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

## 查詢參數

以下為本IG使用到的所有查詢參數(SearchParameter)。

### 對外服務之API

#### 以Profile分類

##### Claim

- identifier
- patient
- func-type

##### ClaimResponse

- created
- disposition
- request
- adjudication-reason

##### Patient

- name
- identifier

##### Encounter

- service-type

#### 以查詢欄位分類

##### 核定註記：ClaimResponse.adjudication-reason

`GET [base]/ClaimResponse?adjudication-reason=[核定註記]`
例子：
(1) GET [base]/ClaimResponse?adjudication-reason=1

##### 姓名：ClaimResponse.request + Claim.patient + Patient.name

`GET [base]/ClaimResponse?request.patient.name=[姓名]`
例子：
(1) GET [base]/ClaimResponse?request.patient.name=王大明

##### 身分證號：ClaimResponse.request + Claim.patient + Patient.identifier

`GET [base]/ClaimResponse?request.patient.identifier=[身分證號]`
例子：
(1) GET [base]/ClaimResponse?request.patient.identifier=A123456789

##### 受理編號：ClaimResponse.request + Claim.identifier

`GET [base]/ClaimResponse?request.identifier=[受理編號]`
例子：
(1) GET [base]/ClaimResponse?request.identifier=20240831010109051701

##### 就醫科別：ClaimResponse.request + Claim.func-type + Encounter.service-type

`GET [base]/ClaimResponse?request.func-type.service-type=[就醫科別]`
例子：
(1) GET [base]/ClaimResponse?request.func-type.service-type=AJ
(2) GET [base]/ClaimResponse?request.func-type.service-type=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-consultation-department-nhi-tw|AJ

##### 受理日期：ClaimResponse.created & ClaimResponse.disposition

`GET [base]/ClaimResponse?created={gt|lt|ge|le}[date]{&created={gt|lt|ge|le}[date]}&disposition=已受理`
例子：
(1) GET [base]/ClaimResponse?created=gt2024-08-01&created=lt2024-08-24&disposition=已受理

##### 核定日期：ClaimResponse.created & ClaimResponse.disposition

`GET [base]/ClaimResponse?created={gt|lt|ge|le}[date]{&created={gt|lt|ge|le}[date]}&disposition=審畢結果`
例子：
(1) GET [base]/ClaimResponse?created=gt2024-08-01&created=lt2024-08-24&disposition=審畢結果

### 未對外服務之API

#### Bundle

- _id