臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0
臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions
Profile: 長照支付審查－分案審核明細回覆打包
Bundle ltc-bundle-feeaudit-response-example of type searchset
Entry 1 - fullUrl = http://ltc-ig.fhir.tw/ClaimResponse/ltc-claimresponse-feeaudit-example
Search:Mode = match
Resource ClaimResponse:
Profile: 長照支付審查－分案審核明細
長照支付審查－分案審核統計與承辦資訊
- records: 3
- cases: 2
- approveCaseNum: 2
- approveRecordCount: 1
- tempPaymentStatus: 1: 等待暫付總表
- transNo: 00106
- auditMan: CG碼承辦人
長照支付審查－清冊文件下載路徑
- docType: 暫付總表
- url: http://url/download/doc/dc6a
長照支付審查－清冊文件下載路徑
- docType: 總表
- url: http://url/download/doc/dc6adc6a
長照支付審查－清冊文件下載路徑
- docType: 清冊
- url: http://url/download/doc/dc6afa306c
長照支付審查－清冊文件下載路徑
- docType: 清冊EXCEL
- url: http://url/download/doc/dc6a6c
長照支付審查－清冊文件下載路徑
- docType: A碼清冊
- url: http://url/download/doc/dc6afa306cc554311c
長照支付審查－清冊文件下載路徑
- docType: A碼清冊EXCEL
- url: http://url/download/doc9967-7bddc554311c
長照支付審查－清冊文件下載路徑
- docType: 申請記錄不通過清冊
- url: http://url/download/doc/dc6afa306cc-5ce29d30f843
長照支付審查－清冊文件下載路徑
- docType: 申請記錄不通過EXCEL清冊
- url: http://url/download/doc/dc6afa306c-5ce29d30f843
identifier:
http://ltc-ig.fhir.tw/identifier/feeaudit/case-no/201907C010163,http://ltc-ig.fhir.tw/identifier/feeaudit/doc-ver/006,http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm/201907status: Active
type: Professional
use: Claim
patient: 陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))
created: 2019-07-23 15:43:51+0800
insurer: Organization 新北市政府衛生局
outcome: partial
disposition: 請長照機構於5日內將總表送至本局
item
長照支付審查－服務記錄識別資訊
- objid: 882601915
- sourceSystem: TranCareCenter
- transNo: A123456789
itemSequence: 1
adjudication
category: 單價
Amounts
Value Currency 400 TWD adjudication
category: 自付額
Amounts
Value Currency 85 TWD addItem
長照支付審查－服務記錄識別資訊
- objid: 882601915
- sourceSystem: TranCareCenter
itemSequence: 1
productOrService: 照顧困難之服務加計
adjudication
category: 單價
Amounts
Value Currency 200 TWD total
category: 申請核銷金額
Amounts
Value Currency 4500 TWD total
category: 核定金額
Amounts
Value Currency 1596 TWD total
category: 政策鼓勵金額
Amounts
Value Currency 400 TWD total
category: 分案暫付金額
Amounts
Value Currency 17500 TWD total
category: 核增金額
Amounts
Value Currency 4000 TWD total
category: 核減金額
Amounts
Value Currency 500 TWD processNote
number: 1
type: Display
text: 核增原因（inc_in_reason）：因個案身分異動
processNote
number: 2
type: Display
text: 核減原因（dec_in_reason）：因個案CMS等級異動
Entry 2 - fullUrl = http://ltc-ig.fhir.tw/OperationOutcome/ltc-operationoutcome-feeaudit-example
Search:Mode = outcome
Resource OperationOutcome:
Profile: 長照支付審查－申報檢核結果
Severity Location Code Details Diagnostics Error Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914') Processing Failure 單位已執行申報確認通知，不在受理新的服務紀錄申報 錯誤服務記錄（err_records）：識別碼（objid）882601914；來源系統別（source_system）TranCareCenter；交易序號（trans_no）00106