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

Raw xml | Download


<ClaimResponse xmlns="http://hl7.org/fhir">
  <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>