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 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Claim/ltc-claim-export-example> a fhir:Claim ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ltc-claim-export-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/LTC-Claim-Export" ;
       fhir:index 0 ;
       fhir:link <http://ltc-ig.fhir.tw/StructureDefinition/LTC-Claim-Export>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Claim.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://ltc-ig.fhir.tw/identifier/export/case-no" ] ;
     fhir:Identifier.value [ fhir:value "111301921" ]
  ], [
     fhir:index 1 ;
     fhir:Identifier.system [ fhir:value "https://ltc-ig.fhir.tw/identifier/export/eva-id" ] ;
     fhir:Identifier.value [ fhir:value "7574654624" ]
  ], [
     fhir:index 2 ;
     fhir:Identifier.system [ fhir:value "https://ltc-ig.fhir.tw/identifier/export/yyyymm-roc" ] ;
     fhir:Identifier.value [ fhir:value "11407" ]
  ] ;
  fhir:Claim.status [ fhir:value "active"] ;
  fhir:Claim.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
       fhir:Coding.code [ fhir:value "professional" ]
     ]
  ] ;
  fhir:Claim.use [ fhir:value "preauthorization"] ;
  fhir:Claim.patient [
     fhir:link <http://hl7.org/fhir/Patient/ltc-patient-cs100-example> ;
     fhir:Reference.reference [ fhir:value "Patient/ltc-patient-cs100-example" ]
  ] ;
  fhir:Claim.created [ fhir:value "2025-07-04"^^xsd:date] ;
  fhir:Claim.provider [
     fhir:link <http://hl7.org/fhir/Organization/ltc-organization-cs100-example> ;
     fhir:Reference.reference [ fhir:value "Organization/ltc-organization-cs100-example" ]
  ] ;
  fhir:Claim.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/processpriority" ] ;
       fhir:Coding.code [ fhir:value "normal" ]
     ]
  ] ;
  fhir:Claim.insurance [
     fhir:index 0 ;
     fhir:Claim.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Claim.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/ltc-coverage-cs100-example> ;
       fhir:Reference.reference [ fhir:value "Coverage/ltc-coverage-cs100-example" ]
     ]
  ] ;
  fhir:Claim.item [
     fhir:index 0 ;
     fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item" ] ;
         fhir:Coding.code [ fhir:value "BB03" ]
       ]
     ] ;
     fhir:Claim.item.programCode [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://ltc-ig.fhir.tw/identifier/export/plan-id" ] ;
         fhir:Coding.code [ fhir:value "PLAN-0001" ]
       ]
     ] ;
     fhir:Claim.item.quantity [
       fhir:Quantity.value [ fhir:value "23"^^xsd:decimal ]
     ] ;
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "840"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "TWD" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "19320"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "TWD" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Claim.item.sequence [ fhir:value "2"^^xsd:positiveInteger ] ;
     fhir:Claim.item.productOrService [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item" ] ;
         fhir:Coding.code [ fhir:value "DA01" ]
       ]
     ] ;
     fhir:Claim.item.programCode [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://ltc-ig.fhir.tw/identifier/export/plan-id" ] ;
         fhir:Coding.code [ fhir:value "PLAN-0002" ]
       ]
     ] ;
     fhir:Claim.item.quantity [
       fhir:Quantity.value [ fhir:value "1680"^^xsd:decimal ]
     ] ;
     fhir:Claim.item.unitPrice [
       fhir:Money.value [ fhir:value "1"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "TWD" ]
     ] ;
     fhir:Claim.item.net [
       fhir:Money.value [ fhir:value "1680"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "TWD" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/ltc-patient-cs100-example> a fhir:Patient .

<http://hl7.org/fhir/Organization/ltc-organization-cs100-example> a fhir:Organization .

<http://hl7.org/fhir/Coverage/ltc-coverage-cs100-example> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Claim/ltc-claim-export-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Claim/ltc-claim-export-example.ttl> .