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: DiagnosticReportImageTWPAS - Mappings

Active as of 2025-12-17

Mappings for the DiagnosticReport-image-twpas resource profile.

#### Mappings to Structures in this Implementation Guide

Name | Mapping to TWPAS DiagnosticReportImage | Mapping to TWPAS DiagnosticReportImage
--- | --- | ---
DiagnosticReport |  |
id |  |
meta |  |
id |  |
extension |  |
versionId |  |
lastUpdated |  |
source |  |
profile |  |
security |  |
tag |  |
implicitRules |  |
language |  |
text |  |
contained |  |
extension |  |
modifierExtension |  |
identifier |  |
basedOn |  |
status |  |
category |  |
id |  |
extension |  |
coding |  |
text |  |
code |  |
id |  |
extension |  |
Slices for coding |  |
coding:TW2023ICD10PCS |  |
id |  |
extension |  |
system |  |
version |  |
code | ApplyImmModel.diagnosis.imageStudy.imgItem | ApplyModel.diagnosis.imageStudy.imgItem
display |  |
userSelected |  |
coding:TW2014ICD10PCS |  |
id |  |
extension |  |
system |  |
version |  |
code | ApplyImmModel.diagnosis.imageStudy.imgItem | ApplyModel.diagnosis.imageStudy.imgItem
display |  |
userSelected |  |
coding:LOINC |  |
id |  |
extension |  |
system |  |
version |  |
code | ApplyImmModel.diagnosis.imageStudy.imgItem | ApplyModel.diagnosis.imageStudy.imgItem
display |  |
userSelected |  |
text | ApplyImmModel.diagnosis.imageStudy.imgBodySite | ApplyModel.diagnosis.imageStudy.imgBodySite
subject |  |
encounter |  |
Slices for effective[x] |  |
effective[x]:effectiveDateTime |  |
issued |  |
performer |  |
resultsInterpreter |  |
specimen |  |
result |  |
imagingStudy |  |
media |  |
id |  |
extension |  |
modifierExtension |  |
comment |  |
link |  |
conclusion | ApplyImmModel.diagnosis.imageStudy.imgResult | ApplyModel.diagnosis.imageStudy.imgResult
conclusionCode |  |
presentedForm |  |
id |  |
extension |  |
contentType |  |
language |  |
data |  |
url |  |
size |  |
hash |  |
title |  |
creation |  |
Documentation for this format

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | HL7 v2 Mapping | RIM Mapping | FiveWs Pattern Mapping
--- | --- | --- | --- | ---
DiagnosticReport | Event | ORU -> OBR | 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 | OBR-51/ for globally unique filler ID - OBR-3 For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4 | id | FiveWs.identifier
basedOn | Event.basedOn | ORC? OBR-2/3? | outboundRelationship[typeCode=FLFS].target |
status | Event.status | 1 mapping) | final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise" | FiveWs.status
category |  | OBR-24 | inboundRelationship[typeCode=COMP].source[classCode=LIST moodCode=EVN code < LabService].code | FiveWs.class
id |  |  | n/a |
extension |  |  | n/a |
coding |  | C*E.1-8 C*E.10-22 | union(. ./translation) |
text |  | C*E.9. But note many systems use C*E.2 for this | ./originalText[mediaType/code="text/plain"]/data |
code | Event.code | OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel) | code | FiveWs.what[x]
id |  |  | n/a |
extension |  |  | n/a |
Slices for coding |  | C*E.1-8 C*E.10-22 | union(. ./translation) |
coding:TW2023ICD10PCS |  | C*E.1-8 C*E.10-22 | union(. ./translation) |
id |  |  | n/a |
extension |  |  | n/a |
system |  | C*E.3 | ./codeSystem |
version |  | C*E.7 | ./codeSystemVersion |
code |  | C*E.1 | ./code |
display |  | C*E.2 - but note this is not well followed | CV.displayName |
userSelected |  | Sometimes implied by being first | CD.codingRationale |
coding:TW2014ICD10PCS |  | C*E.1-8 C*E.10-22 | union(. ./translation) |
id |  |  | n/a |
extension |  |  | n/a |
system |  | C*E.3 | ./codeSystem |
version |  | C*E.7 | ./codeSystemVersion |
code |  | C*E.1 | ./code |
display |  | C*E.2 - but note this is not well followed | CV.displayName |
userSelected |  | Sometimes implied by being first | CD.codingRationale |
coding:LOINC |  | C*E.1-8 C*E.10-22 | union(. ./translation) |
id |  |  | n/a |
extension |  |  | n/a |
system |  | C*E.3 | ./codeSystem |
version |  | C*E.7 | ./codeSystemVersion |
code |  | C*E.1 | ./code |
display |  | C*E.2 - but note this is not well followed | CV.displayName |
userSelected |  | Sometimes implied by being first | CD.codingRationale |
text |  | C*E.9. But note many systems use C*E.2 for this | ./originalText[mediaType/code="text/plain"]/data |
subject | Event.subject | PID-3 (no HL7 v2 mapping for Group or Device) | participation[typeCode=SBJ] | FiveWs.subject
encounter | Event.encounter | PV1-19 | inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN] | FiveWs.context
Slices for effective[x] | Event.occurrence[x] | OBR-7 | effectiveTime | FiveWs.done[x]
effective[x]:effectiveDateTime | Event.occurrence[x] | OBR-7 | effectiveTime | FiveWs.done[x]
issued |  | OBR-22 | participation[typeCode=VRF or AUT].time | FiveWs.recorded
performer | Event.performer.actor | PRT-8 (where this PRT-4-Participation = "PO") | .participation[typeCode=PRF] | FiveWs.actor
resultsInterpreter | Event.performer.actor | OBR-32 PRT-8 (where this PRT-4-Participation = "PI") | .participation[typeCode=PRF] | FiveWs.actor
specimen |  | SPM | participation[typeCode=SBJ] |
result |  | OBXs | outboundRelationship[typeCode=COMP].target |
imagingStudy |  |  | outboundRelationship[typeCode=COMP].target[classsCode=DGIMG moodCode=EVN] |
media |  | OBX? | outboundRelationship[typeCode=COMP].target |
id |  |  | n/a |
extension |  |  | n/a |
modifierExtension |  |  | N/A |
comment |  |  | .inboundRelationship[typeCode=COMP].source[classCode=OBS moodCode=EVN code="annotation"].value |
link |  |  | .value.reference |
conclusion |  | OBX | inboundRelationship[typeCode="SPRT"].source[classCode=OBS moodCode=EVN 48767-8].value (type=ST) |
conclusionCode |  | OBX | inboundRelationship[typeCode=SPRT].source[classCode=OBS moodCode=EVN 54531-9].value (type=CD) |
presentedForm |  | OBX | text (type=ED) |
id |  |  | n/a |
extension |  |  | n/a |
contentType |  | ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used | ./mediaType ./charset |
language |  |  | ./language |
data |  | ED.5 | ./data |
url |  | RP.1+RP.2 - if they refer to a URL (see v2.6) | ./reference/literal |
size |  |  | N/A (needs data type R3 proposal) |
hash |  |  | :ED/integrityCheckAlgorithm="SHA-1"] |
title |  |  | ./title/data |
creation |  |  | N/A (needs data type R3 proposal) |
Documentation for this format