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－照管全量匯出審核結果（ClaimResponse）範例 - JSON Representation

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{
  "resourceType" : "ClaimResponse",
  "id" : "ltc-claimresponse-export-example",
  "meta" : {
    "profile" : [
      🔗 "http://ltc-ig.fhir.tw/StructureDefinition/LTC-ClaimResponse-Export"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse ltc-claimresponse-export-example</b></p><a name=\"ltc-claimresponse-export-example\"> </a><a name=\"hcltc-claimresponse-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-ClaimResponse-Export.html\">長照 SDK－照管全量匯出（ClaimResponse）</a></p></div><p><b>長照 SDK－錯誤訊息</b>: 跨月金額超出核定上限</p><blockquote><p><b>長照 SDK－單位資訊（PIA/PIB/CENTER/MAN_*）</b></p><ul><li>type: <span title=\"Codes:\">PIA</span></li><li>name: OOO居家長照機構</li><li>code: A10001</li></ul></blockquote><p><b>identifier</b>: <code>http://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>insurer</b>: <a href=\"Organization-ltc-organization-cs100-example.html\">Organization 某某長照管理中心</a></p><p><b>outcome</b>: Processing Complete</p><p><b>disposition</b>: 審核通過</p></div>"
  },
  "extension" : [
    {
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Error",
      "valueString" : "跨月金額超出核定上限"
    },
    {
      "extension" : [
        {
          "url" : "type",
          "valueCodeableConcept" : {
            "text" : "PIA"
          }
        },
        {
          "url" : "name",
          "valueString" : "OOO居家長照機構"
        },
        {
          "url" : "code",
          "valueString" : "A10001"
        }
      ],
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Unit"
    }
  ],
  "identifier" : [
    {
      "system" : "http://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",
  "insurer" : {
    🔗 "reference" : "Organization/ltc-organization-cs100-example"
  },
  "outcome" : "complete",
  "disposition" : "審核通過"
}