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

Resource Profile: ObservationCancerStageTWPAS - Mappings

Active as of 2025-12-17

Mappings for the Observation-cancer-stage-twpas resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWPAS ObservationCancerStagedoco
.. Observation
    ... id
      ... meta
        .... id
          .... extension
            .... versionId
              .... lastUpdated
                .... source
                  .... profile
                    .... security
                      .... tag
                        ... implicitRules
                          ... language
                            ... text
                              ... contained
                                ... extension
                                  ... modifierExtension
                                    ... identifier
                                      ... basedOn
                                        ... partOf
                                          ... status
                                            ... category
                                              ... code
                                                .... id
                                                  .... extension
                                                    .... coding
                                                      ..... id
                                                        ..... extension
                                                          ..... system
                                                            ..... version
                                                              ..... code
                                                              ..... display
                                                                ..... userSelected
                                                                  .... text
                                                                    ... subject
                                                                      ... focus
                                                                        ... encounter
                                                                          ... Slices for effective[x]
                                                                            .... effective[x]:effectiveDateTime
                                                                              ... issued
                                                                                ... performer
                                                                                  ... Slices for value[x]
                                                                                    .... value[x]:valueCodeableConcept
                                                                                      ..... id
                                                                                        ..... extension
                                                                                          ..... coding
                                                                                            ...... id
                                                                                              ...... extension
                                                                                                ...... system
                                                                                                  ...... version
                                                                                                    ...... code
                                                                                                      ...... display
                                                                                                        ...... userSelected
                                                                                                          ..... text
                                                                                                            .... value[x]:valueString
                                                                                                              .... value[x]:valueInteger
                                                                                                                ... dataAbsentReason
                                                                                                                  ... interpretation
                                                                                                                    ... note
                                                                                                                      ... bodySite
                                                                                                                        ... method
                                                                                                                          ... specimen
                                                                                                                            ... device
                                                                                                                              ... referenceRange
                                                                                                                                .... id
                                                                                                                                  .... extension
                                                                                                                                    .... modifierExtension
                                                                                                                                      .... low
                                                                                                                                        .... high
                                                                                                                                          .... type
                                                                                                                                            .... appliesTo
                                                                                                                                              .... age
                                                                                                                                                .... text
                                                                                                                                                  ... hasMember
                                                                                                                                                    ... derivedFrom
                                                                                                                                                      ... component
                                                                                                                                                        .... id
                                                                                                                                                          .... extension
                                                                                                                                                            .... modifierExtension
                                                                                                                                                              .... code
                                                                                                                                                                .... value[x]
                                                                                                                                                                  .... dataAbsentReason
                                                                                                                                                                    .... interpretation
                                                                                                                                                                      .... referenceRange

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                                                                                                                                                                        Mappings to other Structures

                                                                                                                                                                        No Mappings Found

                                                                                                                                                                        Other Mappings

                                                                                                                                                                        NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
                                                                                                                                                                        .. Observation
                                                                                                                                                                        Event
                                                                                                                                                                        < 363787002 |Observable entity|
                                                                                                                                                                        OBX
                                                                                                                                                                        • Observation[classCode=OBS
                                                                                                                                                                        • moodCode=EVN]
                                                                                                                                                                        ... id
                                                                                                                                                                        ... meta
                                                                                                                                                                        .... id
                                                                                                                                                                        n/a
                                                                                                                                                                        .... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        .... versionId
                                                                                                                                                                        .... lastUpdated
                                                                                                                                                                        .... source
                                                                                                                                                                        .... profile
                                                                                                                                                                        .... security
                                                                                                                                                                        .... tag
                                                                                                                                                                        ... implicitRules
                                                                                                                                                                        ... language
                                                                                                                                                                        ... text
                                                                                                                                                                        Act.text?
                                                                                                                                                                        ... contained
                                                                                                                                                                        N/A
                                                                                                                                                                        ... extension
                                                                                                                                                                        N/A
                                                                                                                                                                        ... modifierExtension
                                                                                                                                                                        N/A
                                                                                                                                                                        ... identifier
                                                                                                                                                                        Event.identifier
                                                                                                                                                                        1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
                                                                                                                                                                        id
                                                                                                                                                                        FiveWs.identifier
                                                                                                                                                                        ... basedOn
                                                                                                                                                                        Event.basedOn
                                                                                                                                                                        ORC
                                                                                                                                                                        .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
                                                                                                                                                                        ... partOf
                                                                                                                                                                        Event.partOf
                                                                                                                                                                        Varies by domain
                                                                                                                                                                        .outboundRelationship[typeCode=FLFS].target
                                                                                                                                                                        ... status
                                                                                                                                                                        Event.status
                                                                                                                                                                        < 445584004 |Report by finality status|
                                                                                                                                                                        OBX-11
                                                                                                                                                                        status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
                                                                                                                                                                        FiveWs.status
                                                                                                                                                                        ... category
                                                                                                                                                                        • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
                                                                                                                                                                        • moodCode="EVN"].code
                                                                                                                                                                        FiveWs.class
                                                                                                                                                                        ... code
                                                                                                                                                                        Event.code
                                                                                                                                                                        < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                        OBX-3
                                                                                                                                                                        code
                                                                                                                                                                        FiveWs.what[x]
                                                                                                                                                                        116680003 |Is a|
                                                                                                                                                                        .... id
                                                                                                                                                                        n/a
                                                                                                                                                                        .... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        .... coding
                                                                                                                                                                        • C*E.1-8
                                                                                                                                                                        • C*E.10-22
                                                                                                                                                                        • union(.
                                                                                                                                                                        • ./translation)
                                                                                                                                                                        ..... id
                                                                                                                                                                        n/a
                                                                                                                                                                        ..... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        ..... system
                                                                                                                                                                        C*E.3
                                                                                                                                                                        ./codeSystem
                                                                                                                                                                        ..... version
                                                                                                                                                                        C*E.7
                                                                                                                                                                        ./codeSystemVersion
                                                                                                                                                                        ..... code
                                                                                                                                                                        C*E.1
                                                                                                                                                                        ./code
                                                                                                                                                                        ..... display
                                                                                                                                                                        C*E.2 - but note this is not well followed
                                                                                                                                                                        CV.displayName
                                                                                                                                                                        ..... userSelected
                                                                                                                                                                        Sometimes implied by being first
                                                                                                                                                                        CD.codingRationale
                                                                                                                                                                        .... text
                                                                                                                                                                        C*E.9. But note many systems use C*E.2 for this
                                                                                                                                                                        ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                        ... subject
                                                                                                                                                                        Event.subject
                                                                                                                                                                        PID-3
                                                                                                                                                                        participation[typeCode=RTGT]
                                                                                                                                                                        FiveWs.subject
                                                                                                                                                                        ... focus
                                                                                                                                                                        OBX-3
                                                                                                                                                                        participation[typeCode=SBJ]
                                                                                                                                                                        FiveWs.subject
                                                                                                                                                                        ... encounter
                                                                                                                                                                        Event.context
                                                                                                                                                                        PV1
                                                                                                                                                                        • inboundRelationship[typeCode=COMP].source[classCode=ENC
                                                                                                                                                                        • moodCode=EVN]
                                                                                                                                                                        FiveWs.context
                                                                                                                                                                        ... Slices for effective[x]
                                                                                                                                                                        Event.occurrence[x]
                                                                                                                                                                        • OBX-14
                                                                                                                                                                        • and/or OBX-19 after v2.4 (depends on who observation made)
                                                                                                                                                                        effectiveTime
                                                                                                                                                                        FiveWs.done[x]
                                                                                                                                                                        .... effective[x]:effectiveDateTime
                                                                                                                                                                        Event.occurrence[x]
                                                                                                                                                                        • OBX-14
                                                                                                                                                                        • and/or OBX-19 after v2.4 (depends on who observation made)
                                                                                                                                                                        effectiveTime
                                                                                                                                                                        FiveWs.done[x]
                                                                                                                                                                        ... issued
                                                                                                                                                                        • OBR.22 (or MSH.7)
                                                                                                                                                                        • or perhaps OBX-19 (depends on who observation made)
                                                                                                                                                                        participation[typeCode=AUT].time
                                                                                                                                                                        FiveWs.recorded
                                                                                                                                                                        ... performer
                                                                                                                                                                        Event.performer.actor
                                                                                                                                                                        • OBX.15 / (Practitioner) OBX-16
                                                                                                                                                                        • PRT-4='RO' / (Device) OBX-18
                                                                                                                                                                        • PRT-4='EQUIP' / (Organization) OBX-23
                                                                                                                                                                        • PRT-4='PO'
                                                                                                                                                                        participation[typeCode=PRF]
                                                                                                                                                                        FiveWs.actor
                                                                                                                                                                        ... Slices for value[x]
                                                                                                                                                                        < 441742003 |Evaluation finding|
                                                                                                                                                                        • OBX.2
                                                                                                                                                                        • OBX.5
                                                                                                                                                                        • OBX.6
                                                                                                                                                                        value
                                                                                                                                                                        363714003 |Interprets|
                                                                                                                                                                        .... value[x]:valueCodeableConcept
                                                                                                                                                                        < 441742003 |Evaluation finding|
                                                                                                                                                                        • OBX.2
                                                                                                                                                                        • OBX.5
                                                                                                                                                                        • OBX.6
                                                                                                                                                                        value
                                                                                                                                                                        363714003 |Interprets|
                                                                                                                                                                        ..... id
                                                                                                                                                                        n/a
                                                                                                                                                                        ..... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        ..... coding
                                                                                                                                                                        • C*E.1-8
                                                                                                                                                                        • C*E.10-22
                                                                                                                                                                        • union(.
                                                                                                                                                                        • ./translation)
                                                                                                                                                                        ...... id
                                                                                                                                                                        n/a
                                                                                                                                                                        ...... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        ...... system
                                                                                                                                                                        C*E.3
                                                                                                                                                                        ./codeSystem
                                                                                                                                                                        ...... version
                                                                                                                                                                        C*E.7
                                                                                                                                                                        ./codeSystemVersion
                                                                                                                                                                        ...... code
                                                                                                                                                                        C*E.1
                                                                                                                                                                        ./code
                                                                                                                                                                        ...... display
                                                                                                                                                                        C*E.2 - but note this is not well followed
                                                                                                                                                                        CV.displayName
                                                                                                                                                                        ...... userSelected
                                                                                                                                                                        Sometimes implied by being first
                                                                                                                                                                        CD.codingRationale
                                                                                                                                                                        ..... text
                                                                                                                                                                        C*E.9. But note many systems use C*E.2 for this
                                                                                                                                                                        ./originalText[mediaType/code="text/plain"]/data
                                                                                                                                                                        .... value[x]:valueString
                                                                                                                                                                        < 441742003 |Evaluation finding|
                                                                                                                                                                        • OBX.2
                                                                                                                                                                        • OBX.5
                                                                                                                                                                        • OBX.6
                                                                                                                                                                        value
                                                                                                                                                                        363714003 |Interprets|
                                                                                                                                                                        .... value[x]:valueInteger
                                                                                                                                                                        < 441742003 |Evaluation finding|
                                                                                                                                                                        • OBX.2
                                                                                                                                                                        • OBX.5
                                                                                                                                                                        • OBX.6
                                                                                                                                                                        value
                                                                                                                                                                        363714003 |Interprets|
                                                                                                                                                                        ... dataAbsentReason
                                                                                                                                                                        N/A
                                                                                                                                                                        value.nullFlavor
                                                                                                                                                                        ... interpretation
                                                                                                                                                                        < 260245000 |Findings values|
                                                                                                                                                                        OBX-8
                                                                                                                                                                        interpretationCode
                                                                                                                                                                        363713009 |Has interpretation|
                                                                                                                                                                        ... note
                                                                                                                                                                        • NTE.3 (partner NTE to OBX
                                                                                                                                                                        • or sometimes another (child?) OBX)
                                                                                                                                                                        subjectOf.observationEvent[code="annotation"].value
                                                                                                                                                                        ... bodySite
                                                                                                                                                                        < 123037004 |Body structure|
                                                                                                                                                                        OBX-20
                                                                                                                                                                        targetSiteCode
                                                                                                                                                                        718497002 |Inherent location|
                                                                                                                                                                        ... method
                                                                                                                                                                        OBX-17
                                                                                                                                                                        methodCode
                                                                                                                                                                        ... specimen
                                                                                                                                                                        < 123038009 |Specimen|
                                                                                                                                                                        SPM segment
                                                                                                                                                                        participation[typeCode=SPC].specimen
                                                                                                                                                                        704319004 |Inherent in|
                                                                                                                                                                        ... device
                                                                                                                                                                        < 49062001 |Device|
                                                                                                                                                                        OBX-17 / PRT -10
                                                                                                                                                                        participation[typeCode=DEV]
                                                                                                                                                                        424226004 |Using device|
                                                                                                                                                                        ... referenceRange
                                                                                                                                                                        OBX.7
                                                                                                                                                                        • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                        • moodCode=EVN]
                                                                                                                                                                        .... id
                                                                                                                                                                        n/a
                                                                                                                                                                        .... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        .... modifierExtension
                                                                                                                                                                        N/A
                                                                                                                                                                        .... low
                                                                                                                                                                        OBX-7
                                                                                                                                                                        IVL_PQ.low
                                                                                                                                                                        .... high
                                                                                                                                                                        OBX-7
                                                                                                                                                                        IVL_PQ.high
                                                                                                                                                                        .... type
                                                                                                                                                                        < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
                                                                                                                                                                        OBX-10
                                                                                                                                                                        interpretationCode
                                                                                                                                                                        .... appliesTo
                                                                                                                                                                        < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
                                                                                                                                                                        OBX-10
                                                                                                                                                                        interpretationCode
                                                                                                                                                                        .... age
                                                                                                                                                                        outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
                                                                                                                                                                        .... text
                                                                                                                                                                        OBX-7
                                                                                                                                                                        ST
                                                                                                                                                                        ... hasMember
                                                                                                                                                                        Relationships established by OBX-4 usage
                                                                                                                                                                        outBoundRelationship
                                                                                                                                                                        ... derivedFrom
                                                                                                                                                                        Relationships established by OBX-4 usage
                                                                                                                                                                        .targetObservation
                                                                                                                                                                        ... component
                                                                                                                                                                        containment by OBX-4?
                                                                                                                                                                        outBoundRelationship[typeCode=COMP]
                                                                                                                                                                        .... id
                                                                                                                                                                        n/a
                                                                                                                                                                        .... extension
                                                                                                                                                                        n/a
                                                                                                                                                                        .... modifierExtension
                                                                                                                                                                        N/A
                                                                                                                                                                        .... code
                                                                                                                                                                        < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
                                                                                                                                                                        OBX-3
                                                                                                                                                                        code
                                                                                                                                                                        FiveWs.what[x]
                                                                                                                                                                        .... value[x]
                                                                                                                                                                        363714003 |Interprets| < 441742003 |Evaluation finding|
                                                                                                                                                                        • OBX.2
                                                                                                                                                                        • OBX.5
                                                                                                                                                                        • OBX.6
                                                                                                                                                                        value
                                                                                                                                                                        363714003 |Interprets|
                                                                                                                                                                        .... dataAbsentReason
                                                                                                                                                                        N/A
                                                                                                                                                                        value.nullFlavor
                                                                                                                                                                        .... interpretation
                                                                                                                                                                        < 260245000 |Findings values|
                                                                                                                                                                        OBX-8
                                                                                                                                                                        interpretationCode
                                                                                                                                                                        363713009 |Has interpretation|
                                                                                                                                                                        .... referenceRange
                                                                                                                                                                        OBX.7
                                                                                                                                                                        • outboundRelationship[typeCode=REFV]/target[classCode=OBS
                                                                                                                                                                        • moodCode=EVN]

                                                                                                                                                                        doco Documentation for this format