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: DocumentReferenceTWPAS - Mappings

Active as of 2025-12-17

Mappings for the DocumentReference-twpas resource profile.

#### Mappings to Structures in this Implementation Guide

Name | Mapping to TWPAS DocumentReference | Mapping to TWPAS DocumentReference
--- | --- | ---
DocumentReference |  |
id |  |
meta |  |
id |  |
extension |  |
versionId |  |
lastUpdated |  |
source |  |
profile |  |
security |  |
tag |  |
implicitRules |  |
language |  |
text |  |
contained |  |
extension |  |
modifierExtension |  |
masterIdentifier |  |
identifier |  |
status |  |
docStatus |  |
type |  |
category |  |
id |  |
extension |  |
coding |  |
id |  |
extension |  |
system |  |
version |  |
code |  |
display |  |
userSelected |  |
text |  |
subject |  |
date |  |
author |  |
authenticator |  |
custodian |  |
relatesTo |  |
id |  |
extension |  |
modifierExtension |  |
code |  |
target |  |
description |  |
securityLabel |  |
content |  |
id |  |
extension |  |
modifierExtension |  |
attachment |  |
id |  |
extension |  |
contentType |  |
language |  |
data |  |
url | ApplyImmModel.diagnosis.medrec ApplyImmModel.evaluate.tests.inspectPdf ApplyImmModel.treat.carePlanDocument | ApplyModel.diagnosis.medrec ApplyModel.gene.genPdf ApplyModel.evaluate.tests.inspectPdf ApplyModel.treat.carePlanDocument
size |  |
hash |  |
title | ApplyImmModel.diagnosis.medrecTitle ApplyImmModel.evaluate.tests.inspectPdfTitle ApplyImmModel.treat.carePlanDocumentTitle | ApplyModel.diagnosis.medrecTitle ApplyModel.gene.genPdfTitle ApplyModel.evaluate.tests.inspectPdfTitle ApplyModel.treat.carePlanDocumentTitle
creation |  |
format |  |
context |  |
id |  |
extension |  |
modifierExtension |  |
encounter |  |
event |  |
period |  |
facilityType |  |
practiceSetting |  |
sourcePatientInfo |  |
related |  |
Documentation for this format

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | FHIR Composition | RIM Mapping | CDA (R2) | FiveWs Pattern Mapping | HL7 v2 Mapping | XDS metadata equivalent
--- | --- | --- | --- | --- | --- | --- | ---
DocumentReference | Event | when describing a Composition | Document[classCode="DOC" and moodCode="EVN"] | when describing a CDA |  |  |
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 |  |  |  |
masterIdentifier | Event.identifier | Composition.identifier | .id | ClinicalDocument/id | FiveWs.identifier | TXA-12 | DocumentEntry.uniqueId
identifier | Event.identifier |  | .id / .setId |  | FiveWs.identifier | TXA-16? | DocumentEntry.entryUUID
status | Event.status |  | .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument" .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument" .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" |  | FiveWs.status | TXA-19 | DocumentEntry.availabilityStatus
docStatus |  | Composition.status | .statusCode |  | FiveWs.status | TXA-17 |
type |  |  | CD |  |  | CE/CNE/CWE |
category |  |  | CD |  |  | CE/CNE/CWE |
id |  |  | n/a |  |  |  |
extension |  |  |  |  |  |  |
coding |  |  | CV |  |  | CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
id |  |  | n/a |  |  |  |
extension |  |  |  |  |  |  |
system |  |  | ./codeSystem |  |  | C*E.3 |
version |  |  | ./codeSystemVersion |  |  | C*E.7 |
code |  |  | ./code |  |  | C*E.1 |
display |  |  | CV.displayName |  |  | C*E.2 - but note this is not well followed |
userSelected |  |  | CD.codingRationale |  |  | Sometimes implied by being first |
text |  |  | ./originalText[mediaType/code="text/plain"]/data |  |  | C*E.9. But note many systems use C*E.2 for this |
subject | Event.subject | Composition.subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] | ClinicalDocument/recordTarget/ | FiveWs.subject | PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message) | DocumentEntry.patientId
date | Event.occurrence[x] | Composition.date | .availabilityTime[type="TS"] |  | FiveWs.recorded |  |
author | Event.performer.actor | Composition.author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | ClinicalDocument/author |  | TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message) | DocumentEntry.author
authenticator | Event.performer.actor | Composition.attester | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] | ClinicalDocument/legalAuthenticator | FiveWs.witness | TXA-10 | DocumentEntry.legalAuthenticator
custodian | Event.performer.actor | Composition.custodian | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |  |  |  |
relatesTo |  | Composition.relatesTo | .outboundRelationship |  |  |  | DocumentEntry Associations
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
modifierExtension |  |  | N/A |  |  |  |
code |  | Composition.relatesTo.code | .outboundRelationship.typeCode |  |  |  | DocumentEntry Associations type
target |  | Composition.relatesTo.target | .target[classCode="DOC" moodCode="EVN"].id |  |  |  | DocumentEntry Associations reference
description |  |  | .outboundRelationship[typeCode="SUBJ"].target.text |  |  | TXA-25 | DocumentEntry.comments
securityLabel |  |  | CD |  |  | CE/CNE/CWE |
content |  | Bundle(Composition+*) | document.text |  |  |  |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
modifierExtension |  |  | N/A |  |  |  |
attachment |  | Composition.language Composition.title Composition.date | document.text | ClinicalDocument/languageCode ClinicalDocument/title ClinicalDocument/date |  | TXA-3 for mime type | DocumentEntry.mimeType DocumentEntry.languageCode DocumentEntry.URI DocumentEntry.size DocumentEntry.hash DocumentEntry.title DocumentEntry.creationTime
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
contentType |  |  | ./mediaType ./charset |  |  | ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used |
language |  |  | ./language |  |  |  |
data |  |  | ./data |  |  | ED.5 |
url |  |  | ./reference/literal |  |  | RP.1+RP.2 - if they refer to a URL (see v2.6) |
size |  |  | N/A (needs data type R3 proposal) |  |  |  |
hash |  |  | :ED/integrityCheckAlgorithm="SHA-1"] |  |  |  |
title |  |  | ./title/data |  |  |  |
creation |  |  | N/A (needs data type R3 proposal) |  |  |  |
format |  | Composition.meta.profile | document.text | derived from the IHE Profile or Implementation Guide templateID |  |  | DocumentEntry.formatCode
context |  |  | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] |  |  |  |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
modifierExtension |  |  | N/A |  |  |  |
encounter | Event.context | Composition.encounter | unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()] priorityNumber)/target[moodCode="EVN" and classCode=("ENC" "PCPR") and isNormalAct]) |  | FiveWs.context |  |
event |  |  | CD |  |  | CE/CNE/CWE |
period |  | Composition.event.period | .effectiveTime | ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value |  |  | DocumentEntry.serviceStartTime DocumentEntry.serviceStopTime
facilityType |  | usually from a mapping to a local ValueSet | .participation[typeCode="LOC"].role[classCode="DSDLOC"].code | usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code |  |  | DocumentEntry.healthcareFacilityTypeCode
practiceSetting |  |  | CD |  |  | CE/CNE/CWE |
sourcePatientInfo |  | Composition.subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] | ClinicalDocument/recordTarget/ |  |  | DocumentEntry.sourcePatientInfo DocumentEntry.sourcePatientId
related |  | Composition.event.detail | ./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct] | ClinicalDocument/relatedDocument |  |  | DocumentEntry.referenceIdList
Documentation for this format