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Packagetw.gov.mohw.nhi.base
Resource TypeClaim
IdClaim-cla-1.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

狀態：Active

類型：Institutional (ClaimTypeCodes#institutional)

申報類別：送核 (NHI-申報類別值集#1)

目的：Preauthorization

病人：Patient/pat-min "王大明"

申請日期：2024-05-30

醫事機構代碼：Organization/org-hosp-example

申請案件類別：一般事前審查申請 (NHI-申請案件類別值集#1)

Diagnoses

診斷日期：2024-01-01

國際疾病分類代碼：慢性右心臟衰竭 (臺灣健保署2023年中文版ICD-10-CM值集#I50.812)

簡要病摘：Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI

supportingInfo

sequence：1

category：基因資訊

value：Observation/obs-diagnostic-min

Insurances

sequence：1

coverage：Coverage/cov-min

Source1

{
  "resourceType": "Claim",
  "id": "cla-1",
  "meta": {
    "profile": [
      "https://nhicore.nhi.gov.tw/base/StructureDefinition/Claim-twnhibase"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "institutional"
      }
    ]
  },
  "subType": {
    "coding": [
      {
        "system": "https://nhicore.nhi.gov.tw/base/CodeSystem/nhi-apply-type",
        "code": "1",
        "display": "送核"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/pat-min"
  },
  "created": "2024-05-30",
  "provider": {
    "reference": "Organization/org-hosp-example"
  },
  "priority": {
    "coding": [
      {
        "system": "https://nhicore.nhi.gov.tw/base/CodeSystem/nhi-tmhb-type",
        "code": "1",
        "display": "一般事前審查申請"
      }
    ]
  },
  "supportingInfo": [
    {
      "sequence": 1,
      "category": {
        "coding": [
          {
            "system": "https://nhicore.nhi.gov.tw/base/CodeSystem/nhi-supporting-info-type",
            "code": "geneInfo"
          }
        ]
      },
      "valueReference": {
        "reference": "Observation/obs-diagnostic-min"
      }
    }
  ],
  "diagnosis": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate",
          "valueDate": "2024-01-01"
        }
      ],
      "sequence": 1,
      "diagnosisCodeableConcept": {
        "coding": [
          {
            "system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw",
            "code": "I50.812"
          }
        ]
      },
      "type": [
        {
          "text": "Adenocarcinoma, descending colon, cT3N2M1a, cStage IVA, KRAS G12V, with multiple liver metastases, status post FOLFIRI"
        }
      ]
    }
  ],
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/cov-min"
      }
    }
  ]
}