This page is part of the 臺灣健保癌症用藥事前審查實作指引(TWPAS IG) (v1.0.4: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.2.1. For a full list of available versions, see the Directory of published versions

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Resource Profile: ClaimTWPAS - Mappings

Active as of 2025-05-28

Mappings for the Claim-twpas resource profile.

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

ClaimTWPAS
Claim	Request
identifier	Request.identifier
status	Request.status
patient	Request.subject
created	Request.authoredOn
insurer	Request.performer
provider	Request.requester
priority	Request.priority
related
claim	Request.replaces
supportingInfo	Request.supportingInfo
supportingInfo (weight)	Request.supportingInfo
supportingInfo (height)	Request.supportingInfo
supportingInfo (pregnancy)	Request.supportingInfo
supportingInfo (imagingReport)	Request.supportingInfo
supportingInfo (cancerStage)	Request.supportingInfo
supportingInfo (examinationReport)	Request.supportingInfo
supportingInfo (geneInfo)	Request.supportingInfo
supportingInfo (tests)	Request.supportingInfo
supportingInfo (patientAssessment)	Request.supportingInfo
supportingInfo (medicationRequest)	Request.supportingInfo
supportingInfo (radiotherapy)	Request.supportingInfo
supportingInfo (carePlanDocument)	Request.supportingInfo
supportingInfo (medicalRecord)	Request.supportingInfo
supportingInfo (treatmentAssessment)	Request.supportingInfo
diagnosis	Request.reasonReference
insurance
identifier	Request.identifier
item
encounter	Request.context

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

ClaimTWPAS
Claim
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
subType	FiveWs.class
use	FiveWs.class
patient	FiveWs.subject[x], FiveWs.subject
billablePeriod	FiveWs.done[x]
created	FiveWs.recorded
enterer	FiveWs.author
provider	FiveWs.source
referral	FiveWs.cause
facility	FiveWs.where[x]
careTeam
provider	FiveWs.actor
insurance
identifier	FiveWs.identifier
item
serviced[x]	FiveWs.done[x]
location[x]	FiveWs.where[x]

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

ClaimTWPAS
Claim	Entity. Role, or Act
text	Act.text?
contained	N/A
modifierExtension	N/A
subType
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
related
id	n/a
extension	n/a
modifierExtension	N/A
payee
id	n/a
extension	n/a
modifierExtension	N/A
careTeam
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo
id	n/a
extension	n/a
modifierExtension	N/A
value[x]
supportingInfo (weight)
id	n/a
extension	n/a
modifierExtension	N/A
value[x]
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	IVL properties
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
supportingInfo (height)
id	n/a
extension	n/a
modifierExtension	N/A
value[x]
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	IVL properties
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
supportingInfo (pregnancy)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (imagingReport)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (cancerStage)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (examinationReport)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (geneInfo)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (tests)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (patientAssessment)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (medicationRequest)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (radiotherapy)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (carePlanDocument)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (medicalRecord)
id	n/a
extension	n/a
modifierExtension	N/A
supportingInfo (treatmentAssessment)
id	n/a
extension	n/a
modifierExtension	N/A
diagnosis
id	n/a
modifierExtension	N/A
diagnosis[x]
id	n/a
extension	n/a
coding	union(., ./translation)
coding (icd10-cm-2023)	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
coding (icd10-cm-2014)	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
type
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
procedure
id	n/a
extension	n/a
modifierExtension	N/A
procedure[x]
id	n/a
extension	n/a
coding	union(., ./translation)
coding (icd10-pcs-2023)	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
coding (icd10-pcs-2014)	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
coding (medical-service-payment)	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
insurance	Coverage
id	n/a
extension	n/a
modifierExtension	N/A
accident
id	n/a
extension	n/a
modifierExtension	N/A
item
id	n/a
modifierExtension	N/A
modifier
modifier (continuation)
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
modifier (lot)
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
programCode
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
quantity
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
detail
id	n/a
extension	n/a
modifierExtension	N/A
subDetail
id	n/a
extension	n/a
modifierExtension	N/A