臺灣健保事前審查實作指引
1.1.1 - STU1.1.1

臺灣健保事前審查實作指引 - Downloaded Version null See the Directory of published versions

## Example Bundle: 免疫製劑事前審查

Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS

Bundle bun-imm of type collection

Entry 1 - fullUrl = https://nhicore.nhi.gov.tw/pas/Claim/cla-imm

Resource Claim:

> Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS

> ClaimEncounter: Encounter: status = planned; class = ambulatory (ActCode#AMB); serviceType = 胸腔暨重症加護

> status: Active

> type: Institutional

> subType: 送核

> use: Preauthorization

> patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> created: 2024-05-30

> enterer: Practitioner: identifier = National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code,Medical License number

> provider: Organization 臺北市立聯合醫院

> priority: 一般事前審查申請

> > supportingInfo

> > sequence: 1

> > category: 病人體重

> > value: 59.65 kg (Details: UCUM codekg = 'kg')

> > supportingInfo

> > sequence: 2

> > category: 病人身高

> > value: 170 cm (Details: UCUM codecm = 'cm')

> > supportingInfo

> > sequence: 3

> > category: 病人血型

> > value: Observation ABO and Rh group [Type] in Blood

> > supportingInfo

> > sequence: 4

> > category: 影像報告

> > value: Diagnostic Report for '左上肢動脈血管內超音波' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))'

> > supportingInfo

> > sequence: 6

> > category: 檢查報告

> > value: Diagnostic Report for 'Prostate Pathology biopsy report' for '->王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))'

> > supportingInfo

> > sequence: 8

> > category: 檢驗(查)

> > value: Observation Platelets [#/volume] in Blood by Automated count

> > supportingInfo

> > sequence: 9

> > category: 檢驗(查)

> > value: Observation CBC panel - Blood by Automated count

> > supportingInfo

> > sequence: 10

> > category: 病人狀態評估

> > value: Observation Functional capacity NYHA

> > supportingInfo

> > sequence: 11

> > category: 用藥品項

> > value: MedicationRequest: status = completed; statusReason = Try another treatment first; intent = order; category = 健保; medication[x] = ANTI-COUGH SYRUP "WASHINGTON"

> > supportingInfo

> > sequence: 12

> > category: 放射/照光治療

> > value: Procedure 骨髓高溫療法

> > supportingInfo

> > sequence: 13

> > category: 治療計畫文件

> > value: DocumentReference: status = current; category = 治療計畫文件

> > supportingInfo

> > sequence: 14

> > category: 病歷資料

> > value: DocumentReference: status = current; category = 病歷資料

> > supportingInfo

> > sequence: 15

> > category: 結果資訊

> > value: Observation International Working Group(IWG) Consensus Criteria

> > supportingInfo

> > sequence: 16

> > category: 門診病歷

> > value: Composition 門診病歷

> > supportingInfo

> > sequence: 17

> > category: 過敏史

> > value: AllergyIntolerance

> ### Diagnoses

> - | Extension | Sequence | Diagnosis[x] | Type
> * |  | 1 | 慢性右心臟衰竭 | Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

> ### Procedures

> - | Sequence | Date | Procedure[x]
> * | 1 | 2024-01-01 | 經自然開口或人工造口心包腔液態近接放射性同位素抗腫瘤藥劑輸入

> ### Insurances

> - | Sequence | Focal | Coverage
> * | 1 | true | Coverage: status = active

> > item

> > RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Alunbrig film-coated tablets 30mg

> > sequence: 1

> > productOrService: 藥品

> > modifier: 初次使用, 第一線治療

> > programCode: ALK陽性的晚期非小細胞肺癌第一線治療

> > quantity: 52 {tbl} (Details: UCUM code{tbl} = '{tbl}')

> > item

> > RequestedService: MedicationRequest: status = on-hold; intent = plan; medication[x] = Herzuma Inj. 440mg, Lyophilized powder for injection

> > sequence: 2

> > productOrService: 藥品

> > modifier: 初次使用, 第一線治療

> > programCode: 早期乳癌-未發生腋下淋巴結轉移

> > quantity: 70 {tbl} (Details: UCUM code{tbl} = '{tbl}')

Entry 2 - fullUrl = https://nhicore.nhi.gov.tw/pas/Composition/opd

Resource Composition:

> Profile: 門診病歷-Composition OPD TWPAS

> status: Final

> type: Outpatient Note

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> date: 2024-05-30

> author: Organization 臺北市立聯合醫院

> title: 門診病歷

Entry 3 - fullUrl = https://nhicore.nhi.gov.tw/pas/Encounter/enc-opd

Resource Encounter:

> Profile: 門診病歷-Encounter OPD TWPAS

> status: completed

> class: ambulatory

> serviceType: No display for Encounter.serviceType (concept: Family practice (qualifier value))

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> serviceProvider: Organization 臺北市立聯合醫院

> > participant

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition 右側膝部原發性骨關節炎，單側性)

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition 本態性(原發性)高血壓)

Entry 4 - fullUrl = https://nhicore.nhi.gov.tw/pas/Encounter/enc-min

Resource Encounter:

> Profile: 就醫科別-Encounter TWPAS

> 就醫現況：Planned (EncounterStatus#planned)

> 就醫分類：ambulatory (ActEncounterCode CT#AMB)

> 就醫科別：胸腔暨重症加護 (臺灣健保署就醫科別#AJ)

Entry 5 - fullUrl = https://nhicore.nhi.gov.tw/pas/Patient/pat-min

Resource Patient:

> Profile: 病人資訊-Patient TWPAS

> > 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx）
> > 身分證字號（official）：A123456789 （http://www.moi.gov.tw）

> > 識別碼型別：Medical record number （ Identifier Type Codes#MR）
> > 病歷號（official）：123456 （https://tpech.gov.taipei）

> 姓名（usual）：王大明

> 性別：男

> 出生日期：2001-01-01

Entry 6 - fullUrl = https://nhicore.nhi.gov.tw/pas/Practitioner/pra-min

Resource Practitioner:

> Profile: 醫事人員-Practitioner TWPAS

> > 識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx）

> > 身分證字號（official）：F123456789 （http://www.moi.gov.tw）

> > 識別碼型別：Medical License number （ Identifier Type Codes#MD）

> > 醫師證號：KP00017 （https://dep.mohw.gov.tw/DOMA）

Entry 7 - fullUrl = https://nhicore.nhi.gov.tw/pas/Organization/org-hosp-example

Resource Organization:

> ### 醫事機構

> Profile: 機構-Organization TWPAS

> 機構名稱：臺北市立聯合醫院

> 識別碼型別：Provider number（ IdentifierType#PRN）
> 機構代碼（official）：0101090517 (https://nhicore.nhi.gov.tw/pas/CodeSystem/organization-identifier-tw)

> 機構種類：Healthcare Provider ( OrganizationType#prov)

Entry 8 - fullUrl = https://nhicore.nhi.gov.tw/pas/Condition/con-diagnosis

Resource Condition:

> Profile: 診斷-Condition TWPAS

> clinicalStatus: Active

> category: Diagnosis Narrative

> code: 右側膝部原發性骨關節炎，單側性

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

Entry 9 - fullUrl = https://nhicore.nhi.gov.tw/pas/Condition/con-comorbidity

Resource Condition:

> Profile: 診斷-Condition TWPAS

> clinicalStatus: Active

> category: Diagnosis Narrative

> code: 本態性(原發性)高血壓

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

Entry 10 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-blood-group

Resource Observation:

> Profile: 血型-Observation Blood Group TWPAS

> status: Final

> category: 病人血型

> code: ABO and Rh group [Type] in Blood

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> effective: 2024-05-07

> value: Blood group A

Entry 11 - fullUrl = https://nhicore.nhi.gov.tw/pas/AllergyIntolerance/all-min

Resource AllergyIntolerance:

> Profile: 過敏史-AllergyIntolerance TWPAS

> clinicalStatus: Active

> code: 對 A 藥物過敏，過敏反應為全身性皮疹、呼吸喘，約在服用後15分鐘發生。曾於2023年5月因感冒服用過 A 藥，出現上述過敏反應，故此後避免使用。

> patient: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

Entry 12 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-subjective

Resource Observation:

> Profile: 主觀描述-Observation Subjective TWPAS

> status: Final

> category: Survey

> code: Subjective Narrative

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> effective: 2025-11-11

> value: Pain and tenderness of Right knee since yesterday.

Entry 13 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-objective

Resource Observation:

> Profile: 客觀描述-Observation Objective TWPAS

> status: Final

> category: Survey

> code: Objective Narrative

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> effective: 2025-11-11

> value: BP 110/70 mmHg PR 80/min BT 38.50C

Entry 14 - fullUrl = https://nhicore.nhi.gov.tw/pas/ClinicalImpression/cliImp-min

Resource ClinicalImpression:

> Profile: 評估-ClinicalImpression TWPAS

> status: Completed

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

> summary: Right knee . arthritis . active

Entry 15 - fullUrl = https://nhicore.nhi.gov.tw/pas/CarePlan/careplan-min

Resource CarePlan:

> Profile: 計畫-CarePlan TWPAS

> status: Completed

> intent: Plan

> category: Assessment and Plan of Treatment

> description: 1.Arrenge Arthrocentesis of Right knee and synovial fluid analysis (routine, culture and crystal analysis) after patient consent. 2.Analgesics. 3.Bed rest with ice packing if necessary.

> subject: 王大明 Male, DoB: 2001-01-01 ( Medical record number (use: official, ))

> encounter: Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = Family practice (qualifier value); period = 2025-11-11 --> (ongoing)

Entry 16 - fullUrl = https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-ima-min

Resource DiagnosticReport:

> Profile: 影像報告-DiagnosticReport Image TWPAS

> 狀態：final

> 病人：Patient/pat-min "王大明"

> 影像報告：左上肢動脈血管內超音波 (臺灣健保署2023年中文版ICD-10-PCS值集#B34JZZ3)

> 影像報告日期：2024-05-07

> 簽發影像報告醫師：Practitioner/pra-min

> 影像檢查的身體部位／DICOM影像：ImagingStudy/imaStu-min

> 影像報告結果：影像報告結果

> > 影像報告名稱：影像報告01

> > 影像報告：file://ImagingDiagnosticReport01.pdf

> > 影像報告名稱：影像報告02

> > 影像報告：file://ImagingDiagnosticReport02.pdf

Entry 17 - fullUrl = https://nhicore.nhi.gov.tw/pas/ImagingStudy/imaStu-min

Resource ImagingStudy:

> Profile：DICOM影像-ImagingStudy TWPAS

> 狀態：registered

> 病人：Patient/pat-min "王大明"

> Study UID：urn:oid:2.16.886.2102.54.4546465747.465465465

> Series Instance UID：2.16.886.2102.54.4546465747.465465466

> SOP Instance UIDs：2.25.88017001449189502323411118737039844241, 2.25.88017001449189502323411118737039844242

> 影像檢查的身體部位：Head and neck structure (SNOMED CT#774007)

> 儀器：CT Image Storage (DICOM#CT)

Entry 18 - fullUrl = https://nhicore.nhi.gov.tw/pas/Media/med-min

Resource DocumentReference:

> Profile: 非DICOM影像-Media TWPAS

> 狀態：completed

> 病人：Patient/pat-min "王大明"

> 影像檢查的身體部位：Head and neck structure (SNOMED CT#774007)

> 非DICOM影像：file://US01.jpg（#image/jpeg）

Entry 19 - fullUrl = https://nhicore.nhi.gov.tw/pas/DiagnosticReport/diaRep-min

Resource DiagnosticReport:

> Profile: 檢查報告-DiagnosticReport TWPAS

> 狀態：final

> 報告類型：Prostate Pathology biopsy report (EncounterStatus#66117-3)

> 檢體種類：Prostate

> 病人：Patient/pat-min "王大明"

> 報告日期：2024-05-07

> 檢查報告醫師：Practitioner/pra-min

> 報告結果-文數字：細胞檢查報告結果

> > 檢查報告名稱：PathologyReport01

> > 檢查報告：file://PathologyReport01.pdf

> > 檢查報告名稱：PathologyReport02

> > 檢查報告：file://PathologyReport02.pdf

Entry 20 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-min

Resource Observation:

> Profile: 檢驗檢查-Observation Laboratory Result TWPAS

> 狀態：final

> 類型：檢驗(查) (NHI-補充資訊類別值集#tests)

> 檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3)

> 病人：Patient/pat-min

> 檢驗(查)報告日期：2024-01-01

> 簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min

> 檢驗(查)結果：5.1 mmol/l

> 檢驗(查)結果判讀：高，High (ObservationInterpretationCodes #H)

> 檢驗(查)結果之參考範圍下限：2.9 mmol/L

> 檢驗(查)結果之參考範圍上限：4.9 mmol/L

> 檢驗(查)附件：DocumentReference/doc-test-min

Entry 21 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-lab-cbc

Resource Observation:

> Profile: 檢驗檢查-Observation Laboratory Result TWPAS

> 狀態：final

> 類型：檢驗(查) (NHI-補充資訊類別值集#tests)

> 套組代碼：CBC panel - Blood by Automated count (LOINCCodes#58410-2)

> 病人：Patient/pat-min

> 檢驗(查)報告日期：2024-01-01

> 簽發檢驗(查)報告醫事人員身分證號：Practitioner/pra-min

> 檢驗(查)附件：DocumentReference/doc-test-min

> > 檢驗(查)名稱：Leukocytes [#/volume] in Blood by Automated count (LOINCCodes#6690-2)
> > 檢驗(查)結果：3.6 × 10^3/μL
> > 檢驗(查)結果之參考範圍下限：3.9 × 10^3/μL
> > 檢驗(查)結果之參考範圍上限：10.6 × 10^3/μL

> > 檢驗(查)名稱：Erythrocytes [#/volume] in Blood by Automated count (LOINCCodes#789-8)
> > 檢驗(查)結果：4.7 × 10^6/μL
> > 檢驗(查)結果之參考範圍下限：4.5 × 10^3/μL
> > 檢驗(查)結果之參考範圍上限：5.9 × 10^3/μL

> > 檢驗(查)名稱：Hemoglobin [Mass/volume] in Blood (LOINCCodes#718-7)
> > 檢驗(查)結果：14 g/dL
> > 檢驗(查)結果之參考範圍下限：13.5 g/dL
> > 檢驗(查)結果之參考範圍上限：17.5 g/dL

> > 檢驗(查)名稱：Hematocrit [Volume Fraction] of Blood by Automated count (LOINCCodes#4544-3)
> > 檢驗(查)結果：45 %
> > 檢驗(查)結果之參考範圍下限：41 %
> > 檢驗(查)結果之參考範圍上限：53 %

> > 檢驗(查)名稱：Platelets [#/volume] in Blood by Automated count (LOINCCodes#777-3)
> > 檢驗(查)結果：101 × 10^3/μL
> > 檢驗(查)結果之參考範圍下限：150 × 10^3/μL
> > 檢驗(查)結果之參考範圍上限：400 × 10^3/μL

Entry 22 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-test-min

Resource DocumentReference:

> Profile: 文件參照-DocumentReference TWPAS

> 狀態：current

> 報告類型：檢驗(查)附件 (NHI-文件類型#test)

> 病人：Patient/pat-min "王大明"

> > 檢驗(查)附件 (application/pdf)：file://TestReport01.pdf

> > 檢驗(查)附件名稱：TestReport01

> > 檢驗(查)附件 (application/pdf)：file://TestReport02.pdf

> > 檢驗(查)附件名稱：TestReport02

Entry 23 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-pat-nyha

Resource Observation:

> Profile: 病人狀態評估-Observation Patient Assessment TWPAS

> 狀態：final

> 病人狀態評估項目代碼：Functional capacity NYHA (LOINC + SCT + NHI-健保事前審查-病人狀態評估項目值集 #88020-3)

> 病人：Patient/pat-min

> 病人狀態評估日期：2024-01-01

> 評估項目醫事人員身分證號：Practitioner/pra-min

> 病人狀態評估結果：class1

Entry 24 - fullUrl = https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-treat

Resource MedicationRequest:

> Profile：用藥品項-MedicationRequest Treat TWPAS

> 藥物使用狀態：completed

> 藥物處方終止原因：Try another treatment first (MedicationRequest Status Reason Codes#altchoice)

> 意圖：Order ( medicationRequest Intent#order)

> 自費註記：健保 (NHI-藥物類型#nhi)

> 藥品代碼：ANTI-CUGH SYRUP 60ML (NHI-健保事前審查-用藥品項值集#A000755151)

> 病人：Patient/pat-min ""

> 藥品使用頻率及服用時間：1W3D

> 藥物每次處方劑量(單位)：4 (tablets (Common UCUM units#{tbl}))

> 藥物處方起始日期：2024-05-01

> 藥物處方終止日期：2024-05-07

> 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)

Entry 25 - fullUrl = https://nhicore.nhi.gov.tw/pas/Procedure/pro-min

Resource Procedure:

> Profile: 放射/照光治療-Procedure TWPAS

> 放射/照光治療狀態：completed

> 放射/照光治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ)

> 病人：Patient/pat-min "王大明"

> 放射/照光治療日期：2024-05-06 09:00:00+0000

> 放射/照光治療總劑量：Substance/sub-min 5000 mg

Entry 26 - fullUrl = https://nhicore.nhi.gov.tw/pas/Substance/sub-min

Resource Substance:

> Profile: 放射/照光治療總劑量-Substance TWPAS

> 放射/照光治療項目：骨髓高溫療法 (臺灣2023年中文版ICD-10-PCS#D7Y08ZZ)

> 放射/照光治療總劑量(單位)：5000 (/mg)

Entry 27 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-careplan-min

Resource DocumentReference:

> Profile: 文件參照-DocumentReference TWPAS

> 狀態：current

> 報告類型：治療計畫文件 (NHI-文件類型#careplan)

> 病人：Patient/pat-min "王大明"

> 治療計畫文件名稱：免疫檢查點抑制劑治療計畫

> 治療計畫文件 (application/pdf)：file://CarePlanReport01.pdf

Entry 28 - fullUrl = https://nhicore.nhi.gov.tw/pas/Observation/obs-tx-min

Resource Observation:

> Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS

> 狀態：final

> 治療後疾病狀態評估項目：International Working Group(IWG) Consensus Criteria (NHI-治療後疾病狀態評估項目值集#IWGC)

> 病人：Patient/pat-min

> 治療後疾病狀態評估日期：2024-01-01

> 治療後疾病狀態評估結果：Partial remission (PR)

Entry 29 - fullUrl = https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply

Resource MedicationRequest:

> Profile: 事前審查品項-MedicationRequest Apply TWPAS

> 狀態：On Hold

> 目的：Plan

> 事前審查品項代碼：Alunbrig film-coated tablets 30mgL (NHI-健保事前審查-用藥品項值集#BC27730100)

> 病人：Patient/pat-min "王大明"

> > 事前審查藥物預定處方起始日期：2024-01-01

> > 事前審查藥物預定處方終止日期：2024-02-11

> > 事前審查藥品使用頻率及服用時間：Every day at institution specified times.、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#BIW、#AC1H)

> > 事前審查藥品每次處方劑量：75 mg/m2

> > 事前審查藥品療程／週期數：42

> > 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)

> > 事前審查藥物預定處方起始日期：2024-02-12

> > 事前審查藥物預定處方終止日期：2024-03-10

> > 事前審查藥品使用頻率及服用時間：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H)

> > 事前審查藥品每次處方劑量：150 mg/m2

> > 事前審查藥品療程／週期數：1

> > 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)

Entry 30 - fullUrl = https://nhicore.nhi.gov.tw/pas/MedicationRequest/medReq-apply-2

Resource MedicationRequest:

> Profile: 事前審查品項-MedicationRequest Apply TWPAS

> 狀態：On Hold

> 目的：Plan

> 事前審查品項代碼：Herzuma Inj. 440mg (NHI-健保事前審查-用藥品項值集#KC011162B5)

> 病人：Patient/pat-min "王大明"

> 事前審查藥物預定處方起始日期：2024-03-11

> 事前審查藥物預定處方終止日期：2024-07-28

> 事前審查藥品使用頻率及服用時間：每4週的第1天、每4週的第2天、每4週的第3天、每4週的第4天、每4週的第5天、飯前1小時使用 (HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集#Q4WD1、#Q4WD2、#Q4WD3、#Q4WD4、#Q4WD5、#AC1H)

> 事前審查藥品每次處方劑量：200 mg/m2

> 事前審查藥品療程／週期數：1

> 給藥途徑／作用部位：Oral use (SNOMED CT + 臺灣健保署給藥途徑值集#26643006)

Entry 31 - fullUrl = https://nhicore.nhi.gov.tw/pas/Coverage/cov-min

Resource Coverage:

> Profile：健保事前審查計畫-Coverage TWPAS

> 狀態：active

> 受益人：Patient/pat-min "王大明"

> 保險人：Organization/org-nhi "衛生福利部中央健康保險署"

Entry 32 - fullUrl = https://nhicore.nhi.gov.tw/pas/Organization/org-nhi

Resource Organization:

> Profile: 臺灣核心-政府機構（TW Core Organization Government）

> 機構名稱：衛生福利部中央健康保險署

> 識別碼型別：Government Organization Identifier（ 臺灣識別碼類型值集#GOI）
> 機關代號（official）：A21030000I (https://oid.nat.gov.tw/)

> 機構種類：Government ( OrganizationType#govt)

Entry 33 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-medicalRecord-min

Resource DocumentReference:

> Profile: 文件參照-DocumentReference TWPAS

> 狀態：current

> 報告類型：病歷資料 (NHI-文件類型#medrec)

> 病人：Patient/pat-min "王大明"

> 病歷資料 (application/pdf)：file://王大明病歷.pdf

> 病歷資料名稱：王大明病歷

Entry 34 - fullUrl = https://nhicore.nhi.gov.tw/pas/DocumentReference/doc-patientAssessment-min

Resource DocumentReference:

> Profile: 文件參照-DocumentReference TWPAS

> 狀態：current

> 報告類型：病人狀態評估報告 (NHI-文件類型#patientAssessment)

> 病人：Patient/pat-min "王大明"

> 病人狀態評估報告 (application/pdf)：file://病人狀態評估報告.pdf

> 病人狀態評估報告名稱：病人狀態評估報告名稱