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
{
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🔗 "https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Claim-twpas"
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"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> "胸腔暨重症加護"</p><p><b>原受理編號</b>:202405301000002</p><p><b>申報類別</b>:申復<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>#3)</span></p><p><b>目的</b>:Preauthorization</p><p><b>病人</b>:<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</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(查)</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 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>:10</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>:11</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>:12</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>:13</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>:14</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>共病</b>:第一型糖尿病,伴有糖尿病的神經病變<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>#E10.40)</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>Items</h3><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></div>"
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