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-送核、套組檢驗、多事前審查癌藥品項 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "cla-1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Claim-twpas"^^xsd:anyURI ;
fhir:link <https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Claim-twpas>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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-Claim-twpas.html\">事前審查-Claim TWPAS</a></p></div><p><b>狀態</b>：Active</p><p><b>類型</b>：Institutional<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/claim-type\">ClaimTypeCodes</a>#institutional)</span></p><p><b>就醫科別</b>：<a href=\"Encounter-enc-min.html\">Encounter/enc-min</a> &quot;胸腔暨重症加護&quot;</p><p><b>申報類別</b>：送核<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-apply-type.html\">NHI-申報類別值集</a>#1)</span></p><p><b>目的</b>：Preauthorization</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> &quot;王大明&quot;</p><p><b>申請日期</b>：2024-05-30</p><p><b>申請醫師</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>醫事機構代碼</b>：<a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a></p><p><b>申請案件類別</b>：一般事前審查申請<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-tmhb-type.html\">NHI-申請案件類別值集</a>#1)</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：1</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type weight}\">病人體重</span></p><p><b>value</b>：59.65 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：2</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type height}\">病人身高</span></p><p><b>value</b>：170 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：3</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type pregnancyBreastfeedingStatus}\">是否懷孕或哺乳</span></p><p><b>value</b>：false</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：4</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type imagingReport}\">影像報告</span></p><p><b>value</b>：<a href=\"DiagnosticReport-diaRep-ima-min.html\">DiagnosticReport/diaRep-ima-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：5</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type cancerStage}\">癌症分期量表</span></p><p><b>value</b>：<a href=\"Observation-obs-cancer-figo.html\">Observation/obs-cancer-figo</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：6</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type examinationReport}\">檢查報告</span></p><p><b>value</b>：<a href=\"DiagnosticReport-diaRep-min.html\">DiagnosticReport/diaRep-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：7</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type geneInfo}\">基因資訊</span></p><p><b>value</b>：<a href=\"Observation-obs-diagnostic-min.html\">Observation/obs-diagnostic-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：8</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type tests}\">檢驗檢查-單項</span></p><p><b>value</b>：<a href=\"Observation-obs-lab-min.html\">Observation/obs-lab-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：9</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type tests}\">檢驗檢查-套組(全套血液檢查)</span></p><p><b>value</b>：<a href=\"Observation-obs-lab-cbc.html\">Observation/obs-lab-cbc</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：10</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type patientAssessment}\">病人狀態評估</span></p><p><b>value</b>：<a href=\"Observation-obs-pat-nyha.html\">Observation/obs-pat-nyha</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：11</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type medicationRequest}\">用藥品項</span></p><p><b>value</b>：<a href=\"MedicationRequest-medReq-treat.html\">MedicationRequest/medReq-treat</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：12</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type radiotherapy}\">放射治療</span></p><p><b>value</b>：<a href=\"Procedure-pro-min.html\">Procedure/pro-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：13</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type carePlanDocument}\">治療計畫文件</span></p><p><b>value</b>：<a href=\"DocumentReference-doc-careplan-min.html\">DocumentReference/doc-careplan-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：14</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type medicalRecord}\">病歷資料</span></p><p><b>value</b>：<a href=\"DocumentReference-doc-medicalRecord-min.html\">DocumentReference/doc-medicalRecord-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：15</p><p><b>category</b>：<span title=\"Codes:{https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type treatmentAssessment}\">結果資訊</span></p><p><b>value</b>：<a href=\"Observation-obs-tx-min.html\">Observation/obs-tx-min</a></p></blockquote><h3>Diagnoses</h3><p><b>診斷日期</b>：2024-01-01</p><p><b>國際疾病分類代碼</b>：慢性右心臟衰竭<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw\">臺灣健保署2023年中文版ICD-10-CM值集</a>#I50.812)</span></p><p><b>簡要病摘</b>：Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI</p><h3>Procedures</h3><p><b>手術(或其他處置)日期</b>：2024-01-01</p><p><b>手術(或其他處置)項目</b>：2024-01-01<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw\">臺灣健保署2023年中文版ICD-10-PCS值集</a>#3E0Y704)</span></p><h3>Insurances</h3><p><b>sequence</b>：1</p><p><b>coverage</b>：<a href=\"Coverage-cov-min.html\">Coverage/cov-min</a></p><h3>申請項目</h3><blockquote><p><b>事前審查品項</b>：<a href=\"MedicationRequest-medReq-apply.html\">MedicationRequest/medReq-apply</a></p><p><b>事前審查申請數量(單位)</b>：52 (tablets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://hl7.org/fhir/R4/valueset-ucum-common.html\">Common UCUM units</a>#{tbl})</span>)</p><p><b>醫令類別</b>：藥品<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-order-type.html\">NHI-健保事前審查-醫令類別值集</a>#1)</span></p><p><b>續用註記</b>：初次使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-continuation-status.html\">NHI-續用註記值集</a>#1)</span></p><p><b>用藥線別</b>：第一線治療<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-line-of-therapy.html\">NHI-用藥線別值集</a>#1)</span></p><p><b>給付適應症</b>：停經後雌激素接受器為陽性或不清楚之局部晚期或轉移性乳癌第一線治療</p></blockquote><blockquote><p><b>事前審查品項</b>：<a href=\"MedicationRequest-medReq-apply-2.html\">MedicationRequest/medReq-apply-2</a></p><p><b>事前審查申請數量(單位)</b>：70 (tablets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://hl7.org/fhir/R4/valueset-ucum-common.html\">Common UCUM units</a>#{tbl})</span>)</p><p><b>醫令類別</b>：藥品<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-order-type.html\">NHI-健保事前審查-醫令類別值集</a>#1)</span></p><p><b>續用註記</b>：初次使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-continuation-status.html\">NHI-續用註記值集</a>#1)</span></p><p><b>用藥線別</b>：第一線治療<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-line-of-therapy.html\">NHI-用藥線別值集</a>#1)</span></p><p><b>給付適應症</b>：C50P1<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-apply-reason.html\">NHI-給付適應症值集</a>#C50P1)</span></p></blockquote></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-claim-encounter"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Encounter/enc-min" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "institutional" ]     ] )
  ] ; # 
  fhir:subType [
    ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-apply-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "送核" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/pat-min" ]
  ] ; # 
  fhir:created [ fhir:v "2024-05-30"^^xsd:date] ; # 
  fhir:enterer [
fhir:reference [ fhir:v "Practitioner/pra-min" ]
  ] ; # 
  fhir:provider [
fhir:reference [ fhir:v "Organization/org-hosp-example" ]
  ] ; # 
  fhir:priority [
    ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-tmhb-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "一般事前審查申請" ]     ] )
  ] ; # 
  fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "weight" ]       ] )     ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "59.65"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "kg" ]     ]
  ] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "height" ]       ] )     ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "170"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cm" ]     ]
  ] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pregnancyBreastfeedingStatus" ]       ] )     ] ;
fhir:value [ fhir:v "false"^^xsd:boolean ]
  ] [
fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "imagingReport" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "DiagnosticReport/diaRep-ima-min" ]     ]
  ] [
fhir:sequence [ fhir:v "5"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cancerStage" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/obs-cancer-figo" ]     ]
  ] [
fhir:sequence [ fhir:v "6"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "examinationReport" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "DiagnosticReport/diaRep-min" ]     ]
  ] [
fhir:sequence [ fhir:v "7"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "geneInfo" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/obs-diagnostic-min" ]     ]
  ] [
fhir:sequence [ fhir:v "8"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tests" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/obs-lab-min" ]     ]
  ] [
fhir:sequence [ fhir:v "9"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tests" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/obs-lab-cbc" ]     ]
  ] [
fhir:sequence [ fhir:v "10"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "patientAssessment" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/obs-pat-nyha" ]     ]
  ] [
fhir:sequence [ fhir:v "11"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "medicationRequest" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "MedicationRequest/medReq-treat" ]     ]
  ] [
fhir:sequence [ fhir:v "12"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "radiotherapy" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Procedure/pro-min" ]     ]
  ] [
fhir:sequence [ fhir:v "13"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "carePlanDocument" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "DocumentReference/doc-careplan-min" ]     ]
  ] [
fhir:sequence [ fhir:v "14"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "medicalRecord" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "DocumentReference/doc-medicalRecord-min" ]     ]
  ] [
fhir:sequence [ fhir:v "15"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-supporting-info-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "treatmentAssessment" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/obs-tx-min" ]     ]
  ] ) ; # 
  fhir:diagnosis ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2024-01-01"^^xsd:date ]     ] ) ;
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:diagnosis [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw"^^xsd:anyURI ] ;
fhir:code [ fhir:v "I50.812" ]       ] )     ] ;
    ( fhir:type [
fhir:text [ fhir:v "Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI" ]     ] )
  ] ) ; # 
  fhir:procedure ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:date [ fhir:v "2024-01-01"^^xsd:date ] ;
fhir:procedure [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3E0Y704" ]       ] )     ]
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:reference [ fhir:v "Coverage/cov-min" ]     ]
  ] ) ; # 
  fhir:item ( [
    ( fhir:extension [
fhir:url [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-requestedService"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "MedicationRequest/medReq-apply" ]       ]     ] ) ;
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-order-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "藥品" ]       ] )     ] ;
    ( fhir:modifier [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-continuation-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "初次使用" ]       ] )     ] [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-line-of-therapy"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "第一線治療" ]       ] )     ] ) ;
    ( fhir:programCode [
fhir:text [ fhir:v "停經後雌激素接受器為陽性或不清楚之局部晚期或轉移性乳癌第一線治療" ]     ] ) ;
fhir:quantity [
fhir:value [ fhir:v "52"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "{tbl}" ]     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-requestedService"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "MedicationRequest/medReq-apply-2" ]       ]     ] ) ;
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-order-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "藥品" ]       ] )     ] ;
    ( fhir:modifier [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-continuation-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "初次使用" ]       ] )     ] [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-line-of-therapy"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "第一線治療" ]       ] )     ] ) ;
    ( fhir:programCode [
      ( fhir:coding [
fhir:system [ fhir:v "https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-apply-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "C50P1" ]       ] )     ] ) ;
fhir:quantity [
fhir:value [ fhir:v "70"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "{tbl}" ]     ]
  ] ) . #