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

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

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas | Version: 1.1.1
Active as of 2026-02-02 | Computable Name: ClaimImmTWPAS

此免疫製劑事前審查-Claim Immunologic Aagent TWPAS Profile說明本IG如何進一步定義FHIR的Claim Resource以呈現免疫製劑事前審查之內容

Usages:

- Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS
- Examples for this Profile: Claim/cla-imm

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: sequence-1, applType, diagnosis-imm
meta | Σ | 1..1 | Meta | Metadata about the resource
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system 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。
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization
patient | S Σ | 1..1 | Reference(病人資訊-Patient TWPAS) | 病人資訊
created | S Σ | 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 Σ | 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 Σ | 1..1 | CodeableConcept | 申請案件類別，1:一般事前審查申請 | 3:自主審查 | 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, Closed by value:category
supportingInfo:All Slices |  |  |  | Content/Rules for all slices
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)
supportingInfo:weight |  | 1..1 | BackboneElement | 病人體重
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
value[x] | S | 1..1 | Quantity | Data to be provided
value | S Σ C | 1..1 | decimal | 體重，整數至多3位數及小數至多2位數。 Constraints: HTWT
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system | Σ C | 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
supportingInfo:height |  | 1..1 | BackboneElement | 病人身高
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
value[x] | S | 1..1 | Quantity | Data to be provided
value | S Σ C | 1..1 | decimal | 身高(cm)，整數至多3位數及小數至多2位數。 Constraints: HTWT
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system | Σ C | 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
supportingInfo:pregnancy |  | 0..1 | BackboneElement | 是否懷孕或哺乳
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
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
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
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
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
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
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
value[x] | S | 1..1 | Reference(檢查報告-DiagnosticReport TWPAS) | 檢查報告
supportingInfo:geneInfo |  | 0..* | BackboneElement | 基因資訊
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
value[x] | S | 1..1 | Reference(基因資訊-Observation Diagnostic TWPAS) | 基因資訊
supportingInfo:tests |  | 0..* | BackboneElement | 檢驗(查)
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
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
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
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
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
value[x] | S | 1..1 | Reference(用藥品項-MedicationRequest Treat TWPAS) | 用藥品項
supportingInfo:radiotherapy |  | 0..* | BackboneElement | 放射/照光治療
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
value[x] | S | 1..1 | Reference(放射/照光治療-Procedure TWPAS) | 放射/照光治療
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
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
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。
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
value[x] | S | 1..1 | Reference(文件參照-DocumentReference TWPAS) | Data to be provided
supportingInfo:treatmentAssessment |  | 0..* | BackboneElement | 結果資訊
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
value[x] | S | 1..1 | Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS) | 結果資訊
supportingInfo:bloodgroup |  | 0..1 | BackboneElement | 血型
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: bloodgroup
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
value[x] | S | 1..1 | Reference(血型-Observation Blood Group TWPAS) | 血型
supportingInfo:opd |  | 0..* | BackboneElement | 門診病歷
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: opd
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
value[x] | S | 1..1 | Reference(門診病歷-Composition OPD TWPAS) | 門診病歷
supportingInfo:allergy |  | 0..* | BackboneElement | 過敏史
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: allergy
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
value[x] | S | 1..1 | Reference(過敏史-AllergyIntolerance TWPAS) | 過敏史
diagnosis | S C | 1..* | BackboneElement | sequence=1時為主要疾病；sequence>=2代表共病。 Constraints: diagnosis
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)
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-cm-2023 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:icd10-cm-2014 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
type |  | 0..1 | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
text | S Σ C | 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。 Constraints: pas-2
procedure |  | 0..* | BackboneElement | Clinical procedures performed
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Procedure instance identifier
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 | Σ | 1..1 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-pcs-2023 | S Σ | 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 | Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:icd10-pcs-2014 | S Σ | 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 | Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:medical-service-payment | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NHI-健保事前審查-醫療服務給付項目值集 (required)
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
insurance | Σ | 1..* | BackboneElement | Patient insurance information
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
coverage | Σ | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
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, Closed 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)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system 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
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 | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
code | S Σ | 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 | S C | 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. Constraints: pas-1
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。
quantity | S | 1..1 | SimpleQuantity(4.0.1) | Count of products or services
value | S Σ | 1..1 | decimal | 事前審查申請數量
system | Σ C | 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 Σ | 1..1 | code | 事前審查申請數量單位 Binding: UCUMCodes (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

Path | Status | Usage | ValueSet | Version | Source
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std.
Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std.
Claim.subType | Base | required | NHI-健保事前審查-申報類別值集 | 📦1.1.1 | This IG
Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std.
Claim.priority | Base | required | NHI-健保事前審查-申請案件類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:weight.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:weight.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:height.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:pregnancy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:imagingReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:cancerStage.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:examinationReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:geneInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:tests.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:patientAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicationRequest.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:radiotherapy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:carePlanDocument.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicalRecord.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:treatmentAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:bloodgroup.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:opd.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:allergy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.diagnosis.diagnosis[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2023 | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2014 | Base | extensible | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std.
Claim.procedure.procedure[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-PCS值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:medical-service-payment | Base | required | NHI-健保事前審查-醫療服務給付項目值集 | 📦1.1.1 | This IG
Claim.item.productOrService | Base | required | NHI-健保事前審查-醫令類別值集 | 📦1.1.1 | This IG
Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.modifier:continuation | Base | required | NHI-健保事前審查-續用註記值集 | 📦1.1.1 | This IG
Claim.item.modifier:lot | Base | required | NHI-健保事前審查-用藥線別值集 | 📦1.1.1 | This IG
Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.
Claim.item.programCode.​coding | Base | required | NHI-健保事前審查-給付適應症值集 | 📦1.1.1 | This IG
Claim.item.quantity.​code | Base | required | UCUM Codes | 📦4.0.1 | FHIR Std.
Claim.item.bodySite | Base | required | NHI-健保事前審查-申請部位值集 | 📦1.1.1 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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() )`
diagnosis-imm | error | Claim | 當Claim.diagnosis.diagnosisCodeableConcept(國際疾病分類代碼)第一碼不等於C，才可上傳。 | `(diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C)')).exists()).not()`
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至少需存在一個。 | `text.exists() or 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`

This structure is derived from Claim

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: sequence-1, applType, diagnosis-imm
meta |  | 1..1 | Meta | Metadata about the resource
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
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 | 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, Closed 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 |  | When it occurred
value[x] | S | 1..1 | Quantity | Data to be provided
value | S C | 1..1 | decimal | 體重，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 |  | When it occurred
value[x] | S | 1..1 | Quantity | Data to be provided
value | S C | 1..1 | decimal | 身高(cm)，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
value[x] | S | 1..1 | Reference(用藥品項-MedicationRequest Treat TWPAS) | 用藥品項
supportingInfo:radiotherapy |  | 0..* | BackboneElement | 放射/照光治療
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 |  | When it occurred
value[x] | S | 1..1 | Reference(放射/照光治療-Procedure TWPAS) | 放射/照光治療
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
value[x] | S | 1..1 | Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS) | 結果資訊
supportingInfo:bloodgroup |  | 0..1 | BackboneElement | 血型
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: bloodgroup
timing[x] |  | 0..0 |  | When it occurred
value[x] | S | 1..1 | Reference(血型-Observation Blood Group TWPAS) | 血型
supportingInfo:opd |  | 0..* | BackboneElement | 門診病歷
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: opd
timing[x] |  | 0..0 |  | When it occurred
value[x] | S | 1..1 | Reference(門診病歷-Composition OPD TWPAS) | 門診病歷
supportingInfo:allergy |  | 0..* | BackboneElement | 過敏史
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: allergy
timing[x] |  | 0..0 |  | When it occurred
value[x] | S | 1..1 | Reference(過敏史-AllergyIntolerance TWPAS) | 過敏史
diagnosis | S C | 1..* | BackboneElement | sequence=1時為主要疾病；sequence>=2代表共病。 Constraints: diagnosis
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 | S C | 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。 Constraints: pas-2
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, Closed 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: NHI-健保事前審查-醫療服務給付項目值集 (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, Closed 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 | S C | 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。 Constraints: pas-1
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(4.0.1) | 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: UCUMCodes (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 | Status | Usage | ValueSet | Version | Source
Claim.subType | Base | required | NHI-健保事前審查-申報類別值集 | 📦1.1.1 | This IG
Claim.priority | Base | required | NHI-健保事前審查-申請案件類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.diagnosis.diagnosis[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2023 | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2014 | Base | extensible | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-PCS值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:medical-service-payment | Base | required | NHI-健保事前審查-醫療服務給付項目值集 | 📦1.1.1 | This IG
Claim.item.productOrService | Base | required | NHI-健保事前審查-醫令類別值集 | 📦1.1.1 | This IG
Claim.item.modifier:continuation | Base | required | NHI-健保事前審查-續用註記值集 | 📦1.1.1 | This IG
Claim.item.modifier:lot | Base | required | NHI-健保事前審查-用藥線別值集 | 📦1.1.1 | This IG
Claim.item.programCode.​coding | Base | required | NHI-健保事前審查-給付適應症值集 | 📦1.1.1 | This IG
Claim.item.quantity.​code | Base | required | UCUM Codes | 📦4.0.1 | FHIR Std.
Claim.item.bodySite | Base | required | NHI-健保事前審查-申請部位值集 | 📦1.1.1 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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() )`
diagnosis-imm | error | Claim | 當Claim.diagnosis.diagnosisCodeableConcept(國際疾病分類代碼)第一碼不等於C，才可上傳。 | `(diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C)')).exists()).not()`
pas-1 | error | Claim.item.programCode | text、coding至少需存在一個。 | `text.exists() or 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`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: sequence-1, applType, diagnosis-imm
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | S Σ | 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 | S Σ | 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 | S Σ | 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 Σ | 1..1 | CodeableConcept | 申請案件類別，1:一般事前審查申請 | 3:自主審查 | 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, Closed 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 | S Σ C | 1..1 | decimal | 體重，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 | Σ C | 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 | S Σ C | 1..1 | decimal | 身高(cm)，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 | Σ C | 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/照光治療
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/照光治療-Procedure TWPAS) | 放射/照光治療
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.
supportingInfo:bloodgroup |  | 0..1 | BackboneElement | 血型
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: bloodgroup
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(血型-Observation Blood Group TWPAS) | 血型
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:opd |  | 0..* | BackboneElement | 門診病歷
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: opd
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(門診病歷-Composition OPD TWPAS) | 門診病歷
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:allergy |  | 0..* | BackboneElement | 過敏史
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: allergy
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(過敏史-AllergyIntolerance TWPAS) | 過敏史
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis | S C | 1..* | BackboneElement | sequence=1時為主要疾病；sequence>=2代表共病。 Constraints: diagnosis
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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ C | 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。 Constraints: pas-2
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, Closed by value:system
coding:icd10-pcs-2023 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NHI-健保事前審查-醫療服務給付項目值集 (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 | S Σ | 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, Closed 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 | S Σ | 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 | S C | 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. Constraints: pas-1
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(4.0.1) | 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 | S Σ | 1..1 | decimal | 事前審查申請數量
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 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 Σ | 1..1 | code | 事前審查申請數量單位 Binding: UCUMCodes (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(4.0.1) | 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(4.0.1) | 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 | Status | Usage | ValueSet | Version | Source
Claim.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Claim.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Claim.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std.
Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std.
Claim.subType | Base | required | NHI-健保事前審查-申報類別值集 | 📦1.1.1 | This IG
Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std.
Claim.priority | Base | required | NHI-健保事前審查-申請案件類別值集 | 📦1.1.1 | This IG
Claim.fundsReserve | Base | example | FundsReserve | 📍4.0.1 | FHIR Std.
Claim.related.relationship | Base | example | Example Related Claim Relationship Codes | 📍4.0.1 | FHIR Std.
Claim.payee.type | Base | example | PayeeType | 📍4.0.1 | FHIR Std.
Claim.careTeam.role | Base | example | Claim Care Team Role Codes | 📍4.0.1 | FHIR Std.
Claim.careTeam.qualification | Base | example | Example Provider Qualification Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:weight.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:weight.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:weight.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:weight.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:height.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:pregnancy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:pregnancy.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:pregnancy.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:imagingReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:imagingReport.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:imagingReport.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:cancerStage.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:cancerStage.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:cancerStage.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:examinationReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:examinationReport.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:examinationReport.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:geneInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:geneInfo.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:geneInfo.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:tests.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:tests.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:tests.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:patientAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:patientAssessment.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:patientAssessment.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicationRequest.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicationRequest.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicationRequest.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:radiotherapy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:radiotherapy.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:radiotherapy.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:carePlanDocument.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:carePlanDocument.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:carePlanDocument.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicalRecord.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicalRecord.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicalRecord.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:treatmentAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:treatmentAssessment.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:treatmentAssessment.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:bloodgroup.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:bloodgroup.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:bloodgroup.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:opd.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:opd.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:opd.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:allergy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:allergy.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:allergy.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.diagnosis.diagnosis[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2023 | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2014 | Base | extensible | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std.
Claim.diagnosis.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | FHIR Std.
Claim.diagnosis.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | FHIR Std.
Claim.procedure.type | Base | example | Example Procedure Type Codes | 📍4.0.1 | FHIR Std.
Claim.procedure.procedure[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-PCS值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:medical-service-payment | Base | required | NHI-健保事前審查-醫療服務給付項目值集 | 📦1.1.1 | This IG
Claim.accident.type | Base | extensible | ActIncidentCode | 📦3.0.0 | THO v7.0
Claim.item.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std.
Claim.item.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std.
Claim.item.productOrService | Base | required | NHI-健保事前審查-醫令類別值集 | 📦1.1.1 | This IG
Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.modifier:continuation | Base | required | NHI-健保事前審查-續用註記值集 | 📦1.1.1 | This IG
Claim.item.modifier:lot | Base | required | NHI-健保事前審查-用藥線別值集 | 📦1.1.1 | This IG
Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.
Claim.item.programCode.​coding | Base | required | NHI-健保事前審查-給付適應症值集 | 📦1.1.1 | This IG
Claim.item.location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | FHIR Std.
Claim.item.quantity.​code | Base | required | UCUM Codes | 📦4.0.1 | FHIR Std.
Claim.item.bodySite | Base | required | NHI-健保事前審查-申請部位值集 | 📦1.1.1 | This IG
Claim.item.subSite | Base | example | Surface Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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() )`
diagnosis-imm | error | Claim | 當Claim.diagnosis.diagnosisCodeableConcept(國際疾病分類代碼)第一碼不等於C，才可上傳。 | `(diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C)')).exists()).not()`
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至少需存在一個。 | `text.exists() or 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`

This structure is derived from Claim

Summary

Mandatory: 33 elements(30 nested mandatory elements)
Must-Support: 54 elements
Prohibited: 17 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/照光治療-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)
- 血型-Observation Blood Group TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-blood-group-twpas)
- 門診病歷-Composition OPD TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas)
- 過敏史-AllergyIntolerance TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-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 values of Claim.supportingInfo (Closed)
- The element 1 is sliced based on the values of Claim.diagnosis.diagnosis[x].coding (Closed)
- The element 1 is sliced based on the values of Claim.procedure.procedure[x].coding (Closed)
- The element 1 is sliced based on the values of Claim.item.modifier (Closed)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: sequence-1, applType, diagnosis-imm
meta | Σ | 1..1 | Meta | Metadata about the resource
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system 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。
use | Σ | 1..1 | code | claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization
patient | S Σ | 1..1 | Reference(病人資訊-Patient TWPAS) | 病人資訊
created | S Σ | 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 Σ | 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 Σ | 1..1 | CodeableConcept | 申請案件類別，1:一般事前審查申請 | 3:自主審查 | 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, Closed by value:category
supportingInfo:All Slices |  |  |  | Content/Rules for all slices
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)
supportingInfo:weight |  | 1..1 | BackboneElement | 病人體重
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
value[x] | S | 1..1 | Quantity | Data to be provided
value | S Σ C | 1..1 | decimal | 體重，整數至多3位數及小數至多2位數。 Constraints: HTWT
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system | Σ C | 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
supportingInfo:height |  | 1..1 | BackboneElement | 病人身高
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
value[x] | S | 1..1 | Quantity | Data to be provided
value | S Σ C | 1..1 | decimal | 身高(cm)，整數至多3位數及小數至多2位數。 Constraints: HTWT
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system | Σ C | 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
supportingInfo:pregnancy |  | 0..1 | BackboneElement | 是否懷孕或哺乳
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
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
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
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
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
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
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
value[x] | S | 1..1 | Reference(檢查報告-DiagnosticReport TWPAS) | 檢查報告
supportingInfo:geneInfo |  | 0..* | BackboneElement | 基因資訊
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
value[x] | S | 1..1 | Reference(基因資訊-Observation Diagnostic TWPAS) | 基因資訊
supportingInfo:tests |  | 0..* | BackboneElement | 檢驗(查)
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
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
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
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
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
value[x] | S | 1..1 | Reference(用藥品項-MedicationRequest Treat TWPAS) | 用藥品項
supportingInfo:radiotherapy |  | 0..* | BackboneElement | 放射/照光治療
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
value[x] | S | 1..1 | Reference(放射/照光治療-Procedure TWPAS) | 放射/照光治療
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
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
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。
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
value[x] | S | 1..1 | Reference(文件參照-DocumentReference TWPAS) | Data to be provided
supportingInfo:treatmentAssessment |  | 0..* | BackboneElement | 結果資訊
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
value[x] | S | 1..1 | Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS) | 結果資訊
supportingInfo:bloodgroup |  | 0..1 | BackboneElement | 血型
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: bloodgroup
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
value[x] | S | 1..1 | Reference(血型-Observation Blood Group TWPAS) | 血型
supportingInfo:opd |  | 0..* | BackboneElement | 門診病歷
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: opd
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
value[x] | S | 1..1 | Reference(門診病歷-Composition OPD TWPAS) | 門診病歷
supportingInfo:allergy |  | 0..* | BackboneElement | 過敏史
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: allergy
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
value[x] | S | 1..1 | Reference(過敏史-AllergyIntolerance TWPAS) | 過敏史
diagnosis | S C | 1..* | BackboneElement | sequence=1時為主要疾病；sequence>=2代表共病。 Constraints: diagnosis
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)
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-cm-2023 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:icd10-cm-2014 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
type |  | 0..1 | CodeableConcept | Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
text | S Σ C | 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。 Constraints: pas-2
procedure |  | 0..* | BackboneElement | Clinical procedures performed
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Procedure instance identifier
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 | Σ | 1..1 | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:icd10-pcs-2023 | S Σ | 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 | Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:icd10-pcs-2014 | S Σ | 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 | Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:medical-service-payment | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NHI-健保事前審查-醫療服務給付項目值集 (required)
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
insurance | Σ | 1..* | BackboneElement | Patient insurance information
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
coverage | Σ | 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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence |  | 1..1 | positiveInt | Item instance identifier
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, Closed 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)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system 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
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 | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy
code | S Σ | 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 | S C | 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. Constraints: pas-1
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。
quantity | S | 1..1 | SimpleQuantity(4.0.1) | Count of products or services
value | S Σ | 1..1 | decimal | 事前審查申請數量
system | Σ C | 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 Σ | 1..1 | code | 事前審查申請數量單位 Binding: UCUMCodes (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

Path | Status | Usage | ValueSet | Version | Source
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std.
Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std.
Claim.subType | Base | required | NHI-健保事前審查-申報類別值集 | 📦1.1.1 | This IG
Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std.
Claim.priority | Base | required | NHI-健保事前審查-申請案件類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:weight.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:weight.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:height.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:pregnancy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:imagingReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:cancerStage.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:examinationReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:geneInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:tests.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:patientAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicationRequest.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:radiotherapy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:carePlanDocument.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicalRecord.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:treatmentAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:bloodgroup.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:opd.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:allergy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.diagnosis.diagnosis[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2023 | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2014 | Base | extensible | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std.
Claim.procedure.procedure[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-PCS值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:medical-service-payment | Base | required | NHI-健保事前審查-醫療服務給付項目值集 | 📦1.1.1 | This IG
Claim.item.productOrService | Base | required | NHI-健保事前審查-醫令類別值集 | 📦1.1.1 | This IG
Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.modifier:continuation | Base | required | NHI-健保事前審查-續用註記值集 | 📦1.1.1 | This IG
Claim.item.modifier:lot | Base | required | NHI-健保事前審查-用藥線別值集 | 📦1.1.1 | This IG
Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.
Claim.item.programCode.​coding | Base | required | NHI-健保事前審查-給付適應症值集 | 📦1.1.1 | This IG
Claim.item.quantity.​code | Base | required | UCUM Codes | 📦4.0.1 | FHIR Std.
Claim.item.bodySite | Base | required | NHI-健保事前審查-申請部位值集 | 📦1.1.1 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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() )`
diagnosis-imm | error | Claim | 當Claim.diagnosis.diagnosisCodeableConcept(國際疾病分類代碼)第一碼不等於C，才可上傳。 | `(diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C)')).exists()).not()`
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至少需存在一個。 | `text.exists() or 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`

Differential View

This structure is derived from Claim

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: sequence-1, applType, diagnosis-imm
meta |  | 1..1 | Meta | Metadata about the resource
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
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 | 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, Closed 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 |  | When it occurred
value[x] | S | 1..1 | Quantity | Data to be provided
value | S C | 1..1 | decimal | 體重，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 |  | When it occurred
value[x] | S | 1..1 | Quantity | Data to be provided
value | S C | 1..1 | decimal | 身高(cm)，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
value[x] | S | 1..1 | Reference(用藥品項-MedicationRequest Treat TWPAS) | 用藥品項
supportingInfo:radiotherapy |  | 0..* | BackboneElement | 放射/照光治療
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 |  | When it occurred
value[x] | S | 1..1 | Reference(放射/照光治療-Procedure TWPAS) | 放射/照光治療
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 |  | When it occurred
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 |  | When it occurred
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 |  | When it occurred
value[x] | S | 1..1 | Reference(治療後疾病狀態評估-Observation Treatment Assessment TWPAS) | 結果資訊
supportingInfo:bloodgroup |  | 0..1 | BackboneElement | 血型
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: bloodgroup
timing[x] |  | 0..0 |  | When it occurred
value[x] | S | 1..1 | Reference(血型-Observation Blood Group TWPAS) | 血型
supportingInfo:opd |  | 0..* | BackboneElement | 門診病歷
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: opd
timing[x] |  | 0..0 |  | When it occurred
value[x] | S | 1..1 | Reference(門診病歷-Composition OPD TWPAS) | 門診病歷
supportingInfo:allergy |  | 0..* | BackboneElement | 過敏史
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: allergy
timing[x] |  | 0..0 |  | When it occurred
value[x] | S | 1..1 | Reference(過敏史-AllergyIntolerance TWPAS) | 過敏史
diagnosis | S C | 1..* | BackboneElement | sequence=1時為主要疾病；sequence>=2代表共病。 Constraints: diagnosis
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 | S C | 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。 Constraints: pas-2
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, Closed 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: NHI-健保事前審查-醫療服務給付項目值集 (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, Closed 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 | S C | 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。 Constraints: pas-1
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(4.0.1) | 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: UCUMCodes (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 | Status | Usage | ValueSet | Version | Source
Claim.subType | Base | required | NHI-健保事前審查-申報類別值集 | 📦1.1.1 | This IG
Claim.priority | Base | required | NHI-健保事前審查-申請案件類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.diagnosis.diagnosis[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2023 | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2014 | Base | extensible | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-PCS值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:medical-service-payment | Base | required | NHI-健保事前審查-醫療服務給付項目值集 | 📦1.1.1 | This IG
Claim.item.productOrService | Base | required | NHI-健保事前審查-醫令類別值集 | 📦1.1.1 | This IG
Claim.item.modifier:continuation | Base | required | NHI-健保事前審查-續用註記值集 | 📦1.1.1 | This IG
Claim.item.modifier:lot | Base | required | NHI-健保事前審查-用藥線別值集 | 📦1.1.1 | This IG
Claim.item.programCode.​coding | Base | required | NHI-健保事前審查-給付適應症值集 | 📦1.1.1 | This IG
Claim.item.quantity.​code | Base | required | UCUM Codes | 📦4.0.1 | FHIR Std.
Claim.item.bodySite | Base | required | NHI-健保事前審查-申請部位值集 | 📦1.1.1 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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() )`
diagnosis-imm | error | Claim | 當Claim.diagnosis.diagnosisCodeableConcept(國際疾病分類代碼)第一碼不等於C，才可上傳。 | `(diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C)')).exists()).not()`
pas-1 | error | Claim.item.programCode | text、coding至少需存在一個。 | `text.exists() or 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`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Claim | C | 0..* | Claim | Claim, Pre-determination or Pre-authorization Constraints: sequence-1, applType, diagnosis-imm
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-immunologic-agent-twpas
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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 | S Σ | 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 | S Σ | 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 | S Σ | 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 Σ | 1..1 | CodeableConcept | 申請案件類別，1:一般事前審查申請 | 3:自主審查 | 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, Closed 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 | S Σ C | 1..1 | decimal | 體重，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 | Σ C | 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 | S Σ C | 1..1 | decimal | 身高(cm)，整數至多3位數及小數至多2位數。 Constraints: HTWT
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 | Σ C | 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/照光治療
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/照光治療-Procedure TWPAS) | 放射/照光治療
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.
supportingInfo:bloodgroup |  | 0..1 | BackboneElement | 血型
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: bloodgroup
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(血型-Observation Blood Group TWPAS) | 血型
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:opd |  | 0..* | BackboneElement | 門診病歷
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: opd
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(門診病歷-Composition OPD TWPAS) | 門診病歷
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:allergy |  | 0..* | BackboneElement | 過敏史
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: allergy
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(過敏史-AllergyIntolerance TWPAS) | 過敏史
reason |  | 0..1 | CodeableConcept | Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis | S C | 1..* | BackboneElement | sequence=1時為主要疾病；sequence>=2代表共病。 Constraints: diagnosis
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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ C | 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。 Constraints: pas-2
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, Closed by value:system
coding:icd10-pcs-2023 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 0..1 | Coding | Code defined by a terminology system Binding: NHI-健保事前審查-醫療服務給付項目值集 (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 | S Σ | 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, Closed 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 | S Σ | 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 | S C | 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. Constraints: pas-1
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(4.0.1) | 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 | S Σ | 1..1 | decimal | 事前審查申請數量
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 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 Σ | 1..1 | code | 事前審查申請數量單位 Binding: UCUMCodes (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(4.0.1) | 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(4.0.1) | 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 | Status | Usage | ValueSet | Version | Source
Claim.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Claim.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Claim.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Claim.status | Base | required | Financial Resource Status Codes | 📍4.0.1 | FHIR Std.
Claim.type | Base | extensible | Claim Type Codes | 📍4.0.1 | FHIR Std.
Claim.subType | Base | required | NHI-健保事前審查-申報類別值集 | 📦1.1.1 | This IG
Claim.use | Base | required | Use | 📍4.0.1 | FHIR Std.
Claim.priority | Base | required | NHI-健保事前審查-申請案件類別值集 | 📦1.1.1 | This IG
Claim.fundsReserve | Base | example | FundsReserve | 📍4.0.1 | FHIR Std.
Claim.related.relationship | Base | example | Example Related Claim Relationship Codes | 📍4.0.1 | FHIR Std.
Claim.payee.type | Base | example | PayeeType | 📍4.0.1 | FHIR Std.
Claim.careTeam.role | Base | example | Claim Care Team Role Codes | 📍4.0.1 | FHIR Std.
Claim.careTeam.qualification | Base | example | Example Provider Qualification Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:weight.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:weight.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:weight.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:weight.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:height.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:height.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:pregnancy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:pregnancy.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:pregnancy.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:imagingReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:imagingReport.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:imagingReport.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:cancerStage.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:cancerStage.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:cancerStage.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:examinationReport.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:examinationReport.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:examinationReport.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:geneInfo.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:geneInfo.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:geneInfo.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:tests.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:tests.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:tests.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:patientAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:patientAssessment.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:patientAssessment.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicationRequest.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicationRequest.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicationRequest.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:radiotherapy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:radiotherapy.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:radiotherapy.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:carePlanDocument.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:carePlanDocument.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:carePlanDocument.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicalRecord.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:medicalRecord.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:medicalRecord.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:treatmentAssessment.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:treatmentAssessment.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:treatmentAssessment.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:bloodgroup.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:bloodgroup.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:bloodgroup.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:opd.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:opd.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:opd.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:allergy.​category | Base | required | NHI-健保事前審查-補充資訊類別值集 | 📦1.1.1 | This IG
Claim.supportingInfo:allergy.​code | Base | example | Exception Codes | 📍4.0.1 | FHIR Std.
Claim.supportingInfo:allergy.​reason | Base | example | Missing Tooth Reason Codes | 📍4.0.1 | FHIR Std.
Claim.diagnosis.diagnosis[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2023 | Base | extensible | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.diagnosis.diagnosis[x].​coding:icd10-cm-2014 | Base | extensible | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.diagnosis.type | Base | example | Example Diagnosis Type Codes | 📍4.0.1 | FHIR Std.
Claim.diagnosis.onAdmission | Base | example | Example Diagnosis on Admission Codes | 📍4.0.1 | FHIR Std.
Claim.diagnosis.packageCode | Base | example | Example Diagnosis Related Group Codes | 📍4.0.1 | FHIR Std.
Claim.procedure.type | Base | example | Example Procedure Type Codes | 📍4.0.1 | FHIR Std.
Claim.procedure.procedure[x] | Base | preferred | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-PCS值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:icd10-pcs-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-PCS值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Claim.procedure.procedure[x].​coding:medical-service-payment | Base | required | NHI-健保事前審查-醫療服務給付項目值集 | 📦1.1.1 | This IG
Claim.accident.type | Base | extensible | ActIncidentCode | 📦3.0.0 | THO v7.0
Claim.item.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std.
Claim.item.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std.
Claim.item.productOrService | Base | required | NHI-健保事前審查-醫令類別值集 | 📦1.1.1 | This IG
Claim.item.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.modifier:continuation | Base | required | NHI-健保事前審查-續用註記值集 | 📦1.1.1 | This IG
Claim.item.modifier:lot | Base | required | NHI-健保事前審查-用藥線別值集 | 📦1.1.1 | This IG
Claim.item.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.
Claim.item.programCode.​coding | Base | required | NHI-健保事前審查-給付適應症值集 | 📦1.1.1 | This IG
Claim.item.location[x] | Base | example | Example Service Place Codes | 📍4.0.1 | FHIR Std.
Claim.item.quantity.​code | Base | required | UCUM Codes | 📦4.0.1 | FHIR Std.
Claim.item.bodySite | Base | required | NHI-健保事前審查-申請部位值集 | 📦1.1.1 | This IG
Claim.item.subSite | Base | example | Surface Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​revenue | Base | example | Example Revenue Center Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​category | Base | example | Benefit Category Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​productOrService | Base | example | USCLS Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​modifier | Base | example | Modifier type Codes | 📍4.0.1 | FHIR Std.
Claim.item.detail.subDetail.​programCode | Base | example | Example Program Reason Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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() )`
diagnosis-imm | error | Claim | 當Claim.diagnosis.diagnosisCodeableConcept(國際疾病分類代碼)第一碼不等於C，才可上傳。 | `(diagnosis.diagnosis.ofType(CodeableConcept).coding.where(code.matches('^(C)')).exists()).not()`
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至少需存在一個。 | `text.exists() or 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`

This structure is derived from Claim

Summary

Mandatory: 33 elements(30 nested mandatory elements)
Must-Support: 54 elements
Prohibited: 17 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/照光治療-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)
- 血型-Observation Blood Group TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-blood-group-twpas)
- 門診病歷-Composition OPD TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Composition-opd-twpas)
- 過敏史-AllergyIntolerance TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/AllergyIntolerance-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 values of Claim.supportingInfo (Closed)
- The element 1 is sliced based on the values of Claim.diagnosis.diagnosis[x].coding (Closed)
- The element 1 is sliced based on the values of Claim.procedure.procedure[x].coding (Closed)
- The element 1 is sliced based on the values of Claim.item.modifier (Closed)

Other representations of profile: CSV, Excel, Schematron