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

: 事前審查品項-給付適應症特定代碼 - XML Representation

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<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medReq-apply-2"/>
  <meta>
    <profile
             value="https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-apply-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-MedicationRequest-apply-twpas.html">事前審查品項-MedicationRequest Apply TWPAS</a></p></div><p><b>狀態</b>：On Hold</p><p><b>目的</b>：Plan</p><p><b>事前審查品項代碼</b>：TEMODAL CAPSULES 20MG <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw">臺灣健保署健保用藥品項代碼值集</a>#BC23323100)</span></p><p><b>病人</b>：<a href="Patient-pat-min.html">Patient/pat-min</a> &quot;王大明&quot;</p><p><b>事前審查藥物預定處方起始日期</b>：2024-03-11</p><p><b>事前審查藥物預定處方終止日期</b>：2024-07-28</p><p><b>事前審查藥品使用頻率及服用時間</b>：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="ValueSet-medication-frequency-hl7-nhi.html">HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集</a>#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H)</span></p><p><b>事前審查藥品每次處方劑量</b>：200 mg/m2</p><p><b>事前審查藥品處方頻次(cycles)</b>：1</p><p><b>給藥途徑／作用部位</b>：Oral use <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://snomed.info/sct/">SNOMED CT + 臺灣健保署給藥途徑值集</a>#26643006)</span></p></div>
  </text>
  <status value="on-hold"/>
  <intent value="plan"/>
  <medicationCodeableConcept>
    <coding>
      <system
              value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medication-nhi-tw"/>
      <code value="BC23323100"/>
    </coding>
  </medicationCodeableConcept>
  <subject>🔗 
    <reference value="Patient/pat-min"/>
  </subject>
  <dosageInstruction>
    <timing>
      <repeat>
        <boundsPeriod>
          <start value="2024-03-11"/>
          <end value="2024-07-28"/>
        </boundsPeriod>
        <count value="1"/>
      </repeat>
      <code>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
          <code value="Q4WD1"/>
        </coding>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
          <code value="Q4WD2"/>
        </coding>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
          <code value="Q4WD3"/>
        </coding>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
          <code value="Q4WD4"/>
        </coding>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
          <code value="Q4WD5"/>
        </coding>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/pas/CodeSystem/medication-frequency-nhi-tw"/>
          <code value="AC1H"/>
        </coding>
      </code>
    </timing>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="26643006"/>
      </coding>
    </route>
    <doseAndRate>
      <doseQuantity>
        <value value="200"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg/m2"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
  <dispenseRequest>
    <quantity>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
    </quantity>
  </dispenseRequest>
</MedicationRequest>