臺灣健保事前審查實作指引
1.2.4 - STU1.2.4

This page is part of the 臺灣健保癌症用藥事前審查實作指引(TWPAS IG) (v1.2.4: STU1.2.4) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: 事前審查-申復、有共病 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Claim/cla-3> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "cla-3"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas" ;
       fhir:index 0 ;
       fhir:link <https://nhicore.nhi.gov.tw/pas/StructureDefinition/Claim-twpas>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Claim-twpas.html\">癌藥事前審查-Claim TWPAS</a></p></div><p><b>狀態</b>：Active</p><p><b>類型</b>：Institutional<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/CodeSystem/claim-type\">ClaimTypeCodes</a>#institutional)</span></p><p><b>就醫科別</b>：<a href=\"Encounter-enc-min.html\">Encounter/enc-min</a> \"胸腔暨重症加護\"</p><p><b>受理編號</b>：202505301000002</p><p><b>原始檔名</b>：FHR3501200000_2016101000000001.JSON</p><p><b>原受理編號</b>：202405301000002</p><p><b>申報類別</b>：申復<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-apply-type.html\">NHI-申報類別值集</a>#3)</span></p><p><b>目的</b>：Preauthorization</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> \"王大明\"</p><p><b>申請日期</b>：2024-05-30</p><p><b>申請醫師</b>：<a href=\"Practitioner-pra-min.html\">Practitioner/pra-min</a></p><p><b>醫事機構代碼</b>：<a href=\"Organization-org-hosp-example.html\">Organization/org-hosp-example</a></p><p><b>申請案件類別</b>：一般事前審查申請<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-tmhb-type.html\">NHI-申請案件類別值集</a>#1)</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：1</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type weight}\">病人體重</span></p><p><b>value</b>：59.65 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：2</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type height}\">病人身高</span></p><p><b>value</b>：170 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：3</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type pregnancyBreastfeedingStatus}\">是否懷孕或哺乳</span></p><p><b>value</b>：false</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：4</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type imagingReport}\">影像報告</span></p><p><b>value</b>：<a href=\"DiagnosticReport-diaRep-ima-min.html\">DiagnosticReport/diaRep-ima-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：5</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type cancerStage}\">癌症分期量表</span></p><p><b>value</b>：<a href=\"Observation-obs-cancer-figo.html\">Observation/obs-cancer-figo</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：6</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type examinationReport}\">檢查報告</span></p><p><b>value</b>：<a href=\"DiagnosticReport-diaRep-min.html\">DiagnosticReport/diaRep-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：7</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type geneInfo}\">基因資訊</span></p><p><b>value</b>：<a href=\"Observation-obs-diagnostic-min.html\">Observation/obs-diagnostic-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：8</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type tests}\">檢驗(查)</span></p><p><b>value</b>：<a href=\"Observation-obs-lab-min.html\">Observation/obs-lab-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：9</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type patientAssessment}\">病人狀態評估</span></p><p><b>value</b>：<a href=\"Observation-obs-pat-nyha.html\">Observation/obs-pat-nyha</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：10</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type medicationRequest}\">用藥品項</span></p><p><b>value</b>：<a href=\"MedicationRequest-medReq-treat.html\">MedicationRequest/medReq-treat</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：11</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type radiotherapy}\">放射治療</span></p><p><b>value</b>：<a href=\"Procedure-pro-min.html\">Procedure/pro-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：12</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type carePlanDocument}\">治療計畫文件</span></p><p><b>value</b>：<a href=\"DocumentReference-doc-careplan-min.html\">DocumentReference/doc-careplan-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：13</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type medicalRecord}\">病歷資料</span></p><p><b>value</b>：<a href=\"DocumentReference-doc-medicalRecord-min.html\">DocumentReference/doc-medicalRecord-min</a></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>：14</p><p><b>category</b>：<span title=\"Codes:{https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type treatmentAssessment}\">結果資訊</span></p><p><b>value</b>：<a href=\"Observation-obs-tx-min.html\">Observation/obs-tx-min</a></p></blockquote><h3>Diagnoses</h3><p><b>診斷日期</b>：2024-01-01</p><p><b>國際疾病分類代碼</b>：慢性右心臟衰竭<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw\">臺灣健保署2023年中文版ICD-10-CM值集</a>#I50.812)</span></p><p><b>共病</b>：第一型糖尿病，伴有糖尿病的神經病變<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw\">臺灣健保署2023年中文版ICD-10-CM值集</a>#E10.40)</span></p><p><b>簡要病摘</b>：Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI</p><h3>Procedures</h3><p><b>手術(或其他處置)日期</b>：2024-01-01</p><p><b>手術(或其他處置)項目</b>：經由自體開口或人工造口心包腔近接放射性同位素抗腫瘤液態藥劑輸入<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw\">臺灣健保署2023年中文版ICD-10-PCS值集</a>#3E0Y704)</span></p><h3>Insurances</h3><p><b>sequence</b>：1</p><p><b>coverage</b>：<a href=\"Coverage-cov-min.html\">Coverage/cov-min</a></p><h3>Items</h3><p><b>事前審查品項</b>：<a href=\"MedicationRequest-medReq-apply-2.html\">MedicationRequest/medReq-apply-2</a></p><p><b>事前審查申請數量(單位)</b>：70 (tablets <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://hl7.org/fhir/R4/valueset-ucum-common.html\">Common UCUM units</a>#{tbl})</span>)</p><p><b>醫令類別</b>：藥品<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-order-type.html\">NHI-健保事前審查-醫令類別值集</a>#1)</span></p><p><b>續用註記</b>：初次使用<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-continuation-status.html\">NHI-續用註記值集</a>#1)</span></p><p><b>用藥線別</b>：第一線治療<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-line-of-therapy.html\">NHI-用藥線別值集</a>#1)</span></p><p><b>給付適應症</b>：C50P1<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-apply-reason.html\">NHI-給付適應症值集</a>#C50P1)</span></p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claim-encounter" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Encounter/enc-min> ;
       fhir:Reference.reference [ fhir:value "Encounter/enc-min" ]
     ]
  ] ;
  fhir:Claim.identifier [
     fhir:index 0 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.value [ fhir:value "202505301000002" ]
  ], [
     fhir:index 1 ;
     fhir:Identifier.use [ fhir:value "usual" ] ;
     fhir:Identifier.value [ fhir:value "FHR3501200000_2016101000000001.JSON" ]
  ], [
     fhir:index 2 ;
     fhir:Identifier.use [ fhir:value "secondary" ] ;
     fhir:Identifier.value [ fhir:value "202405301000002" ]
  ] ;
  fhir:Claim.status [ fhir:value "active"] ;
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "institutional" ]
     ]
  ] ;
  fhir:Claim.subType [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-type" ] ;
       fhir:Coding.code [ fhir:value "3" ] ;
       fhir:Coding.display [ fhir:value "申復" ]
     ]
  ] ;
  fhir:Claim.use [ fhir:value "preauthorization"] ;
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/pat-min> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-min" ]
  ] ;
  fhir:Claim.created [ fhir:value "2024-05-30"^^xsd:date] ;
  fhir:Claim.enterer [
     fhir:link <http://hl7.org/fhir/Practitioner/pra-min> ;
     fhir:Reference.reference [ fhir:value "Practitioner/pra-min" ]
  ] ;
  fhir:Claim.provider [
     fhir:link <http://hl7.org/fhir/Organization/org-hosp-example> ;
     fhir:Reference.reference [ fhir:value "Organization/org-hosp-example" ]
  ] ;
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-tmhb-type" ] ;
       fhir:Coding.code [ fhir:value "1" ] ;
       fhir:Coding.display [ fhir:value "一般事前審查申請" ]
     ]
  ] ;
  fhir:Claim.supportingInfo [
     fhir:index 0 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "weight" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueQuantity [
       fhir:Quantity.value [ fhir:value "59.65"^^xsd:decimal ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "kg" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "2"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "height" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueQuantity [
       fhir:Quantity.value [ fhir:value "170"^^xsd:decimal ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "cm" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "3"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "pregnancyBreastfeedingStatus" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 3 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "4"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "imagingReport" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/DiagnosticReport/diaRep-ima-min> ;
       fhir:Reference.reference [ fhir:value "DiagnosticReport/diaRep-ima-min" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "5"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "cancerStage" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/Observation/obs-cancer-figo> ;
       fhir:Reference.reference [ fhir:value "Observation/obs-cancer-figo" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "6"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "examinationReport" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/DiagnosticReport/diaRep-min> ;
       fhir:Reference.reference [ fhir:value "DiagnosticReport/diaRep-min" ]
     ]
  ], [
     fhir:index 6 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "7"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "geneInfo" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/Observation/obs-diagnostic-min> ;
       fhir:Reference.reference [ fhir:value "Observation/obs-diagnostic-min" ]
     ]
  ], [
     fhir:index 7 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "8"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "tests" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/Observation/obs-lab-min> ;
       fhir:Reference.reference [ fhir:value "Observation/obs-lab-min" ]
     ]
  ], [
     fhir:index 8 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "9"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "patientAssessment" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/Observation/obs-pat-nyha> ;
       fhir:Reference.reference [ fhir:value "Observation/obs-pat-nyha" ]
     ]
  ], [
     fhir:index 9 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "10"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "medicationRequest" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/MedicationRequest/medReq-treat> ;
       fhir:Reference.reference [ fhir:value "MedicationRequest/medReq-treat" ]
     ]
  ], [
     fhir:index 10 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "11"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "radiotherapy" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/Procedure/pro-min> ;
       fhir:Reference.reference [ fhir:value "Procedure/pro-min" ]
     ]
  ], [
     fhir:index 11 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "12"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "carePlanDocument" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/DocumentReference/doc-careplan-min> ;
       fhir:Reference.reference [ fhir:value "DocumentReference/doc-careplan-min" ]
     ]
  ], [
     fhir:index 12 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "13"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "medicalRecord" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/DocumentReference/doc-medicalRecord-min> ;
       fhir:Reference.reference [ fhir:value "DocumentReference/doc-medicalRecord-min" ]
     ]
  ], [
     fhir:index 13 ;
     fhir:Claim.supportingInfo.sequence [ fhir:value "14"^^xsd:positiveInteger ] ;
     fhir:Claim.supportingInfo.category [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type" ] ;
         fhir:Coding.code [ fhir:value "treatmentAssessment" ]
       ]
     ] ;
     fhir:Claim.supportingInfo.valueReference [
       fhir:link <http://hl7.org/fhir/Observation/obs-tx-min> ;
       fhir:Reference.reference [ fhir:value "Observation/obs-tx-min" ]
     ]
  ] ;
  fhir:Claim.diagnosis [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate" ] ;
       fhir:Extension.valueDate [ fhir:value "2024-01-01"^^xsd:date ]
     ] ;
     fhir:Claim.diagnosis.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.diagnosis.diagnosisCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw" ] ;
         fhir:Coding.code [ fhir:value "I50.812" ]
       ]
     ] ;
     fhir:Claim.diagnosis.type [
       fhir:index 0 ;
       fhir:CodeableConcept.text [ fhir:value "Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Claim.diagnosis.sequence [ fhir:value "2"^^xsd:positiveInteger ] ;
     fhir:Claim.diagnosis.diagnosisCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw" ] ;
         fhir:Coding.code [ fhir:value "E10.40" ]
       ]
     ]
  ] ;
  fhir:Claim.procedure [
     fhir:index 0 ;
     fhir:Claim.procedure.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.procedure.date [ fhir:value "2024-01-01"^^xsd:date ] ;
     fhir:Claim.procedure.procedureCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw" ] ;
         fhir:Coding.code [ fhir:value "3E0Y704" ]
       ]
     ]
  ] ;
  fhir:Claim.insurance [
     fhir:index 0 ;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/cov-min> ;
       fhir:Reference.reference [ fhir:value "Coverage/cov-min" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-requestedService" ] ;
       fhir:Extension.valueReference [
         fhir:link <http://hl7.org/fhir/MedicationRequest/medReq-apply-2> ;
         fhir:Reference.reference [ fhir:value "MedicationRequest/medReq-apply-2" ]
       ]
     ] ;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-order-type" ] ;
         fhir:Coding.code [ fhir:value "1" ] ;
         fhir:Coding.display [ fhir:value "藥品" ]
       ]
     ] ;
     fhir:Claim.item.modifier [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-continuation-status" ] ;
         fhir:Coding.code [ fhir:value "1" ] ;
         fhir:Coding.display [ fhir:value "初次使用" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-line-of-therapy" ] ;
         fhir:Coding.code [ fhir:value "1" ] ;
         fhir:Coding.display [ fhir:value "第一線治療" ]
       ]
     ] ;
     fhir:Claim.item.programCode [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-apply-reason" ] ;
         fhir:Coding.code [ fhir:value "C50P1" ]
       ]
     ] ;
     fhir:Claim.item.quantity [
       fhir:Quantity.value [ fhir:value "70"^^xsd:decimal ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "{tbl}" ]
     ]
  ] .

<http://hl7.org/fhir/Encounter/enc-min> a fhir:Encounter .

<http://hl7.org/fhir/Patient/pat-min> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/pra-min> a fhir:Practitioner .

<http://hl7.org/fhir/Organization/org-hosp-example> a fhir:Organization .

<http://hl7.org/fhir/DiagnosticReport/diaRep-ima-min> a fhir:DiagnosticReport .

<http://hl7.org/fhir/Observation/obs-cancer-figo> a fhir:Observation .

<http://hl7.org/fhir/DiagnosticReport/diaRep-min> a fhir:DiagnosticReport .

<http://hl7.org/fhir/Observation/obs-diagnostic-min> a fhir:Observation .

<http://hl7.org/fhir/Observation/obs-lab-min> a fhir:Observation .

<http://hl7.org/fhir/Observation/obs-pat-nyha> a fhir:Observation .

<http://hl7.org/fhir/MedicationRequest/medReq-treat> a fhir:MedicationRequest .

<http://hl7.org/fhir/Procedure/pro-min> a fhir:Procedure .

<http://hl7.org/fhir/DocumentReference/doc-careplan-min> a fhir:DocumentReference .

<http://hl7.org/fhir/DocumentReference/doc-medicalRecord-min> a fhir:DocumentReference .

<http://hl7.org/fhir/Observation/obs-tx-min> a fhir:Observation .

<http://hl7.org/fhir/Coverage/cov-min> a fhir:Coverage .

<http://hl7.org/fhir/MedicationRequest/medReq-apply-2> a fhir:MedicationRequest .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/cla-3.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Claim/cla-3.ttl> .