bun-1
type: Bundle
node role: treeRoot
id:
  v: bun-1
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Bundle-twpas
    l: Bundle-twpas
type:
  v: collection
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Claim/cla-1
    l: cla-1
  resource: cla-1
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Encounter/enc-min
    l: enc-min
  resource: enc-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Patient/pat-min
    l: pat-min
  resource: pat-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Practitioner/pra-min
    l: pra-min
  resource: pra-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Organization/org-hosp-example
    l: org-hosp-example
  resource: org-hosp-example
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-ima-min
    l: diaRep-ima-min
  resource: diaRep-ima-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/ImagingStudy/imaStu-min
    l: imaStu-min
  resource: imaStu-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Media/med-min
    l: med-min
  resource: med-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-cancer-figo
    l: obs-cancer-figo
  resource: obs-cancer-figo
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-min
    l: diaRep-min
  resource: diaRep-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-diagnostic-min
    l: obs-diagnostic-min
  resource: obs-diagnostic-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Specimen/spe-min
    l: spe-min
  resource: spe-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-gene-min
    l: doc-gene-min
  resource: doc-gene-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-min
    l: obs-lab-min
  resource: obs-lab-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-cbc
    l: obs-lab-cbc
  resource: obs-lab-cbc
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-test-min
    l: doc-test-min
  resource: doc-test-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-pat-nyha
    l: obs-pat-nyha
  resource: obs-pat-nyha
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-treat
    l: medReq-treat
  resource: medReq-treat
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Procedure/pro-min
    l: pro-min
  resource: pro-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Substance/sub-min
    l: sub-min
  resource: sub-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-careplan-min
    l: doc-careplan-min
  resource: doc-careplan-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Observation/obs-tx-min
    l: obs-tx-min
  resource: obs-tx-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply
    l: medReq-apply
  resource: medReq-apply
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply-2
    l: medReq-apply-2
  resource: medReq-apply-2
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Coverage/cov-min
    l: cov-min
  resource: cov-min
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Organization/org-nhi
    l: org-nhi
  resource: org-nhi
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/Organization/org-gene-example
    l: org-gene-example
  resource: org-gene-example
entry:
  full url:
    v: https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-medicalRecord-min
    l: doc-medicalRecord-min
  resource: doc-medicalRecord-min

cla-1
type: Claim
id:
  v: cla-1
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas
    l: Claim-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 癌藥事前審查-Claim TWPAS 狀態：Active 類型：Institutional (ClaimTypeCodes#institutional) 就醫科別：Encounter/enc-min "胸腔暨重症加護" 申報類別：送核 (NHI-申報類別值集#1) 目的：Preauthorization 病人：Patient/pat-min "王大明" 申請日期：2024-05-30 申請醫師：Practitioner/pra-min 醫事機構代碼：Organization/org-hosp-example 申請案件類別：一般事前審查申請 (NHI-申請案件類別值集#1) supportingInfo sequence：1 category：病人體重 value：59.65 kg (Details: UCUM codekg = 'kg') supportingInfo sequence：2 category：病人身高 value：170 cm (Details: UCUM codecm = 'cm') supportingInfo sequence：3 category：是否懷孕或哺乳 value：false supportingInfo sequence：4 category：影像報告 value：DiagnosticReport/diaRep-ima-min supportingInfo sequence：5 category：癌症分期量表 value：Observation/obs-cancer-figo supportingInfo sequence：6 category：檢查報告 value：DiagnosticReport/diaRep-min supportingInfo sequence：7 category：基因資訊 value：Observation/obs-diagnostic-min supportingInfo sequence：8 category：檢驗檢查-單項 value：Observation/obs-lab-min supportingInfo sequence：9 category：檢驗檢查-套組(全套血液檢查) value：Observation/obs-lab-cbc supportingInfo sequence：10 category：病人狀態評估 value：Observation/obs-pat-nyha supportingInfo sequence：11 category：用藥品項 value：MedicationRequest/medReq-treat supportingInfo sequence：12 category：放射/照光治療 value：Procedure/pro-min supportingInfo sequence：13 category：治療計畫文件 value：DocumentReference/doc-careplan-min supportingInfo sequence：14 category：病歷資料 value：DocumentReference/doc-medicalRecord-min supportingInfo sequence：15 category：結果資訊 value：Observation/obs-tx-min Diagnoses 診斷日期：2024-01-01 國際疾病分類代碼：慢性右心臟衰竭 (臺灣健保署2023年中文版ICD-10-CM值集#I50.812) 簡要病摘：Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI Procedures 手術(或其他處置)日期：2024-01-01 手術(或其他處置)項目：經由自體開口或人工造口心包腔近接放射性同位素抗腫瘤液態藥劑輸入 (臺灣健保署2023年中文版ICD-10-PCS值集#3E0Y704) Insurances sequence：1 coverage：Coverage/cov-min 申請項目 事前審查品項：MedicationRequest/medReq-apply 事前審查申請數量(單位)：52 (tablets (Common UCUM units#{tbl})) 醫令類別：藥品 (NHI-健保事前審查-醫令類別值集#1) 續用註記：初次使用 (NHI-續用註記值集#1) 用藥線別：第一線治療 (NHI-用藥線別值集#1) 給付適應症：ALK陽性的晚期非小細胞…
extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
    l: extension-claim-encounter
  value: Reference
    l: enc-min
    reference:
      v: Encounter/enc-min
status:
  v: active
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/claim-type
      l: claim-type
    code:
      v: institutional
sub type:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
      l: nhi-apply-type
    code:
      v: 1
    display:
      v: 送核
use:
  v: preauthorization
patient:
  l: pat-min
  reference:
    v: Patient/pat-min
created:
  v: 2024-05-30
enterer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
provider:
  l: org-hosp-example
  reference:
    v: Organization/org-hosp-example
priority:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tmhb-type
      l: nhi-tmhb-type
    code:
      v: 1
    display:
      v: 一般事前審查申請
supporting info:
  sequence:
    v: 1
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: weight
  value: Quantity
    value:
      v: 59.65
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: kg
supporting info:
  sequence:
    v: 2
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: height
  value: Quantity
    value:
      v: 170
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: cm
supporting info:
  sequence:
    v: 3
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: pregnancyBreastfeedingStatus
  value: Boolean
    v: false
supporting info:
  sequence:
    v: 4
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: imagingReport
  value: Reference
    l: diaRep-ima-min
    reference:
      v: DiagnosticReport/diaRep-ima-min
supporting info:
  sequence:
    v: 5
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: cancerStage
  value: Reference
    l: obs-cancer-figo
    reference:
      v: Observation/obs-cancer-figo
supporting info:
  sequence:
    v: 6
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: examinationReport
  value: Reference
    l: diaRep-min
    reference:
      v: DiagnosticReport/diaRep-min
supporting info:
  sequence:
    v: 7
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: geneInfo
  value: Reference
    l: obs-diagnostic-min
    reference:
      v: Observation/obs-diagnostic-min
supporting info:
  sequence:
    v: 8
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: tests
  value: Reference
    l: obs-lab-min
    reference:
      v: Observation/obs-lab-min
supporting info:
  sequence:
    v: 9
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
      code:
        v: tests
  value: Reference
    l: obs-lab-cbc
    reference:
      v: Observation/obs-lab-cbc
supporting info:
  sequence:
    v: 10
  category:
    coding:
      system:
        v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
        l: nhi-supporting-info-type
  value: Reference

enc-min
type: Encounter
id:
  v: enc-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Encounter-twpas
    l: Encounter-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 就醫科別-Encounter TWPAS 就醫現況：Planned (EncounterStatus#planned) 就醫分類：ambulatory (ActEncounterCode CT#AMB) 就醫科別：胸腔暨重症加護 (臺灣健保署就醫科別#AJ)
status:
  v: planned
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: AMB
service type:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw
      l: medical-consultation-department-nhi-tw
    code:
      v: AJ

pat-min
type: Patient
id:
  v: pat-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas
    l: Patient-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 病人資訊-Patient TWPAS 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx） 身分證字號（official）：A123456789 （http://www.moi.gov.tw） 識別碼型別：Medical record number （ Identifier Type Codes#MR） 病歷號（official）：123456 （https://tpech.gov.taipei） 姓名（usual）：王大明 性別：男 出生日期：2001-01-01
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NNxxx
  system:
    v: http://www.moi.gov.tw
    l: www.moi.gov.tw
  value:
    v: A123456789
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MR
  system:
    v: https://tpech.gov.taipei
    l: tpech.gov.taipei
  value:
    v: 123456
name:
  use:
    v: usual
  text:
    v: 王大明
gender:
  v: male
birth date:
  v: 2001-01-01

pra-min
type: Practitioner
id:
  v: pra-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas
    l: Practitioner-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 醫事人員-Practitioner TWPAS 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx） 身分證字號（official）：F123456789 （http://www.moi.gov.tw） 識別碼型別：Medical License number （ Identifier Type Codes#MD） 醫師證號：KP00017 （https://dep.mohw.gov.tw/DOMA）
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: NNxxx
  system:
    v: http://www.moi.gov.tw
    l: www.moi.gov.tw
  value:
    v: F123456789
identifier:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: MD
  system:
    v: https://dep.mohw.gov.tw/DOMA
    l: DOMA
  value:
    v: KP00017

org-hosp-example
type: Organization
id:
  v: org-hosp-example
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas
    l: Organization-twpas
text:
  status:
    v: generated
  div:
    v: 醫事機構 Profile: 機構-Organization TWPAS 機構名稱：臺北市立聯合醫院 識別碼型別：Provider number（ IdentifierType#PRN） 機構代碼（official）：0101090517 (https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw) 機構種類：Healthcare Provider ( OrganizationType#prov)
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: PRN
  system:
    v: https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw
    l: organization-identifier-tw
  value:
    v: 0101090517
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
      l: organization-type
    code:
      v: prov
name:
  v: 臺北市立聯合醫院

diaRep-ima-min
type: DiagnosticReport
id:
  v: diaRep-ima-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
    l: DiagnosticReport-image-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 影像報告-DiagnosticReport Image TWPAS 狀態：final 病人：Patient/pat-min "王大明" 影像報告：左上肢動脈血管內超音波 (臺灣健保署2023年中文版ICD-10-PCS值集#B34JZZ3) 影像報告日期：2024-05-07 簽發影像報告醫師：Practitioner/pra-min 影像檢查的身體部位／DICOM影像：ImagingStudy/imaStu-min 影像報告結果：影像報告結果 影像報告名稱：影像報告01 影像報告：file://ImagingDiagnosticReport01.pdf 影像報告名稱：影像報告02 影像報告：file://ImagingDiagnosticReport02.pdf
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: imagingReport
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: B34JZZ3
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
imaging study:
  l: imaStu-min
  reference:
    v: ImagingStudy/imaStu-min
conclusion:
  v: 影像報告結果
presented form:
  content type:
    v: application/pdf
  url:
    v: file://ImagingDiagnosticReport01.pdf
    l: ImagingDiagnosticReport01.pdf
  title:
    v: 影像報告
presented form:
  content type:
    v: application/pdf
  url:
    v: file://ImagingDiagnosticReport02.pdf
    l: ImagingDiagnosticReport02.pdf
  title:
    v: 影像報告

imaStu-min
type: ImagingStudy
id:
  v: imaStu-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas
    l: ImagingStudy-twpas
text:
  status:
    v: generated
  div:
    v: Profile：DICOM影像-ImagingStudy TWPAS 狀態：registered 病人：Patient/pat-min "王大明" Study UID：urn:oid:2.16.886.2102.54.4546465747.465465465 Series Instance UID：2.16.886.2102.54.4546465747.465465466 SOP Instance UIDs：2.25.88017001449189502323411118737039844241, 2.25.88017001449189502323411118737039844242 影像檢查的身體部位：Head and neck structure (SNOMED CT#774007) 儀器：CT Image Storage (DICOM#CT)
identifier:
  system:
    v: urn:dicom:uid
    l: uid
  value:
    v: urn:oid:2.16.886.2102.54.4546465747.465465465
status:
  v: registered
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
series:
  uid:
    v: 2.16.886.2102.54.4546465747.465465466
  modality:
    system:
      v: http://dicom.nema.org/resources/ontology/DCM
      l: DCM
    code:
      v: CT
  body site: http://snomed.info/id/774007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 774007
    display:
      v: Head and neck structure
  instance:
    uid:
      v: 2.25.88017001449189502323411118737039844241
    sop class:
      system:
        v: urn:ietf:rfc:3986
        l: 3986
      code:
        v: urn:oid:1.2.840.10008.5.1.4.1.1.2
  instance:
    uid:
      v: 2.25.88017001449189502323411118737039844242
    sop class:
      system:
        v: urn:ietf:rfc:3986
        l: 3986
      code:
        v: urn:oid:1.2.840.10008.5.1.4.1.1.2

med-min
type: Media
id:
  v: med-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas
    l: Media-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 非DICOM影像-Media TWPAS 狀態：completed 病人：Patient/pat-min "王大明" 影像檢查的身體部位：Head and neck structure (SNOMED CT#774007) 非DICOM影像：file://US01.jpg（#image/jpeg）
status:
  v: completed
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
body site:
  coding: http://snomed.info/id/774007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 774007
    display:
      v: Head and neck structure
content:
  content type:
    v: image/jpeg
  url:
    v: file://US01.jpg

obs-cancer-figo
type: Observation
id:
  v: obs-cancer-figo
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-cancer-stage-twpas
    l: Observation-cancer-stage-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 癌症分期量表-Observation Cancer Stage TWPAS 狀態：final 癌症分期量表項目：FIGO stage for gynaecological malignancy (SCT + NHI-癌症分期量表項目值集#385361009) 病人：Patient/pat-min 癌症分期量表評估日期：2024-05-07 簽發癌症分期報告醫師：Practitioner/pra-min 癌症分期分數或結果：FIGO Stage I (NCI Thesaurus#C96244)
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: cancerStage
code:
  coding: http://snomed.info/id/385361009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 385361009
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nci-thesaurus
      l: nci-thesaurus
    code:
      v: C96244

diaRep-min
type: DiagnosticReport
id:
  v: diaRep-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas
    l: DiagnosticReport-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 檢查報告-DiagnosticReport TWPAS 狀態：final 報告類型：Prostate Pathology biopsy report (EncounterStatus#66117-3) 檢體種類：Prostate 病人：Patient/pat-min "王大明" 報告日期：2024-05-07 檢查報告醫師：Practitioner/pra-min 報告結果-文數字：細胞檢查報告結果 檢查報告名稱：PathologyReport01 檢查報告：file://PathologyReport01.pdf 檢查報告名稱：PathologyReport02 檢查報告：file://PathologyReport02.pdf
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: examinationReport
code:
  coding: https://loinc.org/rdf/66117-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 66117-3
  text:
    v: Prostate
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
conclusion:
  v: 細胞檢查報告結果
presented form:
  content type:
    v: application/pdf
  url:
    v: file://PathologyReport01.pdf
    l: PathologyReport01.pdf
  title:
    v: PathologyReport01
presented form:
  content type:
    v: application/pdf
  url:
    v: file://PathologyReport02.pdf
    l: PathologyReport02.pdf
  title:
    v: PathologyReport02

obs-diagnostic-min
type: Observation
id:
  v: obs-diagnostic-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas
    l: Observation-diagnostic-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 基因資訊-Observation Diagnostic TWPAS 狀態：final 類型：基因資訊 (NHI-補充資訊類別值集#geneInfo) code：Genetic variant assessment (LOINC#69548-6) 病人：Patient/pat-min 基因檢測日期：2024-05-07 基因檢測代碼：KRAS gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal （ LOINC-基因檢測代碼值集#21702-6） 基因檢測實際結果：KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected 基因突變類型：Not detected （ LOINC-基因突變類型值集#LA11883-8） 基因檢測機構：Organization 2023LDTB0002 基因檢測分析結果：基因檢測報告結果 基因臨床判讀結果：Positive (ObservationInterpretationCodes #POS) 基因檢測方法：PCR (LOINC Answer List LL4048-6 #LA26418-6) 基因檢測檢體類型：Specimen/spe-min 基因報告：DocumentReference/doc-gene-min
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: geneInfo
code:
  coding: https://loinc.org/rdf/69548-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 69548-6
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: org-gene-example
  reference:
    v: Organization/org-gene-example
value: String
  v: 基因檢測報告結果
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
      l: v3-ObservationInterpretation
    code:
      v: POS
method:
  coding: LA26418-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA26418-6
specimen:
  l: spe-min
  reference:
    v: Specimen/spe-min
derived from:
  l: doc-gene-min
  reference:
    v: DocumentReference/doc-gene-min
component:
  code:
    coding: https://loinc.org/rdf/21702-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 21702-6
  value: String
    v: KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected
  interpretation:
    coding: LA11883-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA11883-8
      display:
        v: Not detected
    text:
      v: Not detected

spe-min
type: Specimen
id:
  v: spe-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas
    l: Specimen-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 基因檢測檢體-Specimen TWPAS 類型：基因資訊 (LOINC-基因檢測檢體類型值集#LP7057-5) 病人：Patient/pat-min 基因檢測日期：2024-05-06T09:00:00.000Z
type:
  coding: LP7057-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LP7057-5
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
received time:
  v: 2024-05-06T09:00:00.000Z

doc-gene-min
type: DocumentReference
id:
  v: doc-gene-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：基因報告 (NHI-文件類型#gene) 病人：Patient/pat-min "王大明" 基因報告(application/pdf)：file://GenReport01.pdf 基因報告名稱：GenReport01
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: gene
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://GenReport01.pdf
      l: GenReport01.pdf
    title:
      v: GenReport01

obs-lab-min
type: Observation
id:
  v: obs-lab-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas
    l: Observation-laboratory-result-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 檢驗檢查-Observation Laboratory Result TWPAS 狀態：final 類型：檢驗(查) (NHI-補充資訊類別值集#tests) 檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3) 病人：Patient/pat-min 檢驗(查)報告日期：2024-01-01 簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min 檢驗(查)結果：5.1 mmol/l 檢驗(查)結果判讀：高，High (ObservationInterpretationCodes #H) 檢驗(查)結果之參考範圍下限：2.9 mmol/L 檢驗(查)結果之參考範圍上限：4.9 mmol/L 檢驗(查)附件：DocumentReference/doc-test-min
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: tests
code:
  coding: https://loinc.org/rdf/777-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 777-3
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-01-01
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: Quantity
  value:
    v: 5.1
  unit:
    v: mmol/l
interpretation:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
      l: v3-ObservationInterpretation
    code:
      v: H
  text:
    v: 高
reference range:
  low:
    value:
      v: 2.9
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mmol/L
  high:
    value:
      v: 4.9
    unit:
      v: mmol/l
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mmol/L
derived from:
  l: doc-test-min
  reference:
    v: DocumentReference/doc-test-min

obs-lab-cbc
type: Observation
id:
  v: obs-lab-cbc
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas
    l: Observation-laboratory-result-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 檢驗檢查-Observation Laboratory Result TWPAS 狀態：final 類型：檢驗(查) (NHI-補充資訊類別值集#tests) 套組代碼：CBC panel - Blood by Automated count (LOINCCodes#58410-2) 病人：Patient/pat-min 檢驗(查)報告日期：2024-01-01 簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min 檢驗(查)附件：DocumentReference/doc-test-min 檢驗(查)名稱：Leukocytes [#/volume] in Blood by Automated count (LOINCCodes#6690-2) 檢驗(查)結果：3.6 × 10^3/μL 檢驗(查)結果之參考範圍下限：3.9 × 10^3/μL 檢驗(查)結果之參考範圍上限：10.6 × 10^3/μL 檢驗(查)名稱：Erythrocytes [#/volume] in Blood by Automated count (LOINCCodes#789-8) 檢驗(查)結果：4.7 × 10^6/μL 檢驗(查)結果之參考範圍下限：4.5 × 10^3/μL 檢驗(查)結果之參考範圍上限：5.9 × 10^3/μL 檢驗(查)名稱：Hemoglobin [Mass/volume] in Blood (LOINCCodes#718-7) 檢驗(查)結果：14 g/dL 檢驗(查)結果之參考範圍下限：13.5 g/dL 檢驗(查)結果之參考範圍上限：17.5 g/dL 檢驗(查)名稱：Hematocrit [Volume Fraction] of Blood by Automated count (LOINCCodes#4544-3) 檢驗(查)結果：45 % 檢驗(查)結果之參考範圍下限：41 % 檢驗(查)結果之參考範圍上限：53 % 檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3) 檢驗(查)結果：101 × 10^3/μL 檢驗(查)結果之參考範圍下限：150 × 10^3/μL 檢驗(查)結果之參考範圍上限：400 × 10^3/μL
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: tests
code:
  coding: https://loinc.org/rdf/58410-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 58410-2
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-01-01
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
derived from:
  l: doc-test-min
  reference:
    v: DocumentReference/doc-test-min
component:
  code:
    coding: https://loinc.org/rdf/6690-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 6690-2
  value: Quantity
    value:
      v: 3.6
    unit:
      v: 10*3/uL
  reference range:
    low:
      value:
        v: 3.9
      unit:
        v: 10*3/uL
    high:
      value:
        v: 10.6
      unit:
        v: 10*3/uL
component:
  code:
    coding: https://loinc.org/rdf/789-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 789-8
  value: Quantity
    value:
      v: 4.7
    unit:
      v: 10*6/uL
  reference range:
    low:
      value:
        v: 4.5
      unit:
        v: 10*6/uL
    high:
      value:
        v: 5.9
      unit:
        v: 10*6/uL
component:
  code:
    coding: https://loinc.org/rdf/718-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 718-7
  value: Quantity
    value:
      v: 14
    unit:
      v: g/dL
  reference range:
    low:
      value:
        v: 13.5
      unit:
        v: g/dL
    high:
      value:
        v: 17.5
      unit:
        v: g/dL
component:
  code:
    coding: https://loinc.org/rdf/4544-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 4544-3
  value: Quantity
    value:
      v: 45
    unit:
      v: %
  reference range:
    low:
      value:
        v: 41
      unit:
        v: %
    high:
      value:
        v: 53
      unit:
        v: %
component:
  code:
    coding: https://loinc.org/rdf/777-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 777-3
  value: Quantity
    value:
      v: 101
    unit:
      v: 10*3/uL
  reference range:
    low:
      value:
        v: 150
      unit:
        v: 10*3/uL
    high:
      value:
        v: 400
      unit:
        v: 10*3/uL

doc-test-min
type: DocumentReference
id:
  v: doc-test-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：檢驗(查)附件 (NHI-文件類型#test) 病人：Patient/pat-min "王大明" 檢驗(查)附件 (application/pdf)：file://TestReport01.pdf 檢驗(查)附件名稱：TestReport01 檢驗(查)附件 (application/pdf)：file://TestReport02.pdf 檢驗(查)附件名稱：TestReport02
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: test
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://TestReport01.pdf
      l: TestReport01.pdf
    title:
      v: TestReport01
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://TestReport02.pdf
      l: TestReport02.pdf
    title:
      v: TestReport02

obs-pat-nyha
type: Observation
id:
  v: obs-pat-nyha
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-pat-assessment-twpas
    l: Observation-pat-assessment-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 病人狀態評估-Observation Patient Assessment TWPAS 狀態：final 病人狀態評估項目代碼：Functional capacity NYHA (LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 #88020-3) 病人：Patient/pat-min 病人狀態評估日期：2024-01-01 評估項目醫事人員身分證號：Practitioner/pra-min 病人狀態評估結果：class1
status:
  v: final
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: patientAssessment
code:
  coding: https://loinc.org/rdf/88020-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 88020-3
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-01-01
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: String
  v: class1

medReq-treat
type: MedicationRequest
id:
  v: medReq-treat
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
    l: MedicationRequest-treat-twpas
text:
  status:
    v: generated
  div:
    v: Profile：用藥品項-MedicationRequest Treat TWPAS 藥物使用狀態：completed 藥物處方終止原因：Try another treatment first (MedicationRequest Status Reason Codes#altchoice) 意圖：Order ( medicationRequest Intent#order) 自費註記：健保 (NHI-藥物類型#nhi) 藥品代碼：ANTI-CUGH SYRUP 60ML (NHI-健保事前審查-用藥品項值集#A000755151) 病人：Patient/pat-min "" 藥品使用頻率及服用時間：1W3D 藥物每次處方劑量(單位)：4 (tablets (Common UCUM units#{tbl})) 藥物處方起始日期：2024-05-01 藥物處方終止日期：2024-05-07 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)
status:
  v: completed
status reason:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason
      l: medicationrequest-status-reason
    code:
      v: altchoice
intent:
  v: order
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-drug-category
      l: nhi-drug-category
    code:
      v: nhi
medication: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication
      l: nhi-medication
    code:
      v: A000755151
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
dosage instruction:
  timing:
    repeat:
      bounds: Period
    code:
      text:
        v: 1W3D
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 4
      unit:
        v: tablets
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: {tbl}

pro-min
type: Procedure
id:
  v: pro-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
    l: Procedure-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 放射/照光治療-Procedure TWPAS 放射/照光治療狀態：completed 放射/照光治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ) 病人：Patient/pat-min "王大明" 放射/照光治療日期：2024-05-06 09:00:00+0000 放射/照光治療總劑量：Substance/sub-min 5000 mg
status:
  v: completed
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: D7Y08ZZ
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
performed: DateTime
  v: 2024-05-06T09:00:00.000Z
used reference:
  l: sub-min
  reference:
    v: Substance/sub-min

sub-min
type: Substance
id:
  v: sub-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
    l: Substance-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 放射/照光治療總劑量-Substance TWPAS 放射/照光治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ) 放射/照光治療總劑量(單位)：5000 (/mg)
code:
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: D7Y08ZZ
ingredient:
  quantity:
    numerator:
      value:
        v: 5000
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg
    denominator:
      value:
        v: 0
  substance: CodeableConcept
    coding:
      system:
        v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
        l: icd-10-pcs-2023-tw
      code:
        v: D7Y08ZZ

doc-careplan-min
type: DocumentReference
id:
  v: doc-careplan-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：治療計畫文件 (NHI-文件類型#careplan) 病人：Patient/pat-min "王大明" 治療計畫文件名稱：免疫檢查點抑制劑治療計畫 治療計畫文件 (application/pdf)：file://CarePlanReport01.pdf
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: careplan
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://CarePlanReport01.pdf
      l: CarePlanReport01.pdf
    title:
      v: 免疫檢查點抑制劑治療計畫

obs-tx-min
type: Observation
id:
  v: obs-tx-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas
    l: Observation-tx-assessment-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS 狀態：final 治療後疾病狀態評估項目：International Working Group(IWG) Consensus Criteria (NHI-治療後疾病狀態評估項目值集#IWGC) 病人：Patient/pat-min 治療後疾病狀態評估日期：2024-01-01 治療後疾病狀態評估結果：Partial remission (PR)
status:
  v: final
code:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tx-ast
      l: nhi-tx-ast
    code:
      v: IWGC
    display:
      v: International Working Group(IWG) Consensus Criteria
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
effective: DateTime
  v: 2024-05-07
performer:
  l: pra-min
  reference:
    v: Practitioner/pra-min
value: String
  v: Partial remission (PR)

medReq-apply
type: MedicationRequest
id:
  v: medReq-apply
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas
    l: MedicationRequest-apply-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 事前審查品項-MedicationRequest Apply TWPAS 狀態：On Hold 目的：Plan 事前審查品項代碼：Alunbrig film-coated tablets 30mgL (NHI-健保事前審查-用藥品項值集#BC27730100) 病人：Patient/pat-min "王大明" 事前審查藥物預定處方起始日期：2024-01-01 事前審查藥物預定處方終止日期：2024-02-11 事前審查藥品使用頻率及服用時間：Every day at institution specified times.、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#BIW、#AC1H) 事前審查藥品每次處方劑量：75 mg/m2 事前審查藥品療程／週期數：42 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006) 事前審查藥物預定處方起始日期：2024-02-12 事前審查藥物預定處方終止日期：2024-03-10 事前審查藥品使用頻率及服用時間：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H) 事前審查藥品每次處方劑量：150 mg/m2 事前審查藥品療程／週期數：1 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)
status:
  v: on-hold
intent:
  v: plan
medication: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication
      l: nhi-medication
    code:
      v: BC27730100
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
dosage instruction:
  timing:
    repeat:
      bounds: Period
      count:
        v: 42
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 75
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg/m2
dosage instruction:
  timing:
    repeat:
      bounds: Period
      count:
        v: 1
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 150
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg/m2

medReq-apply-2
type: MedicationRequest
id:
  v: medReq-apply-2
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas
    l: MedicationRequest-apply-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 事前審查品項-MedicationRequest Apply TWPAS 狀態：On Hold 目的：Plan 事前審查品項代碼：Herzuma Inj. 440mg (NHI-健保事前審查-用藥品項值集#KC011162B5) 病人：Patient/pat-min "王大明" 事前審查藥物預定處方起始日期：2024-03-11 事前審查藥物預定處方終止日期：2024-07-28 事前審查藥品使用頻率及服用時間：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H) 事前審查藥品每次處方劑量：200 mg/m2 事前審查藥品療程／週期數：1 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)
status:
  v: on-hold
intent:
  v: plan
medication: CodeableConcept
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-medication
      l: nhi-medication
    code:
      v: KC011162B5
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
dosage instruction:
  timing:
    repeat:
      bounds: Period
      count:
        v: 1
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  dose and rate:
    dose: Quantity
      value:
        v: 200
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: mg/m2
dispense request:
  quantity:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm
      l: v3-orderableDrugForm

cov-min
type: Coverage
id:
  v: cov-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas
    l: Coverage-twpas
text:
  status:
    v: generated
  div:
    v: Profile：健保事前審查計畫-Coverage TWPAS 狀態：active 受益人：Patient/pat-min "王大明" 保險人：Organization/org-nhi "衛生福利部中央健康保險署"
status:
  v: active
beneficiary:
  l: pat-min
  reference:
    v: Patient/pat-min
payor:
  l: org-nhi
  reference:
    v: Organization/org-nhi

org-nhi
type: Organization
id:
  v: org-nhi
meta:
  profile:
    v: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-govt-twcore
    l: Organization-govt-twcore
text:
  status:
    v: generated
  div:
    v: Profile: 臺灣核心-政府機構（TW Core Organization Government） 機構名稱：衛生福利部中央健康保險署 識別碼型別：Government Organization Identifier（ 臺灣識別碼類型值集#GOI） 機關代號（official）：A21030000I (https://oid.nat.gov.tw/) 機構種類：Government ( OrganizationType#govt)
identifier:
  use:
    v: official
  type:
    coding:
      system:
        v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203
        l: v2-0203
      code:
        v: GOI
  system:
    v: https://oid.nat.gov.tw/
    l: oid.nat.gov.tw
  value:
    v: A21030000I
type:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/organization-type
      l: organization-type
    code:
      v: govt
name:
  v: 衛生福利部中央健康保險署

org-gene-example
type: Organization
id:
  v: org-gene-example
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-genetic-testing-twpas
    l: Organization-genetic-testing-twpas
text:
  status:
    v: generated
  div:
    v: 基因檢測機構 Profile: 基因檢測機構-Organization Genetic Testing TWPAS 機構代碼：2023LDTB0002 (https://dep.mohw.gov.tw)
identifier:
  system:
    v: https://dep.mohw.gov.tw
    l: dep.mohw.gov.tw
  value:
    v: 2023LDTB0002

doc-medicalRecord-min
type: DocumentReference
id:
  v: doc-medicalRecord-min
meta:
  profile:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
    l: DocumentReference-twpas
text:
  status:
    v: generated
  div:
    v: Profile: 文件參照-DocumentReference TWPAS 狀態：current 報告類型：病歷資料 (NHI-文件類型#medrec) 病人：Patient/pat-min "王大明" 病歷資料 (application/pdf)：file://王大明病歷.pdf 病歷資料名稱：王大明病歷
status:
  v: current
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-pdf-type
      l: nhi-pdf-type
    code:
      v: medrec
subject:
  l: pat-min
  reference:
    v: Patient/pat-min
content:
  attachment:
    content type:
      v: application/pdf
    url:
      v: file://王大明病歷.pdf
      l: 王大明病歷.pdf
    title:
      v: 王大明病歷

v: patientAssessment

Reference
l: obs-pat-nyha
reference:
  v: Observation/obs-pat-nyha

sequence:
  v: 11
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: medicationRequest
value: Reference
  l: medReq-treat
  reference:
    v: MedicationRequest/medReq-treat

sequence:
  v: 12
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: radiotherapy
value: Reference
  l: pro-min
  reference:
    v: Procedure/pro-min

sequence:
  v: 13
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: carePlanDocument
value: Reference
  l: doc-careplan-min
  reference:
    v: DocumentReference/doc-careplan-min

sequence:
  v: 14
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: medicalRecord
value: Reference
  l: doc-medicalRecord-min
  reference:
    v: DocumentReference/doc-medicalRecord-min

sequence:
  v: 15
category:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
      l: nhi-supporting-info-type
    code:
      v: treatmentAssessment
value: Reference
  l: obs-tx-min
  reference:
    v: Observation/obs-tx-min

extension:
  url:
    v: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
    l: extension-diagnosisRecordedDate
  value: Date
    v: 2024-01-01
sequence:
  v: 1
diagnosis: CodeableConcept
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
      l: icd-10-cm-2023-tw
    code:
      v: I50.812
type:
  text:
    v: Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

sequence:
  v: 1
date:
  v: 2024-01-01
procedure: CodeableConcept
  coding:
    system:
      v: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
      l: icd-10-pcs-2023-tw
    code:
      v: 3E0Y704

sequence:
  v: 1
focal:
  v: true
coverage:
  l: cov-min
  reference:
    v: Coverage/cov-min

extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
    l: extension-requestedService
  value: Reference
    l: medReq-apply
    reference:
      v: MedicationRequest/medReq-apply
sequence:
  v: 1
product or service:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-order-type
      l: nhi-order-type
    code:
      v: 1
    display:
      v: 藥品
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
      l: nhi-continuation-status
    code:
      v: 1
    display:
      v: 初次使用
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
      l: nhi-line-of-therapy
    code:
      v: 1
    display:
      v: 第一線治療
program code:
  text:
    v: ALK陽性的晚期非小細胞肺癌第一線治療
quantity:
  value:
    v: 52
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {tbl}

extension:
  url:
    v: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
    l: extension-requestedService
  value: Reference
    l: medReq-apply-2
    reference:
      v: MedicationRequest/medReq-apply-2
sequence:
  v: 2
product or service:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-order-type
      l: nhi-order-type
    code:
      v: 1
    display:
      v: 藥品
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
      l: nhi-continuation-status
    code:
      v: 1
    display:
      v: 初次使用
modifier:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
      l: nhi-line-of-therapy
    code:
      v: 1
    display:
      v: 第一線治療
program code:
  coding:
    system:
      v: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-reason
      l: nhi-apply-reason
    code:
      v: C50P1
quantity:
  value:
    v: 70
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: {tbl}

v: 2024-05-01

v: 2024-05-07

v: 2024-01-01

v: 2024-02-11

v: QD

v: AC1H

v: 2024-02-12

v: 2024-03-10

v: Q4WD1

v: Q4WD2

v: Q4WD3

v: Q4WD4

v: Q4WD5

v: AC1H

v: 2024-03-11

v: 2024-07-28

v: Q4WD1

v: Q4WD2

v: Q4WD3

v: Q4WD4

v: Q4WD5

v: AC1H