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FHIR IG Statistics: Questionnaire/apply-catastrophic-illness

Packagetw.gov.mohw.nhi.ci
Resource TypeQuestionnaire
Idapply-catastrophic-illness
FHIR VersionR4
Sourcehttps://nhicore.nhi.gov.tw/ci/https://build.fhir.org/ig/TWNHIFHIR/ci/Questionnaire-apply-catastrophic-illness.html
URLhttps://nhicore.nhi.gov.tw/ci/Questionnaire/apply-catastrophic-illness
Version1.0.0
Statusactive
Date2025-04-30
NameCatastrophicIllnessForm
TitleCatastrophic-Illness-Form
Realmtw
Authoritynational

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Narrative

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

Generated Narrative: Questionnaire apply-catastrophic-illness

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. CatastrophicIllnessFormQuestionnairehttps://nhicore.nhi.gov.tw/ci/Questionnaire/apply-catastrophic-illness#1.0.0
... 1hosp|院所資訊1..1group
.... 1.1hosp.applMode|申報方式1..1choiceValue Set: NHI-健保重大傷病-申報方式值集
.... 1.2hosp.applType|申報類別1..1choiceValue Set: NHI-健保重大傷病-申報類別值集
.... 1.3hosp.applDate|申請日期1..1date
.... 1.4hosp.medCertBookDate|開立診斷書申請日期1..1date
.... 1.5hosp.hospId|醫事機構代碼1..1choiceValue Set: NHI-健保重大傷病-特約醫事機構值集
.... 1.6hosp.acptNo|受理編號0..1string
.... 1.7hosp.acptNum|受理次數0..1integer
... 2patient|病人資訊1..1reference
... 3doctor|醫師資訊1..1group
.... 3.1doctor.diagPrsnId|醫師身分證號0..1string
.... 3.2doctor.diagPrsnName|診斷醫師姓名1..1string
... 4diagnosis|疾病資訊0..1group
.... 4.1diagnosis.icd10cmCode|主診斷代碼1..1choiceValue Set: NHI-健保重大傷病-ICD-CM-重大傷病診斷代碼值集
.... 4.2diagnosis.examinationReport|檢查報告0..1group
..... 4.2.1diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。0..1choiceValue Set: LOINC-健保重大傷病-報告類型值集
..... 4.2.2diagnosis.examinationReport.speType|檢體種類0..1string
..... 4.2.3diagnosis.examinationReport.reportResultString|報告結果-文數字0..1string
..... 4.2.4diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。0..1string
..... 4.2.5diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱0..1string
..... 4.2.6diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。0..*date
.... 4.3diagnosis.medrec|病歷資料0..*group
..... 4.3.1diagnosis.medrec.medrec|病歷資料0..1string
..... 4.3.2diagnosis.medrec.medrecTitle|病歷資料名稱0..1string
.... 4.4diagnosis.imageStudy|影像報告0..*group
..... 4.4.1diagnosis.imageStudy.imgItem|影像報告0..1choiceValue Set: NHI-健保重大傷病-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集
..... 4.4.2diagnosis.imageStudy.imgResult|影像報告結果0..1string
..... 4.4.3diagnosis.imageStudy.imgDate|影像報告日期0..1date
..... 4.4.4diagnosis.imageStudy.imgBodySite|影像檢查的身體部位0..1choiceValue Set: SNOMEDCT-健保重大傷病-身體部位值集
..... 4.4.5diagnosis.imageStudy.imgDicom|DICOM影像0..*group
...... 4.4.5.1diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼0..1string
...... 4.4.5.2diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例0..*group
....... 4.4.5.2.1diagnosis.imageStudy.imgDicom.series.uid|此系列的DICOM系列實例UID0..1string
....... 4.4.5.2.2diagnosis.imageStudy.imgDicom.series.modality|此系列實例所使用的成像儀器0..1choice
....... 4.4.5.2.3diagnosis.imageStudy.imgDicom.series.instance|系列中的一個SOP實例0..*group
........ 4.4.5.2.3.1diagnosis.imageStudy.imgDicom.series.instance.uid|DICOM影像0..1string
........ 4.4.5.2.3.2diagnosis.imageStudy.imgDicom.series.instance.sopClass|DICOM class 類型0..1choice
..... 4.4.6diagnosis.imageStudy.imgNonDicom|非DICOM影像0..*group
...... 4.4.6.1diagnosis.imageStudy.imgNonDicom.imgNonDicom|非DICOM影像0..1string
...... 4.4.6.2diagnosis.imageStudy.imgNonDicom.imgNonDicomMimeType|非DICOM影像MimeType0..1choiceValue Set: HL7-健保重大傷病-非DICOM影像MimeType值集
... 5ci|重大傷病1..1reference
... 6cancerStage|癌症期別1..1group
.... 6.1cancerStage.cancerStage|癌症期別，醫院自行填入癌症期別(1~4)，若為不適用者填9(不適用)。1..1choiceValue Set: NHI-健保重大傷病-癌症期別值集
.... 6.2cancerStage.assessScore|癌症分期分數或結果0..1string
.... 6.3cancerStage.assessDate|癌症分期量表評估日期，YYYY-MM-DD，西元年月日，民國前為負數。0..1date
... 7illness|惡性腫瘤重大傷病換發評估表1..1group
.... 7.1illness.oriCancerCode|原發癌症診斷碼，最長為7碼。0..1choiceValue Set: NHI-健保重大傷病-ICD-CM-原發癌症診斷碼值集
.... 7.2illness.oriCancerDxDate|癌症最初診斷日期，西元年月日；不得大於系統日。0..1date
.... 7.3illness.oriCancerAjcc|癌症最初診斷AJCC分期(病理分期或未接受治療前的臨床分期)，依期別填入；若不是用此分類而用其他分類，則填寫9。0..1choiceValue Set: NHI-健保重大傷病-癌症最初診斷AJCC分期值集
.... 7.4illness.oriCancerAjcc1|癌症最初診斷AJCC分期_補充說明欄位，若前述欄位為9，則請於此欄位描述其他系統之其他分期為何。0..1string
.... 7.5illness.cancerStatus|目前癌症狀態0..1choiceValue Set: NHI-健保重大傷病-癌症狀態
.... 7.6illness.cancerTreatment|後續治療評估，可複選。0..*choiceValue Set: NHI-健保重大傷病-後續治療評估值集
.... 7.7illness.cancerTreatmentPlan|後續治療計劃，可複選。0..*choiceValue Set: NHI-健保重大傷病-後續治療計劃值集
.... 7.8illness.cancerTreatmentText|補充說明。0..1string

doco Documentation for this format

Source

{
  "resourceType": "Questionnaire",
  "id": "apply-catastrophic-illness",
  "meta": {
    "profile": [
      "https://nhicore.nhi.gov.tw/ci/StructureDefinition/Questionnaire-twci"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://nhicore.nhi.gov.tw/ci/Questionnaire/apply-catastrophic-illness",
  "version": "1.0.0",
  "name": "CatastrophicIllnessForm",
  "title": "Catastrophic-Illness-Form",
  "status": "active",
  "date": "2025-04-30",
  "publisher": "衛生福利部中央健康保險署",
  "contact": [
    {
      "name": "衛生福利部中央健康保險署",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nhi.gov.tw"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "1",
      "text": "hosp|院所資訊",
      "type": "group",
      "required": true,
      "item": [
        {
          "linkId": "1.1",
          "text": "hosp.applMode|申報方式",
          "type": "choice",
          "required": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-apply-mode"
        },
        {
          "linkId": "1.2",
          "text": "hosp.applType|申報類別",
          "type": "choice",
          "required": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-apply-type"
        },
        {
          "linkId": "1.3",
          "text": "hosp.applDate|申請日期",
          "type": "date",
          "required": true
        },
        {
          "linkId": "1.4",
          "text": "hosp.medCertBookDate|開立診斷書申請日期",
          "type": "date",
          "required": true
        },
        {
          "linkId": "1.5",
          "text": "hosp.hospId|醫事機構代碼",
          "type": "choice",
          "required": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-organization"
        },
        {
          "linkId": "1.6",
          "text": "hosp.acptNo|受理編號",
          "type": "string"
        },
        {
          "linkId": "1.7",
          "text": "hosp.acptNum|受理次數",
          "type": "integer"
        }
      ]
    },
    {
      "linkId": "2",
      "text": "patient|病人資訊",
      "type": "reference",
      "required": true
    },
    {
      "linkId": "3",
      "text": "doctor|醫師資訊",
      "type": "group",
      "required": true,
      "item": [
        {
          "linkId": "3.1",
          "text": "doctor.diagPrsnId|醫師身分證號",
          "type": "string"
        },
        {
          "linkId": "3.2",
          "text": "doctor.diagPrsnName|診斷醫師姓名",
          "type": "string",
          "required": true
        }
      ]
    },
    {
      "linkId": "4",
      "text": "diagnosis|疾病資訊",
      "type": "group",
      "item": [
        {
          "linkId": "4.1",
          "text": "diagnosis.icd10cmCode|主診斷代碼",
          "type": "choice",
          "required": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-diag-code-icd"
        },
        {
          "linkId": "4.2",
          "text": "diagnosis.examinationReport|檢查報告",
          "type": "group",
          "item": [
            {
              "linkId": "4.2.1",
              "text": "diagnosis.examinationReport.reportType|報告類型。當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類。",
              "type": "choice",
              "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/loinc-report-type"
            },
            {
              "linkId": "4.2.2",
              "text": "diagnosis.examinationReport.speType|檢體種類",
              "type": "string"
            },
            {
              "linkId": "4.2.3",
              "text": "diagnosis.examinationReport.reportResultString|報告結果-文數字",
              "type": "string"
            },
            {
              "linkId": "4.2.4",
              "text": "diagnosis.examinationReport.reportResultPdf|檢查報告檔案，請填寫完整檔案路徑。填寫格式：「file://檔名.副檔名」。",
              "type": "string"
            },
            {
              "linkId": "4.2.5",
              "text": "diagnosis.examinationReport.reportResultPdfTitle|檢查報告名稱",
              "type": "string"
            },
            {
              "linkId": "4.2.6",
              "text": "diagnosis.examinationReport.reportDate|報告日期，YYYY-MM-DD。",
              "type": "date",
              "repeats": true
            }
          ]
        },
        {
          "linkId": "4.3",
          "text": "diagnosis.medrec|病歷資料",
          "type": "group",
          "repeats": true,
          "item": [
            {
              "linkId": "4.3.1",
              "text": "diagnosis.medrec.medrec|病歷資料",
              "type": "string"
            },
            {
              "linkId": "4.3.2",
              "text": "diagnosis.medrec.medrecTitle|病歷資料名稱",
              "type": "string"
            }
          ]
        },
        {
          "linkId": "4.4",
          "text": "diagnosis.imageStudy|影像報告",
          "type": "group",
          "repeats": true,
          "item": [
            {
              "linkId": "4.4.1",
              "text": "diagnosis.imageStudy.imgItem|影像報告",
              "type": "choice",
              "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/icd-10-pcs-2023-image"
            },
            {
              "linkId": "4.4.2",
              "text": "diagnosis.imageStudy.imgResult|影像報告結果",
              "type": "string"
            },
            {
              "linkId": "4.4.3",
              "text": "diagnosis.imageStudy.imgDate|影像報告日期",
              "type": "date"
            },
            {
              "linkId": "4.4.4",
              "text": "diagnosis.imageStudy.imgBodySite|影像檢查的身體部位",
              "type": "choice",
              "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/body-site"
            },
            {
              "linkId": "4.4.5",
              "text": "diagnosis.imageStudy.imgDicom|DICOM影像",
              "type": "group",
              "repeats": true,
              "item": [
                {
                  "linkId": "4.4.5.1",
                  "text": "diagnosis.imageStudy.imgDicom.studyUid|整項影像檢查的識別碼",
                  "type": "string"
                },
                {
                  "linkId": "4.4.5.2",
                  "text": "diagnosis.imageStudy.imgDicom.series|每項影像檢查有一個或多個系列(series)的實例",
                  "type": "group",
                  "repeats": true,
                  "item": [
                    {
                      "linkId": "4.4.5.2.1",
                      "text": "diagnosis.imageStudy.imgDicom.series.uid|此系列的DICOM系列實例UID",
                      "type": "string"
                    },
                    {
                      "linkId": "4.4.5.2.2",
                      "text": "diagnosis.imageStudy.imgDicom.series.modality|此系列實例所使用的成像儀器",
                      "type": "choice"
                    },
                    {
                      "linkId": "4.4.5.2.3",
                      "text": "diagnosis.imageStudy.imgDicom.series.instance|系列中的一個SOP實例",
                      "type": "group",
                      "repeats": true,
                      "item": [
                        {
                          "linkId": "4.4.5.2.3.1",
                          "text": "diagnosis.imageStudy.imgDicom.series.instance.uid|DICOM影像",
                          "type": "string"
                        },
                        {
                          "linkId": "4.4.5.2.3.2",
                          "text": "diagnosis.imageStudy.imgDicom.series.instance.sopClass|DICOM class 類型",
                          "type": "choice"
                        }
                      ]
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "4.4.6",
              "text": "diagnosis.imageStudy.imgNonDicom|非DICOM影像",
              "type": "group",
              "repeats": true,
              "item": [
                {
                  "linkId": "4.4.6.1",
                  "text": "diagnosis.imageStudy.imgNonDicom.imgNonDicom|非DICOM影像",
                  "type": "string"
                },
                {
                  "linkId": "4.4.6.2",
                  "text": "diagnosis.imageStudy.imgNonDicom.imgNonDicomMimeType|非DICOM影像MimeType",
                  "type": "choice",
                  "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/media-mimetypes"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "5",
      "text": "ci|重大傷病",
      "type": "reference",
      "required": true
    },
    {
      "linkId": "6",
      "text": "cancerStage|癌症期別",
      "type": "group",
      "required": true,
      "item": [
        {
          "linkId": "6.1",
          "text": "cancerStage.cancerStage|癌症期別，醫院自行填入癌症期別(1~4)，若為不適用者填9(不適用)。",
          "type": "choice",
          "required": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/cancer-stage"
        },
        {
          "linkId": "6.2",
          "text": "cancerStage.assessScore|癌症分期分數或結果",
          "type": "string"
        },
        {
          "linkId": "6.3",
          "text": "cancerStage.assessDate|癌症分期量表評估日期，YYYY-MM-DD，西元年月日，民國前為負數。",
          "type": "date"
        }
      ]
    },
    {
      "linkId": "7",
      "text": "illness|惡性腫瘤重大傷病換發評估表",
      "type": "group",
      "required": true,
      "item": [
        {
          "linkId": "7.1",
          "text": "illness.oriCancerCode|原發癌症診斷碼，最長為7碼。",
          "type": "choice",
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-primary-cancer-icd"
        },
        {
          "linkId": "7.2",
          "text": "illness.oriCancerDxDate|癌症最初診斷日期，西元年月日；不得大於系統日。",
          "type": "date"
        },
        {
          "linkId": "7.3",
          "text": "illness.oriCancerAjcc|癌症最初診斷AJCC分期(病理分期或未接受治療前的臨床分期)，依期別填入；若不是用此分類而用其他分類，則填寫9。",
          "type": "choice",
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancerstaging"
        },
        {
          "linkId": "7.4",
          "text": "illness.oriCancerAjcc1|癌症最初診斷AJCC分期_補充說明欄位，若前述欄位為9，則請於此欄位描述其他系統之其他分期為何。",
          "type": "string"
        },
        {
          "linkId": "7.5",
          "text": "illness.cancerStatus|目前癌症狀態",
          "type": "choice",
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancerstage-status"
        },
        {
          "linkId": "7.6",
          "text": "illness.cancerTreatment|後續治療評估，可複選。",
          "type": "choice",
          "repeats": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancer-treatment"
        },
        {
          "linkId": "7.7",
          "text": "illness.cancerTreatmentPlan|後續治療計劃，可複選。",
          "type": "choice",
          "repeats": true,
          "answerValueSet": "https://nhicore.nhi.gov.tw/ci/ValueSet/nhi-cancer-treatment-plan"
        },
        {
          "linkId": "7.8",
          "text": "illness.cancerTreatmentText|補充說明。",
          "type": "string"
        }
      ]
    }
  ]
}