臺灣健保癌症用藥事前審查實作指引
1.0.1 - release
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
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<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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