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: DocumentReferenceTWPAS - Mappings

Active as of 2025-04-25

Mappings for the DocumentReference-twpas resource profile.

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

DocumentReferenceTWPAS
DocumentReferenceEvent
   masterIdentifierEvent.identifier
   identifierEvent.identifier
   statusEvent.status
   subjectEvent.subject
   dateEvent.occurrence[x]
   authorEvent.performer.actor
   authenticatorEvent.performer.actor
   custodianEvent.performer.actor
   context
      encounterEvent.context

Mappings for FHIR Composition (http://hl7.org/fhir/composition)

DocumentReferenceTWPAS
DocumentReferencewhen describing a Composition
   masterIdentifierComposition.identifier
   docStatusComposition.status
   subjectComposition.subject
   dateComposition.date
   authorComposition.author
   authenticatorComposition.attester
   custodianComposition.custodian
   relatesToComposition.relatesTo
      codeComposition.relatesTo.code
      targetComposition.relatesTo.target
   contentBundle(Composition+*)
      attachmentComposition.language, Composition.title, Composition.date
      formatComposition.meta.profile
   context
      encounterComposition.encounter
      periodComposition.event.period
      facilityTypeusually from a mapping to a local ValueSet
      sourcePatientInfoComposition.subject
      relatedComposition.event.detail

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

DocumentReferenceTWPAS
DocumentReferenceEntity. Role, or Act, Document[classCode="DOC" and moodCode="EVN"]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   masterIdentifier.id
   identifier.id / .setId
   statusinterim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
   docStatus.statusCode
   typen/a, CD
   categoryn/a, CD
      idn/a
      codingn/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subject.participation[typeCode="SBJ"].role[typeCode="PAT"]
   date.availabilityTime[type="TS"]
   author.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
   authenticator.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
   custodian.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
   relatesTo.outboundRelationship
      idn/a
      extensionn/a
      modifierExtensionN/A
      code.outboundRelationship.typeCode
      target.target[classCode="DOC", moodCode="EVN"].id
   description.outboundRelationship[typeCode="SUBJ"].target.text
   securityLabeln/a, CD
   contentdocument.text
      idn/a
      extensionn/a
      modifierExtensionN/A
      attachmentdocument.text
         idn/a
         extensionn/a
         contentType./mediaType, ./charset
         language./language
         data./data
         url./reference/literal
         sizeN/A (needs data type R3 proposal)
         hash.integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"]
         title./title/data
         creationN/A (needs data type R3 proposal)
      formatdocument.text
   contextoutboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
      idn/a
      extensionn/a
      modifierExtensionN/A
      encounterunique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
      eventn/a, CD
      period.effectiveTime
      facilityType.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
      practiceSettingn/a, CD
      sourcePatientInfo.participation[typeCode="SBJ"].role[typeCode="PAT"]
      related./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct]

Mappings for CDA (R2) (http://hl7.org/v3/cda)

DocumentReferenceTWPAS
DocumentReferencewhen describing a CDA
   masterIdentifierClinicalDocument/id
   subjectClinicalDocument/recordTarget/
   authorClinicalDocument/author
   authenticatorClinicalDocument/legalAuthenticator
   content
      attachmentClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date
      formatderived from the IHE Profile or Implementation Guide templateID
   context
      periodClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value
      facilityTypeusually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code
      sourcePatientInfoClinicalDocument/recordTarget/
      relatedClinicalDocument/relatedDocument

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

DocumentReferenceTWPAS
DocumentReference
   masterIdentifierFiveWs.identifier
   identifierFiveWs.identifier
   statusFiveWs.status
   docStatusFiveWs.status
   subjectFiveWs.subject[x], FiveWs.subject
   dateFiveWs.recorded
   authenticatorFiveWs.witness
   context
      encounterFiveWs.context

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

DocumentReferenceTWPAS
DocumentReference
   masterIdentifierTXA-12
   identifierTXA-16?
   statusTXA-19
   docStatusTXA-17
   typeCE/CNE/CWE
   categoryCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)
   authorTXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
   authenticatorTXA-10
   descriptionTXA-25
   securityLabelCE/CNE/CWE
   content
      attachmentTXA-3 for mime type
         contentTypeED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
         dataED.5
         urlRP.1+RP.2 - if they refer to a URL (see v2.6)
   context
      eventCE/CNE/CWE
      practiceSettingCE/CNE/CWE

Mappings for XDS metadata equivalent (http://ihe.net/xds)

DocumentReferenceTWPAS
DocumentReference
   masterIdentifierDocumentEntry.uniqueId
   identifierDocumentEntry.entryUUID
   statusDocumentEntry.availabilityStatus
   subjectDocumentEntry.patientId
   authorDocumentEntry.author
   authenticatorDocumentEntry.legalAuthenticator
   relatesToDocumentEntry Associations
      codeDocumentEntry Associations type
      targetDocumentEntry Associations reference
   descriptionDocumentEntry.comments
   content
      attachmentDocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime
      formatDocumentEntry.formatCode
   context
      periodDocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime
      facilityTypeDocumentEntry.healthcareFacilityTypeCode
      sourcePatientInfoDocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId
      relatedDocumentEntry.referenceIdList