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-da01-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-da01-example</b></p><a name=\"ltc-claim-feeapply-da01-example\"> </a><a name=\"hcltc-claim-feeapply-da01-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>/00000000000000000006, <code>http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no</code>/A0001, <code>http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm</code>/201901</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>: 2019-02-05 10:00:00+0800</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-sdk-example.html\">Practitioner 李小華</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 addrFrom}\">出發地</span></p><p><b>value</b>: <a href=\"Location-ltc-location-feeapply-home-example.html\">Location 個案住家</a></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 addrTo}\">目的地</span></p><p><b>value</b>: <a href=\"Location-ltc-location-feeapply-hospital-example.html\">Location 亞東醫院</a></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 carNo}\">車號</span></p><p><b>value</b>: 1111-AA</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 driver}\">駕駛員</span></p><p><b>value</b>: 黃OO</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 milage}\">里程數</span></p><p><b>value</b>: 12 公里<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekm = 'km')</span></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 lastSvc}\">臨終日照顧</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 7</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><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 8</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info applyAA09}\">是否申報AA09</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 9</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info aa10Status}\">AA10申報狀態</span></p><p><b>code</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-aa10-status 0}\">未申報</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 10</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info remark}\">備註</span></p><p><b>value</b>: 1</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>長期照顧給付及支付基準</td></tr></table><blockquote><p><b>item</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-fee-type 1}\">補助</span></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>serviced</b>: 2019-01-05 13:30:00+0800 --> 2019-01-05 14:00:00+0800</p><p><b>location</b>: <a href=\"Location-ltc-location-feeapply-hospital-example.html\">Location 亞東醫院</a></p><p><b>quantity</b>: 1</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>430</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>430</td><td>New Taiwan dollar</td></tr></table></blockquote><h3>Totals</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>430</td><td>New Taiwan dollar</td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://ltc-ig.fhir.tw/identifier/feeaudit/objid",
"value" : "00000000000000000006"
},
{
"system" : "http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no",
"value" : "A0001"
},
{
"system" : "http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm",
"value" : "201901"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "professional"
}
]
},
"use" : "claim",
"patient" : {
🔗 "reference" : "Patient/ltc-patient-sdk-example"
},
"created" : "2019-02-05T10:00:00+08:00",
"provider" : {
🔗 "reference" : "Organization/ltc-organization-sdk-example"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "normal"
}
]
},
"careTeam" : [
{
"sequence" : 1,
"provider" : {
🔗 "reference" : "Practitioner/ltc-practitioner-sdk-example"
}
}
],
"supportingInfo" : [
{
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "addrFrom"
}
]
},
"valueReference" : {
🔗 "reference" : "Location/ltc-location-feeapply-home-example"
}
},
{
"sequence" : 2,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "addrTo"
}
]
},
"valueReference" : {
🔗 "reference" : "Location/ltc-location-feeapply-hospital-example"
}
},
{
"sequence" : 3,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "carNo"
}
]
},
"valueString" : "1111-AA"
},
{
"sequence" : 4,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "driver"
}
]
},
"valueString" : "黃OO"
},
{
"sequence" : 5,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "milage"
}
]
},
"valueQuantity" : {
"value" : 12,
"unit" : "公里",
"system" : "http://unitsofmeasure.org",
"code" : "km"
}
},
{
"sequence" : 6,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "lastSvc"
}
]
},
"valueBoolean" : false
},
{
"sequence" : 7,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "missedVisit"
}
]
},
"valueBoolean" : false
},
{
"sequence" : 8,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "applyAA09"
}
]
},
"valueBoolean" : false
},
{
"sequence" : 9,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "aa10Status"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-aa10-status",
"code" : "0",
"display" : "未申報"
}
]
}
},
{
"sequence" : 10,
"category" : {
"coding" : [
{
"system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code" : "remark"
}
]
},
"valueString" : "1"
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
"display" : "長期照顧給付及支付基準"
}
}
],
"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" : "DA01",
"display" : "交通接送"
}
]
},
"servicedPeriod" : {
"start" : "2019-01-05T13:30:00+08:00",
"end" : "2019-01-05T14:00:00+08:00"
},
"locationReference" : {
🔗 "reference" : "Location/ltc-location-feeapply-hospital-example"
},
"quantity" : {
"value" : 1
},
"unitPrice" : {
"value" : 430,
"currency" : "TWD"
},
"net" : {
"value" : 430,
"currency" : "TWD"
}
}
],
"total" : {
"value" : 430,
"currency" : "TWD"
}
}