臺灣健保癌症用藥事前審查實作指引
1.0.1 - release

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: 事前審查回覆 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bun-response"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Bundle-response-twpas"/>
  </meta>
  <type value="searchset"/>
  <total value="1"/>
  <link>
    <relation value="self"/>
    <url
         value="https://twcore.mohw.gov.tw/fhir/ClaimResponse?request.patient.identifier=A123456789"/>
  </link>
  <entry>
    <fullUrl
             value="https://twcore.mohw.gov.tw/ig/pas/ClaimResponse/claim-response-example"/>
    <resource>
      <ClaimResponse>
        <id value="claim-response-example"/>
        <meta>
          <profile
                   value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ClaimResponse-twpas"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ClaimResponse-twpas.html">事前審查結果-ClaimResponse TWPAS</a></p></div><p><b>狀態</b>：Active</p><p><b>類型</b>：<span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}">Institutional</span></p><p><b>用途</b>：Preauthorization</p><p><b>病人</b>：<a href="Patient-pat-min.html">Patient/pat-min</a></p><p><b>核定日期</b>：2024-07-30</p><p><b>關聯的事前審查</b>：<a href="Claim-cla-1.html">Claim/cla-1</a></p><p><b>保險商</b>：<a href="Organization-org-nhi.html">Organization 衛生福利部中央健康保險署</a></p><p><b>處置狀態</b>：Processing Complete</p><p><b>案件受理狀態</b>：審畢結果</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>：1</p><h3>Adjudications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>類型</b></td><td><b>核定註記</b></td><td><b>核定數量</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}">Submitted Amount</span></td><td><span title="Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-approve-comment 1}">同意備查</span></td><td>5</td></tr></table></blockquote></div>
        </text>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
            <code value="institutional"/>
          </coding>
        </type>
        <use value="preauthorization"/>
        <patient>🔗 
          <reference value="Patient/pat-min"/>
        </patient>
        <created value="2024-07-30"/>
        <insurer>🔗 
          <reference value="Organization/org-nhi"/>
        </insurer>
        <request>🔗 
          <reference value="Claim/cla-1"/>
        </request>
        <outcome value="complete"/>
        <disposition value="審畢結果"/>
        <item>
          <itemSequence value="1"/>
          <adjudication>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/adjudication"/>
                <code value="submitted"/>
              </coding>
            </category>
            <reason>
              <coding>
                <system
                        value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-approve-comment"/>
                <code value="1"/>
              </coding>
            </reason>
            <value value="5"/>
          </adjudication>
        </item>
      </ClaimResponse>
    </resource>
    <search>
      <mode value="match"/>
    </search>
  </entry>
</Bundle>