臺灣重大傷病實作指引
1.0.0 - STU1.0.0

This page is part of the 臺灣重大傷病實作指引 (v1.0.0: STU1.0.0) 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

Questionnaire: 重大傷病申請書

Official URL: https://nhicore.nhi.gov.tw/ci/Questionnaire/apply-catastrophic-illness Version: 1.0.0
Active as of 2025-06-11 Computable Name: CatastrophicIllnessForm
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CatastrophicIllnessFormQuestionnairehttps://nhicore.nhi.gov.tw/ci/Questionnaire/apply-catastrophic-illness#1.0.0
... 1hosp|院所資訊1..1group
.... 1.1hosp.applMode|申報方式1..1choiceValue Set: NHI-健保重大傷病-申報方式值集
.... 1.2hosp.applType|申報類別1..1choiceValue Set: NHI-健保重大傷病-申報類別值集
.... 1.3hosp.applDate|申請日期1..1date
.... 1.4hosp.medCertBookDate|開立診斷書申請日期1..1date
.... 1.5hosp.hospId|醫事機構代碼1..1choiceValue Set: NHI-健保重大傷病-特約醫事機構值集
.... 1.6hosp.acptNo|受理編號0..1string
.... 1.7hosp.acptNum|受理次數0..1integer
... 2patient|病人資訊1..1reference
... 3doctor|醫師資訊1..1group
.... 3.1doctor.diagPrsnId|醫師身分證號0..1string
.... 3.2doctor.diagPrsnName|診斷醫師姓名1..1string
... 4diagnosis|疾病資訊0..1group
.... 4.1diagnosis.icd10cmCode|主診斷代碼1..1choiceValue Set: NHI-健保重大傷病-ICD-CM-重大傷病診斷代碼值集
.... 4.2diagnosis.examinationReport|檢查報告0..1group
..... 4.2.1diagnosis.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。0..1choiceValue Set: LOINC-健保重大傷病-報告類型值集
..... 4.2.2diagnosis.examinationReport.speType|檢體種類0..1string
..... 4.2.3diagnosis.examinationReport.reportResultString|報告結果-文數字0..1string
..... 4.2.4diagnosis.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」。0..1string
..... 4.2.5diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱0..1string
..... 4.2.6diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。0..*date
.... 4.3diagnosis.medrec|病歷資料0..*group
..... 4.3.1diagnosis.medrec.medrec|病歷資料0..1string
..... 4.3.2diagnosis.medrec.medrecTitle|病歷資料名稱0..1string
.... 4.4diagnosis.imageStudy|影像報告0..*group
..... 4.4.1diagnosis.imageStudy.imgItem|影像報告0..1choiceValue Set: NHI-健保重大傷病-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集
..... 4.4.2diagnosis.imageStudy.imgResult|影像報告結果0..1string
..... 4.4.3diagnosis.imageStudy.imgDate|影像報告日期0..1date
..... 4.4.4diagnosis.imageStudy.imgBodySite|影像檢查的身體部位0..1choiceValue Set: SNOMEDCT-健保重大傷病-身體部位值集
..... 4.4.5diagnosis.imageStudy.imgDicom|DICOM影像0..*group
...... 4.4.5.1diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼0..1string
...... 4.4.5.2diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例0..*group
....... 4.4.5.2.1diagnosis.imageStudy.imgDicom.series.uid|此系列的DICOM系列實例UID0..1string
....... 4.4.5.2.2diagnosis.imageStudy.imgDicom.series.modality|此系列實例所使用的成像儀器0..1choice
....... 4.4.5.2.3diagnosis.imageStudy.imgDicom.series.instance|系列中的一個SOP實例0..*group
........ 4.4.5.2.3.1diagnosis.imageStudy.imgDicom.series.instance.uid|DICOM影像0..1string
........ 4.4.5.2.3.2diagnosis.imageStudy.imgDicom.series.instance.sopClass|DICOM class 類型0..1choice
..... 4.4.6diagnosis.imageStudy.imgNonDicom|非DICOM影像0..*group
...... 4.4.6.1diagnosis.imageStudy.imgNonDicom.imgNonDicom|非DICOM影像0..1string
...... 4.4.6.2diagnosis.imageStudy.imgNonDicom.imgNonDicomMimeType|非DICOM影像MimeType0..1choiceValue Set: HL7-健保重大傷病-非DICOM影像MimeType值集
... 5ci|重大傷病1..1reference
... 6cancerStage|癌症期別1..1group
.... 6.1cancerStage.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)。1..1choiceValue Set: NHI-健保重大傷病-癌症期別值集
.... 6.2cancerStage.assessScore|癌症分期分數或結果0..1string
.... 6.3cancerStage.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。0..1date
... 7illness|惡性腫瘤重大傷病換發評估表1..1group
.... 7.1illness.oriCancerCode|原發癌症診斷碼，最長為7碼。0..1choiceValue Set: NHI-健保重大傷病-ICD-CM-原發癌症診斷碼值集
.... 7.2illness.oriCancerDxDate|癌症最初診斷日期，西元年月日；不得大於系統日。0..1date
.... 7.3illness.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。0..1choiceValue Set: NHI-健保重大傷病-癌症最初診斷AJCC分期值集
.... 7.4illness.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。0..1string
.... 7.5illness.cancerStatus|目前癌症狀態0..1choiceValue Set: NHI-健保重大傷病-癌症狀態
.... 7.6illness.cancerTreatment|後續治療評估，可複選。0..*choiceValue Set: NHI-健保重大傷病-後續治療評估值集
.... 7.7illness.cancerTreatmentPlan|後續治療計劃，可複選。0..*choiceValue Set: NHI-健保重大傷病-後續治療計劃值集
.... 7.8illness.cancerTreatmentText|補充說明。0..1string

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