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: ObservationSubjectiveTWPAS - Mappings

Active as of 2025-12-17

Mappings for the Observation-subjective-twpas resource profile.

Mappings to Structures in this Implementation Guide

NameMapping to TWPAS Observation Subjectivedoco
.. Observation
    ... id
      ... meta
        .... id
          .... extension
            .... versionId
              .... lastUpdated
                .... source
                  .... profile
                    .... security
                      .... tag
                        ... implicitRules
                          ... language
                            ... text
                              ... contained
                                ... extension
                                  ... modifierExtension
                                    ... identifier
                                      ... basedOn
                                        ... partOf
                                          ... status
                                            ... Slices for category
                                              .... category:survey
                                                .... category:twcore
                                                  ... code
                                                    ... subject
                                                      ... focus
                                                        ... encounter
                                                          ... effective[x]
                                                            ... issued
                                                              ... performer
                                                                ... value[x]
                                                                  ... 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

                                                                                                                          doco Documentation for this format

                                                                                                                          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
                                                                                                                          ... Slices for category
                                                                                                                          • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
                                                                                                                          • moodCode="EVN"].code
                                                                                                                          FiveWs.class
                                                                                                                          .... category:survey
                                                                                                                          • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
                                                                                                                          • moodCode="EVN"].code
                                                                                                                          FiveWs.class
                                                                                                                          .... category:twcore
                                                                                                                          • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
                                                                                                                          • moodCode="EVN"].code
                                                                                                                          FiveWs.class
                                                                                                                          ... code
                                                                                                                          CE/CNE/CWE
                                                                                                                          CD
                                                                                                                          ... 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
                                                                                                                          ... effective[x]
                                                                                                                          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
                                                                                                                          ... value[x]
                                                                                                                          < 441742003 |Evaluation finding|
                                                                                                                          • OBX.2
                                                                                                                          • OBX.5
                                                                                                                          • OBX.6
                                                                                                                          value
                                                                                                                          363714003 |Interprets|
                                                                                                                          ... dataAbsentReason
                                                                                                                          CE/CNE/CWE
                                                                                                                          CD
                                                                                                                          ... 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