Name Flags Card. Type Description & Constraints doco
. . ClaimFormModel 0 .. * Base 理賠申請書(ClaimForm)之資料模型
Instances of this logical model are not marked to be the target of a Reference
. . . caseNo 0..1 identifier 案件編號
. . . admissionNumber 1..1 identifier 住院號／就醫號
. . . patient 1..1 BackboneElement 病人的基本資料
. . . . occupation 0..1 CodeableConcept 職業
. . . . identifier 1..1 identifier 身分證字號
. . . . patientNo 1..1 identifier 病歷號碼
. . . . name 1..1 HumanName 姓名
. . . . gender 1..1 CodeableConcept 性別
. . . . birthDate 1..1 dateTime 出生日期
. . . . address 0..1 Address 居住地址
. . . organization 1..1 BackboneElement 醫事機構
. . . . identifier 1..1 identifier 醫事機構代碼
. . . certificateOfDiagnosis 0..* BackboneElement 診斷證明書
. . . . patientSource 1..1 CodeableConcept 病人來源
. . . . particularDiagnosis 0..1 CodeableConcept 特殊診斷類別
. . . . department 1..1 string 應診科別
. . . . departmentCode 1..1 CodeableConcept 應診科別代碼
. . . . firstExaminationDate 1..1 dateTime 應診日期（始）
. . . . endExaminationDate 1..1 dateTime 應診日期（末）
. . . . examinationDay 0..1 Duration 應診天數
. . . . identifier 1..1 identifier 診斷證明書序號
. . . . diagnosis 1..* string 診斷（病名）
. . . . diagnosisCode 1..* CodeableConcept 病名代碼
. . . . recordedDate 1..1 dateTime 診斷證明書日期
. . . . primaryPhysician 1..1 HumanName 主治醫師
. . . . primaryPhysicianNo 0..1 identifier 醫師證號
. . . . medicalSummary 1..1 markdown 醫療摘要
. . . . responsiblePhysician 0..1 HumanName 負責醫師（院長）
. . . invoice 0..* BackboneElement 收據正本及費用明細表
. . . . chargeItem 0..* CodeableConcept 費用項目
. . . . medicalIdentity 0..1 CodeableConcept 就醫身分
. . . . invoiceDate 1..1 date 收據日期
. . . . selfPayAmount 0..1 Money 自付金額
. . . . discount 0..1 Money 減免
. . . . nationalHealthInsuranePoint 0..1 Money 健保點數
. . . . invoiceAmount 0..1 Money 收據金額
. . . laboratoryReport 0..* BackboneElement 相關檢驗/檢查報告
. . . . laboratoryReportName 1..1 CodeableConcept 檢驗報告名稱
. . . . laboratoryReportNo 1..1 identifier 收件編號(檢驗單號)
. . . . laboratoryItemName 1..* CodeableConcept 檢驗項目名稱
. . . . samplingDate 1..1 dateTime 採檢日期
. . . . reportDate 1..1 instant 報告日期
. . . . medicalTechnologist 1..1 HumanName 醫檢師
. . . . reporter 1..1 HumanName 報告者
. . . . laboratoryValue 1..* BackboneElement 檢測值
. . . . unit 0..1 string 單位
. . . . hL 0..1 CodeableConcept H/L
. . . . note 0..1 markdown 註記
. . . . bodySite 0..1 CodeableConcept 檢驗部位
. . . . referenceRange 1..* BackboneElement 參考值
. . . . recordedPhysician 1..1 HumanName 開單醫師
. . . . recordedDepartment 1..1 CodeableConcept 開單科別

doco Documentation for this format
<status value="active" /> <date value="2023-12-25T23:28:19+08:00" /> <publisher value="國泰金控" /> <contact> <name value="國泰金控" /> <telecom> <system value="url" /> <value value="https://www.cathayholdings.com/holdings/" /> </telecom> </contact> <description value="理賠申請書(ClaimForm)之資料模型" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="IClaim" /> <uri value="https://claim.cgh.org.tw/iclaim" /> <name value="iClaim IG" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="https://claim.cgh.org.tw/iclaim/StructureDefinition/ClaimFormModel" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base" /> <derivation value="specialization" /> <differential> <element id="ClaimFormModel"> <path value="ClaimFormModel" /> <short value="理賠申請書(ClaimForm)之資料模型" /> <definition value="理賠申請書(ClaimForm)之資料模型" /> <mapping> <identity value="IClaim" /> <map value="BundleiClaim" /> </mapping> </element> <element id="ClaimFormModel.caseNo"> <path value="ClaimFormModel.caseNo" /> <short value="案件編號" /> <definition value="案件編號" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.identifier" /> </mapping> </element> <element id="ClaimFormModel.admissionNumber"> <path value="ClaimFormModel.admissionNumber" /> <short value="住院號／就醫號" /> <definition value="住院號／就醫號" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> </element> <element id="ClaimFormModel.patient"> <path value="ClaimFormModel.patient" /> <short value="病人的基本資料" /> <definition value="病人的基本資料" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="ClaimFormModel.patient.occupation"> <path value="ClaimFormModel.patient.occupation" /> <short value="職業" /> <definition value="職業" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.occupation" /> </mapping> </element> <element id="ClaimFormModel.patient.identifier"> <path value="ClaimFormModel.patient.identifier" /> <short value="身分證字號" /> <definition value="身分證字號" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.identifier:idCardNumber" /> </mapping> </element> <element id="ClaimFormModel.patient.patientNo"> <path value="ClaimFormModel.patient.patientNo" /> <short value="病歷號碼" /> <definition value="病歷號碼" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.identifier:medicalRecord" /> </mapping> </element> <element id="ClaimFormModel.patient.name"> <path value="ClaimFormModel.patient.name" /> <short value="姓名" /> <definition value="病人之合法姓名。" /> <min value="1" /> <max value="1" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.name" /> </mapping> </element> <element id="ClaimFormModel.patient.gender"> <path value="ClaimFormModel.patient.gender" /> <short value="性別" /> <definition value="性別" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.gender" /> </mapping> </element> <element id="ClaimFormModel.patient.birthDate"> <path value="ClaimFormModel.patient.birthDate" /> <short value="出生日期" /> <definition value="病人的生日，如果有完整或部分的生日日期則必須提供，若無完整或部分的生日日期則以空字串''表示之。" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.birthDate" /> </mapping> </element> <element id="ClaimFormModel.patient.address"> <path value="ClaimFormModel.patient.address" /> <short value="居住地址" /> <definition value="居住地址" /> <min value="0" /> <max value="1" /> <type> <code value="Address" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:patient.address" /> </mapping> </element> <element id="ClaimFormModel.organization"> <path value="ClaimFormModel.organization" /> <short value="醫事機構" /> <definition value="醫事機構" /> <min value="1" /> <max value="1" /> <type> <code value="BackboneElement" /> </type> </element> <element id="ClaimFormModel.organization.identifier"> <path value="ClaimFormModel.organization.identifier" /> <short value="醫事機構代碼" /> <definition value="醫事機構代碼" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:provider.identifier" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis"> <path value="ClaimFormModel.certificateOfDiagnosis" /> <short value="診斷證明書" /> <definition value="診斷證明書" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="ClaimFormModel.certificateOfDiagnosis.patientSource"> <path value="ClaimFormModel.certificateOfDiagnosis.patientSource" /> <short value="病人來源" /> <definition value="病人來源" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.class" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.particularDiagnosis"> <path value="ClaimFormModel.certificateOfDiagnosis.particularDiagnosis" /> <short value="特殊診斷類別" /> <definition value="特殊診斷類別" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.type" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.department"> <path value="ClaimFormModel.certificateOfDiagnosis.department" /> <short value="應診科別" /> <definition value="應診科別" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.serviceType.coding.display" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.departmentCode"> <path value="ClaimFormModel.certificateOfDiagnosis.departmentCode" /> <short value="應診科別代碼" /> <definition value="應診科別代碼" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.serviceType.coding.code" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.firstExaminationDate"> <path value="ClaimFormModel.certificateOfDiagnosis.firstExaminationDate" /> <short value="應診日期（始）" /> <definition value="應診日期（始）" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.period.start" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.endExaminationDate"> <path value="ClaimFormModel.certificateOfDiagnosis.endExaminationDate" /> <short value="應診日期（末）" /> <definition value="應診日期（末）" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.period.end" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.examinationDay"> <path value="ClaimFormModel.certificateOfDiagnosis.examinationDay" /> <short value="應診天數" /> <definition value="應診天數" /> <min value="0" /> <max value="1" /> <type> <code value="Duration" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.length" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.identifier"> <path value="ClaimFormModel.certificateOfDiagnosis.identifier" /> <short value="診斷證明書序號" /> <definition value="診斷證明書序號" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.identifier" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.diagnosis"> <path value="ClaimFormModel.certificateOfDiagnosis.diagnosis" /> <short value="診斷（病名）" /> <definition value="診斷（病名）" /> <min value="1" /> <max value="*" /> <type> <code value="string" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.code.coding:icd10-cm-2021.display 或 entry:condition.code.coding:icd10-cm-2014.display 或 entry:condition.code.coding:icd9-cm.display" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.diagnosisCode"> <path value="ClaimFormModel.certificateOfDiagnosis.diagnosisCode" /> <short value="病名代碼" /> <definition value="病名代碼" /> <min value="1" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.code.coding:icd10-cm-2021.code 或 entry:condition.code.coding:icd10-cm-2014.code 或 entry:condition.code.coding:icd9-cm.code" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.recordedDate"> <path value="ClaimFormModel.certificateOfDiagnosis.recordedDate" /> <short value="診斷證明書日期" /> <definition value="診斷證明書日期" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.recordedDate" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.primaryPhysician"> <path value="ClaimFormModel.certificateOfDiagnosis.primaryPhysician" /> <short value="主治醫師" /> <definition value="主治醫師" /> <min value="1" /> <max value="1" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.recorder.Reference(Practitioner iClaim).name" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.primaryPhysicianNo"> <path value="ClaimFormModel.certificateOfDiagnosis.primaryPhysicianNo" /> <short value="醫師證號" /> <definition value="醫師證號" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.recorder.Reference(Practitioner iClaim).identifier" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.medicalSummary"> <path value="ClaimFormModel.certificateOfDiagnosis.medicalSummary" /> <short value="醫療摘要" /> <definition value="醫療摘要" /> <min value="1" /> <max value="1" /> <type> <code value="markdown" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.note.text" /> </mapping> </element> <element id="ClaimFormModel.certificateOfDiagnosis.responsiblePhysician"> <path value="ClaimFormModel.certificateOfDiagnosis.responsiblePhysician" /> <short value="負責醫師（院長）" /> <definition value="負責醫師（院長）" /> <min value="0" /> <max value="1" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:condition.asserter.Reference(Practitioner iClaim).name" /> </mapping> </element> <element id="ClaimFormModel.invoice"> <path value="ClaimFormModel.invoice" /> <short value="收據正本及費用明細表" /> <definition value="收據正本及費用明細表" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="ClaimFormModel.invoice.chargeItem"> <path value="ClaimFormModel.invoice.chargeItem" /> <short value="費用項目" /> <definition value="費用項目" /> <min value="0" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.item.productOrService" /> </mapping> </element> <element id="ClaimFormModel.invoice.medicalIdentity"> <path value="ClaimFormModel.invoice.medicalIdentity" /> <short value="就醫身分" /> <definition value="就醫身分" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.item.modifier" /> </mapping> </element> <element id="ClaimFormModel.invoice.invoiceDate"> <path value="ClaimFormModel.invoice.invoiceDate" /> <short value="收據日期" /> <definition value="收據日期" /> <min value="1" /> <max value="1" /> <type> <code value="date" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.item.servicedDate" /> </mapping> </element> <element id="ClaimFormModel.invoice.selfPayAmount"> <path value="ClaimFormModel.invoice.selfPayAmount" /> <short value="自付金額" /> <definition value="自付金額" /> <min value="0" /> <max value="1" /> <type> <code value="Money" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.item.where(category = 'base' and modifier = 'pay').net，透過「就醫身分(claim.item.modifier)」和「自付金額/減免(claim.item.category)」來判斷claim.item.net填的金額為「健保點數」／「自費金額」／「減免」，「就醫身分(claim.item.modifier)」為自費，自付金額/減免」為自付金額，則claim.item.net內為「自付金額」。" /> </mapping> </element> <element id="ClaimFormModel.invoice.discount"> <path value="ClaimFormModel.invoice.discount" /> <short value="減免" /> <definition value="減免" /> <min value="0" /> <max value="1" /> <type> <code value="Money" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.item.where(category = 'discount' and modifier = 'pay').net，透過「就醫身分(claim.item.modifier)」和「自付金額/減免(claim.item.category)」來判斷claim.item.net填的金額為「健保點數」／「自費金額」／「減免」，「就醫身分(claim.item.modifier)」為自費，自付金額/減免」為減免，則claim.item.net內為「減免」。" /> </mapping> </element> <element id="ClaimFormModel.invoice.nationalHealthInsuranePoint"> <path value="ClaimFormModel.invoice.nationalHealthInsuranePoint" /> <short value="健保點數" /> <definition value="健保點數" /> <min value="0" /> <max value="1" /> <type> <code value="Money" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.item.where(modifier = 'PUBLICPOL').net，透過「就醫身分(claim.item.modifier)」和「自付金額/減免(claim.item.category)」來判斷claim.item.net填的金額為「健保點數」／「自費金額」／「減免」，「就醫身分(claim.item.modifier)」為健保，則claim.item.net內為「健保點數」。" /> </mapping> </element> <element id="ClaimFormModel.invoice.invoiceAmount"> <path value="ClaimFormModel.invoice.invoiceAmount" /> <short value="收據金額" /> <definition value="收據金額" /> <min value="0" /> <max value="1" /> <type> <code value="Money" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:IClaim.total" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport"> <path value="ClaimFormModel.laboratoryReport" /> <short value="相關檢驗/檢查報告" /> <definition value="相關檢驗/檢查報告" /> <min value="0" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> </element> <element id="ClaimFormModel.laboratoryReport.laboratoryReportName"> <path value="ClaimFormModel.laboratoryReport.laboratoryReportName" /> <short value="檢驗報告名稱" /> <definition value="檢驗報告名稱" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:diagnosticReport.code" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.laboratoryReportNo"> <path value="ClaimFormModel.laboratoryReport.laboratoryReportNo" /> <short value="收件編號(檢驗單號)" /> <definition value="收件編號(檢驗單號)" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.identifier" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.laboratoryItemName"> <path value="ClaimFormModel.laboratoryReport.laboratoryItemName" /> <short value="檢驗項目名稱" /> <definition value="檢驗項目名稱" /> <min value="1" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.code.coding" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.samplingDate"> <path value="ClaimFormModel.laboratoryReport.samplingDate" /> <short value="採檢日期" /> <definition value="採檢日期" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.effectiveDateTime" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.reportDate"> <path value="ClaimFormModel.laboratoryReport.reportDate" /> <short value="報告日期" /> <definition value="報告日期" /> <min value="1" /> <max value="1" /> <type> <code value="instant" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.issued" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.medicalTechnologist"> <path value="ClaimFormModel.laboratoryReport.medicalTechnologist" /> <short value="醫檢師" /> <definition value="醫檢師" /> <min value="1" /> <max value="1" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.performer.Reference(Practitioner iClaim).name" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.reporter"> <path value="ClaimFormModel.laboratoryReport.reporter" /> <short value="報告者" /> <definition value="報告者" /> <min value="1" /> <max value="1" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.performer.Reference(Practitioner iClaim).name" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.laboratoryValue"> <path value="ClaimFormModel.laboratoryReport.laboratoryValue" /> <short value="檢測值" /> <definition value="檢測值" /> <min value="1" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.value" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.unit"> <path value="ClaimFormModel.laboratoryReport.unit" /> <short value="單位" /> <definition value="單位" /> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.valueQuantity.unit" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.hL"> <path value="ClaimFormModel.laboratoryReport.hL" /> <short value="H/L" /> <definition value="H/L" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.interpretation" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.note"> <path value="ClaimFormModel.laboratoryReport.note" /> <short value="註記" /> <definition value="註記" /> <min value="0" /> <max value="1" /> <type> <code value="markdown" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.note.text" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.bodySite"> <path value="ClaimFormModel.laboratoryReport.bodySite" /> <short value="檢驗部位" /> <definition value="檢驗部位" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.bodySite" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.referenceRange"> <path value="ClaimFormModel.laboratoryReport.referenceRange" /> <short value="參考值" /> <definition value="參考值" /> <min value="1" /> <max value="*" /> <type> <code value="BackboneElement" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:observation.referenceRange" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.recordedPhysician"> <path value="ClaimFormModel.laboratoryReport.recordedPhysician" /> <short value="開單醫師" /> <definition value="開單醫師" /> <min value="1" /> <max value="1" /> <type> <code value="HumanName" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.participant.individual.Reference(Practitioner iClaim).name" /> </mapping> </element> <element id="ClaimFormModel.laboratoryReport.recordedDepartment"> <path value="ClaimFormModel.laboratoryReport.recordedDepartment" /> <short value="開單科別" /> <definition value="開單科別" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mapping> <identity value="IClaim" /> <map value="entry:encounter.serviceType.coding" /> </mapping> </element> </differential> </StructureDefinition>