description: 此事前審查-Claim TWPAS Profile說明本IG如何進一步定義FHIR的Claim Resource以呈現癌藥事前審查之內容 package_name: tw.gov.mohw.nhi.pas derivation: constraint name: ClaimTWPAS type: Claim elements: patient: type: Reference short: 病人資訊 mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas'] index: 12 insurance: elements: sequence: pattern: {type: PositiveInt, value: 1} index: 154 coverage: type: Reference refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas'] index: 155 diagnosis: short: sequence=1時為主要疾病；sequence>=2代表共病。 constraint: diagnosis: {human: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因), source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas', severity: error, expression: 'sequence=1 implies (extension.where(url = ''http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate'').value.ofType(date).exists() and type.text.exists() )'} mustSupport: true index: 124 extensions: recordedDate: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate', min: 0, type: Extension, short: 診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】, mustSupport: true, index: 126} elements: extension: index: 125 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: recordedDate: match: {url: null} schema: {type: Extension, short: 診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate', index: 126} min: 0 sequence: {short: sequence=1時為主要疾病；sequence>=2代表共病。, index: 127} diagnosis: short: 國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 mustSupport: true choices: [diagnosisCodeableConcept] index: 129 diagnosisCodeableConcept: {type: CodeableConcept, short: 國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。, mustSupport: true, choiceOf: diagnosis, index: 130} diagnosis[x]: elements: coding: index: 131 slicing: rules: closed discriminator: - {path: system, type: value} min: null slices: icd10-cm-2023: match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw'} schema: binding: {strength: extensible, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw'} mustSupport: true index: 132 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw'} mustSupport: true index: 133 code: {mustSupport: true, index: 134} required: [system, code] icd10-cm-2014: match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw'} schema: binding: {strength: extensible, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw'} mustSupport: true index: 135 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw'} mustSupport: true index: 136 code: {mustSupport: true, index: 137} required: [system, code] type: index: 138 elements: text: short: 簡要病摘(申請理由)。連結院內HIS系統之簡要病摘，或填寫原事前審查之申請理由。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 constraint: pas-2: {human: 長度不得超過4000 bytes。, source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas', severity: error, expression: toString().length() <= 4000} mustSupport: true index: 139 meta: index: 0 elements: profile: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas'} index: 1 required: [profile] enterer: type: Reference short: 申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。 mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas'] index: 14 supportingInfo: array: true min: 2 index: 17 elements: sequence: {short: 因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。, index: 18} category: binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type'} index: 19 slicing: rules: closed discriminator: - {path: category, type: value} min: 2 slices: medicalRecord: match: category: coding: - {code: medicalRecord, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。 array: true index: 110 elements: category: pattern: type: CodeableConcept value: coding: - {code: medicalRecord, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 111 timing: choices: [] index: 113 value: mustSupport: true choices: [valueReference] index: 115 valueReference: type: Reference mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas'] index: 116 required: [valueReference, value] tests: match: category: coding: - {code: tests, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 檢驗(查) array: true index: 75 elements: category: pattern: type: CodeableConcept value: coding: - {code: tests, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 76 timing: choices: [] index: 78 value: short: 檢驗(查) mustSupport: true choices: [valueReference] index: 80 valueReference: type: Reference short: 檢驗(查) mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas'] index: 81 required: [valueReference, value] cancerStage: match: category: coding: - {code: cancerStage, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 癌症分期量表 array: true index: 54 elements: category: pattern: type: CodeableConcept value: coding: - {code: cancerStage, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 55 timing: choices: [] index: 57 value: short: 癌症分期量表 mustSupport: true choices: [valueReference] index: 59 valueReference: type: Reference short: 癌症分期量表 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-cancer-stage-twpas'] index: 60 required: [valueReference, value] medicationRequest: match: category: coding: - {code: medicationRequest, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 用藥品項 array: true index: 89 elements: category: pattern: type: CodeableConcept value: coding: - {code: medicationRequest, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 90 timing: choices: [] index: 92 value: short: 用藥品項 mustSupport: true choices: [valueReference] index: 94 valueReference: type: Reference short: 用藥品項 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas'] index: 95 required: [valueReference, value] radiotherapy: match: category: coding: - {code: radiotherapy, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 放射治療 array: true index: 96 elements: category: pattern: type: CodeableConcept value: coding: - {code: radiotherapy, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 97 timing: choices: [] index: 99 value: short: 放射治療 mustSupport: true choices: [valueReference] index: 101 valueReference: type: Reference short: 放射治療 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas'] index: 102 required: [valueReference, value] examinationReport: match: category: coding: - {code: examinationReport, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 檢查報告 array: true index: 61 elements: category: pattern: type: CodeableConcept value: coding: - {code: examinationReport, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 62 timing: choices: [] index: 64 value: short: 檢查報告 mustSupport: true choices: [valueReference] index: 66 valueReference: type: Reference short: 檢查報告 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas'] index: 67 required: [valueReference, value] pregnancy: match: category: coding: - {code: pregnancyBreastfeedingStatus, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 是否懷孕或哺乳 index: 40 elements: category: pattern: type: CodeableConcept value: coding: - {code: pregnancyBreastfeedingStatus, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 41 timing: choices: [] index: 43 value: short: 是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳 mustSupport: true choices: [valueBoolean] index: 45 valueBoolean: {type: boolean, short: '是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳', mustSupport: true, choiceOf: value, index: 46} required: [value, valueBoolean] geneInfo: match: category: coding: - {code: geneInfo, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 基因資訊 array: true index: 68 elements: category: pattern: type: CodeableConcept value: coding: - {code: geneInfo, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 69 timing: choices: [] index: 71 value: short: 基因資訊 mustSupport: true choices: [valueReference] index: 73 valueReference: type: Reference short: 基因資訊 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas'] index: 74 required: [valueReference, value] weight: match: category: coding: - {code: weight, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 病人體重 _required: true index: 20 elements: category: pattern: type: CodeableConcept value: coding: - {code: weight, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 21 timing: choices: [] index: 23 value: mustSupport: true choices: [valueQuantity] index: 25 valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 26} value[x]: elements: value: short: 體重，整數至多3位數及小數至多2位數。 constraint: HTWT: {human: 整數至多3位數及小數至多2位數, source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas', severity: error, expression: 'value.toString().matches(''^[0-9]{1,3}(.[0-9]{1,2})?$'')'} mustSupport: true index: 27 system: pattern: {type: Uri, value: 'http://unitsofmeasure.org'} index: 28 code: pattern: {type: Code, value: kg} index: 29 required: [value, system, code] required: [value, valueQuantity] carePlanDocument: match: category: coding: - {code: carePlanDocument, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF array: true index: 103 elements: category: pattern: type: CodeableConcept value: coding: - {code: carePlanDocument, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 104 timing: choices: [] index: 106 value: short: 治療計畫文件 mustSupport: true choices: [valueReference] index: 108 valueReference: type: Reference short: 治療計畫文件 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas'] index: 109 required: [valueReference, value] treatmentAssessment: match: category: coding: - {code: treatmentAssessment, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 結果資訊 array: true index: 117 elements: category: pattern: type: CodeableConcept value: coding: - {code: treatmentAssessment, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 118 timing: choices: [] index: 120 value: short: 結果資訊 mustSupport: true choices: [valueReference] index: 122 valueReference: type: Reference short: 結果資訊 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas'] index: 123 required: [valueReference, value] height: match: category: coding: - {code: height, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 病人身高 _required: true index: 30 elements: category: pattern: type: CodeableConcept value: coding: - {code: height, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 31 timing: choices: [] index: 33 value: mustSupport: true choices: [valueQuantity] index: 35 valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 36} value[x]: elements: value: short: 身高(cm)，整數至多3位數及小數至多2位數。 constraint: HTWT: {human: 整數至多3位數及小數至多2位數, source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas', severity: error, expression: 'value.toString().matches(''^[0-9]{1,3}(.[0-9]{1,2})?$'')'} mustSupport: true index: 37 system: pattern: {type: Uri, value: 'http://unitsofmeasure.org'} index: 38 code: pattern: {type: Code, value: cm} index: 39 required: [value, system, code] required: [value, valueQuantity] patientAssessment: match: category: coding: - {code: patientAssessment, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 病人狀態評估 array: true index: 82 elements: category: pattern: type: CodeableConcept value: coding: - {code: patientAssessment, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 83 timing: choices: [] index: 85 value: short: 病人狀態評估 mustSupport: true choices: [valueReference] index: 87 valueReference: type: Reference short: 病人狀態評估 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-pat-assessment-twpas'] index: 88 required: [valueReference, value] imagingReport: match: category: coding: - {code: imagingReport, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} schema: short: 影像報告 array: true index: 47 elements: category: pattern: type: CodeableConcept value: coding: - {code: imagingReport, system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} index: 48 timing: choices: [] index: 50 value: short: 影像報告 mustSupport: true choices: [valueReference] index: 52 valueReference: type: Reference short: 影像報告 mustSupport: true choiceOf: value refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas'] index: 53 required: [valueReference, value] use: pattern: {type: Code, value: preauthorization} index: 11 item: index: 156 extensions: requestedService: {url: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService', min: 1, max: 1, type: Extension, short: 事前審查品項【此為參考Da Vinci PAS IG的extension設計】, mustSupport: true, index: 158} elements: extension: index: 157 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: 1 slices: requestedService: match: {url: null} schema: {type: Extension, short: 事前審查品項【此為參考Da Vinci PAS IG的extension設計】, mustSupport: true, url: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService', index: 158} min: 1 max: 1 productOrService: short: 醫令類別 binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type'} mustSupport: true index: 159 modifier: array: true min: 1 max: 2 index: 160 slicing: rules: closed ordered: false discriminator: - {path: coding.system, type: value} min: 1 max: 2 slices: continuation: match: coding: {system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status'} schema: short: 續用註記，1:初次使用 | 2:申請再次使用 binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status'} mustSupport: true _required: true index: 161 elements: coding: index: 162 elements: system: pattern: {type: Uri, value: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status'} index: 163 code: {short: '1:初次使用 | 2:申請再次使用', index: 164} required: [system, code] required: [coding] lot: match: coding: {system: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy'} schema: short: 用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy'} mustSupport: true index: 165 elements: coding: index: 166 elements: system: pattern: {type: Uri, value: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy'} index: 167 code: {short: '0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療', mustSupport: true, index: 168} required: [system, code] required: [coding] programCode: short: 給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 constraint: pas-1: {human: text、coding至少需存在一個。, source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas', severity: error, expression: text.exists() or coding.exists()} mustSupport: true index: 169 elements: coding: short: 給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason'} index: 170 text: {short: 給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。, index: 171} quantity: mustSupport: true index: 172 elements: value: {short: 事前審查申請數量, mustSupport: true, index: 173} system: short: 事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 pattern: {type: Uri, value: 'http://unitsofmeasure.org'} index: 174 code: short: 事前審查申請數量單位 binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-units'} mustSupport: true index: 175 required: [value, system, code] bodySite: short: 申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side'} index: 176 required: [extension, quantity, modifier, programCode] type: pattern: type: CodeableConcept value: coding: - {code: institutional, system: 'http://terminology.hl7.org/CodeSystem/claim-type'} index: 6 created: {short: 申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。, mustSupport: true, index: 13} procedure: elements: date: {short: 手術(或其他處置)日期, mustSupport: true, index: 140} procedure: short: 手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 mustSupport: true choices: [procedureCodeableConcept] index: 142 procedureCodeableConcept: {type: CodeableConcept, short: 手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。, mustSupport: true, choiceOf: procedure, index: 143} procedure[x]: elements: coding: index: 144 slicing: rules: closed discriminator: - {path: system, type: value} min: 1 max: 1 slices: icd10-pcs-2023: match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw'} schema: binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw'} mustSupport: true index: 145 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw'} index: 146 code: {mustSupport: true, index: 147} required: [system, code] icd10-pcs-2014: match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw'} schema: binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw'} mustSupport: true index: 148 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw'} index: 149 code: {mustSupport: true, index: 150} required: [system, code] medical-service-payment: match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw'} schema: binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medical-service-payment'} mustSupport: true index: 151 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw'} index: 152 code: {mustSupport: true, index: 153} required: [system, code] required: [coding] required: [date] extension: index: 2 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: 1 slices: encounter: match: {url: null} schema: {type: Extension, short: 就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】, mustSupport: true, url: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter', index: 3} min: 1 max: 1 priority: short: 申請案件類別，1:一般事前審查申請 | 3:自主審查 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type'} mustSupport: true index: 16 status: pattern: {type: Code, value: active} index: 5 identifier: {short: '原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。', mustSupport: true, index: 4} subType: short: '申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。' binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type'} mustSupport: true index: 7 elements: coding: index: 8 elements: system: pattern: {type: Uri, value: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type'} index: 9 code: {short: '申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。', index: 10} required: [system, code] required: [coding] provider: type: Reference short: 醫事機構代碼，必須存在於醫事機構基本資料檔內。 mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas'] index: 15 package_version: 1.0.9 extensions: encounter: {url: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter', min: 1, max: 1, type: Extension, short: 就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】, mustSupport: true, index: 3} class: profile kind: resource url: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas base: http://hl7.org/fhir/StructureDefinition/Claim version: 1.0.9 required: [diagnosis, extension, enterer, item, meta, subType]