臺灣健保癌症用藥事前審查實作指引
1.0.2 - release

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.2: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.4. For a full list of available versions, see the Directory of published versions

Resource Profile: ClaimResponseTWPAS - Mappings

Active as of 2025-04-25

Mappings for the ClaimResponse-twpas resource profile.

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

ClaimResponseTWPAS
ClaimResponseEvent
   identifierEvent.identifier
   statusEvent.status
   createdEvent.occurrence[x]
   insurerEvent.performer
   requestEvent.basedOn
   dispositionEvent.note

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

ClaimResponseTWPAS
ClaimResponse
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   createdFiveWs.recorded
   requestorFiveWs.source
   requestFiveWs.why[x]
   addItem
      providerFiveWs.source
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]

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

ClaimResponseTWPAS
ClaimResponseEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   item
      idn/a
      extensionn/a
      modifierExtensionN/A
      adjudication
         idn/a
         extensionn/a
         modifierExtensionN/A
         category
            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
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         adjudication
            idn/a
            extensionn/a
            modifierExtensionN/A
            category
               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
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A
   addItem
      idn/a
      extensionn/a
      modifierExtensionN/A
      modifier24.C, 24.D mods
      programCode24.H
      serviced[x]24.A
      location[x]24.B
      quantity24.G
      net24.F
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         modifier24.C, 24.D mods
         quantity24.G
         net24.F
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A
            modifier24.C, 24.D mods
            quantity24.G
            net24.F
   total
      idn/a
      extensionn/a
      modifierExtensionN/A
   payment
      idn/a
      extensionn/a
      modifierExtensionN/A
   processNote
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   error
      idn/a
      extensionn/a
      modifierExtensionN/A