臺灣健保事前審查實作指引
1.1.0 - ci-build

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

Logical Model: ApplyImmModel - Mappings

Active as of 2025-12-17

Mappings for the ApplyImmModel logical model.

Mappings to Structures in this Implementation Guide

NameMapping to TWPAS Claim Immunologic AagentMapping to TWPAS PatientMapping to TWPAS ObservationBloodGroupTWPASMapping to TWPAS AllergyIntoleranceMapping to TWPAS Encounter OPDMapping to TWPAS ConditionMapping to TWPAS Observation SubjectiveMapping to TWPAS Observation ObjectiveMapping to TWPAS ClinicalImpressionMapping to TWPAS CarePlanMapping to TWPAS DiagnosticReportImageMapping to TWPAS ImagingStudyMapping to TWPAS MediaMapping to TWPAS DiagnosticReportMapping to TWPAS ObservationLaboratoryResultMapping to TWPAS ObservationPatientAssessmentMapping to TWPAS MedicationRequestTreatTWPASMapping to TWPAS ProcedureMapping to TWPAS SubstanceMapping to TWPAS DocumentReferenceMapping to TWPAS ObservationTreatmentAssessmentMapping to TWPAS MedicationRequestApplyMapping to TWPAS ClaimResponse Self AssessmentMapping to TWPAS PractitionerMapping to TWPAS Bundle Immunologic Aagentdoco
.. ApplyImmModel
... hosp
.... @id
.... extension
.... modifierExtension
.... hospId
Claim.provider.reference
.... applType
.... funcType
//nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter').valueReference.reference
.... applPrsnId
Claim.enterer.reference
Practitioner.identifier.value
.... applDate
.... immediateDate
.... 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
.... 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
.... blood
Claim.supportingInfo.where(category.coding.code = 'bloodgroup').valueReference
Observation.value[x]
.... allergy
Claim.supportingInfo.where(category.coding.code = 'allergy').valueReference
... opd
Claim.supportingInfo.where(category.coding.code = 'opd').valueReference
.... @id
.... extension
.... modifierExtension
.... hospId
.... funcDate
.... funcType
.... prsnId
.... icd10cmCode
.... subjective
Observation.value[x]
.... objective
Observation.value[x]
.... assessment
.... plan
.... @id
.... extension
.... modifierExtension
.... icd10cmCode
Claim.diagnosis.diagnosisCodeableConcept.coding.code
.... diagDate
//hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').valueDate
.... diagCurrentStatus
.... medrec
Claim.supportingInfo.where(category.coding.code = 'medicalRecord').valueReference.reference
.... medrecTitle
.... imageStudy
..... @id
..... extension
..... modifierExtension
..... imgItem
Claim.supportingInfo.where(category.coding.code = 'imagingReport').valueReference.reference
DiagnosticReport.code.coding.code
..... imgResult
..... imgBodySite
ImagingStudy.series.bodySite.code
Media.bodySite.coding.code
..... imgDate
DiagnosticReport.effectiveDateTime
..... imgDicom
DiagnosticReport.imagingStudy.reference
..... imgNonDicom
DiagnosticReport.media.link.reference
Media.contnet.url
..... imgInterpreter
DiagnosticReport.performer.reference
Practitioner.identifier.value
.... examinationReport
..... @id
..... extension
..... modifierExtension
..... reportType
..... speType
..... reportResult
...... @id
...... extension
...... modifierExtension
...... reportResultString
...... reportResultPdf
Claim.supportingInfo.where(category.coding.code = 'examinationReport').valueReference.reference
...... reportResultPdfTitle
..... reportDate
DiagnosticReport.effectiveDateTime
..... reportPerformer
DiagnosticReport.performer.reference
Practitioner.identifier.value
... 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
..... inspectSet
..... caseTime
Observation.effectiveDateTime
..... inspectPdf
Observation.derivedFrom.reference
..... inspectPdfTitle
..... inspectPerformer
Observation.performer.reference
Practitioner.identifier.value
.... patientAssessment
..... @id
..... extension
..... modifierExtension
..... patAst
Claim.supportingInfo.where(category.coding.code = 'patientAssessment').valueReference.reference
..... 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
..... drugCode
Claim.supportingInfo.where(category.coding.code = 'medicationRequest').valueReference.reference
MedicationRequest.medicationCodeableConcept.coding.code
..... drugFre
..... drugRoute
..... 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
.... radiotherapy
..... @id
..... extension
..... modifierExtension
..... rt
Claim.supportingInfo.where(category.coding.code = 'radiotherapy').valueReference.reference
Procedure.code.coding.code
..... rtStatus
..... realInspectTime
Procedure.performedDateTime
..... rtDose
Procedure.usedReference.reference
..... rtUnit
.... opCode
Claim.procedure.procedureCodeableConcept.coding
.... opDate
.... carePlanDocument
Claim.supportingInfo.where(category.coding.code = 'carePlanDocument').valueReference.reference
.... carePlanDocumentTitle
... result
.... @id
.... extension
.... modifierExtension
.... txAst
Claim.supportingInfo.where(category.coding.code = 'treatmentAssessment').valueReference.reference
.... 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
.... applySide
.... applQty
.... applQtyUnit
.... applDrugFre
.... applDrugRoute
.... 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
.... approver
.... approveDate
.... approveComment
.... approveNum
.... acceptanceStatus

doco Documentation for this format

Mappings to other Structures

No Mappings Found

Other Mappings

No Mappings Found