description: 申請(Apply)癌症用藥癌藥事前審查之資料模型,此邏輯模型為定義癌症用藥事前審查情境下使用的所有資料欄位。 \r\n為了便於實作者快速理解,資料欄位會使用易於理解的命名,實作者再透過邏輯模型中的功能頁籤「Mappings」瞭解各資料欄位實際使用本IG的哪個Profiles的哪個資料項目(element)。亦可配合[視覺化邏輯模型圖](vision.html#bundle%E6%9E%B6%E6%A7%8B%E5%9C%96)進行欄位對應 package_name: tw.gov.mohw.nhi.pas derivation: specialization name: ApplyModel type: https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ApplyModel elements: hosp: type: BackboneElement short: 院所資訊 index: 0 elements: hospId: {type: string, short: 醫事機構代碼,必須存在於醫事機構基本資料檔內, index: 1} applType: {type: CodeableConcept, short: 申報類別, index: 2} funcType: {type: CodeableConcept, short: 就醫科別, index: 3} applPrsnId: {type: string, short: 申請醫師身分證號, index: 4} applDate: {type: dateTime, short: 申請日期,機構自填, index: 5} immediateDate: {type: instant, short: 緊急報備日期,機構自填, index: 6} tmhbType: {type: CodeableConcept, short: 申請案件類型, index: 7} oldAcptNo: {type: string, short: 原受理編號, index: 8} required: [applDate, applPrsnId, applType, funcType, hospId] patient: type: BackboneElement short: 病人資訊 index: 9 elements: name: {type: HumanName, short: 姓名, index: 10} idCard: {type: string, short: 身分證字號, index: 11} patId: {type: string, short: 病歷號, index: 12} birthday: {type: date, short: 出生日期, index: 13} gender: {type: code, short: 病人性別, index: 14} weight: {type: decimal, short: 病人體重, index: 15} height: {type: decimal, short: 病人身高, index: 16} pregnant: {type: boolean, short: 是否懷孕或哺乳, index: 17} required: [birthday, gender, height, idCard, name, weight] diagnosis: type: BackboneElement short: 疾病資訊 index: 18 elements: icd10cmCode: {type: code, short: 國際疾病分類代碼 (sequence=1),共病症 (sequence>=2), index: 19} diagDate: {type: date, short: 診斷日期,sequence=1必填, index: 20} diagCurrentStatus: {type: code, short: 簡要病摘。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。, index: 21} medrec: {type: code, short: 病歷資料(非屬影像報告檢查驗報告部分), index: 22} medrecTitle: {type: code, short: 病歷資料名稱, index: 23} imageStudy: type: BackboneElement short: 影像報告 index: 24 elements: imgItem: {type: CodeableConcept, short: 影像報告, index: 25} imgResult: {type: CodeableConcept, short: 影像報告結果, array: true, min: 1, index: 26} imgBodySite: {type: CodeableConcept, short: 影像檢查的身體部位, index: 27} imgDate: {type: date, short: 影像報告日期, index: 28} imgDicom: {type: url, short: DICOM影像, index: 29} imgNonDicom: {type: url, short: 非DICOM影像, index: 30} imgInterpreter: {type: string, short: 簽發影像報告醫師身分證號, index: 31} required: [imgDate, imgInterpreter, imgResult] cancerStage: type: BackboneElement short: 癌症分期量表 index: 32 elements: assessItem: {type: CodeableConcept, short: 癌症分期量表項目, array: true, index: 33} assessScore: {type: CodeableConcept, short: 癌症分期分數或結果, array: true, index: 34} assessDate: {type: date, short: 癌症分期量表評估日期, index: 35} assessPerformer: {type: string, short: 簽發癌症分期報告醫師身分證號, array: true, index: 36} examinationReport: type: BackboneElement short: 檢查報告 index: 37 elements: reportType: {type: CodeableConcept, short: 報告類型, index: 38} speType: {type: string, short: 檢體種類, index: 39} reportResult: type: BackboneElement short: 檢查報告結果 index: 40 elements: reportResultString: {type: string, short: 檢查報告結果(文數字), array: true, index: 41} reportResultPdf: {type: base64Binary, short: 檢查報告結果(檔案路徑), array: true, index: 42} reportResultPdfTitle: {type: string, short: 檢查報告名稱, array: true, index: 43} reportDate: {type: dateTime, short: 報告日期, index: 44} reportPerformer: {type: string, short: 檢查報告醫師身分證號, array: true, index: 45} required: [diagCurrentStatus, icd10cmCode, medrec, medrecTitle] gene: type: BackboneElement short: 基因資訊 array: true index: 46 elements: genDate: {type: dateTime, short: 基因檢測日期, array: true, index: 51} genMethod: {type: CodeableConcept, short: 基因檢測方法, array: true, index: 50} genOrg: {type: string, short: 基因檢測機構, array: true, index: 52} genResult: {type: CodeableConcept, short: 基因檢測分析結果, array: true, index: 53} genPdfTitle: {type: string, short: 基因報告名稱, array: true, index: 56} specimenType: {type: CodeableConcept, short: 基因檢測檢體類型, array: true, index: 49} genInterpretation: {type: CodeableConcept, short: 基因臨床判讀結果, array: true, index: 54} genTestCode: {type: CodeableConcept, short: 基因檢測代碼, array: true, index: 47} genPdf: {type: base64Binary, short: 基因報告(檔案路徑), array: true, index: 55} mutationType: {type: CodeableConcept, short: 基因突變類型, array: true, index: 48} evaluate: type: BackboneElement short: 評估資訊 array: true index: 57 elements: tests: type: BackboneElement short: 檢驗(查) array: true index: 58 elements: inspectResultCodeableConcept: {short: 檢驗(查)結果, type: CodeableConcept, array: true, choiceOf: inspectResult, index: 64} caseTime: {type: string, short: 檢驗(查)報告日期, array: true, index: 73} inspectPdf: {type: base64Binary, short: 檢驗(查)附件(檔案路徑), array: true, index: 74} consultValueDesc: {type: string, short: 檢驗(查)結果之參考範圍說明, array: true, index: 71} inspectSet: {type: Observation, short: 套組中的的檢驗, array: true, index: 72} inspectResultString: {short: 檢驗(查)結果, type: string, array: true, choiceOf: inspectResult, index: 65} consultValueLower: {type: decimal, short: 檢驗(查)結果之參考範圍下限, array: true, index: 68} inspect: {type: CodeableConcept, short: 檢驗(查)名稱或套組代碼, array: true, index: 59} inspectResultInteger: {short: 檢驗(查)結果, type: integer, array: true, choiceOf: inspectResult, index: 67} inspectResultBoolean: {short: 檢驗(查)結果, type: boolean, array: true, choiceOf: inspectResult, index: 66} consultValueCat: {type: string, short: 檢驗(查)結果之參考範圍類型, array: true, index: 70} inspectPdfTitle: {type: string, short: 檢驗(查)附件名稱, array: true, index: 75} inspectResultTxt: {type: CodeableConcept, short: 檢驗(查)結果判讀, array: true, index: 60} inspectResult: short: 檢驗(查)結果 choices: [inspectResultQuantity, inspectResultCodeableConcept, inspectResultString, inspectResultBoolean, inspectResultInteger] array: true index: 62 inspectPerformer: {type: string, short: 簽發檢驗(查)報告醫事人員身分證號, array: true, index: 76} consultValueMax: {type: decimal, short: 檢驗(查)結果之參考範圍上限, array: true, index: 69} inspectResultQuantity: {short: 檢驗(查)結果, type: Quantity, array: true, choiceOf: inspectResult, index: 63} patientAssessment: type: BackboneElement short: 病人狀態評估 array: true index: 77 elements: patAst: {type: CodeableConcept, short: 病人狀態評估項目代碼, array: true, index: 78} patAstResult: {type: CodeableConcept, short: 病人狀態評估結果, array: true, index: 79} patAstDate: {type: dateTime, short: 病人狀態評估日期, array: true, index: 80} patAstPerformer: {type: string, short: 評估項目醫事人員身分證號, array: true, index: 81} treat: type: BackboneElement short: 治療資訊 array: true index: 82 elements: medicationRequest: type: BackboneElement short: 用藥品項 array: true index: 83 elements: eDate: {type: dateTime, short: 藥物處方終止日期, index: 92} drugRoute: {type: CodeableConcept, short: 給藥途徑/作用部位, array: true, min: 1, index: 88} sDate: {type: dateTime, short: 藥物處方起始日期, index: 91} drugStatus: {type: code, short: 藥物使用狀態, index: 85} drugFre: {type: CodeableConcept, short: 藥品使用頻率及服用時間, array: true, min: 1, index: 87} dose: {type: decimal, short: 藥物每次處方劑量, index: 89} eReason: {type: CodeableConcept, short: 藥物處方終止原因, index: 93} drugCode: {type: CodeableConcept, short: 藥品代碼, array: true, min: 1, index: 86} drugType: {type: CodeableConcept, short: 自費註記, index: 84} doseUnit: {type: code, short: 藥物每次處方劑量單位, index: 90} required: [dose, doseUnit, drugCode, drugFre, drugRoute, drugStatus, eDate, sDate] radiotherapy: type: BackboneElement short: 放射治療 array: true index: 94 elements: rt: {type: BackboneElement, short: 放射治療項目, array: true, min: 1, index: 95} rtStatus: {type: code, short: 放射治療狀態, array: true, min: 1, index: 96} realInspectTime: {type: dateTime, short: 放射治療日期, array: true, min: 1, index: 97} rtDose: {type: decimal, short: 放射治療總劑量, array: true, min: 1, index: 98} rtUnit: {type: string, short: 放射治療總劑量單位, array: true, min: 1, index: 99} required: [realInspectTime, rt, rtDose, rtStatus, rtUnit] opCode: {type: CodeableConcept, short: 手術(或其他處置)項目, array: true, index: 100} opDate: {type: dateTime, short: 手術(或其他處置)日期, array: true, index: 101} carePlanDocument: {type: base64Binary, short: 治療計畫文件(檔案路徑), array: true, index: 102} carePlanDocumentTitle: {type: string, short: 治療計畫文件名稱, array: true, index: 103} result: type: BackboneElement short: 結果資訊 array: true index: 104 elements: txAst: {type: CodeableConcept, short: 治療後疾病狀態評估項目, array: true, index: 105} txAstResult: {type: CodeableConcept, short: 治療後疾病狀態評估結果, array: true, index: 106} txAstDate: {type: dateTime, short: 治療後疾病狀態評估日期, array: true, index: 107} apply: type: BackboneElement short: 申請項目 index: 108 elements: approveDate: {type: dateTime, short: 核定日期, array: true, index: 124} acceptanceStatus: {type: code, short: 案件受理狀態, index: 127} applDosageUnit: {type: code, short: 事前審查藥品每次處方劑量單位, array: true, min: 1, index: 120} useSdate: {type: dateTime, short: 事前審查藥物預定處方起始日期, index: 121} applyReason: {type: CodeableConcept, short: 給付適應症條件, array: true, min: 1, index: 113} cancerDrugType: {type: CodeableConcept, short: 事前審查品項代碼, array: true, min: 1, index: 112} applQtyUnit: {type: code, short: 事前審查申請數量單位, array: true, min: 1, index: 116} applySide: {type: CodeableConcept, short: 申請部位, index: 114} orderType: {type: CodeableConcept, short: 醫令類別, array: true, min: 1, index: 111} approveComment: {type: CodeableConcept, short: 核定註記, array: true, index: 126} applDosage: {type: decimal, short: 事前審查藥品每次處方劑量, array: true, min: 1, index: 119} applQty: {type: decimal, short: 事前審查申請數量, array: true, min: 1, index: 115} applDrugCycle: {type: CodeableConcept, short: 事前審查藥品處方頻次, array: true, min: 1, index: 123} applDrugRoute: {type: CodeableConcept, short: 給藥途徑/作用部位, array: true, min: 1, index: 118} useEdate: {type: dateTime, short: 事前審查藥物預定處方終止日期, index: 122} continuation: {type: CodeableConcept, short: 續用註記, index: 109} applDrugFre: {type: CodeableConcept, short: 事前審查藥品使用頻率及服用時間, array: true, min: 1, index: 117} lot: {type: CodeableConcept, short: 用藥線別, index: 110} approveNum: {type: decimal, short: 核定數量, array: true, index: 125} required: [applDosage, applDosageUnit, applDrugCycle, applDrugFre, applDrugRoute, applQty, applQtyUnit, applyReason, cancerDrugType, continuation, orderType, useEdate, useSdate] package_version: 1.0.2 class: logical kind: logical url: https://twcore.mohw.gov.tw/ig/pas/StructureDefinition/ApplyModel base: http://hl7.org/fhir/StructureDefinition/Base version: 1.0.2 required: [apply, diagnosis, hosp, patient]