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
{
"resourceType" : "Claim",
"id" : "ltc-claim-feeapply-c-code-example",
"meta" : {
"profile" : [
🔗 "http://ltc-ig.fhir.tw/StructureDefinition/LTCClaimFeeApply"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim ltc-claim-feeapply-c-code-example</b></p><a name=\"ltc-claim-feeapply-c-code-example\"> </a><a name=\"hcltc-claim-feeapply-c-code-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-LTCClaimFeeApply.html\">長照支付審查－個案服務紀錄申報</a></p></div><p><b>identifier</b>: <code>http://ltc-ig.fhir.tw/identifier/feeaudit/objid</code>/00000000000000000102, <code>http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no</code>/C000000101, <code>http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm</code>/202507</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>: Claim</p><p><b>patient</b>: <a href=\"Patient-ltc-patient-sdk-example.html\">王小明 Male, DoB: 1950-01-01 ( Provider number\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>created</b>: 2025-08-05 10:30:00+0800</p><p><b>insurer</b>: <a href=\"Organization-ltc-organization-sdk-example.html\">Organization OOO長期照顧管理中心</a></p><p><b>provider</b>: <a href=\"Organization-ltc-organization-sdk-example.html\">Organization OOO長期照顧管理中心</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Practitioner-ltc-practitioner-example.html\">王美玲（C 單位專業服務人員）</a></td></tr></table><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info svccGoalType}\">專業服務復能目標達成情形</span></p><p><b>code</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svcc-goal-type 3}\">已滿1照顧組合之次數，但尚未達目標</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info svccGoal}\">專業服務復能目標</span></p><p><b>value</b>: 三個月內提升長照需要者下肢肌力與床邊坐站轉位能力，達到在他人口頭提示下可自行完成床邊坐站轉位。</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info svccContentTarget}\">專業服務指導對象</span></p><p><b>value</b>: 長照需要者本人及其主要家庭照顧者（配偶）。</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info svccContent}\">專業服務服務內容</span></p><p><b>value</b>: 執行下肢肌力訓練與床邊坐站轉位訓練共 40 分鐘，並實地指導家庭照顧者正確之轉位協助技巧、輔具（助行器）使用方式及居家環境安全注意事項。</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info svccSuggest}\">專業服務指導建議摘要</span></p><p><b>value</b>: 建議家庭照顧者每日協助長照需要者進行坐站訓練 2 次、每次 10 下，並於床邊加裝安全扶手；下次訪視時再評估轉位獨立程度並調整訓練強度。</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info missedVisit}\">訪視/服務未遇</span></p><p><b>value</b>: false</p></blockquote><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-sdk-example.html\">Coverage: status = active</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-fee-type 1}\">補助</span></td><td><span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item CA03}\">ADLs復能照護--居家</span></td><td>2025-07-15 14:00:00+0800 --> 2025-07-15 15:00:00+0800</td><td>1</td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://ltc-ig.fhir.tw/identifier/feeaudit/objid",
"value" : "00000000000000000102"
},
{
"system" : "http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no",
"value" : "C000000101"
},
{
"system" : "http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm",
"value" : "202507"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "professional",
"display" : "Professional"
}
]
},
"use" : "claim",
"patient" : {
🔗 "reference" : "Patient/ltc-patient-sdk-example"
},
"created" : "2025-08-05T10:30:00+08:00",
"insurer" : {
🔗 "reference" : "Organization/ltc-organization-sdk-example"
},
"provider" : {
🔗 "reference" : "Organization/ltc-organization-sdk-example"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal",
"display" : "Normal"
}
]
},
"careTeam" : [
{
"sequence" : 1,
"provider" : {
🔗 "reference" : "Practitioner/ltc-practitioner-example",
"identifier" : {
"system" : "http://www.moi.gov.tw",
"value" : "B223456789"
},
"display" : "王美玲（C 單位專業服務人員）"
}
}
],
"supportingInfo" : [
{
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "svccGoalType",
"display" : "專業服務復能目標達成情形"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svcc-goal-type",
"code" : "3",
"display" : "已滿1照顧組合之次數，但尚未達目標"
}
]
}
},
{
"sequence" : 2,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "svccGoal",
"display" : "專業服務復能目標"
}
]
},
"valueString" : "三個月內提升長照需要者下肢肌力與床邊坐站轉位能力，達到在他人口頭提示下可自行完成床邊坐站轉位。"
},
{
"sequence" : 3,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "svccContentTarget",
"display" : "專業服務指導對象"
}
]
},
"valueString" : "長照需要者本人及其主要家庭照顧者（配偶）。"
},
{
"sequence" : 4,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "svccContent",
"display" : "專業服務服務內容"
}
]
},
"valueString" : "執行下肢肌力訓練與床邊坐站轉位訓練共 40 分鐘，並實地指導家庭照顧者正確之轉位協助技巧、輔具（助行器）使用方式及居家環境安全注意事項。"
},
{
"sequence" : 5,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "svccSuggest",
"display" : "專業服務指導建議摘要"
}
]
},
"valueString" : "建議家庭照顧者每日協助長照需要者進行坐站訓練 2 次、每次 10 下，並於床邊加裝安全扶手；下次訪視時再評估轉位獨立程度並調整訓練強度。"
},
{
"sequence" : 6,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "missedVisit",
"display" : "訪視/服務未遇"
}
]
},
"valueBoolean" : false
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
🔗 "reference" : "Coverage/ltc-coverage-sdk-example"
}
}
],
"item" : [
{
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-fee-type",
"code" : "1",
"display" : "補助"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
"code" : "CA03",
"display" : "ADLs復能照護--居家"
}
]
},
"servicedPeriod" : {
"start" : "2025-07-15T14:00:00+08:00",
"end" : "2025-07-15T15:00:00+08:00"
},
"quantity" : {
"value" : 1
}
}
]
}