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

Logical Model: ApplyModel - Mappings

Active as of 2024-12-12

Mappings for the ApplyModel logical model.

Mappings for Mapping to TWPAS Claim (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Claim-twpas)

ApplyModel
ApplyModel
   hosp(院所資訊)
      hospIdprovider.reference(OrganizationTWPAS) (醫事機構代碼)
      applTypesubType.coding.code (申報類別)
      funcTypeextension.where(url = 'https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-claim-encounter').valueReference.reference(EncounterTWPAS) (就醫科別)
      applPrsnIdenterer.reference(PractitionerTWPAS) (申請醫師身分證號)
      applDatecreated (申請日期)
      tmhbTypepriority.coding.code (申請案件類型)
      oldAcptNoidentifier.value (原受理編號)
   patient(病人資訊)
      idCardpatient.reference(PatientTWPAS) (身分證字號)
      weightsupportingInfo.where(category.coding.code = 'weight').valueQuantity.value (病人體重)
      heightsupportingInfo.where(category.coding.code = 'height').valueQuantity.value (病人身高)
      pregnantsupportingInfo.where(category.coding.code = 'pregnancyBreastfeedingStatus').valueBoolean (是否懷孕或哺乳)
   diagnosis(疾病資訊)
      icd10cmCodediagnosis.diagnosisCodeableConcept.coding.code (國際疾病分類代碼)
      diagDatediagnosis.extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').valueDate (診斷日期)
      diagCurrentStatusdiagnosis.type.text (簡要病摘)
      medrecsupportingInfo.where(category.coding.code = 'medicalRecord').valueReference.reference(DocumentReferenceTWPAS) (病歷資料)
      imageStudy(影像報告)
         imgItemsupportingInfo.where(category.coding.code = 'imagingReport').valueReference.reference(DiagnosticReportImageTWPAS) (影像報告)
      cancerStage(癌症分期量表)
         assessItemsupportingInfo.where(category.coding.code = 'cancerStage').valueReference.reference(ObservationCancerStageTWPAS) (癌症分期量表項目)
      examinationReport(檢查報告)
         reportResult
            reportResultPdfsupportingInfo.where(category.coding.code = 'examinationReport').valueReference.reference(DiagnosticReportTWPAS) (檢查報告結果)
   gene(基因資訊)
      genTestCodesupportingInfo.where(category.coding.code = 'geneInfo').valueReference.reference(ObservationDiagnosticTWPAS) (基因檢測代碼)
   evaluate(評估資訊)
      tests(檢驗(查))
         inspectsupportingInfo.where(category.coding.code = 'tests').valueReference.reference(ObservationLaboratoryResultTWPAS) (檢驗(查)名稱或套組代碼)
      patientAssessment(病人狀態評估)
         patAstsupportingInfo.where(category.coding.code = 'patientAssessment').valueReference.reference(ObservationPatientAssessmentTWPAS) (病人狀態評估項目代碼)
   treat(治療資訊)
      medicationRequest(用藥品項)
         drugCodesupportingInfo.where(category.coding.code = 'medicationRequest').valueReference.reference(MedicationRequestTreatTWPAS) (藥品代碼)
      radiotherapy(放射治療)
         rtsupportingInfo.where(category.coding.code = 'radiotherapy').valueReference.reference(ProcedureTWPAS) (放射治療項目)
      opCodeprocedure.procedureCodeableConcept.coding (手術(或其他處置)項目)
      opDateprocedure.date (手術(或其他處置)日期)
      carePlanDocumentsupportingInfo.where(category.coding.code = 'carePlanDocument').valueReference.reference(DocumentReferenceTWPAS) (治療計畫文件)
   result(結果資訊)
      txAstsupportingInfo.where(category.coding.code = 'treatmentAssessment').valueReference.reference(ObservationTreatmentAssessmentTWPAS) (治療後疾病狀態評估項目)
   apply(申請項目)
      continuationitem.modifier.where(coding.system = 'https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-continuation-status').coding.code (續用註記)
      lotitem.modifier.where(coding.system = 'https://twcore.mohw.gov.tw/ig/pas/CodeSystem/nhi-line-of-therapy').coding.code (用藥線別)
      orderTypeitem.productOrService.coding.code (醫令類別)
      cancerDrugTypeitem.extension.where(url = 'https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/extension-requestedService').valueReference.reference (事前審查品項代碼)
      applyReasonitem.programCode (給付適應症條件)
      applySideitem.bodySite (申請部位)
      applQtyitem.quantity.value (事前審查申請數量)
      applQtyUnititem.quantity.unit (事前審查申請數量單位)

Mappings for Mapping to TWPAS Organization (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Organization-twpas)

ApplyModel
ApplyModel
   hosp(院所資訊)
      hospIdidentifier.value (醫事機構代碼)
   gene(基因資訊)
      genOrgidentifier.value (基因檢測機構)

Mappings for Mapping to TWPAS Encounter (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Encounter-twpas)

ApplyModel
ApplyModel
   hosp(院所資訊)
      funcTypeserviceType.coding.code (就醫科別)

Mappings for Mapping to TWPAS Patient (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Patient-twpas)

ApplyModel
ApplyModel
   patient(病人資訊)
      namename.text (姓名)
      idCardidentifier.where(type.coding.code = 'NNxxx').value (身分證字號)
      patIdidentifier.where(type.coding.code = 'MR').value (病歷號)
      birthdaybirthDate (出生日期)
      gendergender (病人性別)

Mappings for Mapping to TWPAS DiagnosticReportImage (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-image-twpas)

ApplyModel
ApplyModel
   diagnosis(疾病資訊)
      imageStudy(影像報告)
         imgItemcode.coding.code (影像報告)
         imgResultconclusion (影像報告結果)
         imgBodySitecode.text (影像檢查的身體部位)
         imgDateeffectiveDateTime (影像報告日期)
         imgDicomimagingStudy.reference(ImagingStudyTWPAS) (DICOM影像)
         imgNonDicommedia.link.reference(MediaTWPAS) (非DICOM影像)
         imgInterpreterperformer.reference(PractitionerTWPAS) (簽發影像報告醫師身分證號)

Mappings for Mapping to TWPAS ImagingStudy (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ImagingStudy-twpas)

ApplyModel
ApplyModel
   diagnosis(疾病資訊)
      imageStudy(影像報告)
         imgBodySiteseries.bodySite.code (影像檢查的身體部位)
         imgDicomseries.instance.uid (DICOM影像)

Mappings for Mapping to TWPAS Media (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Media-twpas)

ApplyModel
ApplyModel
   diagnosis(疾病資訊)
      imageStudy(影像報告)
         imgBodySitebodySite.coding.code (影像檢查的身體部位)
         imgNonDicomcontnet.url (非DICOM影像)

Mappings for Mapping to TWPAS ObservationCancerStage (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-cancer-stage-twpas)

ApplyModel
ApplyModel
   diagnosis(疾病資訊)
      cancerStage(癌症分期量表)
         assessItemcode.coding.code (癌症分期量表項目)
         assessScorevalueCodeableConcept.coding.code (癌症分期分數或結果)
         assessDateeffectiveDateTime (癌症分期量表評估日期)
         assessPerformerperformer.reference(PractitionerTWPAS) (簽發癌症分期報告醫師身分證號)

Mappings for Mapping to TWPAS DiagnosticReport (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DiagnosticReport-twpas)

ApplyModel
ApplyModel
   diagnosis(疾病資訊)
      examinationReport(檢查報告)
         reportTypecode.coding.code (報告類型)
         speTypecode.text (檢體種類)
         reportResult(檢查報告結果)
            reportResultStringconclusion (檢查報告結果(文數字))
            reportResultPdfpresentedForm.url (檢查報告結果(檔案路徑))
            reportResultPdfTitlepresentedForm.title (檢查報告名稱)
         reportDateeffectiveDateTime (報告日期)
         reportPerformerperformer.reference(PractitionerTWPAS) (檢查報告醫師身分證號)

Mappings for Mapping to TWPAS ObservationDiagnostic (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-diagnostic-twpas)

ApplyModel
ApplyModel
   gene(基因資訊)
      genTestCodecomponent.code.coding.code (基因檢測代碼)
      mutationTypecomponent.where(code.coding.code = '48019-4').valueCodeableConcept.coding.code (基因突變類型)
      specimenTypespecimen.reference(SpecimenTWPAS) (基因檢測檢體類型)
      genMethodmethod.coding.code (基因檢測方法)
      genDateeffectiveDateTime (基因檢測日期)
      genOrgperformer.reference(OrganizationTWPAS) (基因檢測機構)
      genResultvalueCodeableConcept.coding.code (基因檢測分析結果)
      genInterpretationinterpretation.coding.code (基因臨床判讀結果)
      genPdfderivedFrom.reference(DocumentReferenceTWPAS) (基因報告(檔案路徑))

Mappings for Mapping to TWPAS ObservationLaboratoryResult (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-laboratory-result-twpas)

ApplyModel
ApplyModel
   evaluate(評估資訊)
      tests(檢驗(查))
         inspectcode.coding.code (檢驗(查)名稱或套組代碼)
         inspectResultTxtinterpretation.coding.code (檢驗(查)結果判讀)
         inspectResult[x]value (檢驗(查)結果)
         consultValueLowerreferenceRange.low.value (檢驗(查)結果之參考範圍下限)
         consultValueMaxreferenceRange.high.value (檢驗(查)結果之參考範圍上限)
         consultValueCatreferenceRange.type.coding.code (檢驗(查)結果之參考範圍類型)
         consultValueDescreferenceRange.text (檢驗(查)結果之參考範圍說明)
         inspectSetcomponent (套組中的的檢驗)
         caseTimeeffectiveDateTime (檢驗(查)報告日期)
         inspectPdfderivedFrom.reference(DocumentReferenceTWPAS) (檢驗(查)附件(檔案路徑))
         inspectPerformerperformer.reference(OrganizationTWPAS) (簽發檢驗(查)報告醫事人員身分證號)

Mappings for Mapping to TWPAS ObservationPatientAssessment (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-pat-assessment-twpas)

ApplyModel
ApplyModel
   evaluate(評估資訊)
      patientAssessment(病人狀態評估)
         patAstcode.coding.code (病人狀態評估項目代碼)
         patAstResultvalue (病人狀態評估結果)
         patAstDateeffectiveDateTime (病人狀態評估日期)
         patAstPerformerperformer.reference(OrganizationTWPAS) (評估項目醫事人員身分證號)

Mappings for Mapping to TWPAS MedicationRequestTreatTWPAS (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-treat-twpas)

ApplyModel
ApplyModel
   treat(治療資訊)
      medicationRequest(用藥品項)
         drugTypecategory.coding.code (自費註記)
         drugStatusstatus (藥物使用狀態)
         drugCodemedicationCodeableConcept.coding.code (藥品代碼)
         drugFredosageInstruction.timing.code.text (藥品使用頻率及服用時間)
         drugRoutedosageInstruction.route (給藥途徑/作用部位)
         dosedosageInstruction.doseAndRate.doseQuantity.value (藥物每次處方劑量)
         doseUnitdosageInstruction.doseAndRate.doseQuantity.code (藥物每次處方劑量單位)
         sDatedosageInstruction.timing.repeat.boundsPeriod.start (藥物處方起始日期)
         eDatedosageInstruction.timing.repeat.boundsPeriod.end (藥物處方終止日期)
         eReasonstatusReason (藥物處方終止原因)

Mappings for Mapping to TWPAS Procedure (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Procedure-twpas)

ApplyModel
ApplyModel
   treat(治療資訊)
      radiotherapy(放射治療)
         rtcode.coding.code (放射治療項目)
         rtStatusstatus (放射治療狀態)
         realInspectTimeperformedDateTime (放射治療日期)
         rtDoseusedReference.reference(SubstanceTWPAS) (放射治療總劑量)

Mappings for Mapping to TWPAS Substance (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Substance-twpas)

ApplyModel
ApplyModel
   treat(治療資訊)
      radiotherapy(放射治療)
         rtDoseingredient.quantity.numerator.value (放射治療總劑量)
         rtUnitingredient.quantity.numerator.unit (放射治療總劑量單位)

Mappings for Mapping to TWPAS DocumentReference (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/DocumentReference-twpas)

ApplyModel
ApplyModel
   diagnosis(治療資訊)
      medreccontent.attachment.url (病歷資料(非屬影像報告檢查驗報告部分))
      medrecTitlecontent.attachment.title (病歷資料名稱)
   gene(基因資訊)
      genPdfcontent.attachment.url (基因報告(檔案路徑))
      genPdfTitlecontent.attachment.title (基因報告名稱)
   evaluate(評估資訊)
      tests(檢驗(查))
         inspectPdfcontent.attachment.url (檢驗(查)附件(檔案路徑))
         inspectPdfTitlecontent.attachment.title (檢驗(查)附件名稱)
   treat(治療資訊)
      carePlanDocumentcontent.attachment.url (治療計畫文件(檔案路徑))
      carePlanDocumentTitlecontent.attachment.title (治療計畫文件名稱)

Mappings for Mapping to TWPAS ObservationTreatmentAssessment (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Observation-tx-assessment-twpas)

ApplyModel
ApplyModel
   result(結果資訊)
      txAstcode.coding.code (治療後疾病狀態評估項目)
      txAstResultvalueString (治療後疾病狀態評估結果)
      txAstDateeffectiveDateTime (治療後疾病狀態評估日期)

Mappings for Mapping to TWPAS MedicationRequestApply (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/MedicationRequest-apply-twpas)

ApplyModel
ApplyModel
   apply(申請項目)
      cancerDrugTypemedicationCodeableConcept.coding.code (事前審查品項代碼)
      applDrugFredosageInstruction.timing.code.coding.code (事前審查藥品使用頻率及服用時間)
      applDrugRoutedosageInstruction.route (給藥途徑/作用部位)
      applDosagedosageInstruction.doseAndRate.doseQuantity.value (事前審查藥品每次處方劑量)
      applDosageUnitdosageInstruction.doseAndRate.doseQuantity.unit (事前審查藥品每次處方劑量單位)
      useSdatedosageInstruction.timing.repeat.boundsPeriod.start (事前審查藥物預定處方起始日期)
      useEdatedosageInstruction.timing.repeat.boundsPeriod.end (事前審查藥物預定處方終止日期)
      applDrugCycledosageInstruction.timing.repeat.count (事前審查藥品處方頻次)

Mappings for Mapping to TWPAS ClaimResponse Self Assessment (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ClaimResponse-self-assessment-twpas)

ApplyModel
ApplyModel
   apply(申請項目)
      approveDatecreated (核定日期)
      approveNumitem.adjudication.reason.coding.code (核定數量)
      approveCommentitem.adjudication.value (核定註記)
      acceptanceStatusdisposition (案件受理狀態)

Mappings for Mapping to TWPAS Practitioner (https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/Practitioner-twpas)

ApplyModel
ApplyModel
   hosp(院所資訊)
      applPrsnIdidentifier.value (申請醫師身分證號)
   diagnosis(疾病資訊)
      imageStudy(影像報告)
         imgInterpreteridentifier.value (簽發影像報告醫師身分證號)
      cancerStage(癌症分期量表)
         assessPerformeridentifier.value (簽發癌症分期報告醫師身分證號)
      examinationReport(檢查報告)
         reportPerformeridentifier.value (檢查報告醫師身分證號)
   evaluate(評估資訊)
      tests(檢驗(查))
         inspectPerformeridentifier.value (簽發檢驗(查)報告醫事人員身分證號)
      patientAssessment(病人狀態評估)
         patAstPerformeridentifier.value (評估項目醫事人員身分證號)