This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Logical Model: ApplyModel - Mappings

Active as of 2024-10-16

Mappings for the ApplyModel logical model.

Mappings for Mapping to TWPAS Claim (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Claim-twpas)

ApplyModel
ApplyModel
hosp	(院所資訊)
hospId	provider.reference(OrganizationTWPAS) (醫事機構代碼)
applType	subType.coding.code (申報類別)
funcType	extension.where(url = 'https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-claim-encounter').valueReference.reference(EncounterTWPAS) (就醫科別)
applPrsnId	enterer.reference(PractitionerTWPAS) (申請醫師身分證號)
applDate	created (申請日期)
tmhbType	priority.coding.code (申請案件類型)
oldAcptNo	identifier.value (原受理編號)
patient	(病人資訊)
idCard	patient.reference(PatientTWPAS) (身分證字號)
weight	supportingInfo.where(category.coding.code = 'weight').valueQuantity.value (病人體重)
height	supportingInfo.where(category.coding.code = 'height').valueQuantity.value (病人身高)
pregnant	supportingInfo.where(category.coding.code = 'pregnancyBreastfeedingStatus').valueBoolean (是否懷孕或哺乳)
diagnosis	(疾病資訊)
icd10cmCode	diagnosis.diagnosisCodeableConcept.coding.code (國際疾病分類代碼)
diagDate	diagnosis.extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').valueDate (診斷日期)
diagCurrentStatus	diagnosis.type.text (簡要病摘)
medrec	supportingInfo.where(category.coding.code = 'medicalRecord').valueReference.reference(DocumentReferenceTWPAS) (病歷資料)
imageStudy	(影像報告)
imgItem	supportingInfo.where(category.coding.code = 'imagingReport').valueReference.reference(DiagnosticReportImageTWPAS) (影像報告)
cancerStage	(癌症分期量表)
assessItem	supportingInfo.where(category.coding.code = 'cancerStage').valueReference.reference(ObservationCancerStageTWPAS) (癌症分期量表項目)
examinationReport	(檢查報告)
reportResult
reportResultPdf	supportingInfo.where(category.coding.code = 'examinationReport').valueReference.reference(DiagnosticReportTWPAS) (檢查報告結果)
gene	(基因資訊)
genTestCode	supportingInfo.where(category.coding.code = 'companionDiagnostics').valueReference.reference(ObservationDiagnosticTWPAS) (基因檢測代碼)
evaluate	(評估資訊)
tests	(檢驗(查))
inspect	supportingInfo.where(category.coding.code = 'tests').valueReference.reference(ObservationLaboratoryResultTWPAS) (檢驗(查)名稱或套組代碼)
patientAssessment	(病人狀態評估)
patAst	supportingInfo.where(category.coding.code = 'patientAssessment').valueReference.reference(ObservationPatientAssessmentTWPAS) (病人狀態評估項目代碼)
treat	(治療資訊)
medicationRequest	(用藥品項)
drugCode	supportingInfo.where(category.coding.code = 'medicationRequest').valueReference.reference(MedicationRequestTreatTWPAS) (藥品代碼)
radiotherapy	(放射治療)
rt	supportingInfo.where(category.coding.code = 'radiotherapy').valueReference.reference(ProcedureTWPAS) (放射治療項目)
opCode	procedure.procedureCodeableConcept.coding (手術(或其他處置)項目)
opDate	procedure.date (手術(或其他處置)日期)
carePlanDocument	supportingInfo.where(category.coding.code = 'carePlanDocument').valueReference.reference(DocumentReferenceTWPAS) (治療計畫文件)
result	(結果資訊)
txAst	supportingInfo.where(category.coding.code = 'treatmentAssessment').valueReference.reference(ObservationTreatmentAssessmentTWPAS) (治療後疾病狀態評估項目)
apply	(申請項目)
continuation	item.modifier.where(coding.system = 'https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-continuation-status').coding.code (續用註記)
lot	item.modifier.where(coding.system = 'https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-line-of-therapy').coding.code (用藥線別)
orderType	item.productOrService.coding.code (醫令類別)
cancerDrugType	item.extension.where(url = 'https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-requestedService').valueReference.reference (事前審查品項代碼)
applyReason	item.programCode (給付適應症條件)
applySide	item.bodySite (申請部位)
applQty	item.quantity.value (事前審查申請數量)
applQtyUnit	item.quantity.unit (事前審查申請數量單位)

Mappings for Mapping to TWPAS Organization (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Organization-twpas)

ApplyModel
ApplyModel
hosp	(院所資訊)
hospId	identifier.value (醫事機構代碼)
gene	(基因資訊)
genOrg	identifier.value (基因檢測機構)

Mappings for Mapping to TWPAS Encounter (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Encounter-twpas)

ApplyModel
ApplyModel
hosp	(院所資訊)
funcType	serviceType.coding.code (就醫科別)

Mappings for Mapping to TWPAS Patient (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas)

ApplyModel
ApplyModel
patient	(病人資訊)
name	name.text (姓名)
idCard	identifier.where(type.coding.code = 'NNxxx').value (身分證字號)
patId	identifier.where(type.coding.code = 'MR').value (病歷號)
birthday	birthDate (出生日期)
gender	gender (病人性別)

Mappings for Mapping to TWPAS DiagnosticReportImage (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-image-twpas)

ApplyModel
ApplyModel
diagnosis	(疾病資訊)
imageStudy	(影像報告)
imgItem	code.coding.code (影像報告)
imgResult	conclusion (影像報告結果)
imgBodySite	code.text (影像檢查的身體部位)
imgDate	effectiveDateTime (影像報告日期)
imgDicom	imagingStudy.reference(ImagingStudyTWPAS) (DICOM影像)
imgNonDicom	media.link.reference(MediaTWPAS) (非DICOM影像)
imgInterpreter	performer.reference(PractitionerTWPAS) (簽發影像報告醫師身分證號)

Mappings for Mapping to TWPAS ImagingStudy (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ImagingStudy-twpas)

ApplyModel
ApplyModel
diagnosis	(疾病資訊)
imageStudy	(影像報告)
imgBodySite	series.bodySite.code (影像檢查的身體部位)
imgDicom	series.instance.uid (DICOM影像)

Mappings for Mapping to TWPAS Media (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Media-twpas)

ApplyModel
ApplyModel
diagnosis	(疾病資訊)
imageStudy	(影像報告)
imgBodySite	bodySite.coding.code (影像檢查的身體部位)
imgNonDicom	contnet.url (非DICOM影像)

Mappings for Mapping to TWPAS ObservationCancerStage (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-cancer-stage-twpas)

ApplyModel
ApplyModel
diagnosis	(疾病資訊)
cancerStage	(癌症分期量表)
assessItem	code.coding.code (癌症分期量表項目)
assessScore	valueCodeableConcept.coding.code (癌症分期分數或結果)
assessDate	effectiveDateTime (癌症分期量表評估日期)
assessPerformer	performer.reference(PractitionerTWPAS) (簽發癌症分期報告醫師身分證號)

Mappings for Mapping to TWPAS DiagnosticReport (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-twpas)

ApplyModel
ApplyModel
diagnosis	(疾病資訊)
examinationReport	(檢查報告)
reportType	code.coding.code (報告類型)
speType	code.text (檢體種類)
reportResult	(檢查報告結果)
reportResultString	conclusion (檢查報告結果（文數字）)
reportResultPdf	presentedForm.url (檢查報告結果（檔案路徑）)
reportResultPdfTitle	presentedForm.title (檢查報告名稱)
reportDate	effectiveDateTime (報告日期)
reportPerformer	performer.reference(PractitionerTWPAS) (檢查報告醫師身分證號)

Mappings for Mapping to TWPAS ObservationDiagnostic (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-diagnostic-twpas)

ApplyModel
ApplyModel
gene	(基因資訊)
genTestCode	component.code.coding.code (基因檢測代碼)
mutationType	component.where(code.coding.code = '48019-4').valueCodeableConcept.coding.code (基因突變類型)
specimenType	specimen.reference(SpecimenTWPAS) (基因檢測檢體類型)
genMethod	method.coding.code (基因檢測方法)
genDate	effectiveDateTime (基因檢測日期)
genOrg	performer.reference(OrganizationTWPAS) (基因檢測機構)
genResult	valueCodeableConcept.coding.code (基因檢測分析結果)
genInterpretation	interpretation.coding.code (基因臨床判讀結果)
genPdf	derivedFrom.reference(DocumentReferenceTWPAS) (基因報告（檔案路徑）)

Mappings for Mapping to TWPAS ObservationLaboratoryResult (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-laboratory-result-twpas)

ApplyModel
ApplyModel
evaluate	(評估資訊)
tests	(檢驗(查))
inspect	code.coding.code (檢驗(查)名稱或套組代碼)
inspectResultTxt	interpretation.coding.code (檢驗(查)結果判讀)
inspectResult[x]	value (檢驗(查)結果)
consultValueLower	referenceRange.low.value (檢驗(查)結果之參考範圍下限)
consultValueMax	referenceRange.high.value (檢驗(查)結果之參考範圍上限)
consultValueCat	referenceRange.type.coding.code (檢驗(查)結果之參考範圍類型)
consultValueDesc	referenceRange.text (檢驗(查)結果之參考範圍說明)
inspectSet	component (套組中的的檢驗)
caseTime	effectiveDateTime (檢驗(查)報告日期)
inspectPdf	derivedFrom.reference(DocumentReferenceTWPAS) (檢驗(查)附件（檔案路徑）)
inspectPerformer	performer.reference(OrganizationTWPAS) (簽發檢驗(查)報告醫事人員身分證號)

Mappings for Mapping to TWPAS ObservationPatientAssessment (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-pat-assessment-twpas)

ApplyModel
ApplyModel
evaluate	(評估資訊)
patientAssessment	(病人狀態評估)
patAst	code.coding.code (病人狀態評估項目代碼)
patAstResult	value (病人狀態評估結果)
patAstDate	effectiveDateTime (病人狀態評估日期)
patAstPerformer	performer.reference(OrganizationTWPAS) (評估項目醫事人員身分證號)

Mappings for Mapping to TWPAS MedicationRequestTreatTWPAS (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-treat-twpas)

ApplyModel
ApplyModel
treat	(治療資訊)
medicationRequest	(用藥品項)
drugType	category.coding.code (自費註記)
drugStatus	status (藥物使用狀態)
drugCode	medicationCodeableConcept.coding.code (藥品代碼)
drugFre	dosageInstruction.timing.code.text (藥品使用頻率及服用時間)
dose	dosageInstruction.doseAndRate.doseQuantity.value (藥物每次處方劑量)
doseUnit	dosageInstruction.doseAndRate.doseQuantity.code (藥物每次處方劑量單位)
sDate	dosageInstruction.timing.repeat.boundsPeriod.start (藥物處方起始日期)
eDate	dosageInstruction.timing.repeat.boundsPeriod.end (藥物處方終止日期)
eReason	statusReason (藥物處方終止原因)

Mappings for Mapping to TWPAS Procedure (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Procedure-twpas)

ApplyModel
ApplyModel
treat	(治療資訊)
radiotherapy	(放射治療)
rt	code.coding.code (放射治療項目)
rtStatus	status (放射治療狀態)
realInspectTime	performedDateTime (放射治療日期)
rtDose	usedReference.reference(SubstanceTWPAS) (放射治療總劑量)

Mappings for Mapping to TWPAS Substance (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Substance-twpas)

ApplyModel
ApplyModel
treat	(治療資訊)
radiotherapy	(放射治療)
rtDose	ingredient.quantity.numerator.value (放射治療總劑量)
rtUnit	ingredient.quantity.numerator.unit (放射治療總劑量單位)

Mappings for Mapping to TWPAS DocumentReference (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas)

ApplyModel
ApplyModel
diagnosis	(治療資訊)
medrec	content.attachment.url (病歷資料（非屬影像報告檢查驗報告部分）)
medrecTitle	content.attachment.title (病歷資料名稱)
gene	(基因資訊)
genPdf	content.attachment.url (基因報告（檔案路徑）)
genPdfTitle	content.attachment.title (基因報告名稱)
evaluate	(評估資訊)
tests	(檢驗(查))
inspectPdf	content.attachment.url (檢驗(查)附件（檔案路徑）)
inspectPdfTitle	content.attachment.title (檢驗(查)附件名稱)
treat	(治療資訊)
carePlanDocument	content.attachment.url (治療計畫文件（檔案路徑）)
carePlanDocumentTitle	content.attachment.title (治療計畫文件名稱)

Mappings for Mapping to TWPAS ObservationTreatmentAssessment (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-tx-assessment-twpas)

ApplyModel
ApplyModel
result	(結果資訊)
txAst	code.coding.code (治療後疾病狀態評估項目)
txAstResult	valueString (治療後疾病狀態評估結果)
txAstDate	effectiveDateTime (治療後疾病狀態評估日期)

Mappings for Mapping to TWPAS MedicationRequestApply (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-apply-twpas)

ApplyModel
ApplyModel
apply	(申請項目)
cancerDrugType	medicationCodeableConcept.coding.code (事前審查品項代碼)
applDrugFre	dosageInstruction.timing.code.coding.code (事前審查藥品使用頻率及服用時間)
applDosage	dosageInstruction.doseAndRate.doseQuantity.value (事前審查藥品每次處方劑量)
applDosageUnit	dosageInstruction.doseAndRate.doseQuantity.unit (事前審查藥品每次處方劑量單位)
useSdate	dosageInstruction.timing.repeat.boundsPeriod.start (事前審查藥物預定處方起始日期)
useEdate	dosageInstruction.timing.repeat.boundsPeriod.end (事前審查藥物預定處方終止日期)
applDrugCycle	dosageInstruction.timing.repeat.count (事前審查藥品處方頻次)

Mappings for Mapping to TWPAS ClaimResponse Self Assessment (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ClaimResponse-self-assessment-twpas)

ApplyModel
ApplyModel
apply	(申請項目)
approveDate	created (核定日期)
approveNum	item.adjudication.reason.coding.code (核定數量)
approveComment	item.adjudication.value (核定註記)
acceptanceStatus	disposition (案件受理狀態)

Mappings for Mapping to TWPAS Practitioner (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-twpas)

ApplyModel
ApplyModel
hosp	(院所資訊)
applPrsnId	identifier.value (申請醫師身分證號)
diagnosis	(疾病資訊)
imageStudy	(影像報告)
imgInterpreter	identifier.value (簽發影像報告醫師身分證號)
cancerStage	(癌症分期量表)
assessPerformer	identifier.value (簽發癌症分期報告醫師身分證號)
examinationReport	(檢查報告)
reportPerformer	identifier.value (檢查報告醫師身分證號)
evaluate	(評估資訊)
tests	(檢驗(查))
inspectPerformer	identifier.value (簽發檢驗(查)報告醫事人員身分證號)
patientAssessment	(病人狀態評估)
patAstPerformer	identifier.value (評估項目醫事人員身分證號)