description: 此重大傷病申請書-Questionnaire TWCI Profile說明TWCI IG如何進一步定義FHIR的Questionnaire Resource以呈現重大傷病申請書中之內容 package_name: tw.gov.mohw.nhi.ci derivation: constraint name: QuestionnaireTWCI type: Questionnaire elements: status: pattern: {type: Code, value: active} index: 0 item: mustSupport: true array: true min: 6 index: 1 elements: linkId: {short: 問卷題目編號, index: 2} type: {short: '答題類型。group:組合題 ｜ date:日期 ｜ string:字串 ｜ integer:整數｜ choice:選擇｜ attachment:文件｜ text:文字', index: 3} slicing: rules: closed discriminator: - {path: linkId, type: value} min: 6 slices: hosp: match: {linkId: '1'} schema: mustSupport: true _required: true index: 4 elements: linkId: pattern: {type: String, value: '1'} index: 5 text: pattern: {type: String, value: hosp|院所資訊} index: 6 type: pattern: {type: Code, value: group} index: 7 required: pattern: {type: Boolean, value: true} index: 8 item: array: true min: 5 index: 9 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 5 slices: applMode: match: {linkId: '1.1'} schema: type: BackboneElement mustSupport: true _required: true index: 10 elements: linkId: pattern: {type: String, value: '1.1'} index: 11 text: pattern: {type: String, value: hosp.applMode|申報方式} index: 12 type: pattern: {type: Code, value: choice} index: 13 required: pattern: {type: Boolean, value: true} index: 14 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-apply-mode'} index: 15 applType: match: {linkId: '1.2'} schema: type: BackboneElement mustSupport: true _required: true index: 16 elements: linkId: pattern: {type: String, value: '1.2'} index: 17 text: pattern: {type: String, value: hosp.applType|申報類別} index: 18 type: pattern: {type: Code, value: choice} index: 19 required: pattern: {type: Boolean, value: true} index: 20 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-apply-type'} index: 21 applDate: match: {linkId: '1.3'} schema: type: BackboneElement mustSupport: true _required: true index: 22 elements: linkId: pattern: {type: String, value: '1.3'} index: 23 text: pattern: {type: String, value: hosp.applDate|申請日期} index: 24 type: pattern: {type: Code, value: date} index: 25 required: pattern: {type: Boolean, value: true} index: 26 medCertBookDate: match: {linkId: '1.4'} schema: type: BackboneElement mustSupport: true _required: true index: 27 elements: linkId: pattern: {type: String, value: '1.4'} index: 28 text: pattern: {type: String, value: hosp.medCertBookDate|開立診斷書申請日期} index: 29 type: pattern: {type: Code, value: date} index: 30 required: pattern: {type: Boolean, value: true} index: 31 hospId: match: {linkId: '1.5'} schema: type: BackboneElement mustSupport: true _required: true index: 32 elements: linkId: pattern: {type: String, value: '1.5'} index: 33 text: pattern: {type: String, value: hosp.hospId|醫事機構代碼} index: 34 type: pattern: {type: Code, value: choice} index: 35 required: pattern: {type: Boolean, value: true} index: 36 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-organization'} index: 37 acptNo: match: {linkId: '1.6'} schema: type: BackboneElement mustSupport: true index: 38 elements: linkId: pattern: {type: String, value: '1.6'} index: 39 text: pattern: {type: String, value: hosp.acptNo|受理編號} index: 40 type: pattern: {type: Code, value: string} index: 41 acptNum: match: {linkId: '1.7'} schema: type: BackboneElement mustSupport: true index: 42 elements: linkId: pattern: {type: String, value: '1.7'} index: 43 text: pattern: {type: String, value: hosp.acptNum|受理次數} index: 44 type: pattern: {type: Code, value: integer} index: 45 patient: match: {linkId: '2'} schema: mustSupport: true _required: true index: 46 elements: linkId: pattern: {type: String, value: '2'} index: 47 text: pattern: {type: String, value: patient|病人資訊} index: 48 type: pattern: {type: Code, value: reference} index: 49 required: pattern: {type: Boolean, value: true} index: 50 answerOption: elements: value: choices: [valueReference] index: 52 valueReference: type: Reference choiceOf: value refers: ['http://hl7.org/fhir/StructureDefinition/Resource'] index: 53 doctor: match: {linkId: '3'} schema: mustSupport: true _required: true index: 54 elements: linkId: pattern: {type: String, value: '3'} index: 55 text: pattern: {type: String, value: doctor|醫師資訊} index: 56 type: pattern: {type: Code, value: group} index: 57 required: pattern: {type: Boolean, value: true} index: 58 item: index: 59 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 1 slices: diagPrsnId: match: {linkId: '3.1'} schema: type: BackboneElement mustSupport: true index: 60 elements: linkId: pattern: {type: String, value: '3.1'} index: 61 text: pattern: {type: String, value: doctor.diagPrsnId|醫師身分證號} index: 62 type: pattern: {type: Code, value: string} index: 63 diagPrsnName: match: {linkId: '3.2'} schema: type: BackboneElement mustSupport: true _required: true index: 64 elements: linkId: pattern: {type: String, value: '3.2'} index: 65 text: pattern: {type: String, value: doctor.diagPrsnName|診斷醫師姓名} index: 66 type: pattern: {type: Code, value: string} index: 67 required: pattern: {type: Boolean, value: true} index: 68 required: [item] diagnosis: match: {linkId: '4'} schema: mustSupport: true _required: true index: 69 elements: linkId: pattern: {type: String, value: '4'} index: 70 text: pattern: {type: String, value: diagnosis|疾病資訊} index: 71 type: pattern: {type: Code, value: group} index: 72 item: index: 73 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 1 slices: icd10cmCode: match: {linkId: '4.1'} schema: type: BackboneElement mustSupport: true _required: true index: 74 elements: linkId: pattern: {type: String, value: '4.1'} index: 75 text: pattern: {type: String, value: diagnosis.icd10cmCode|主診斷代碼} index: 76 type: pattern: {type: Code, value: choice} index: 77 required: pattern: {type: Boolean, value: true} index: 78 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-diag-code-icd'} index: 79 examinationReport: match: {linkId: '4.2'} schema: type: BackboneElement mustSupport: true array: true index: 80 elements: linkId: pattern: {type: String, value: '4.2'} index: 81 text: pattern: {type: String, value: diagnosis.examinationReport|檢查報告} index: 82 type: pattern: {type: Code, value: group} index: 83 item: index: 84 slicing: rules: closed discriminator: - {path: linkId, type: value} min: null slices: reportType: match: {linkId: 4.2.1} schema: type: BackboneElement mustSupport: true index: 85 elements: linkId: pattern: {type: String, value: 4.2.1} index: 86 text: pattern: {type: String, value: diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。} index: 87 type: pattern: {type: Code, value: choice} index: 88 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/loinc-report-type'} index: 89 speType: match: {linkId: 4.2.2} schema: type: BackboneElement mustSupport: true index: 90 elements: linkId: pattern: {type: String, value: 4.2.2} index: 91 text: pattern: {type: String, value: diagnosis.examinationReport.speType|檢體種類} index: 92 type: pattern: {type: Code, value: string} index: 93 reportResultString: match: {linkId: 4.2.3} schema: type: BackboneElement mustSupport: true index: 94 elements: linkId: pattern: {type: String, value: 4.2.3} index: 95 text: pattern: {type: String, value: diagnosis.examinationReport.reportResultString|報告結果-文數字} index: 96 type: pattern: {type: Code, value: string} index: 97 reportResultPdf: match: {linkId: 4.2.4} schema: type: BackboneElement mustSupport: true index: 98 elements: linkId: pattern: {type: String, value: 4.2.4} index: 99 text: pattern: {type: String, value: 'diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。'} index: 100 type: pattern: {type: Code, value: string} index: 101 reportResultPdfTitle: match: {linkId: 4.2.5} schema: type: BackboneElement mustSupport: true index: 102 elements: linkId: pattern: {type: String, value: 4.2.5} index: 103 text: pattern: {type: String, value: diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱} index: 104 type: pattern: {type: Code, value: string} index: 105 reportDate: match: {linkId: 4.2.6} schema: type: BackboneElement mustSupport: true index: 106 elements: linkId: pattern: {type: String, value: 4.2.6} index: 107 text: pattern: {type: String, value: diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。} index: 108 type: pattern: {type: Code, value: date} index: 109 medrec: match: {linkId: '4.3'} schema: type: BackboneElement mustSupport: true array: true index: 110 elements: linkId: pattern: {type: String, value: '4.3'} index: 111 text: pattern: {type: String, value: diagnosis.medrec|病歷資料} index: 112 type: pattern: {type: Code, value: group} index: 113 repeats: pattern: {type: Boolean, value: true} index: 114 item: index: 115 slicing: rules: closed discriminator: - {path: linkId, type: value} min: null slices: medrec: match: {linkId: 4.3.1} schema: type: BackboneElement mustSupport: true index: 116 elements: linkId: pattern: {type: String, value: 4.3.1} index: 117 text: pattern: {type: String, value: diagnosis.medrec.medrec|病歷資料} index: 118 type: pattern: {type: Code, value: string} index: 119 medrecTitle: match: {linkId: 4.3.2} schema: type: BackboneElement mustSupport: true index: 120 elements: linkId: pattern: {type: String, value: 4.3.2} index: 121 text: pattern: {type: String, value: diagnosis.medrec.medrecTitle|病歷資料名稱} index: 122 type: pattern: {type: Code, value: string} index: 123 imageStudy: match: {linkId: '4.4'} schema: type: BackboneElement mustSupport: true array: true index: 124 elements: linkId: pattern: {type: String, value: '4.4'} index: 125 text: pattern: {type: String, value: diagnosis.imageStudy|影像報告} index: 126 type: pattern: {type: Code, value: group} index: 127 repeats: pattern: {type: Boolean, value: true} index: 128 item: index: 129 slicing: rules: closed discriminator: - {path: linkId, type: value} min: null slices: imgItem: match: {linkId: 4.4.1} schema: type: BackboneElement mustSupport: true index: 130 elements: linkId: pattern: {type: String, value: 4.4.1} index: 131 text: pattern: {type: String, value: diagnosis.imageStudy.imgItem|影像報告} index: 132 type: pattern: {type: Code, value: choice} index: 133 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/icd-10-pcs-2023-image'} index: 134 imgResult: match: {linkId: 4.4.2} schema: type: BackboneElement mustSupport: true index: 135 elements: linkId: pattern: {type: String, value: 4.4.2} index: 136 text: pattern: {type: String, value: diagnosis.imageStudy.imgResult|影像報告結果} index: 137 type: pattern: {type: Code, value: string} index: 138 imgDate: match: {linkId: 4.4.3} schema: type: BackboneElement mustSupport: true index: 139 elements: linkId: pattern: {type: String, value: 4.4.3} index: 140 text: pattern: {type: String, value: diagnosis.imageStudy.imgDate|影像報告日期} index: 141 type: pattern: {type: Code, value: date} index: 142 imgBodySite: match: {linkId: 4.4.4} schema: type: BackboneElement mustSupport: true index: 143 elements: linkId: pattern: {type: String, value: 4.4.4} index: 144 text: pattern: {type: String, value: diagnosis.imageStudy.imgBodySite|影像檢查的身體部位} index: 145 type: pattern: {type: Code, value: choice} index: 146 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/body-site'} index: 147 imgDicom: match: {linkId: 4.4.5} schema: type: BackboneElement mustSupport: true array: true index: 148 elements: linkId: pattern: {type: String, value: 4.4.5} index: 149 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom|DICOM影像} index: 150 type: pattern: {type: Code, value: group} index: 151 repeats: pattern: {type: Boolean, value: true} index: 152 item: array: true min: 2 index: 153 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 2 slices: studyUid: match: {linkId: 4.4.5.1} schema: type: BackboneElement mustSupport: true _required: true index: 154 elements: linkId: pattern: {type: String, value: 4.4.5.1} index: 155 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼} index: 156 type: pattern: {type: Code, value: string} index: 157 series: match: {linkId: 4.4.5.2} schema: type: BackboneElement mustSupport: true array: true min: 1 _required: true index: 158 elements: linkId: pattern: {type: String, value: 4.4.5.2} index: 159 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例} index: 160 type: pattern: {type: Code, value: group} index: 161 repeats: pattern: {type: Boolean, value: true} index: 162 item: array: true min: 3 index: 163 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 3 slices: uid: match: {linkId: 4.4.5.2.1} schema: type: BackboneElement mustSupport: true _required: true index: 164 elements: linkId: pattern: {type: String, value: 4.4.5.2.1} index: 165 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.series.uid|此系列的DICOM系列實例UID} index: 166 type: pattern: {type: Code, value: string} index: 167 modality: match: {linkId: 4.4.5.2.2} schema: type: BackboneElement mustSupport: true _required: true index: 168 elements: linkId: pattern: {type: String, value: 4.4.5.2.2} index: 169 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.series.modality|此系列實例所使用的成像儀器} index: 170 type: pattern: {type: Code, value: choice} index: 171 answerValueSet: pattern: {type: Canonical, value: 'http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html'} index: 172 instance: match: {linkId: 4.4.5.2.3} schema: type: BackboneElement mustSupport: true array: true min: 1 _required: true index: 173 elements: linkId: pattern: {type: String, value: 4.4.5.2.3} index: 174 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.series.instance|系列中的一個SOP實例} index: 175 type: pattern: {type: Code, value: group} index: 176 repeats: pattern: {type: Boolean, value: true} index: 177 item: array: true min: 2 index: 178 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 2 slices: uid: match: {linkId: 4.4.5.2.3.1} schema: type: BackboneElement mustSupport: true _required: true index: 179 elements: linkId: pattern: {type: String, value: 4.4.5.2.3.1} index: 180 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.series.instance.uid|DICOM影像} index: 181 type: pattern: {type: Code, value: string} index: 182 sopClass: match: {linkId: 4.4.5.2.3.2} schema: type: BackboneElement mustSupport: true _required: true index: 183 elements: linkId: pattern: {type: String, value: 4.4.5.2.3.2} index: 184 text: pattern: {type: String, value: diagnosis.imageStudy.imgDicom.series.instance.sopClass|DICOM class 類型} index: 185 type: pattern: {type: Code, value: choice} index: 186 imgNonDicom: match: {linkId: 4.4.6} schema: type: BackboneElement mustSupport: true array: true index: 187 elements: linkId: pattern: {type: String, value: 4.4.6} index: 188 text: pattern: {type: String, value: diagnosis.imageStudy.imgNonDicom|非DICOM影像} index: 189 type: pattern: {type: Code, value: group} index: 190 repeats: pattern: {type: Boolean, value: true} index: 191 item: array: true min: 2 index: 192 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 2 slices: imgNonDicom: match: {linkId: 4.4.6.1} schema: type: BackboneElement mustSupport: true _required: true index: 193 elements: linkId: pattern: {type: String, value: 4.4.6.1} index: 194 text: pattern: {type: String, value: diagnosis.imageStudy.imgNonDicom.imgNonDicom|非DICOM影像} index: 195 type: pattern: {type: Code, value: string} index: 196 imgNonDicomMimeType: match: {linkId: 4.4.6.2} schema: type: BackboneElement mustSupport: true _required: true index: 197 elements: linkId: pattern: {type: String, value: 4.4.6.2} index: 198 text: pattern: {type: String, value: diagnosis.imageStudy.imgNonDicom.imgNonDicomMimeType|非DICOM影像MimeType} index: 199 type: pattern: {type: Code, value: choice} index: 200 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/media-mimetypes'} index: 201 required: [item] ci: match: {linkId: '5'} schema: mustSupport: true _required: true index: 202 elements: linkId: pattern: {type: String, value: '5'} index: 203 text: pattern: {type: String, value: ci|重大傷病} index: 204 type: pattern: {type: Code, value: reference} index: 205 required: pattern: {type: Boolean, value: true} index: 206 answerOption: elements: value: choices: [valueReference] index: 208 valueReference: type: Reference choiceOf: value refers: ['http://hl7.org/fhir/StructureDefinition/Resource'] index: 209 cancerStage: match: {linkId: '6'} schema: mustSupport: true _required: true index: 210 elements: linkId: pattern: {type: String, value: '6'} index: 211 text: pattern: {type: String, value: cancerStage|癌症期別} index: 212 type: pattern: {type: Code, value: group} index: 213 required: pattern: {type: Boolean, value: true} index: 214 item: index: 215 slicing: rules: closed discriminator: - {path: linkId, type: value} min: 1 slices: cancerStage: match: {linkId: '6.1'} schema: type: BackboneElement mustSupport: true _required: true index: 216 elements: linkId: pattern: {type: String, value: '6.1'} index: 217 text: pattern: {type: String, value: cancerStage.cancerStage|癌症期別，醫院自行填入癌症期別(1~4)，若為不適用者填9(不適用)。} index: 218 type: pattern: {type: Code, value: choice} index: 219 required: pattern: {type: Boolean, value: true} index: 220 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/cancer-stage'} index: 221 assessScore: match: {linkId: '6.2'} schema: type: BackboneElement mustSupport: true index: 222 elements: linkId: pattern: {type: String, value: '6.2'} index: 223 text: pattern: {type: String, value: cancerStage.assessScore|癌症分期分數或結果} index: 224 type: pattern: {type: Code, value: string} index: 225 assessDate: match: {linkId: '6.3'} schema: type: BackboneElement mustSupport: true index: 226 elements: linkId: pattern: {type: String, value: '6.3'} index: 227 text: pattern: {type: String, value: cancerStage.assessDate|癌症分期量表評估日期，YYYY-MM-DD，西元年月日，民國前為負數。} index: 228 type: pattern: {type: Code, value: date} index: 229 required: [item] illness: match: {linkId: '7'} schema: mustSupport: true index: 230 elements: linkId: pattern: {type: String, value: '7'} index: 231 text: pattern: {type: String, value: illness|惡性腫瘤重大傷病換發評估表} index: 232 type: pattern: {type: Code, value: group} index: 233 item: index: 234 slicing: rules: closed discriminator: - {path: linkId, type: value} min: null slices: oriCancerCode: match: {linkId: '7.1'} schema: type: BackboneElement mustSupport: true index: 235 elements: linkId: pattern: {type: String, value: '7.1'} index: 236 text: pattern: {type: String, value: illness.oriCancerCode|原發癌症診斷碼，最長為7碼。} index: 237 type: pattern: {type: Code, value: choice} index: 238 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-primary-cancer-icd'} index: 239 oriCancerDxDate: match: {linkId: '7.2'} schema: type: BackboneElement mustSupport: true index: 240 elements: linkId: pattern: {type: String, value: '7.2'} index: 241 text: pattern: {type: String, value: illness.oriCancerDxDate|癌症最初診斷日期，西元年月日；不得大於系統日。} index: 242 type: pattern: {type: Code, value: date} index: 243 oriCancerAjcc: match: {linkId: '7.3'} schema: type: BackboneElement mustSupport: true index: 244 elements: linkId: pattern: {type: String, value: '7.3'} index: 245 text: pattern: {type: String, value: illness.oriCancerAjcc|癌症最初診斷AJCC分期(病理分期或未接受治療前的臨床分期)，依期別填入；若不是用此分類而用其他分類，則填寫9。} index: 246 type: pattern: {type: Code, value: choice} index: 247 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancerstaging'} index: 248 oriCancerAjcc1: match: {linkId: '7.4'} schema: type: BackboneElement mustSupport: true index: 249 elements: linkId: pattern: {type: String, value: '7.4'} index: 250 text: pattern: {type: String, value: illness.oriCancerAjcc1|癌症最初診斷AJCC分期_補充說明欄位，若前述欄位為9，則請於此欄位描述其他系統之其他分期為何。} index: 251 type: pattern: {type: Code, value: string} index: 252 cancerStatus: match: {linkId: '7.5'} schema: type: BackboneElement mustSupport: true index: 253 elements: linkId: pattern: {type: String, value: '7.5'} index: 254 text: pattern: {type: String, value: illness.cancerStatus|目前癌症狀態} index: 255 type: pattern: {type: Code, value: choice} index: 256 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancerstage-status'} index: 257 cancerTreatment: match: {linkId: '7.6'} schema: type: BackboneElement mustSupport: true index: 258 elements: linkId: pattern: {type: String, value: '7.6'} index: 259 text: pattern: {type: String, value: illness.cancerTreatment|後續治療評估，可複選。} index: 260 type: pattern: {type: Code, value: choice} index: 261 repeats: pattern: {type: Boolean, value: true} index: 262 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancer-treatment'} index: 263 cancerTreatmentPlan: match: {linkId: '7.7'} schema: type: BackboneElement mustSupport: true index: 264 elements: linkId: pattern: {type: String, value: '7.7'} index: 265 text: pattern: {type: String, value: illness.cancerTreatmentPlan|後續治療計劃，可複選。} index: 266 type: pattern: {type: Code, value: choice} index: 267 repeats: pattern: {type: Boolean, value: true} index: 268 answerValueSet: pattern: {type: Canonical, value: 'https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancer-treatment-plan'} index: 269 cancerTreatmentText: match: {linkId: '7.8'} schema: type: BackboneElement mustSupport: true index: 270 elements: linkId: pattern: {type: String, value: '7.8'} index: 271 text: pattern: {type: String, value: illness.cancerTreatmentText|補充說明。} index: 272 type: pattern: {type: Code, value: string} index: 273 package_version: 1.0.1 class: profile kind: resource url: https://nhicore.nhi.gov.tw/ci/StructureDefinition/Questionnaire-twci base: http://hl7.org/fhir/StructureDefinition/Questionnaire version: 1.0.1