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

: 長照-照管計畫與金額(Claim)範例 - JSON Representation

Raw json | Download

{
  "resourceType" : "Claim",
  "id" : "ltc-claim-export-example",
  "meta" : {
    "profile" : [
      🔗 "http://ltc-ig.fhir.tw/StructureDefinition/LTC-Claim-Export"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ltc-claim-export-example</b></p><a name=\"ltc-claim-export-example\"> </a><a name=\"hcltc-claim-export-example\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-LTC-Claim-Export.html\">長照 SDK-照管全量匯出(Claim)</a></p></div><p><b>identifier</b>: <code>https://ltc-ig.fhir.tw/identifier/export/case-no</code>/111301921, <code>https://ltc-ig.fhir.tw/identifier/export/eva-id</code>/7574654624, <code>https://ltc-ig.fhir.tw/identifier/export/yyyymm-roc</code>/11407</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}\">Professional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-ltc-patient-cs100-example.html\">王小明 (no stated gender), DoB Unknown ( https://example.org/mrn#A0001)</a></p><p><b>created</b>: 2025-07-04</p><p><b>provider</b>: <a href=\"Organization-ltc-organization-cs100-example.html\">Organization 某某長照管理中心</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-ltc-coverage-cs100-example.html\">Coverage: status = active</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item BB03}\">日間照顧(全日)--第2型</span></p><p><b>programCode</b>: <span title=\"Codes:{https://ltc-ig.fhir.tw/identifier/export/plan-id PLAN-0001}\">PLAN-0001</span></p><p><b>quantity</b>: 23</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>840</td><td>New Taiwan dollar</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>19320</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>productOrService</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item DA01}\">交通接送</span></p><p><b>programCode</b>: <span title=\"Codes:{https://ltc-ig.fhir.tw/identifier/export/plan-id PLAN-0002}\">PLAN-0002</span></p><p><b>quantity</b>: 1680</p><h3>UnitPrices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>New Taiwan dollar</td></tr></table><h3>Nets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style=\"display: none\">*</td><td>1680</td><td>New Taiwan dollar</td></tr></table></blockquote></div>"
  },
  "identifier" : [
    {
      "system" : "https://ltc-ig.fhir.tw/identifier/export/case-no",
      "value" : "111301921"
    },
    {
      "system" : "https://ltc-ig.fhir.tw/identifier/export/eva-id",
      "value" : "7574654624"
    },
    {
      "system" : "https://ltc-ig.fhir.tw/identifier/export/yyyymm-roc",
      "value" : "11407"
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "professional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    🔗 "reference" : "Patient/ltc-patient-cs100-example"
  },
  "created" : "2025-07-04",
  "provider" : {
    🔗 "reference" : "Organization/ltc-organization-cs100-example"
  },
  "priority" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
        "code" : "normal"
      }
    ]
  },
  "insurance" : [
    {
      "sequence" : 1,
      "focal" : true,
      "coverage" : {
        🔗 "reference" : "Coverage/ltc-coverage-cs100-example"
      }
    }
  ],
  "item" : [
    {
      "sequence" : 1,
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code" : "BB03"
          }
        ]
      },
      "programCode" : [
        {
          "coding" : [
            {
              "system" : "https://ltc-ig.fhir.tw/identifier/export/plan-id",
              "code" : "PLAN-0001"
            }
          ]
        }
      ],
      "quantity" : {
        "value" : 23
      },
      "unitPrice" : {
        "value" : 840,
        "currency" : "TWD"
      },
      "net" : {
        "value" : 19320,
        "currency" : "TWD"
      }
    },
    {
      "sequence" : 2,
      "productOrService" : {
        "coding" : [
          {
            "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code" : "DA01"
          }
        ]
      },
      "programCode" : [
        {
          "coding" : [
            {
              "system" : "https://ltc-ig.fhir.tw/identifier/export/plan-id",
              "code" : "PLAN-0002"
            }
          ]
        }
      ],
      "quantity" : {
        "value" : 1680
      },
      "unitPrice" : {
        "value" : 1,
        "currency" : "TWD"
      },
      "net" : {
        "value" : 1680,
        "currency" : "TWD"
      }
    }
  ]
}