClaimResponse / total / category
ClaimResponse / total / amount
ClaimResponse / payment
ClaimResponse / payment / id			n/a
ClaimResponse / payment / extension			n/a
ClaimResponse / payment / modifierExtension			N/A
ClaimResponse / payment / type
ClaimResponse / payment / adjustment
ClaimResponse / payment / adjustmentReason
ClaimResponse / payment / date
ClaimResponse / payment / amount
ClaimResponse / payment / identifier
ClaimResponse / fundsReserve
ClaimResponse / formCode
ClaimResponse / form
ClaimResponse / processNote
ClaimResponse / processNote / id			n/a
ClaimResponse / processNote / extension			n/a
ClaimResponse / processNote / modifierExtension			N/A
ClaimResponse / processNote / number
ClaimResponse / processNote / type
ClaimResponse / processNote / text
ClaimResponse / processNote / language
ClaimResponse / communicationRequest
ClaimResponse / insurance			Coverage
ClaimResponse / insurance / id			n/a
ClaimResponse / insurance / extension			n/a
ClaimResponse / insurance / modifierExtension			N/A
ClaimResponse / insurance / sequence
ClaimResponse / insurance / focal
ClaimResponse / insurance / coverage
ClaimResponse / insurance / businessArrangement
ClaimResponse / insurance / claimResponse
ClaimResponse / error
ClaimResponse / error / id			n/a
ClaimResponse / error / extension			n/a
ClaimResponse / error / modifierExtension			N/A
ClaimResponse / error / itemSequence
ClaimResponse / error / detailSequence
ClaimResponse / error / subDetailSequence
ClaimResponse / error / code
Documentation for this format