臺灣健保事前審查實作指引
1.1.0 - ci-build

臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

## Logical Model: ResponseModel - Detailed Descriptions

Active as of 2025-12-17

Definitions for the ResponseModel logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. ResponseModel
Definition | 回覆(Response)事前審查之資料模型，此邏輯模型為定義癌症用藥事前審查情境下使用的所有資料欄位。 為了便於實作者快速理解，資料欄位會使用易於理解的命名，實作者再透過邏輯模型中的功能頁籤「Mappings」瞭解各資料欄位實際使用本IG的哪個Profiles的哪個資料項目（element）。亦可配合視覺化邏輯模型圖進行欄位對應
Short | 回覆(Response)事前審查之資料模型
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. ResponseModel.approveDate
Definition | 核定日期
Short | 核定日期
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
4. ResponseModel.acptNo
Definition | 案件受理狀態
Short | 案件受理狀態
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. ResponseModel.approveClaimComment
Definition | 受理審查案件核定註記。1:同意 | 2:不予同意 | 3:部份同意 | 4:補件 | 5:退件
Short | 受理審查案件核定註記
Control | 0..1
Type | CodeableConcept
8. ResponseModel.approveNum
Definition | 核定數量
Short | 核定數量
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. ResponseModel.approveItemComment
Definition | 個別醫令核定註記。0:審核中 | 1:同意 | 2:不予同意 | 3:部份同意 | 4:補件 | 5:退件 | 6:不予同意:對應手術亦不支付 | 7:改核:如審查核定意見
Short | 個別醫令核定註記
Control | 0..1
Type | CodeableConcept

Guidance on how to interpret the contents of this table can be foundhere

0. ResponseModel
Definition | 回覆(Response)事前審查之資料模型，此邏輯模型為定義癌症用藥事前審查情境下使用的所有資料欄位。 為了便於實作者快速理解，資料欄位會使用易於理解的命名，實作者再透過邏輯模型中的功能頁籤「Mappings」瞭解各資料欄位實際使用本IG的哪個Profiles的哪個資料項目（element）。亦可配合視覺化邏輯模型圖進行欄位對應
Short | 回覆(Response)事前審查之資料模型
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. ResponseModel.approveDate
Definition | 核定日期
Short | 核定日期
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
4. ResponseModel.acptNo
Definition | 案件受理狀態
Short | 案件受理狀態
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. ResponseModel.approveClaimComment
Definition | 受理審查案件核定註記。1:同意 | 2:不予同意 | 3:部份同意 | 4:補件 | 5:退件
Short | 受理審查案件核定註記
Control | 0..1
Type | CodeableConcept
8. ResponseModel.approveNum
Definition | 核定數量
Short | 核定數量
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. ResponseModel.approveItemComment
Definition | 個別醫令核定註記。0:審核中 | 1:同意 | 2:不予同意 | 3:部份同意 | 4:補件 | 5:退件 | 6:不予同意:對應手術亦不支付 | 7:改核:如審查核定意見
Short | 個別醫令核定註記
Control | 0..1
Type | CodeableConcept

Guidance on how to interpret the contents of this table can be foundhere

0. ResponseModel
Definition | 回覆(Response)事前審查之資料模型，此邏輯模型為定義癌症用藥事前審查情境下使用的所有資料欄位。 為了便於實作者快速理解，資料欄位會使用易於理解的命名，實作者再透過邏輯模型中的功能頁籤「Mappings」瞭解各資料欄位實際使用本IG的哪個Profiles的哪個資料項目（element）。亦可配合視覺化邏輯模型圖進行欄位對應
Short | 回覆(Response)事前審查之資料模型
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. ResponseModel.approveDate
Definition | 核定日期
Short | 核定日期
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
4. ResponseModel.acptNo
Definition | 案件受理狀態
Short | 案件受理狀態
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. ResponseModel.approveClaimComment
Definition | 受理審查案件核定註記。1:同意 | 2:不予同意 | 3:部份同意 | 4:補件 | 5:退件
Short | 受理審查案件核定註記
Control | 0..1
Type | CodeableConcept
8. ResponseModel.approveNum
Definition | 核定數量
Short | 核定數量
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. ResponseModel.approveItemComment
Definition | 個別醫令核定註記。0:審核中 | 1:同意 | 2:不予同意 | 3:部份同意 | 4:補件 | 5:退件 | 6:不予同意:對應手術亦不支付 | 7:改核:如審查核定意見
Short | 個別醫令核定註記
Control | 0..1
Type | CodeableConcept