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

Resource Profile: ClaimTWPAS - Mappings

Active as of 2024-12-12

Mappings for the Claim-twpas resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

ClaimTWPAS
ClaimRequest
   identifierRequest.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester
   priorityRequest.priority
   related
      claimRequest.replaces
   supportingInfoRequest.supportingInfo
   supportingInfo (weight)Request.supportingInfo
   supportingInfo (height)Request.supportingInfo
   supportingInfo (pregnancy)Request.supportingInfo
   supportingInfo (imagingReport)Request.supportingInfo
   supportingInfo (cancerStage)Request.supportingInfo
   supportingInfo (examinationReport)Request.supportingInfo
   supportingInfo (geneInfo)Request.supportingInfo
   supportingInfo (tests)Request.supportingInfo
   supportingInfo (patientAssessment)Request.supportingInfo
   supportingInfo (medicationRequest)Request.supportingInfo
   supportingInfo (radiotherapy)Request.supportingInfo
   supportingInfo (carePlanDocument)Request.supportingInfo
   supportingInfo (medicalRecord)Request.supportingInfo
   supportingInfo (treatmentAssessment)Request.supportingInfo
   diagnosisRequest.reasonReference
   insurance
      identifierRequest.identifier
   item
      encounterRequest.context

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

ClaimTWPAS
Claim
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   careTeam
      providerFiveWs.actor
   insurance
      identifierFiveWs.identifier
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]

Mappings for RIM Mapping (http://hl7.org/v3)

ClaimTWPAS
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   modifierExtensionN/A
   subType
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
      value[x]
   supportingInfo (weight)
      idn/a
      extensionn/a
      modifierExtensionN/A
      value[x]
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
   supportingInfo (height)
      idn/a
      extensionn/a
      modifierExtensionN/A
      value[x]
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
   supportingInfo (pregnancy)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (imagingReport)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (cancerStage)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (examinationReport)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (geneInfo)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (tests)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (patientAssessment)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (medicationRequest)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (radiotherapy)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (carePlanDocument)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (medicalRecord)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (treatmentAssessment)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      modifierExtensionN/A
      diagnosis[x]
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (icd10-cm-2023)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (icd10-cm-2014)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      type
         idn/a
         extensionn/a
         codingunion(., ./translation)
         text./originalText[mediaType/code="text/plain"]/data
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
      procedure[x]
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (icd10-pcs-2023)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (icd10-pcs-2014)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (medical-service-payment)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      modifierExtensionN/A
      modifier
      modifier (continuation)
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      modifier (lot)
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      programCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
         text./originalText[mediaType/code="text/plain"]/data
      quantity
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A