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

## Example Bundle: 免疫製劑事前審查

Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS

Bundle bun-imm of type collection

Entry 1 - fullUrl = https://nhicore.nhi.gov.tw/pas/Claim/cla-imm

Resource Claim:

> Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS

> ClaimEncounter: Encounter: status = planned; class = ambulatory (ActCode#AMB); serviceType = 胸腔暨重症加護

> status: Active

> type: Institutional

> subType: 送核

> use: Preauthorization

> patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> created: 2024-05-30

> enterer: Practitioner: identifier = National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code,Medical License number

> provider: Organization 臺北市立聯合醫院

> priority: 一般事前審查申請

> > 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: 病人血型

> > value: Observation ABO and Rh group [Type] in Blood

> > supportingInfo

> > sequence: 4

> > category: 影像報告

> > value: Diagnostic Report for 'B34JZZ3' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))'

> > supportingInfo

> > sequence: 6

> > category: 檢查報告

> > value: Diagnostic Report for 'Prostate Pathology biopsy report' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))'

> > supportingInfo

> > sequence: 8

> > category: 檢驗(查)

> > value: Observation Platelets [#/volume] in Blood by Automated count

> > supportingInfo

> > sequence: 9

> > category: 檢驗(查)

> > value: Observation CBC panel - Blood by Automated count

> > supportingInfo

> > sequence: 10

> > category: 病人狀態評估

> > value: Observation Functional capacity NYHA

> > supportingInfo

> > sequence: 11

> > category: 用藥品項

> > value: MedicationRequest: status = completed; statusReason = Try another treatment first; intent = order; category = 健保; medication[x] = ANTI-COUGH SYRUP "WASHINGTON"

> > supportingInfo

> > sequence: 12

> > category: 放射/照光治療

> > value: Procedure D7Y08ZZ

> > supportingInfo

> > sequence: 13

> > category: 治療計畫文件

> > value: DocumentReference: status = current; category = 治療計畫文件

> > supportingInfo

> > sequence: 14

> > category: 病歷資料

> > value: DocumentReference: status = current; category = 病歷資料

> > supportingInfo

> > sequence: 15

> > category: 結果資訊

> > value: Observation International Working Group(IWG) Consensus Criteria

> > supportingInfo

> > sequence: 16

> > category: 門診病歷

> > value: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> > supportingInfo

> > sequence: 17

> > category: 過敏史

> > value: AllergyIntolerance

> ### Diagnoses

> - | Extension | Sequence | Diagnosis[x] | Type
> * |  | 1 | I50.812 | Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

> ### Procedures

> - | Sequence | Date | Procedure[x]
> * | 1 | 2024-01-01 | 3E0Y704

> ### Insurances

> - | Sequence | Focal | Coverage
> * | 1 | true | Coverage: status = active

> > item

> > RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Alunbrig film-coated tablets 30mg

> > sequence: 1

> > productOrService: 藥品

> > modifier: 初次使用, 第一線治療

> > programCode: ALK陽性的晚期非小細胞肺癌第一線治療

> > quantity: 52 {tbl} (Details: UCUM code{tbl} = '{tbl}')

> > item

> > RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Herzuma Inj. 440mg, Lyophilized powder for injection

> > sequence: 2

> > productOrService: 藥品

> > modifier: 初次使用, 第一線治療

> > programCode: 早期乳癌-未發生腋下淋巴結轉移

> > quantity: 70 {tbl} (Details: UCUM code{tbl} = '{tbl}')

Entry 2 - fullUrl = https://nhicore.nhi.gov.tw/pas/Encounter/enc-opd

Resource Encounter:

> Profile: 門診病歷-Encounter OPD TWPAS

> EncounterSubjective: Observation Subjective Narrative

> EncounterObjective: Observation Objective Narrative

> EncounterClinicalImpression: ClinicalImpression: status = completed; summary = Right knee . arthritis . active

> EncounterCarePlan: CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.

> status: completed

> class: ambulatory

> serviceType: No display for Encounter.serviceType (concept: Family practice (qualifier value))

> serviceProvider: Organization 臺北市立聯合醫院

> > participant

> ### Diagnoses

> - | Condition
> * | No display for Encounter.diagnosis.condition (reference: ->Condition M17.11)

Entry 3 - fullUrl = https://nhicore.nhi.gov.tw/pas/Encounter/enc-min

Resource Encounter:

> 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)

Entry 4 - fullUrl = https://nhicore.nhi.gov.tw/pas/Patient/pat-min

Resource Patient:

> 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

Entry 5 - fullUrl = https://nhicore.nhi.gov.tw/pas/Practitioner/pra-min

Resource Practitioner:

> 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）

Entry 6 - fullUrl = https://nhicore.nhi.gov.tw/pas/Organization/org-hosp-example

Resource Organization:

> ### 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)

Entry 7 - fullUrl = https://nhicore.nhi.gov.tw/pas/Condition/con-diagnosis

Resource Condition:

> Profile: 診斷-Condition TWPAS

> clinicalStatus: Active

> category: Diagnosis Narrative

> code: M17.11

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

Entry 8 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-blood-group

Resource Observation:

> Profile: 血型-Observation Blood Group TWPAS

> status: Final

> category: 病人血型

> code: ABO and Rh group [Type] in Blood

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> effective: 2024-05-07

> value: Blood group A

Entry 9 - fullUrl = https://nhicore.nhi.gov.tw/pas/AllergyIntolerance/all-min

Resource AllergyIntolerance:

> Profile: 過敏史-AllergyIntolerance TWPAS

> clinicalStatus: Active

> code: 對 A 藥物過敏，過敏反應為全身性皮疹、呼吸喘，約在服用後15分鐘發生。曾於2023年5月因感冒服用過 A 藥，出現上述過敏反應，故此後避免使用。

> patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

Entry 10 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-subjective

Resource Observation:

> Profile: 主觀描述-Observation Subjective TWPAS

> status: Final

> category: Survey

> code: Subjective Narrative

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> effective: 2025-11-11

> value: Pain and tenderness of Right knee since yesterday.

Entry 11 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-objective

Resource Observation:

> Profile: 客觀描述-Observation Objective TWPAS

> status: Final

> category: Survey

> code: Objective Narrative

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> effective: 2025-11-11

> value: BP 110/70 mmHg PR 80/min BT 38.50C

Entry 12 - fullUrl = https://nhicore.nhi.gov.tw/pas/ClinicalImpression/cliImp-min

Resource ClinicalImpression:

> Profile: 評估-ClinicalImpression TWPAS

> status: Completed

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> summary: Right knee . arthritis . active

Entry 13 - fullUrl = https://nhicore.nhi.gov.tw/pas/CarePlan/careplan-min

Resource CarePlan:

> Profile: 計畫-CarePlan TWPAS

> status: Completed

> intent: Plan

> category: Assessment and Plan of Treatment

> description: 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: extension = ->Observation Subjective Narrative,->Observation Objective Narrative,->ClinicalImpression: status = completed; summary = Right knee . arthritis . active,->CarePlan: status = completed; intent = plan; category = Assessment and Plan of Treatment; description = 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.; status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

Entry 14 - fullUrl = https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-ima-min

Resource DiagnosticReport:

> 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

Entry 15 - fullUrl = https://nhicore.nhi.gov.tw/pas/ImagingStudy/imaStu-min

Resource ImagingStudy:

> 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)

Entry 16 - fullUrl = https://nhicore.nhi.gov.tw/pas/Media/med-min

Resource DocumentReference:

> 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）

Entry 17 - fullUrl = https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-min

Resource DiagnosticReport:

> 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

Entry 18 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-min

Resource Observation:

> 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

Entry 19 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-cbc

Resource Observation:

> 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

Entry 20 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-test-min

Resource DocumentReference:

> 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

Entry 21 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-pat-nyha

Resource Observation:

> 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

Entry 22 - fullUrl = https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-treat

Resource MedicationRequest:

> 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)

Entry 23 - fullUrl = https://nhicore.nhi.gov.tw/pas/Procedure/pro-min

Resource Procedure:

> 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

Entry 24 - fullUrl = https://nhicore.nhi.gov.tw/pas/Substance/sub-min

Resource Substance:

> 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)

Entry 25 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-careplan-min

Resource DocumentReference:

> 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

Entry 26 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-tx-min

Resource Observation:

> 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)

Entry 27 - fullUrl = https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply

Resource MedicationRequest:

> 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)

Entry 28 - fullUrl = https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply-2

Resource MedicationRequest:

> 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)

Entry 29 - fullUrl = https://nhicore.nhi.gov.tw/pas/Coverage/cov-min

Resource Coverage:

> 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"

Entry 30 - fullUrl = https://nhicore.nhi.gov.tw/pas/Organization/org-nhi

Resource Organization:

> 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)

Entry 31 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-medicalRecord-min

Resource DocumentReference:

> 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

Entry 32 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-patientAssessment-min

Resource DocumentReference:

> Profile: 文件參照-DocumentReference TWPAS

> 狀態：current

> 報告類型：病人狀態評估報告 (NHI-文件類型#patientAssessment)

> 病人：Patient/pat-min "王大明"

> 病人狀態評估報告 (application/pdf)：file://病人狀態評估報告.pdf

> 病人狀態評估報告名稱：病人狀態評估報告名稱