@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ltc-claim-feeapply-aa00-example"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/LTCClaimFeeApply" ; fhir:index 0 ; fhir:link ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ] ; fhir:Narrative.div "

Generated Narrative: Claim ltc-claim-feeapply-aa00-example

identifier: http://ltc-ig.fhir.tw/identifier/feeaudit/objid/00000000000000000101, http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no/A000000101, http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm/202507

status: Active

type: Professional

use: Claim

patient: 王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))

created: 2025-08-05 10:00:00+0800

insurer: Organization OOO長期照顧管理中心

provider: Organization OOO長期照顧管理中心

priority: Normal

CareTeams

-SequenceProvider
*1李小華（A 個管單位個案管理師）

supportingInfo

sequence: 1

category: 服務項目

code: 電訪

supportingInfo

sequence: 2

category: 服務項目

code: 家訪

supportingInfo

sequence: 3

category: 服務對象

code: 服務使用者

supportingInfo

sequence: 4

category: 服務對象

code: 家庭照顧者

supportingInfo

sequence: 5

category: 服務內容

value: 以電話訪視確認長照需要者出院返家後之照顧情形，並於同日進行家庭訪視，說明照顧服務（BA01、BA02）與喘息服務之使用方式，並與家庭照顧者討論服務時段調整需求。

supportingInfo

sequence: 6

category: 服務重點

code: 追蹤長照需要者與各項服務之連結情形

supportingInfo

sequence: 7

category: 服務重點

code: 計畫與內容異動討論

supportingInfo

sequence: 8

category: 追蹤服務適應與介入情形

value: 長照需要者自 114 年 6 月起接受居家照顧服務，適應情形良好；家庭照顧者反映上午時段人力銜接困難，已協調服務提供單位將服務時段調整為上午 9 時至 11 時，後續持續追蹤服務銜接情形。

supportingInfo

sequence: 9

category: 各項服務目標及整體計畫目標達成情形

value: 服務目標「維持長照需要者基本日常生活自理能力」達成情形良好；「減輕家庭照顧者照顧負荷」目標持續進行中，整體照顧計畫目標達成約八成。

supportingInfo

sequence: 10

category: 整體計畫的適切性及需求異動

value: 現行照顧計畫尚屬適切。因家庭照顧者將於 114 年 8 月返回職場，照顧人力需求異動，擬於次月複評時檢討是否增加日間照顧服務時數。

supportingInfo

sequence: 11

category: 訪視/服務未遇

value: false

supportingInfo

sequence: 12

category: 臨終日照顧

value: false

supportingInfo

sequence: 13

category: AA10申報狀態

code: 未申報

supportingInfo

sequence: 14

category: 備註

value: 本次同時完成 114 年 7 月份服務紀錄核對。

Insurances

-SequenceFocalCoverage
*1trueCoverage: status = active

Items

-SequenceCategoryProductOrServiceServiced[x]Quantity
*1補助A 單位服務紀錄2025-07-08 09:30:00+0800 --> 2025-07-08 10:30:00+08001
" ] ; fhir:Claim.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/feeaudit/objid" ] ; fhir:Identifier.value [ fhir:value "00000000000000000101" ] ], [ fhir:index 1 ; fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no" ] ; fhir:Identifier.value [ fhir:value "A000000101" ] ], [ fhir:index 2 ; fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm" ] ; fhir:Identifier.value [ fhir:value "202507" ] ] ; 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:Coding.display [ fhir:value "Professional" ] ] ] ; fhir:Claim.use [ fhir:value "claim"] ; fhir:Claim.patient [ fhir:link ; fhir:Reference.reference [ fhir:value "Patient/ltc-patient-sdk-example" ] ] ; fhir:Claim.created [ fhir:value "2025-08-05T10:00:00+08:00"^^xsd:dateTime] ; fhir:Claim.insurer [ fhir:link ; fhir:Reference.reference [ fhir:value "Organization/ltc-organization-sdk-example" ] ] ; fhir:Claim.provider [ fhir:link ; fhir:Reference.reference [ fhir:value "Organization/ltc-organization-sdk-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:Coding.display [ fhir:value "Normal" ] ] ] ; fhir:Claim.careTeam [ fhir:index 0 ; fhir:Claim.careTeam.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.careTeam.provider [ fhir:link ; fhir:Reference.reference [ fhir:value "Practitioner/ltc-practitioner-sdk-example" ] ; fhir:Reference.identifier [ fhir:Identifier.system [ fhir:value "http://www.moi.gov.tw" ] ; fhir:Identifier.value [ fhir:value "A123456789" ] ] ; fhir:Reference.display [ fhir:value "李小華（A 個管單位個案管理師）" ] ] ] ; fhir:Claim.supportingInfo [ fhir:index 0 ; fhir:Claim.supportingInfo.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcItem" ] ; fhir:Coding.display [ fhir:value "服務項目" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-item" ] ; fhir:Coding.code [ fhir:value "1" ] ; fhir:Coding.display [ fhir:value "電訪" ] ] ] ], [ fhir:index 1 ; fhir:Claim.supportingInfo.sequence [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcItem" ] ; fhir:Coding.display [ fhir:value "服務項目" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-item" ] ; fhir:Coding.code [ fhir:value "2" ] ; fhir:Coding.display [ fhir:value "家訪" ] ] ] ], [ fhir:index 2 ; fhir:Claim.supportingInfo.sequence [ fhir:value "3"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcPeople" ] ; fhir:Coding.display [ fhir:value "服務對象" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-people" ] ; fhir:Coding.code [ fhir:value "1" ] ; fhir:Coding.display [ fhir:value "服務使用者" ] ] ] ], [ fhir:index 3 ; fhir:Claim.supportingInfo.sequence [ fhir:value "4"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcPeople" ] ; fhir:Coding.display [ fhir:value "服務對象" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-people" ] ; fhir:Coding.code [ fhir:value "2" ] ; fhir:Coding.display [ fhir:value "家庭照顧者" ] ] ] ], [ fhir:index 4 ; fhir:Claim.supportingInfo.sequence [ fhir:value "5"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcContent" ] ; fhir:Coding.display [ fhir:value "服務內容" ] ] ] ; fhir:Claim.supportingInfo.valueString [ fhir:value "以電話訪視確認長照需要者出院返家後之照顧情形，並於同日進行家庭訪視，說明照顧服務（BA01、BA02）與喘息服務之使用方式，並與家庭照顧者討論服務時段調整需求。" ] ], [ fhir:index 5 ; fhir:Claim.supportingInfo.sequence [ fhir:value "6"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcPoint" ] ; fhir:Coding.display [ fhir:value "服務重點" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-point" ] ; fhir:Coding.code [ fhir:value "1" ] ; fhir:Coding.display [ fhir:value "追蹤長照需要者與各項服務之連結情形" ] ] ] ], [ fhir:index 6 ; fhir:Claim.supportingInfo.sequence [ fhir:value "7"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcPoint" ] ; fhir:Coding.display [ fhir:value "服務重點" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-point" ] ; fhir:Coding.code [ fhir:value "2" ] ; fhir:Coding.display [ fhir:value "計畫與內容異動討論" ] ] ] ], [ fhir:index 7 ; fhir:Claim.supportingInfo.sequence [ fhir:value "8"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcTrace" ] ; fhir:Coding.display [ fhir:value "追蹤服務適應與介入情形" ] ] ] ; fhir:Claim.supportingInfo.valueString [ fhir:value "長照需要者自 114 年 6 月起接受居家照顧服務，適應情形良好；家庭照顧者反映上午時段人力銜接困難，已協調服務提供單位將服務時段調整為上午 9 時至 11 時，後續持續追蹤服務銜接情形。" ] ], [ fhir:index 8 ; fhir:Claim.supportingInfo.sequence [ fhir:value "9"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcGoal" ] ; fhir:Coding.display [ fhir:value "各項服務目標及整體計畫目標達成情形" ] ] ] ; fhir:Claim.supportingInfo.valueString [ fhir:value "服務目標「維持長照需要者基本日常生活自理能力」達成情形良好；「減輕家庭照顧者照顧負荷」目標持續進行中，整體照顧計畫目標達成約八成。" ] ], [ fhir:index 9 ; fhir:Claim.supportingInfo.sequence [ fhir:value "10"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "svcSuitable" ] ; fhir:Coding.display [ fhir:value "整體計畫的適切性及需求異動" ] ] ] ; fhir:Claim.supportingInfo.valueString [ fhir:value "現行照顧計畫尚屬適切。因家庭照顧者將於 114 年 8 月返回職場，照顧人力需求異動，擬於次月複評時檢討是否增加日間照顧服務時數。" ] ], [ fhir:index 10 ; fhir:Claim.supportingInfo.sequence [ fhir:value "11"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "missedVisit" ] ; fhir:Coding.display [ fhir:value "訪視/服務未遇" ] ] ] ; fhir:Claim.supportingInfo.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 11 ; fhir:Claim.supportingInfo.sequence [ fhir:value "12"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "lastSvc" ] ; fhir:Coding.display [ fhir:value "臨終日照顧" ] ] ] ; fhir:Claim.supportingInfo.valueBoolean [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 12 ; fhir:Claim.supportingInfo.sequence [ fhir:value "13"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "aa10Status" ] ; fhir:Coding.display [ fhir:value "AA10申報狀態" ] ] ] ; fhir:Claim.supportingInfo.code [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-aa10-status" ] ; fhir:Coding.code [ fhir:value "0" ] ; fhir:Coding.display [ fhir:value "未申報" ] ] ] ], [ fhir:index 13 ; fhir:Claim.supportingInfo.sequence [ fhir:value "14"^^xsd:positiveInteger ] ; fhir:Claim.supportingInfo.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info" ] ; fhir:Coding.code [ fhir:value "remark" ] ; fhir:Coding.display [ fhir:value "備註" ] ] ] ; fhir:Claim.supportingInfo.valueString [ fhir:value "本次同時完成 114 年 7 月份服務紀錄核對。" ] ] ; 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 ; fhir:Reference.reference [ fhir:value "Coverage/ltc-coverage-sdk-example" ] ] ] ; fhir:Claim.item [ fhir:index 0 ; fhir:Claim.item.sequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:Claim.item.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-fee-type" ] ; fhir:Coding.code [ fhir:value "1" ] ; fhir:Coding.display [ fhir:value "補助" ] ] ] ; 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 "AA00" ] ; fhir:Coding.display [ fhir:value "A 單位服務紀錄" ] ] ] ; fhir:Claim.item.servicedPeriod [ fhir:Period.start [ fhir:value "2025-07-08T09:30:00+08:00"^^xsd:dateTime ] ; fhir:Period.end [ fhir:value "2025-07-08T10:30:00+08:00"^^xsd:dateTime ] ] ; fhir:Claim.item.quantity [ fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology ; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------