abstractbaseDefinitioncopyrightdate- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]- Added the item 'null#null'
kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | 健保事前審查計畫-Coverage TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas) |
| Right: | 健保事前審查計畫-Coverage TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas) |
| Error | StructureDefinition.version | Values for version differ: '1.2.7' vs '1.2.8' |
| Information | StructureDefinition.date | Values for date differ: '2026-09-24T22:23:31+08:00' vs '2026-10-14T06:35:06+00:00' |
| Information | StructureDefinition.jurisdiction | Added the item 'null#null' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Coverage | ||
| copyright | |||
| date | 2026-09-24T22:23:31+08:00 | 2026-10-14T06:35:06+00:00 |
|
| description | 此健保事前審查計畫-Coverage TWPAS Profile說明本IG如何進一步定義FHIR的Coverage Resource以呈現事前審查之健保事前審查計畫 | ||
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | null#null |
| |
| kind | resource | ||
| name | CoverageTWPAS | ||
| publisher | 衛生福利部中央健康保險署 | ||
| purpose | |||
| status | active | ||
| title | 健保事前審查計畫-Coverage TWPAS | ||
| type | Coverage | ||
| url | https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas | ||
| version | 1.2.7 | 1.2.8 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Coverage | 0..* | Coverage | Insurance or medical plan or a payment agreement | 0..* | Coverage | Insurance or medical plan or a payment agreement | |||||||||||
 id | 0..1 | id | Logical id of this artifact | 0..1 | id | Logical id of this artifact | |||||||||||
 meta | 1..1 | Meta | Metadata about the resource | 1..1 | Meta | Metadata about the resource | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
 Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| versionId | 0..1 | id | Version specific identifier | 0..1 | id | Version specific identifier | |||||||||||
| lastUpdated | 0..1 | instant | When the resource version last changed | 0..1 | instant | When the resource version last changed | |||||||||||
| source | 0..1 | uri | Identifies where the resource comes from | 0..1 | uri | Identifies where the resource comes from | |||||||||||
| profile | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas | |||||||||||
| security | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||||
| tag | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||||||||
| implicitRules | 0..1 | uri | A set of rules under which this content was created | 0..1 | uri | A set of rules under which this content was created | |||||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | 0..* | Extension | Extensions that cannot be ignored | 0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier | 0..* | Identifier | Business Identifier for the coverage | 0..* | Identifier | Business Identifier for the coverage | |||||||||||
| status | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. Required Pattern: active | 1..1 | code | active | cancelled | draft | entered-in-error Binding: ?? (required): A code specifying the state of the resource instance. Required Pattern: active | |||||||||||
| type | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: ?? (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. | 0..1 | CodeableConcept | Coverage category such as medical or accident Binding: ?? (preferred): The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization. | |||||||||||
| policyHolder | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | 0..1 | Reference(Patient | RelatedPerson | Organization) | Owner of the policy | |||||||||||
| subscriber | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | 0..1 | Reference(Patient | RelatedPerson) | Subscriber to the policy | |||||||||||
| subscriberId | 0..1 | string | ID assigned to the subscriber | 0..1 | string | ID assigned to the subscriber | |||||||||||
| beneficiary | 1..1 | Reference(病人資訊-Patient TWPAS) | Plan beneficiary | 1..1 | Reference(病人資訊-Patient TWPAS) | Plan beneficiary | |||||||||||
| dependent | 0..1 | string | Dependent number | 0..1 | string | Dependent number | |||||||||||
| relationship | 0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | 0..1 | CodeableConcept | Beneficiary relationship to the subscriber Binding: ?? (extensible): The relationship between the Subscriber and the Beneficiary (insured/covered party/patient). | |||||||||||
| period | 0..1 | Period | Coverage start and end dates | 0..1 | Period | Coverage start and end dates | |||||||||||
| payor | 1..* | Reference(TW Core Organization Government) | Issuer of the policy | 1..* | Reference(TW Core Organization Government) | Issuer of the policy | |||||||||||
| class | 0..* | BackboneElement | Additional coverage classifications | 0..* | BackboneElement | Additional coverage classifications | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| type | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. | 1..1 | CodeableConcept | Type of class such as 'group' or 'plan' Binding: ?? (extensible): The policy classifications, eg. Group, Plan, Class, etc. | |||||||||||
| value | 1..1 | string | Value associated with the type | 1..1 | string | Value associated with the type | |||||||||||
| name | 0..1 | string | Human readable description of the type and value | 0..1 | string | Human readable description of the type and value | |||||||||||
| order | 0..1 | positiveInt | Relative order of the coverage | 0..1 | positiveInt | Relative order of the coverage | |||||||||||
| network | 0..1 | string | Insurer network | 0..1 | string | Insurer network | |||||||||||
| costToBeneficiary | 0..* | BackboneElement | Patient payments for services/products | 0..* | BackboneElement | Patient payments for services/products | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| type | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. | 0..1 | CodeableConcept | Cost category Binding: ?? (extensible): The types of services to which patient copayments are specified. | |||||||||||
| value[x] | 1..1 | ??  , Money | The amount or percentage due from the beneficiary | 1..1 | ?? , Money | The amount or percentage due from the beneficiary | |||||||||||
 exception | 0..* | BackboneElement | Exceptions for patient payments | 0..* | BackboneElement | Exceptions for patient payments | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| type | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. | 1..1 | CodeableConcept | Exception category Binding: ?? (example): The types of exceptions from the part or full value of financial obligations such as copays. | |||||||||||
| period | 0..1 | Period | The effective period of the exception | 0..1 | Period | The effective period of the exception | |||||||||||
| subrogation | 0..1 | boolean | Reimbursement to insurer | 0..1 | boolean | Reimbursement to insurer | |||||||||||
| contract | 0..* | Reference(Contract) | Contract details | 0..* | Reference(Contract) | Contract details | |||||||||||
| Documentation for this format | |||||||||||||||||