This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.3: 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

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Resource Profile: 事前審查-Claim TWPAS

此事前審查-Claim TWPAS Profile說明本IG如何進一步定義FHIR的Claim Resource以呈現癌藥事前審查之內容

Usage:

• Use this Resource Profile: 事前審查-Bundle TWPAS
• Refer to this Resource Profile: 事前審查回覆-ClaimResponse TWPAS
• Examples for this Resource Profile: Claim/cla-1 and Claim/cla-3
• CapabilityStatements using this Resource Profile: 臺灣癌藥事前審查-用戶端(TWPAS Client) and 臺灣癌藥事前審查-伺服端(TWPAS Server)

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management sequence-1: diagnosis.sequence一定會有一個「1」，且只能出現一次。 supportingInfo: 至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 applType: 當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:encounter	S	1..1	Reference(就醫科別-Encounter TWPAS)	就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	0..1	Identifier	原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children Required Pattern: active
type	Σ	1..1	CodeableConcept	Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: institutional
subType	S	1..1	CodeableConcept	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 Binding: NHI-健保事前審查-申報類別值集 (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
code	Σ	1..1	code	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 ele-1: All FHIR elements must have a @value or children
use	Σ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. ele-1: All FHIR elements must have a @value or children Required Pattern: preauthorization
patient	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	病人資訊 ele-1: All FHIR elements must have a @value or children
created	SΣ	1..1	dateTime	申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。 ele-1: All FHIR elements must have a @value or children
enterer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。 ele-1: All FHIR elements must have a @value or children
provider	SΣ	1..1	Reference(醫事機構-Organization TWPAS)	醫事機構代碼，必須存在於醫事機構基本資料檔內。 ele-1: All FHIR elements must have a @value or children
priority	SΣ	1..1	CodeableConcept	申請案件類別，1:一般事前審查申請 | 3:自主審查報備 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 Binding: NHI-健保事前審查-申請案件類別值集 (required) ele-1: All FHIR elements must have a @value or children
Slices for supportingInfo		2..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category ele-1: All FHIR elements must have a @value or children
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children
supportingInfo:weight		1..1	BackboneElement	病人體重 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: weight
value[x]	S	1..1	Quantity	Data to be provided ele-1: All FHIR elements must have a @value or children
value	SΣC	1..1	decimal	體重，整數至多3位數及小數至多2位數。 ele-1: All FHIR elements must have a @value or children HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: kg
supportingInfo:height		1..1	BackboneElement	病人身高 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: height
value[x]	S	1..1	Quantity	Data to be provided ele-1: All FHIR elements must have a @value or children
value	SΣC	1..1	decimal	身高(cm)，整數至多3位數及小數至多2位數。 ele-1: All FHIR elements must have a @value or children HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: cm
supportingInfo:pregnancy		0..1	BackboneElement	是否懷孕或哺乳 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pregnancyBreastfeedingStatus
value[x]	S	1..1	boolean	是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳 ele-1: All FHIR elements must have a @value or children
supportingInfo:imagingReport		0..*	BackboneElement	影像報告 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
value[x]	S	1..1	Reference(影像報告-DiagnosticReport Image TWPAS)	影像報告 ele-1: All FHIR elements must have a @value or children
supportingInfo:cancerStage		0..*	BackboneElement	癌症分期量表 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cancerStage
value[x]	S	1..1	Reference(癌症分期量表-Observation Cancer Stage TWPAS)	癌症分期量表 ele-1: All FHIR elements must have a @value or children
supportingInfo:examinationReport		0..*	BackboneElement	檢查報告 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: examinationReport
value[x]	S	1..1	Reference(檢查報告-DiagnosticReport TWPAS)	檢查報告 ele-1: All FHIR elements must have a @value or children
supportingInfo:geneInfo		0..*	BackboneElement	基因資訊 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: geneInfo
value[x]	S	1..1	Reference(基因資訊-Observation Diagnostic TWPAS)	基因資訊 ele-1: All FHIR elements must have a @value or children
supportingInfo:tests		0..*	BackboneElement	檢驗(查) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tests
value[x]	S	1..1	Reference(檢驗檢查-Observation Laboratory Result TWPAS)	檢驗(查) ele-1: All FHIR elements must have a @value or children
supportingInfo:patientAssessment		0..*	BackboneElement	病人狀態評估 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
value[x]	S	1..1	Reference(病人狀態評估-Observation Patient Assessment TWPAS)	病人狀態評估 ele-1: All FHIR elements must have a @value or children
supportingInfo:medicationRequest		0..*	BackboneElement	用藥品項 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicationRequest
value[x]	S	1..1	Reference(用藥品項-MedicationRequest Treat TWPAS)	用藥品項 ele-1: All FHIR elements must have a @value or children
supportingInfo:radiotherapy		0..*	BackboneElement	放射治療 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: radiotherapy
value[x]	S	1..1	Reference(放射治療-Procedure TWPAS)	放射治療 ele-1: All FHIR elements must have a @value or children
supportingInfo:carePlanDocument		0..*	BackboneElement	治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carePlanDocument
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	治療計畫文件 ele-1: All FHIR elements must have a @value or children
supportingInfo:medicalRecord		0..*	BackboneElement	病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicalRecord
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	Data to be provided ele-1: All FHIR elements must have a @value or children
supportingInfo:treatmentAssessment		0..*	BackboneElement	結果資訊 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatmentAssessment
value[x]	S	1..1	Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS)	結果資訊 ele-1: All FHIR elements must have a @value or children
diagnosis	SC	1..*	BackboneElement	sequence=1時為主要疾病；sequence>=2代表共病。 ele-1: All FHIR elements must have a @value or children diagnosis: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:recordedDate	S	0..*	date	診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】 URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	sequence=1時為主要疾病；sequence>=2代表共病。 ele-1: All FHIR elements must have a @value or children
diagnosis[x]	S	1..1	CodeableConcept	國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system ele-1: All FHIR elements must have a @value or children
coding:icd10-cm-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
coding:icd10-cm-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (extensible) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. ele-1: All FHIR elements must have a @value or children
text	SΣC	0..1	string	簡要病摘(申請理由)。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。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 ele-1: All FHIR elements must have a @value or children pas-2: 長度不得超過4000 bytes。
procedure		0..*	BackboneElement	Clinical procedures performed ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	Procedure instance identifier ele-1: All FHIR elements must have a @value or children
date	S	1..1	dateTime	手術(或其他處置)日期 ele-1: All FHIR elements must have a @value or children
procedure[x]	S	1..1	CodeableConcept	手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
coding:medical-service-payment	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
insurance	Σ	1..*	BackboneElement	Patient insurance information ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence	Σ	1..1	positiveInt	Insurance instance identifier ele-1: All FHIR elements must have a @value or children Required Pattern: 1
focal	Σ	1..1	boolean	Coverage to be used for adjudication ele-1: All FHIR elements must have a @value or children
coverage	Σ	1..1	Reference(健保事前審查計畫-Coverage TWPAS)	Insurance information ele-1: All FHIR elements must have a @value or children
item		1..*	BackboneElement	Product or service provided ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:requestedService	S	1..1	Reference(事前審查品項-MedicationRequest Apply TWPAS)	事前審查品項【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	Item instance identifier ele-1: All FHIR elements must have a @value or children
productOrService	S	1..1	CodeableConcept	醫令類別 Binding: NHI-健保事前審查-醫令類別值集 (required) ele-1: All FHIR elements must have a @value or children
Slices for modifier		1..2	CodeableConcept	Product or service billing modifiers Slice: Unordered, Open by value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. ele-1: All FHIR elements must have a @value or children
modifier:continuation	S	1..1	CodeableConcept	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-健保事前審查-續用註記值集 (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
code	Σ	1..1	code	1:初次使用 | 2:申請再次使用 ele-1: All FHIR elements must have a @value or children
modifier:lot	S	0..1	CodeableConcept	用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 Binding: NHI-健保事前審查-用藥線別值集 (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
code	SΣ	1..1	code	0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 ele-1: All FHIR elements must have a @value or children
programCode	SC	1..1	CodeableConcept	給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 Binding: ExampleProgramReasonCodes (example): Program specific reason codes. ele-1: All FHIR elements must have a @value or children pas-1: text、coding擇一填寫。
coding	Σ	0..1	Coding	給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 Binding: NHI-健保事前審查-給付適應症值集 (required) ele-1: All FHIR elements must have a @value or children
text	Σ	0..1	string	給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。 ele-1: All FHIR elements must have a @value or children
quantity	S	1..1	SimpleQuantity	Count of products or services ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	事前審查申請數量 ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	事前審查申請數量單位 Binding: Common UCUM units (required): 事前審查申請數量單位的代碼範圍請參考Common UCUM units。 ele-1: All FHIR elements must have a @value or children
bodySite		0..1	CodeableConcept	申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) Binding: NHI-健保事前審查-申請部位值集 (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Claim.status	required	Pattern: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Claim.type	extensible	Pattern: institutional http://hl7.org/fhir/ValueSet/claim-type from the FHIR Standard
Claim.subType	required	NHIApplyType (a valid code from NHI-健保事前審查-申報類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type from this IG
Claim.use	required	Pattern: preauthorization http://hl7.org/fhir/ValueSet/claim-use|4.0.1 from the FHIR Standard
Claim.priority	required	NHITMHBType (a valid code from NHI-健保事前審查-申請案件類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type from this IG
Claim.supportingInfo.category	required	NHIPASSupportingInfoType (a valid code from NHI-健保事前審查-補充資訊類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:weight.category	required	Pattern: weight https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:weight.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:height.category	required	Pattern: height https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:height.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:pregnancy.category	required	Pattern: pregnancyBreastfeedingStatus https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:imagingReport.category	required	Pattern: imagingReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:cancerStage.category	required	Pattern: cancerStage https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:examinationReport.category	required	Pattern: examinationReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:geneInfo.category	required	Pattern: geneInfo https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:tests.category	required	Pattern: tests https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:patientAssessment.category	required	Pattern: patientAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicationRequest.category	required	Pattern: medicationRequest https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:radiotherapy.category	required	Pattern: radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:carePlanDocument.category	required	Pattern: carePlanDocument https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicalRecord.category	required	Pattern: medicalRecord https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:treatmentAssessment.category	required	Pattern: treatmentAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.diagnosis.diagnosis[x]	preferred	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2023	extensible	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2014	extensible	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Claim.diagnosis.type	example	ExampleDiagnosisTypeCodes http://hl7.org/fhir/ValueSet/ex-diagnosistype from the FHIR Standard
Claim.procedure.procedure[x]	preferred	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Claim.procedure.procedure[x].coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Claim.item.productOrService	required	NHIOrderType (a valid code from NHI-健保事前審查-醫令類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type from this IG
Claim.item.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.modifier:continuation	required	NHIContinuationStatus (a valid code from NHI-健保事前審查-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
Claim.item.modifier:lot	required	NHILOT (a valid code from NHI-健保事前審查-用藥線別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy from this IG
Claim.item.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard
Claim.item.programCode.coding	required	NHIApplyReason (a valid code from NHI-健保事前審查-給付適應症) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason from this IG
Claim.item.quantity.code	required	Common UCUM units http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard
Claim.item.bodySite	required	NHIApplySide (a valid code from NHI-健保事前審查-申請部位) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
HTWT	error	Claim.supportingInfo:weight.value[x].value, Claim.supportingInfo:height.value[x].value	整數至多3位數及小數至多2位數 : value.toString().matches('^[0-9]{1,3}(.[0-9]{1,2})?$')
applType	error	Claim	當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。 : (subType.coding.exists(code='3')) implies (identifier.exists())
diagnosis	error	Claim.diagnosis	diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因) : sequence=1 implies (extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').value.ofType(date).exists() and type.text.exists() )
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pas-1	error	Claim.item.programCode	text、coding擇一填寫。 : text.exists() xor coding.exists()
pas-2	error	Claim.diagnosis.type.text	長度不得超過4000 bytes。 : toString().length() <= 4000
sequence-1	error	Claim	diagnosis.sequence一定會有一個「1」，且只能出現一次。 : diagnosis.where(sequence = 1).count() = 1
supportingInfo	error	Claim	至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 : supportingInfo.category.exists(coding.code = 'examinationReport') or supportingInfo.category.exists(coding.code = 'imagingReport') or supportingInfo.category.exists(coding.code = 'geneInfo')

This structure is derived from Claim

Name	Flags	Card.	Type	Description & Constraints
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization sequence-1: diagnosis.sequence一定會有一個「1」，且只能出現一次。 supportingInfo: 至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 applType: 當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter	S	1..1	Reference(就醫科別-Encounter TWPAS)	就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
identifier	S	0..1	Identifier	原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
status		1..1	code	active | cancelled | draft | entered-in-error Required Pattern: active
type		1..1	CodeableConcept	Category or discipline Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: institutional
subType	S	1..1	CodeableConcept	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 Binding: NHI-健保事前審查-申報類別值集 (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
code		1..1	code	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
use		1..1	code	claim | preauthorization | predetermination Required Pattern: preauthorization
patient	S	1..1	Reference(病人資訊-Patient TWPAS)	病人資訊
created	S	1..1	dateTime	申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。
enterer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。
provider	S	1..1	Reference(醫事機構-Organization TWPAS)	醫事機構代碼，必須存在於醫事機構基本資料檔內。
priority	S	1..1	CodeableConcept	申請案件類別，1:一般事前審查申請 | 3:自主審查報備 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 Binding: NHI-健保事前審查-申請案件類別值集 (required)
Slices for supportingInfo		2..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required)
supportingInfo:weight		1..1	BackboneElement	病人體重
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: weight
timing[x]		0..0
value[x]	S	1..1	Quantity	Data to be provided
value	SC	1..1	decimal	體重，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Required Pattern: kg
supportingInfo:height		1..1	BackboneElement	病人身高
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: height
timing[x]		0..0
value[x]	S	1..1	Quantity	Data to be provided
value	SC	1..1	decimal	身高(cm)，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Required Pattern: cm
supportingInfo:pregnancy		0..1	BackboneElement	是否懷孕或哺乳
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pregnancyBreastfeedingStatus
timing[x]		0..0
value[x]	S	1..1	boolean	是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳
supportingInfo:imagingReport		0..*	BackboneElement	影像報告
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
timing[x]		0..0
value[x]	S	1..1	Reference(影像報告-DiagnosticReport Image TWPAS)	影像報告
supportingInfo:cancerStage		0..*	BackboneElement	癌症分期量表
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cancerStage
timing[x]		0..0
value[x]	S	1..1	Reference(癌症分期量表-Observation Cancer Stage TWPAS)	癌症分期量表
supportingInfo:examinationReport		0..*	BackboneElement	檢查報告
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: examinationReport
timing[x]		0..0
value[x]	S	1..1	Reference(檢查報告-DiagnosticReport TWPAS)	檢查報告
supportingInfo:geneInfo		0..*	BackboneElement	基因資訊
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: geneInfo
timing[x]		0..0
value[x]	S	1..1	Reference(基因資訊-Observation Diagnostic TWPAS)	基因資訊
supportingInfo:tests		0..*	BackboneElement	檢驗(查)
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tests
timing[x]		0..0
value[x]	S	1..1	Reference(檢驗檢查-Observation Laboratory Result TWPAS)	檢驗(查)
supportingInfo:patientAssessment		0..*	BackboneElement	病人狀態評估
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
timing[x]		0..0
value[x]	S	1..1	Reference(病人狀態評估-Observation Patient Assessment TWPAS)	病人狀態評估
supportingInfo:medicationRequest		0..*	BackboneElement	用藥品項
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicationRequest
timing[x]		0..0
value[x]	S	1..1	Reference(用藥品項-MedicationRequest Treat TWPAS)	用藥品項
supportingInfo:radiotherapy		0..*	BackboneElement	放射治療
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: radiotherapy
timing[x]		0..0
value[x]	S	1..1	Reference(放射治療-Procedure TWPAS)	放射治療
supportingInfo:carePlanDocument		0..*	BackboneElement	治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carePlanDocument
timing[x]		0..0
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	治療計畫文件
supportingInfo:medicalRecord		0..*	BackboneElement	病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicalRecord
timing[x]		0..0
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	Data to be provided
supportingInfo:treatmentAssessment		0..*	BackboneElement	結果資訊
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatmentAssessment
timing[x]		0..0
value[x]	S	1..1	Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS)	結果資訊
diagnosis	SC	1..*	BackboneElement	sequence=1時為主要疾病；sequence>=2代表共病。 diagnosis: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recordedDate	S	0..*	date	診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】 URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
sequence		1..1	positiveInt	sequence=1時為主要疾病；sequence>=2代表共病。
diagnosis[x]	S	1..1	CodeableConcept	國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (preferred)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-cm-2023	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:icd10-cm-2014	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (extensible)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw
code	S	1..1	code	Symbol in syntax defined by the system
type		0..1	CodeableConcept	Timing or nature of the diagnosis
text	SC	0..1	string	簡要病摘(申請理由)。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。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 pas-2: 長度不得超過4000 bytes。
procedure
date	S	1..1	dateTime	手術(或其他處置)日期
procedure[x]	S	1..1	CodeableConcept	手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (preferred)
Slices for coding		1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd10-pcs-2023	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:icd10-pcs-2014	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:medical-service-payment	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	S	1..1	code	Symbol in syntax defined by the system
insurance
sequence		1..1	positiveInt	Insurance instance identifier Required Pattern: 1
coverage		1..1	Reference(健保事前審查計畫-Coverage TWPAS)	Insurance information
item		1..*	BackboneElement	Product or service provided
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:requestedService	S	1..1	Reference(事前審查品項-MedicationRequest Apply TWPAS)	事前審查品項【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
productOrService	S	1..1	CodeableConcept	醫令類別 Binding: NHI-健保事前審查-醫令類別值集 (required)
Slices for modifier		1..2	CodeableConcept	Product or service billing modifiers Slice: Unordered, Open by value:coding.system
modifier:continuation	S	1..1	CodeableConcept	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-健保事前審查-續用註記值集 (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
code		1..1	code	1:初次使用 | 2:申請再次使用
modifier:lot	S	0..1	CodeableConcept	用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 Binding: NHI-健保事前審查-用藥線別值集 (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
code	S	1..1	code	0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療
programCode	SC	1..1	CodeableConcept	給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 pas-1: text、coding擇一填寫。
coding		0..1	Coding	給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 Binding: NHI-健保事前審查-給付適應症值集 (required)
text		0..1	string	給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。
quantity	S	1..1	SimpleQuantity	Count of products or services
value	S	1..1	decimal	事前審查申請數量
system		1..1	uri	事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	事前審查申請數量單位 Binding: Common UCUM units (required): 事前審查申請數量單位的代碼範圍請參考Common UCUM units。
bodySite		0..1	CodeableConcept	申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) Binding: NHI-健保事前審查-申請部位值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Claim.subType	required	NHIApplyType (a valid code from NHI-健保事前審查-申報類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type from this IG
Claim.priority	required	NHITMHBType (a valid code from NHI-健保事前審查-申請案件類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type from this IG
Claim.supportingInfo.category	required	NHIPASSupportingInfoType (a valid code from NHI-健保事前審查-補充資訊類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.diagnosis.diagnosis[x]	preferred	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2023	extensible	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2014	extensible	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Claim.procedure.procedure[x]	preferred	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Claim.procedure.procedure[x].coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Claim.item.productOrService	required	NHIOrderType (a valid code from NHI-健保事前審查-醫令類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type from this IG
Claim.item.modifier:continuation	required	NHIContinuationStatus (a valid code from NHI-健保事前審查-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
Claim.item.modifier:lot	required	NHILOT (a valid code from NHI-健保事前審查-用藥線別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy from this IG
Claim.item.programCode.coding	required	NHIApplyReason (a valid code from NHI-健保事前審查-給付適應症) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason from this IG
Claim.item.quantity.code	required	Common UCUM units http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard
Claim.item.bodySite	required	NHIApplySide (a valid code from NHI-健保事前審查-申請部位) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
HTWT	error	Claim.supportingInfo:weight.value[x].value, Claim.supportingInfo:height.value[x].value	整數至多3位數及小數至多2位數 : value.toString().matches('^[0-9]{1,3}(.[0-9]{1,2})?$')
applType	error	Claim	當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。 : (subType.coding.exists(code='3')) implies (identifier.exists())
diagnosis	error	Claim.diagnosis	diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因) : sequence=1 implies (extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').value.ofType(date).exists() and type.text.exists() )
pas-1	error	Claim.item.programCode	text、coding擇一填寫。 : text.exists() xor coding.exists()
pas-2	error	Claim.diagnosis.type.text	長度不得超過4000 bytes。 : toString().length() <= 4000
sequence-1	error	Claim	diagnosis.sequence一定會有一個「1」，且只能出現一次。 : diagnosis.where(sequence = 1).count() = 1
supportingInfo	error	Claim	至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 : supportingInfo.category.exists(coding.code = 'examinationReport') or supportingInfo.category.exists(coding.code = 'imagingReport') or supportingInfo.category.exists(coding.code = 'geneInfo')

Name	Flags	Card.	Type	Description & Constraints
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization sequence-1: diagnosis.sequence一定會有一個「1」，且只能出現一次。 supportingInfo: 至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 applType: 當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter	S	1..1	Reference(就醫科別-Encounter TWPAS)	就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..1	Identifier	原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	Σ	1..1	CodeableConcept	Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: institutional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subType	S	1..1	CodeableConcept	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 Binding: NHI-健保事前審查-申報類別值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
use	Σ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization
patient	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	病人資訊
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
created	SΣ	1..1	dateTime	申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。
enterer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。
insurer	Σ	0..1	Reference(Organization)	Target
provider	SΣ	1..1	Reference(醫事機構-Organization TWPAS)	醫事機構代碼，必須存在於醫事機構基本資料檔內。
priority	SΣ	1..1	CodeableConcept	申請案件類別，1:一般事前審查申請 | 3:自主審查報備 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 Binding: NHI-健保事前審查-申請案件類別值集 (required)
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related		0..*	BackboneElement	Prior or corollary claims
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim		0..1	Reference(Claim)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
facility		0..1	Reference(Location)	Servicing facility
careTeam		0..*	BackboneElement	Members of the care team
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Order of care team
provider		1..1	Reference(Practitioner | PractitionerRole | Organization)	Practitioner or organization
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification		0..1	CodeableConcept	Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Slices for supportingInfo		2..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required)
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:weight		1..1	BackboneElement	病人體重
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: weight
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Quantity	Data to be provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	1..1	decimal	體重，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Required Pattern: kg
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:height		1..1	BackboneElement	病人身高
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: height
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Quantity	Data to be provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	1..1	decimal	身高(cm)，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Required Pattern: cm
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:pregnancy		0..1	BackboneElement	是否懷孕或哺乳
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pregnancyBreastfeedingStatus
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	boolean	是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:imagingReport		0..*	BackboneElement	影像報告
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(影像報告-DiagnosticReport Image TWPAS)	影像報告
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:cancerStage		0..*	BackboneElement	癌症分期量表
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cancerStage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(癌症分期量表-Observation Cancer Stage TWPAS)	癌症分期量表
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:examinationReport		0..*	BackboneElement	檢查報告
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: examinationReport
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(檢查報告-DiagnosticReport TWPAS)	檢查報告
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:geneInfo		0..*	BackboneElement	基因資訊
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: geneInfo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(基因資訊-Observation Diagnostic TWPAS)	基因資訊
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:tests		0..*	BackboneElement	檢驗(查)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tests
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(檢驗檢查-Observation Laboratory Result TWPAS)	檢驗(查)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:patientAssessment		0..*	BackboneElement	病人狀態評估
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(病人狀態評估-Observation Patient Assessment TWPAS)	病人狀態評估
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:medicationRequest		0..*	BackboneElement	用藥品項
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicationRequest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(用藥品項-MedicationRequest Treat TWPAS)	用藥品項
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:radiotherapy		0..*	BackboneElement	放射治療
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: radiotherapy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(放射治療-Procedure TWPAS)	放射治療
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:carePlanDocument		0..*	BackboneElement	治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carePlanDocument
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	治療計畫文件
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:medicalRecord		0..*	BackboneElement	病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicalRecord
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:treatmentAssessment		0..*	BackboneElement	結果資訊
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatmentAssessment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS)	結果資訊
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis	SC	1..*	BackboneElement	sequence=1時為主要疾病；sequence>=2代表共病。 diagnosis: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recordedDate	S	0..*	date	診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】 URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	sequence=1時為主要疾病；sequence>=2代表共病。
diagnosis[x]	S	1..1	CodeableConcept	國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-cm-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd10-cm-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
type		0..1	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣC	0..1	string	簡要病摘(申請理由)。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。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 pas-2: 長度不得超過4000 bytes。
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date	S	1..1	dateTime	手術(或其他處置)日期
procedure[x]	S	1..1	CodeableConcept	手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd10-pcs-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd10-pcs-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:medical-service-payment	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
udi		0..*	Reference(Device)	Unique device identifier
insurance	Σ	1..*	BackboneElement	Patient insurance information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier Required Pattern: 1
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	Σ	1..1	Reference(健保事前審查計畫-Coverage TWPAS)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		1..1	date	When the incident occurred
type		0..1	CodeableConcept	The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
item		1..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:requestedService	S	1..1	Reference(事前審查品項-MedicationRequest Apply TWPAS)	事前審查品項【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService	S	1..1	CodeableConcept	醫令類別 Binding: NHI-健保事前審查-醫令類別值集 (required)
Slices for modifier		1..2	CodeableConcept	Product or service billing modifiers Slice: Unordered, Open by value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
modifier:continuation	S	1..1	CodeableConcept	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-健保事前審查-續用註記值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	1:初次使用 | 2:申請再次使用
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
modifier:lot	S	0..1	CodeableConcept	用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 Binding: NHI-健保事前審查-用藥線別值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
programCode	SC	1..1	CodeableConcept	給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 Binding: ExampleProgramReasonCodes (example): Program specific reason codes. pas-1: text、coding擇一填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 Binding: NHI-健保事前審查-給付適應症值集 (required)
text	Σ	0..1	string	給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。
serviced[x]		0..1		Date or dates of service or product delivery
servicedDate			date
servicedPeriod			Period
location[x]		0..1		Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept			CodeableConcept
locationAddress			Address
locationReference			Reference(Location)
quantity	S	1..1	SimpleQuantity	Count of products or services
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	事前審查申請數量
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	事前審查申請數量單位 Binding: Common UCUM units (required): 事前審查申請數量單位的代碼範圍請參考Common UCUM units。
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..1	CodeableConcept	申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) Binding: NHI-健保事前審查-申請部位值集 (required)
subSite		0..*	CodeableConcept	Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter		0..*	Reference(Encounter)	Encounters related to this billed item
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total		0..1	Money	Total claim cost
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Claim.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Claim.status	required	Pattern: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Claim.type	extensible	Pattern: institutional http://hl7.org/fhir/ValueSet/claim-type from the FHIR Standard
Claim.subType	required	NHIApplyType (a valid code from NHI-健保事前審查-申報類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type from this IG
Claim.use	required	Pattern: preauthorization http://hl7.org/fhir/ValueSet/claim-use|4.0.1 from the FHIR Standard
Claim.priority	required	NHITMHBType (a valid code from NHI-健保事前審查-申請案件類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type from this IG
Claim.fundsReserve	example	Funds Reservation Codes http://hl7.org/fhir/ValueSet/fundsreserve from the FHIR Standard
Claim.related.relationship	example	ExampleRelatedClaimRelationshipCodes http://hl7.org/fhir/ValueSet/related-claim-relationship from the FHIR Standard
Claim.payee.type	example	Claim Payee Type Codes http://hl7.org/fhir/ValueSet/payeetype from the FHIR Standard
Claim.careTeam.role	example	ClaimCareTeamRoleCodes http://hl7.org/fhir/ValueSet/claim-careteamrole from the FHIR Standard
Claim.careTeam.qualification	example	ExampleProviderQualificationCodes http://hl7.org/fhir/ValueSet/provider-qualification from the FHIR Standard
Claim.supportingInfo.category	required	NHIPASSupportingInfoType (a valid code from NHI-健保事前審查-補充資訊類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:weight.category	required	Pattern: weight https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:weight.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:weight.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:weight.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:height.category	required	Pattern: height https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:height.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:height.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:height.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:pregnancy.category	required	Pattern: pregnancyBreastfeedingStatus https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:pregnancy.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:pregnancy.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:imagingReport.category	required	Pattern: imagingReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:imagingReport.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:imagingReport.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:cancerStage.category	required	Pattern: cancerStage https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:cancerStage.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:cancerStage.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:examinationReport.category	required	Pattern: examinationReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:examinationReport.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:examinationReport.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:geneInfo.category	required	Pattern: geneInfo https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:geneInfo.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:geneInfo.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:tests.category	required	Pattern: tests https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:tests.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:tests.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:patientAssessment.category	required	Pattern: patientAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:patientAssessment.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:patientAssessment.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:medicationRequest.category	required	Pattern: medicationRequest https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicationRequest.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:medicationRequest.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:radiotherapy.category	required	Pattern: radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:radiotherapy.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:radiotherapy.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:carePlanDocument.category	required	Pattern: carePlanDocument https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:carePlanDocument.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:carePlanDocument.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:medicalRecord.category	required	Pattern: medicalRecord https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicalRecord.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:medicalRecord.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:treatmentAssessment.category	required	Pattern: treatmentAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:treatmentAssessment.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:treatmentAssessment.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.diagnosis.diagnosis[x]	preferred	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2023	extensible	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2014	extensible	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Claim.diagnosis.type	example	ExampleDiagnosisTypeCodes http://hl7.org/fhir/ValueSet/ex-diagnosistype from the FHIR Standard
Claim.diagnosis.onAdmission	example	ExampleDiagnosisOnAdmissionCodes http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission from the FHIR Standard
Claim.diagnosis.packageCode	example	ExampleDiagnosisRelatedGroupCodes http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup from the FHIR Standard
Claim.procedure.type	example	ExampleProcedureTypeCodes http://hl7.org/fhir/ValueSet/ex-procedure-type from the FHIR Standard
Claim.procedure.procedure[x]	preferred	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Claim.procedure.procedure[x].coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Claim.accident.type	extensible	ActIncidentCode http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
Claim.item.revenue	example	ExampleRevenueCenterCodes http://hl7.org/fhir/ValueSet/ex-revenue-center from the FHIR Standard
Claim.item.category	example	BenefitCategoryCodes http://hl7.org/fhir/ValueSet/ex-benefitcategory from the FHIR Standard
Claim.item.productOrService	required	NHIOrderType (a valid code from NHI-健保事前審查-醫令類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type from this IG
Claim.item.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.modifier:continuation	required	NHIContinuationStatus (a valid code from NHI-健保事前審查-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
Claim.item.modifier:lot	required	NHILOT (a valid code from NHI-健保事前審查-用藥線別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy from this IG
Claim.item.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard
Claim.item.programCode.coding	required	NHIApplyReason (a valid code from NHI-健保事前審查-給付適應症) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason from this IG
Claim.item.location[x]	example	ExampleServicePlaceCodes http://hl7.org/fhir/ValueSet/service-place from the FHIR Standard
Claim.item.quantity.code	required	Common UCUM units http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard
Claim.item.bodySite	required	NHIApplySide (a valid code from NHI-健保事前審查-申請部位) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side from this IG
Claim.item.subSite	example	SurfaceCodes http://hl7.org/fhir/ValueSet/surface from the FHIR Standard
Claim.item.detail.revenue	example	ExampleRevenueCenterCodes http://hl7.org/fhir/ValueSet/ex-revenue-center from the FHIR Standard
Claim.item.detail.category	example	BenefitCategoryCodes http://hl7.org/fhir/ValueSet/ex-benefitcategory from the FHIR Standard
Claim.item.detail.productOrService	example	USCLSCodes http://hl7.org/fhir/ValueSet/service-uscls from the FHIR Standard
Claim.item.detail.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.detail.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard
Claim.item.detail.subDetail.revenue	example	ExampleRevenueCenterCodes http://hl7.org/fhir/ValueSet/ex-revenue-center from the FHIR Standard
Claim.item.detail.subDetail.category	example	BenefitCategoryCodes http://hl7.org/fhir/ValueSet/ex-benefitcategory from the FHIR Standard
Claim.item.detail.subDetail.productOrService	example	USCLSCodes http://hl7.org/fhir/ValueSet/service-uscls from the FHIR Standard
Claim.item.detail.subDetail.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.detail.subDetail.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
HTWT	error	Claim.supportingInfo:weight.value[x].value, Claim.supportingInfo:height.value[x].value	整數至多3位數及小數至多2位數 : value.toString().matches('^[0-9]{1,3}(.[0-9]{1,2})?$')
applType	error	Claim	當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。 : (subType.coding.exists(code='3')) implies (identifier.exists())
diagnosis	error	Claim.diagnosis	diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因) : sequence=1 implies (extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').value.ofType(date).exists() and type.text.exists() )
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pas-1	error	Claim.item.programCode	text、coding擇一填寫。 : text.exists() xor coding.exists()
pas-2	error	Claim.diagnosis.type.text	長度不得超過4000 bytes。 : toString().length() <= 4000
sequence-1	error	Claim	diagnosis.sequence一定會有一個「1」，且只能出現一次。 : diagnosis.where(sequence = 1).count() = 1
supportingInfo	error	Claim	至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 : supportingInfo.category.exists(coding.code = 'examinationReport') or supportingInfo.category.exists(coding.code = 'imagingReport') or supportingInfo.category.exists(coding.code = 'geneInfo')

This structure is derived from Claim

Summary

Mandatory: 31 elements(27 nested mandatory elements)
Must-Support: 51 elements
Prohibited: 14 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
• 醫事機構-Organization TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas)
• 影像報告-DiagnosticReport Image TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas)
• 癌症分期量表-Observation Cancer Stage TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-cancer-stage-twpas)
• 檢查報告-DiagnosticReport TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas)
• 基因資訊-Observation Diagnostic TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas)
• 檢驗檢查-Observation Laboratory Result TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas)
• 病人狀態評估-Observation Patient Assessment TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-pat-assessment-twpas)
• 用藥品項-MedicationRequest Treat TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas)
• 放射治療-Procedure TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas)
• 文件參照-DocumentReference TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas)
• 治療後疾病狀態評估-Observation Treatment Assessment TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas)
• 健保事前審查計畫-Coverage TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas)

Extensions

This structure refers to these extensions:

• https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
• http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
• https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Claim.supportingInfo
• The element 1 is sliced based on the value of Claim.diagnosis.diagnosis[x].coding (Closed)
• The element 1 is sliced based on the value of Claim.procedure.procedure[x].coding
• The element 1 is sliced based on the value of Claim.item.modifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management sequence-1: diagnosis.sequence一定會有一個「1」，且只能出現一次。 supportingInfo: 至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 applType: 當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:encounter	S	1..1	Reference(就醫科別-Encounter TWPAS)	就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	S	0..1	Identifier	原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. ele-1: All FHIR elements must have a @value or children Required Pattern: active
type	Σ	1..1	CodeableConcept	Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: institutional
subType	S	1..1	CodeableConcept	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 Binding: NHI-健保事前審查-申報類別值集 (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
code	Σ	1..1	code	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 ele-1: All FHIR elements must have a @value or children
use	Σ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. ele-1: All FHIR elements must have a @value or children Required Pattern: preauthorization
patient	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	病人資訊 ele-1: All FHIR elements must have a @value or children
created	SΣ	1..1	dateTime	申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。 ele-1: All FHIR elements must have a @value or children
enterer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。 ele-1: All FHIR elements must have a @value or children
provider	SΣ	1..1	Reference(醫事機構-Organization TWPAS)	醫事機構代碼，必須存在於醫事機構基本資料檔內。 ele-1: All FHIR elements must have a @value or children
priority	SΣ	1..1	CodeableConcept	申請案件類別，1:一般事前審查申請 | 3:自主審查報備 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 Binding: NHI-健保事前審查-申請案件類別值集 (required) ele-1: All FHIR elements must have a @value or children
Slices for supportingInfo		2..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category ele-1: All FHIR elements must have a @value or children
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children
supportingInfo:weight		1..1	BackboneElement	病人體重 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: weight
value[x]	S	1..1	Quantity	Data to be provided ele-1: All FHIR elements must have a @value or children
value	SΣC	1..1	decimal	體重，整數至多3位數及小數至多2位數。 ele-1: All FHIR elements must have a @value or children HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: kg
supportingInfo:height		1..1	BackboneElement	病人身高 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: height
value[x]	S	1..1	Quantity	Data to be provided ele-1: All FHIR elements must have a @value or children
value	SΣC	1..1	decimal	身高(cm)，整數至多3位數及小數至多2位數。 ele-1: All FHIR elements must have a @value or children HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit ele-1: All FHIR elements must have a @value or children Required Pattern: cm
supportingInfo:pregnancy		0..1	BackboneElement	是否懷孕或哺乳 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pregnancyBreastfeedingStatus
value[x]	S	1..1	boolean	是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳 ele-1: All FHIR elements must have a @value or children
supportingInfo:imagingReport		0..*	BackboneElement	影像報告 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
value[x]	S	1..1	Reference(影像報告-DiagnosticReport Image TWPAS)	影像報告 ele-1: All FHIR elements must have a @value or children
supportingInfo:cancerStage		0..*	BackboneElement	癌症分期量表 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cancerStage
value[x]	S	1..1	Reference(癌症分期量表-Observation Cancer Stage TWPAS)	癌症分期量表 ele-1: All FHIR elements must have a @value or children
supportingInfo:examinationReport		0..*	BackboneElement	檢查報告 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: examinationReport
value[x]	S	1..1	Reference(檢查報告-DiagnosticReport TWPAS)	檢查報告 ele-1: All FHIR elements must have a @value or children
supportingInfo:geneInfo		0..*	BackboneElement	基因資訊 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: geneInfo
value[x]	S	1..1	Reference(基因資訊-Observation Diagnostic TWPAS)	基因資訊 ele-1: All FHIR elements must have a @value or children
supportingInfo:tests		0..*	BackboneElement	檢驗(查) ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tests
value[x]	S	1..1	Reference(檢驗檢查-Observation Laboratory Result TWPAS)	檢驗(查) ele-1: All FHIR elements must have a @value or children
supportingInfo:patientAssessment		0..*	BackboneElement	病人狀態評估 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
value[x]	S	1..1	Reference(病人狀態評估-Observation Patient Assessment TWPAS)	病人狀態評估 ele-1: All FHIR elements must have a @value or children
supportingInfo:medicationRequest		0..*	BackboneElement	用藥品項 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicationRequest
value[x]	S	1..1	Reference(用藥品項-MedicationRequest Treat TWPAS)	用藥品項 ele-1: All FHIR elements must have a @value or children
supportingInfo:radiotherapy		0..*	BackboneElement	放射治療 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: radiotherapy
value[x]	S	1..1	Reference(放射治療-Procedure TWPAS)	放射治療 ele-1: All FHIR elements must have a @value or children
supportingInfo:carePlanDocument		0..*	BackboneElement	治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carePlanDocument
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	治療計畫文件 ele-1: All FHIR elements must have a @value or children
supportingInfo:medicalRecord		0..*	BackboneElement	病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicalRecord
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	Data to be provided ele-1: All FHIR elements must have a @value or children
supportingInfo:treatmentAssessment		0..*	BackboneElement	結果資訊 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。 ele-1: All FHIR elements must have a @value or children
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatmentAssessment
value[x]	S	1..1	Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS)	結果資訊 ele-1: All FHIR elements must have a @value or children
diagnosis	SC	1..*	BackboneElement	sequence=1時為主要疾病；sequence>=2代表共病。 ele-1: All FHIR elements must have a @value or children diagnosis: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:recordedDate	S	0..*	date	診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】 URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	sequence=1時為主要疾病；sequence>=2代表共病。 ele-1: All FHIR elements must have a @value or children
diagnosis[x]	S	1..1	CodeableConcept	國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system ele-1: All FHIR elements must have a @value or children
coding:icd10-cm-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
coding:icd10-cm-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (extensible) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge. ele-1: All FHIR elements must have a @value or children
text	SΣC	0..1	string	簡要病摘(申請理由)。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。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 ele-1: All FHIR elements must have a @value or children pas-2: 長度不得超過4000 bytes。
procedure		0..*	BackboneElement	Clinical procedures performed ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	Procedure instance identifier ele-1: All FHIR elements must have a @value or children
date	S	1..1	dateTime	手術(或其他處置)日期 ele-1: All FHIR elements must have a @value or children
procedure[x]	S	1..1	CodeableConcept	手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (preferred) ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
coding:medical-service-payment	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
insurance	Σ	1..*	BackboneElement	Patient insurance information ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence	Σ	1..1	positiveInt	Insurance instance identifier ele-1: All FHIR elements must have a @value or children Required Pattern: 1
focal	Σ	1..1	boolean	Coverage to be used for adjudication ele-1: All FHIR elements must have a @value or children
coverage	Σ	1..1	Reference(健保事前審查計畫-Coverage TWPAS)	Insurance information ele-1: All FHIR elements must have a @value or children
item		1..*	BackboneElement	Product or service provided ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:requestedService	S	1..1	Reference(事前審查品項-MedicationRequest Apply TWPAS)	事前審查品項【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sequence		1..1	positiveInt	Item instance identifier ele-1: All FHIR elements must have a @value or children
productOrService	S	1..1	CodeableConcept	醫令類別 Binding: NHI-健保事前審查-醫令類別值集 (required) ele-1: All FHIR elements must have a @value or children
Slices for modifier		1..2	CodeableConcept	Product or service billing modifiers Slice: Unordered, Open by value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. ele-1: All FHIR elements must have a @value or children
modifier:continuation	S	1..1	CodeableConcept	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-健保事前審查-續用註記值集 (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
code	Σ	1..1	code	1:初次使用 | 2:申請再次使用 ele-1: All FHIR elements must have a @value or children
modifier:lot	S	0..1	CodeableConcept	用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 Binding: NHI-健保事前審查-用藥線別值集 (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
code	SΣ	1..1	code	0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 ele-1: All FHIR elements must have a @value or children
programCode	SC	1..1	CodeableConcept	給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 Binding: ExampleProgramReasonCodes (example): Program specific reason codes. ele-1: All FHIR elements must have a @value or children pas-1: text、coding擇一填寫。
coding	Σ	0..1	Coding	給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 Binding: NHI-健保事前審查-給付適應症值集 (required) ele-1: All FHIR elements must have a @value or children
text	Σ	0..1	string	給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。 ele-1: All FHIR elements must have a @value or children
quantity	S	1..1	SimpleQuantity	Count of products or services ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	decimal	事前審查申請數量 ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	事前審查申請數量單位 Binding: Common UCUM units (required): 事前審查申請數量單位的代碼範圍請參考Common UCUM units。 ele-1: All FHIR elements must have a @value or children
bodySite		0..1	CodeableConcept	申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) Binding: NHI-健保事前審查-申請部位值集 (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Claim.status	required	Pattern: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Claim.type	extensible	Pattern: institutional http://hl7.org/fhir/ValueSet/claim-type from the FHIR Standard
Claim.subType	required	NHIApplyType (a valid code from NHI-健保事前審查-申報類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type from this IG
Claim.use	required	Pattern: preauthorization http://hl7.org/fhir/ValueSet/claim-use|4.0.1 from the FHIR Standard
Claim.priority	required	NHITMHBType (a valid code from NHI-健保事前審查-申請案件類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type from this IG
Claim.supportingInfo.category	required	NHIPASSupportingInfoType (a valid code from NHI-健保事前審查-補充資訊類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:weight.category	required	Pattern: weight https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:weight.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:height.category	required	Pattern: height https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:height.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:pregnancy.category	required	Pattern: pregnancyBreastfeedingStatus https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:imagingReport.category	required	Pattern: imagingReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:cancerStage.category	required	Pattern: cancerStage https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:examinationReport.category	required	Pattern: examinationReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:geneInfo.category	required	Pattern: geneInfo https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:tests.category	required	Pattern: tests https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:patientAssessment.category	required	Pattern: patientAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicationRequest.category	required	Pattern: medicationRequest https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:radiotherapy.category	required	Pattern: radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:carePlanDocument.category	required	Pattern: carePlanDocument https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicalRecord.category	required	Pattern: medicalRecord https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:treatmentAssessment.category	required	Pattern: treatmentAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.diagnosis.diagnosis[x]	preferred	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2023	extensible	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2014	extensible	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Claim.diagnosis.type	example	ExampleDiagnosisTypeCodes http://hl7.org/fhir/ValueSet/ex-diagnosistype from the FHIR Standard
Claim.procedure.procedure[x]	preferred	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Claim.procedure.procedure[x].coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Claim.item.productOrService	required	NHIOrderType (a valid code from NHI-健保事前審查-醫令類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type from this IG
Claim.item.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.modifier:continuation	required	NHIContinuationStatus (a valid code from NHI-健保事前審查-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
Claim.item.modifier:lot	required	NHILOT (a valid code from NHI-健保事前審查-用藥線別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy from this IG
Claim.item.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard
Claim.item.programCode.coding	required	NHIApplyReason (a valid code from NHI-健保事前審查-給付適應症) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason from this IG
Claim.item.quantity.code	required	Common UCUM units http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard
Claim.item.bodySite	required	NHIApplySide (a valid code from NHI-健保事前審查-申請部位) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
HTWT	error	Claim.supportingInfo:weight.value[x].value, Claim.supportingInfo:height.value[x].value	整數至多3位數及小數至多2位數 : value.toString().matches('^[0-9]{1,3}(.[0-9]{1,2})?$')
applType	error	Claim	當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。 : (subType.coding.exists(code='3')) implies (identifier.exists())
diagnosis	error	Claim.diagnosis	diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因) : sequence=1 implies (extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').value.ofType(date).exists() and type.text.exists() )
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pas-1	error	Claim.item.programCode	text、coding擇一填寫。 : text.exists() xor coding.exists()
pas-2	error	Claim.diagnosis.type.text	長度不得超過4000 bytes。 : toString().length() <= 4000
sequence-1	error	Claim	diagnosis.sequence一定會有一個「1」，且只能出現一次。 : diagnosis.where(sequence = 1).count() = 1
supportingInfo	error	Claim	至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 : supportingInfo.category.exists(coding.code = 'examinationReport') or supportingInfo.category.exists(coding.code = 'imagingReport') or supportingInfo.category.exists(coding.code = 'geneInfo')

Differential View

This structure is derived from Claim

Name	Flags	Card.	Type	Description & Constraints
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization sequence-1: diagnosis.sequence一定會有一個「1」，且只能出現一次。 supportingInfo: 至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 applType: 當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter	S	1..1	Reference(就醫科別-Encounter TWPAS)	就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
identifier	S	0..1	Identifier	原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
status		1..1	code	active | cancelled | draft | entered-in-error Required Pattern: active
type		1..1	CodeableConcept	Category or discipline Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: institutional
subType	S	1..1	CodeableConcept	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 Binding: NHI-健保事前審查-申報類別值集 (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
code		1..1	code	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
use		1..1	code	claim | preauthorization | predetermination Required Pattern: preauthorization
patient	S	1..1	Reference(病人資訊-Patient TWPAS)	病人資訊
created	S	1..1	dateTime	申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。
enterer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。
provider	S	1..1	Reference(醫事機構-Organization TWPAS)	醫事機構代碼，必須存在於醫事機構基本資料檔內。
priority	S	1..1	CodeableConcept	申請案件類別，1:一般事前審查申請 | 3:自主審查報備 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 Binding: NHI-健保事前審查-申請案件類別值集 (required)
Slices for supportingInfo		2..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required)
supportingInfo:weight		1..1	BackboneElement	病人體重
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: weight
timing[x]		0..0
value[x]	S	1..1	Quantity	Data to be provided
value	SC	1..1	decimal	體重，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Required Pattern: kg
supportingInfo:height		1..1	BackboneElement	病人身高
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: height
timing[x]		0..0
value[x]	S	1..1	Quantity	Data to be provided
value	SC	1..1	decimal	身高(cm)，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Required Pattern: cm
supportingInfo:pregnancy		0..1	BackboneElement	是否懷孕或哺乳
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pregnancyBreastfeedingStatus
timing[x]		0..0
value[x]	S	1..1	boolean	是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳
supportingInfo:imagingReport		0..*	BackboneElement	影像報告
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
timing[x]		0..0
value[x]	S	1..1	Reference(影像報告-DiagnosticReport Image TWPAS)	影像報告
supportingInfo:cancerStage		0..*	BackboneElement	癌症分期量表
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cancerStage
timing[x]		0..0
value[x]	S	1..1	Reference(癌症分期量表-Observation Cancer Stage TWPAS)	癌症分期量表
supportingInfo:examinationReport		0..*	BackboneElement	檢查報告
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: examinationReport
timing[x]		0..0
value[x]	S	1..1	Reference(檢查報告-DiagnosticReport TWPAS)	檢查報告
supportingInfo:geneInfo		0..*	BackboneElement	基因資訊
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: geneInfo
timing[x]		0..0
value[x]	S	1..1	Reference(基因資訊-Observation Diagnostic TWPAS)	基因資訊
supportingInfo:tests		0..*	BackboneElement	檢驗(查)
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tests
timing[x]		0..0
value[x]	S	1..1	Reference(檢驗檢查-Observation Laboratory Result TWPAS)	檢驗(查)
supportingInfo:patientAssessment		0..*	BackboneElement	病人狀態評估
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
timing[x]		0..0
value[x]	S	1..1	Reference(病人狀態評估-Observation Patient Assessment TWPAS)	病人狀態評估
supportingInfo:medicationRequest		0..*	BackboneElement	用藥品項
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicationRequest
timing[x]		0..0
value[x]	S	1..1	Reference(用藥品項-MedicationRequest Treat TWPAS)	用藥品項
supportingInfo:radiotherapy		0..*	BackboneElement	放射治療
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: radiotherapy
timing[x]		0..0
value[x]	S	1..1	Reference(放射治療-Procedure TWPAS)	放射治療
supportingInfo:carePlanDocument		0..*	BackboneElement	治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carePlanDocument
timing[x]		0..0
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	治療計畫文件
supportingInfo:medicalRecord		0..*	BackboneElement	病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicalRecord
timing[x]		0..0
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	Data to be provided
supportingInfo:treatmentAssessment		0..*	BackboneElement	結果資訊
category		1..1	CodeableConcept	Classification of the supplied information Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatmentAssessment
timing[x]		0..0
value[x]	S	1..1	Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS)	結果資訊
diagnosis	SC	1..*	BackboneElement	sequence=1時為主要疾病；sequence>=2代表共病。 diagnosis: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recordedDate	S	0..*	date	診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】 URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
sequence		1..1	positiveInt	sequence=1時為主要疾病；sequence>=2代表共病。
diagnosis[x]	S	1..1	CodeableConcept	國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (preferred)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-cm-2023	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:icd10-cm-2014	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (extensible)
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw
code	S	1..1	code	Symbol in syntax defined by the system
type		0..1	CodeableConcept	Timing or nature of the diagnosis
text	SC	0..1	string	簡要病摘(申請理由)。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。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 pas-2: 長度不得超過4000 bytes。
procedure
date	S	1..1	dateTime	手術(或其他處置)日期
procedure[x]	S	1..1	CodeableConcept	手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (preferred)
Slices for coding		1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd10-pcs-2023	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:icd10-pcs-2014	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:medical-service-payment	S	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code	S	1..1	code	Symbol in syntax defined by the system
insurance
sequence		1..1	positiveInt	Insurance instance identifier Required Pattern: 1
coverage		1..1	Reference(健保事前審查計畫-Coverage TWPAS)	Insurance information
item		1..*	BackboneElement	Product or service provided
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:requestedService	S	1..1	Reference(事前審查品項-MedicationRequest Apply TWPAS)	事前審查品項【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
productOrService	S	1..1	CodeableConcept	醫令類別 Binding: NHI-健保事前審查-醫令類別值集 (required)
Slices for modifier		1..2	CodeableConcept	Product or service billing modifiers Slice: Unordered, Open by value:coding.system
modifier:continuation	S	1..1	CodeableConcept	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-健保事前審查-續用註記值集 (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
code		1..1	code	1:初次使用 | 2:申請再次使用
modifier:lot	S	0..1	CodeableConcept	用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 Binding: NHI-健保事前審查-用藥線別值集 (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
code	S	1..1	code	0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療
programCode	SC	1..1	CodeableConcept	給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 pas-1: text、coding擇一填寫。
coding		0..1	Coding	給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 Binding: NHI-健保事前審查-給付適應症值集 (required)
text		0..1	string	給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。
quantity	S	1..1	SimpleQuantity	Count of products or services
value	S	1..1	decimal	事前審查申請數量
system		1..1	uri	事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	事前審查申請數量單位 Binding: Common UCUM units (required): 事前審查申請數量單位的代碼範圍請參考Common UCUM units。
bodySite		0..1	CodeableConcept	申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) Binding: NHI-健保事前審查-申請部位值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Claim.subType	required	NHIApplyType (a valid code from NHI-健保事前審查-申報類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type from this IG
Claim.priority	required	NHITMHBType (a valid code from NHI-健保事前審查-申請案件類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type from this IG
Claim.supportingInfo.category	required	NHIPASSupportingInfoType (a valid code from NHI-健保事前審查-補充資訊類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.diagnosis.diagnosis[x]	preferred	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2023	extensible	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2014	extensible	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Claim.procedure.procedure[x]	preferred	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Claim.procedure.procedure[x].coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Claim.item.productOrService	required	NHIOrderType (a valid code from NHI-健保事前審查-醫令類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type from this IG
Claim.item.modifier:continuation	required	NHIContinuationStatus (a valid code from NHI-健保事前審查-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
Claim.item.modifier:lot	required	NHILOT (a valid code from NHI-健保事前審查-用藥線別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy from this IG
Claim.item.programCode.coding	required	NHIApplyReason (a valid code from NHI-健保事前審查-給付適應症) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason from this IG
Claim.item.quantity.code	required	Common UCUM units http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard
Claim.item.bodySite	required	NHIApplySide (a valid code from NHI-健保事前審查-申請部位) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
HTWT	error	Claim.supportingInfo:weight.value[x].value, Claim.supportingInfo:height.value[x].value	整數至多3位數及小數至多2位數 : value.toString().matches('^[0-9]{1,3}(.[0-9]{1,2})?$')
applType	error	Claim	當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。 : (subType.coding.exists(code='3')) implies (identifier.exists())
diagnosis	error	Claim.diagnosis	diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因) : sequence=1 implies (extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').value.ofType(date).exists() and type.text.exists() )
pas-1	error	Claim.item.programCode	text、coding擇一填寫。 : text.exists() xor coding.exists()
pas-2	error	Claim.diagnosis.type.text	長度不得超過4000 bytes。 : toString().length() <= 4000
sequence-1	error	Claim	diagnosis.sequence一定會有一個「1」，且只能出現一次。 : diagnosis.where(sequence = 1).count() = 1
supportingInfo	error	Claim	至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 : supportingInfo.category.exists(coding.code = 'examinationReport') or supportingInfo.category.exists(coding.code = 'imagingReport') or supportingInfo.category.exists(coding.code = 'geneInfo')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization sequence-1: diagnosis.sequence一定會有一個「1」，且只能出現一次。 supportingInfo: 至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 applType: 當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter	S	1..1	Reference(就醫科別-Encounter TWPAS)	就醫科別，為細分科之就醫科別，作為審查分科用。【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..1	Identifier	原受理編號。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
status	?!Σ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	Σ	1..1	CodeableConcept	Category or discipline Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: institutional
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subType	S	1..1	CodeableConcept	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。院所上傳送核(subType = #1)案件時，不需填寫「原受理編號」資訊，受理成功後會由系統自動產生受理編號。當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。 Binding: NHI-健保事前審查-申報類別值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	申報類別，1:送核 | 2:送核補件 | 3:申復 | 4:爭議審議 | 5:申復補件 。當申報類別為2(送核補件)、3(申復)、4(爭議審議)、5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
use	Σ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization
patient	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	病人資訊
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
created	SΣ	1..1	dateTime	申請日期，YYYY-MM-DD，機構自填。健保署收案後另建受理日期，將呈現在ClaimResponse的disposition和created欄位。
enterer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	申請醫師，必須存在於醫事人員基本資料檔內，並於合約生效起迄日內。
insurer	Σ	0..1	Reference(Organization)	Target
provider	SΣ	1..1	Reference(醫事機構-Organization TWPAS)	醫事機構代碼，必須存在於醫事機構基本資料檔內。
priority	SΣ	1..1	CodeableConcept	申請案件類別，1:一般事前審查申請 | 3:自主審查報備 | 4:緊急報備；專審系統識別用，對應PXXT_CODE(TMHB,001)。 Binding: NHI-健保事前審查-申請案件類別值集 (required)
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related		0..*	BackboneElement	Prior or corollary claims
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim		0..1	Reference(Claim)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
facility		0..1	Reference(Location)	Servicing facility
careTeam		0..*	BackboneElement	Members of the care team
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Order of care team
provider		1..1	Reference(Practitioner | PractitionerRole | Organization)	Practitioner or organization
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification		0..1	CodeableConcept	Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Slices for supportingInfo		2..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required)
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:weight		1..1	BackboneElement	病人體重
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: weight
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Quantity	Data to be provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	1..1	decimal	體重，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Required Pattern: kg
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:height		1..1	BackboneElement	病人身高
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: height
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Quantity	Data to be provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	1..1	decimal	身高(cm)，整數至多3位數及小數至多2位數。 HTWT: 整數至多3位數及小數至多2位數
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Required Pattern: cm
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:pregnancy		0..1	BackboneElement	是否懷孕或哺乳
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pregnancyBreastfeedingStatus
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	boolean	是否懷孕或哺乳，false:未懷孕或哺乳 | true:有懷孕或哺乳
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:imagingReport		0..*	BackboneElement	影像報告
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(影像報告-DiagnosticReport Image TWPAS)	影像報告
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:cancerStage		0..*	BackboneElement	癌症分期量表
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: cancerStage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(癌症分期量表-Observation Cancer Stage TWPAS)	癌症分期量表
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:examinationReport		0..*	BackboneElement	檢查報告
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: examinationReport
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(檢查報告-DiagnosticReport TWPAS)	檢查報告
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:geneInfo		0..*	BackboneElement	基因資訊
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: geneInfo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(基因資訊-Observation Diagnostic TWPAS)	基因資訊
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:tests		0..*	BackboneElement	檢驗(查)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: tests
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(檢驗檢查-Observation Laboratory Result TWPAS)	檢驗(查)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:patientAssessment		0..*	BackboneElement	病人狀態評估
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patientAssessment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(病人狀態評估-Observation Patient Assessment TWPAS)	病人狀態評估
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:medicationRequest		0..*	BackboneElement	用藥品項
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicationRequest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(用藥品項-MedicationRequest Treat TWPAS)	用藥品項
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:radiotherapy		0..*	BackboneElement	放射治療
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: radiotherapy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(放射治療-Procedure TWPAS)	放射治療
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:carePlanDocument		0..*	BackboneElement	治療計畫文件，P-IO(免疫檢查點抑制劑治療計畫)、P-CART(CAR-T多團隊會議紀錄)、P-STEMCELL(造血幹細胞移植計畫書)，附件形式PDF
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carePlanDocument
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	治療計畫文件
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:medicalRecord		0..*	BackboneElement	病歷資料（非屬影像報告檢查驗報告部分），可檢附其他佐證癌藥治療必要性之非結構化病歷。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: medicalRecord
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(文件參照-DocumentReference TWPAS)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:treatmentAssessment		0..*	BackboneElement	結果資訊
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	因FHIR設計而必填、自動流水號（建議每次加1）、不得重複，作為每筆supportingInfo的唯一識別碼。最後一筆sequence號碼即表示總筆數。
category		1..1	CodeableConcept	Classification of the supplied information Binding: NHI-健保事前審查-補充資訊類別值集 (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatmentAssessment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
value[x]	S	1..1	Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS)	結果資訊
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis	SC	1..*	BackboneElement	sequence=1時為主要疾病；sequence>=2代表共病。 diagnosis: diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recordedDate	S	0..*	date	診斷日期，sequence=1時為必填，表示為用藥事前審查之主要疾病；其他共病不須填寫診斷日期。YYYY-MM-DD，西元年月日。【此為參考Da Vinci PAS IG的extension設計】 URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	sequence=1時為主要疾病；sequence>=2代表共病。
diagnosis[x]	S	1..1	CodeableConcept	國際疾病分類代碼(含共病)，當前疾病狀態。ICD-10-CM。 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-cm-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd10-cm-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2014-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
type		0..1	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣC	0..1	string	簡要病摘(申請理由)。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。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 pas-2: 長度不得超過4000 bytes。
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date	S	1..1	dateTime	手術(或其他處置)日期
procedure[x]	S	1..1	CodeableConcept	手術(或其他處置)項目，經動脈導管肝臟腫瘤化學栓塞術(TACE)及冷凍療法等非屬手術。ICD-10-PCS 或 健保代碼 或 其他。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd10-pcs-2023	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd10-pcs-2014	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:medical-service-payment	SΣ	0..1	Coding	Code defined by a terminology system Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
udi		0..*	Reference(Device)	Unique device identifier
insurance	Σ	1..*	BackboneElement	Patient insurance information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier Required Pattern: 1
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	Σ	1..1	Reference(健保事前審查計畫-Coverage TWPAS)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		1..1	date	When the incident occurred
type		0..1	CodeableConcept	The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
item		1..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:requestedService	S	1..1	Reference(事前審查品項-MedicationRequest Apply TWPAS)	事前審查品項【此為參考Da Vinci PAS IG的extension設計】 URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService	S	1..1	CodeableConcept	醫令類別 Binding: NHI-健保事前審查-醫令類別值集 (required)
Slices for modifier		1..2	CodeableConcept	Product or service billing modifiers Slice: Unordered, Open by value:coding.system Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
modifier:continuation	S	1..1	CodeableConcept	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-健保事前審查-續用註記值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	1:初次使用 | 2:申請再次使用
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
modifier:lot	S	0..1	CodeableConcept	用藥線別，0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療 Binding: NHI-健保事前審查-用藥線別值集 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	0:不適用 | 1:第一線治療 | 2:第二線治療 | 3:第三線治療 | 4:第四線治療 | 5:第五線治療
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
programCode	SC	1..1	CodeableConcept	給付適應症條件，藥品給付規定內所規範之適應症或條件，若有特定事前審查品項代碼應以代碼填報。 Binding: ExampleProgramReasonCodes (example): Program specific reason codes. pas-1: text、coding擇一填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	給付適應症條件，當事前審查品項代碼為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，才可填寫。 Binding: NHI-健保事前審查-給付適應症值集 (required)
text	Σ	0..1	string	給付適應症條件，事前審查品項代碼不為KC009612B5、KC010892B5、KC011112DE、KC011162B5、KC011362B5、KC01013229、KC01013230、KC01025219、KC01050238、KC01085229、KC00958229、JC00154261、KC01088229時，請自行輸入文字。
serviced[x]		0..1		Date or dates of service or product delivery
servicedDate			date
servicedPeriod			Period
location[x]		0..1		Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept			CodeableConcept
locationAddress			Address
locationReference			Reference(Location)
quantity	S	1..1	SimpleQuantity	Count of products or services
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	事前審查申請數量
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	事前審查申請數量單位之代碼系統，固定為「http://unitsofmeasure.org」。 Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	事前審查申請數量單位 Binding: Common UCUM units (required): 事前審查申請數量單位的代碼範圍請參考Common UCUM units。
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..1	CodeableConcept	申請部位，R:右側 | L:左側 | B:兩側。(此專案暫不檢核，未來待確認) Binding: NHI-健保事前審查-申請部位值集 (required)
subSite		0..*	CodeableConcept	Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter		0..*	Reference(Encounter)	Encounters related to this billed item
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total		0..1	Money	Total claim cost
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Claim.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Claim.status	required	Pattern: active http://hl7.org/fhir/ValueSet/fm-status|4.0.1 from the FHIR Standard
Claim.type	extensible	Pattern: institutional http://hl7.org/fhir/ValueSet/claim-type from the FHIR Standard
Claim.subType	required	NHIApplyType (a valid code from NHI-健保事前審查-申報類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-type from this IG
Claim.use	required	Pattern: preauthorization http://hl7.org/fhir/ValueSet/claim-use|4.0.1 from the FHIR Standard
Claim.priority	required	NHITMHBType (a valid code from NHI-健保事前審查-申請案件類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tmhb-type from this IG
Claim.fundsReserve	example	Funds Reservation Codes http://hl7.org/fhir/ValueSet/fundsreserve from the FHIR Standard
Claim.related.relationship	example	ExampleRelatedClaimRelationshipCodes http://hl7.org/fhir/ValueSet/related-claim-relationship from the FHIR Standard
Claim.payee.type	example	Claim Payee Type Codes http://hl7.org/fhir/ValueSet/payeetype from the FHIR Standard
Claim.careTeam.role	example	ClaimCareTeamRoleCodes http://hl7.org/fhir/ValueSet/claim-careteamrole from the FHIR Standard
Claim.careTeam.qualification	example	ExampleProviderQualificationCodes http://hl7.org/fhir/ValueSet/provider-qualification from the FHIR Standard
Claim.supportingInfo.category	required	NHIPASSupportingInfoType (a valid code from NHI-健保事前審查-補充資訊類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:weight.category	required	Pattern: weight https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:weight.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:weight.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:weight.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:height.category	required	Pattern: height https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:height.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:height.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Claim.supportingInfo:height.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:pregnancy.category	required	Pattern: pregnancyBreastfeedingStatus https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:pregnancy.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:pregnancy.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:imagingReport.category	required	Pattern: imagingReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:imagingReport.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:imagingReport.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:cancerStage.category	required	Pattern: cancerStage https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:cancerStage.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:cancerStage.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:examinationReport.category	required	Pattern: examinationReport https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:examinationReport.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:examinationReport.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:geneInfo.category	required	Pattern: geneInfo https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:geneInfo.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:geneInfo.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:tests.category	required	Pattern: tests https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:tests.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:tests.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:patientAssessment.category	required	Pattern: patientAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:patientAssessment.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:patientAssessment.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:medicationRequest.category	required	Pattern: medicationRequest https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicationRequest.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:medicationRequest.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:radiotherapy.category	required	Pattern: radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:radiotherapy.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:radiotherapy.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:carePlanDocument.category	required	Pattern: carePlanDocument https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:carePlanDocument.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:carePlanDocument.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:medicalRecord.category	required	Pattern: medicalRecord https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:medicalRecord.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:medicalRecord.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.supportingInfo:treatmentAssessment.category	required	Pattern: treatmentAssessment https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-supporting-info-type from this IG
Claim.supportingInfo:treatmentAssessment.code	example	ExceptionCodes http://hl7.org/fhir/ValueSet/claim-exception from the FHIR Standard
Claim.supportingInfo:treatmentAssessment.reason	example	MissingToothReasonCodes http://hl7.org/fhir/ValueSet/missing-tooth-reason from the FHIR Standard
Claim.diagnosis.diagnosis[x]	preferred	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2023	extensible	TW2023ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2023-tw
Claim.diagnosis.diagnosis[x].coding:icd10-cm-2014	extensible	TW2014ICD10CM https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-cm-2014-tw
Claim.diagnosis.type	example	ExampleDiagnosisTypeCodes http://hl7.org/fhir/ValueSet/ex-diagnosistype from the FHIR Standard
Claim.diagnosis.onAdmission	example	ExampleDiagnosisOnAdmissionCodes http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission from the FHIR Standard
Claim.diagnosis.packageCode	example	ExampleDiagnosisRelatedGroupCodes http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup from the FHIR Standard
Claim.procedure.type	example	ExampleProcedureTypeCodes http://hl7.org/fhir/ValueSet/ex-procedure-type from the FHIR Standard
Claim.procedure.procedure[x]	preferred	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Claim.procedure.procedure[x].coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Claim.procedure.procedure[x].coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Claim.accident.type	extensible	ActIncidentCode http://terminology.hl7.org/ValueSet/v3-ActIncidentCode
Claim.item.revenue	example	ExampleRevenueCenterCodes http://hl7.org/fhir/ValueSet/ex-revenue-center from the FHIR Standard
Claim.item.category	example	BenefitCategoryCodes http://hl7.org/fhir/ValueSet/ex-benefitcategory from the FHIR Standard
Claim.item.productOrService	required	NHIOrderType (a valid code from NHI-健保事前審查-醫令類別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-order-type from this IG
Claim.item.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.modifier:continuation	required	NHIContinuationStatus (a valid code from NHI-健保事前審查-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
Claim.item.modifier:lot	required	NHILOT (a valid code from NHI-健保事前審查-用藥線別) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-line-of-therapy from this IG
Claim.item.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard
Claim.item.programCode.coding	required	NHIApplyReason (a valid code from NHI-健保事前審查-給付適應症) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-reason from this IG
Claim.item.location[x]	example	ExampleServicePlaceCodes http://hl7.org/fhir/ValueSet/service-place from the FHIR Standard
Claim.item.quantity.code	required	Common UCUM units http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard
Claim.item.bodySite	required	NHIApplySide (a valid code from NHI-健保事前審查-申請部位) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-apply-side from this IG
Claim.item.subSite	example	SurfaceCodes http://hl7.org/fhir/ValueSet/surface from the FHIR Standard
Claim.item.detail.revenue	example	ExampleRevenueCenterCodes http://hl7.org/fhir/ValueSet/ex-revenue-center from the FHIR Standard
Claim.item.detail.category	example	BenefitCategoryCodes http://hl7.org/fhir/ValueSet/ex-benefitcategory from the FHIR Standard
Claim.item.detail.productOrService	example	USCLSCodes http://hl7.org/fhir/ValueSet/service-uscls from the FHIR Standard
Claim.item.detail.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.detail.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard
Claim.item.detail.subDetail.revenue	example	ExampleRevenueCenterCodes http://hl7.org/fhir/ValueSet/ex-revenue-center from the FHIR Standard
Claim.item.detail.subDetail.category	example	BenefitCategoryCodes http://hl7.org/fhir/ValueSet/ex-benefitcategory from the FHIR Standard
Claim.item.detail.subDetail.productOrService	example	USCLSCodes http://hl7.org/fhir/ValueSet/service-uscls from the FHIR Standard
Claim.item.detail.subDetail.modifier	example	ModifierTypeCodes http://hl7.org/fhir/ValueSet/claim-modifiers from the FHIR Standard
Claim.item.detail.subDetail.programCode	example	ExampleProgramReasonCodes http://hl7.org/fhir/ValueSet/ex-program-code from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
HTWT	error	Claim.supportingInfo:weight.value[x].value, Claim.supportingInfo:height.value[x].value	整數至多3位數及小數至多2位數 : value.toString().matches('^[0-9]{1,3}(.[0-9]{1,2})?$')
applType	error	Claim	當Claim.subType(申報類別)為2(送核補件)、3(申復)、4(爭議審議)或5(申復補件)時，院所才需於Claim.identifier填寫原送核案件之受理編號。目前IG僅針對申報類別為3(申復)進行檢核。 : (subType.coding.exists(code='3')) implies (identifier.exists())
diagnosis	error	Claim.diagnosis	diagnosis.sequence=1時才需填寫診斷日期、簡要病摘(申請原因) : sequence=1 implies (extension.where(url = 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate').value.ofType(date).exists() and type.text.exists() )
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pas-1	error	Claim.item.programCode	text、coding擇一填寫。 : text.exists() xor coding.exists()
pas-2	error	Claim.diagnosis.type.text	長度不得超過4000 bytes。 : toString().length() <= 4000
sequence-1	error	Claim	diagnosis.sequence一定會有一個「1」，且只能出現一次。 : diagnosis.where(sequence = 1).count() = 1
supportingInfo	error	Claim	至少還需提供檢查報告、影像報告、基因資訊中任一樣資訊。 : supportingInfo.category.exists(coding.code = 'examinationReport') or supportingInfo.category.exists(coding.code = 'imagingReport') or supportingInfo.category.exists(coding.code = 'geneInfo')

This structure is derived from Claim

Summary

Mandatory: 31 elements(27 nested mandatory elements)
Must-Support: 51 elements
Prohibited: 14 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
• 醫事機構-Organization TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-twpas)
• 影像報告-DiagnosticReport Image TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas)
• 癌症分期量表-Observation Cancer Stage TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-cancer-stage-twpas)
• 檢查報告-DiagnosticReport TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas)
• 基因資訊-Observation Diagnostic TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas)
• 檢驗檢查-Observation Laboratory Result TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas)
• 病人狀態評估-Observation Patient Assessment TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-pat-assessment-twpas)
• 用藥品項-MedicationRequest Treat TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas)
• 放射治療-Procedure TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas)
• 文件參照-DocumentReference TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas)
• 治療後疾病狀態評估-Observation Treatment Assessment TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas)
• 健保事前審查計畫-Coverage TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Coverage-twpas)

Extensions

This structure refers to these extensions:

• https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter
• http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate
• https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Claim.supportingInfo
• The element 1 is sliced based on the value of Claim.diagnosis.diagnosis[x].coding (Closed)
• The element 1 is sliced based on the value of Claim.procedure.procedure[x].coding
• The element 1 is sliced based on the value of Claim.item.modifier