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 - 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/ClaimResponse/ltc-claimresponse-export-example> a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ltc-claimresponse-export-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/LTC-ClaimResponse-Export" ;
       fhir:index 0 ;
       fhir:link <http://ltc-ig.fhir.tw/StructureDefinition/LTC-ClaimResponse-Export>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Error" ] ;
     fhir:Extension.valueString [ fhir:value "跨月金額超出核定上限" ]
  ], [
     fhir:index 1 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "type" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "PIA" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "name" ] ;
       fhir:Extension.valueString [ fhir:value "OOO居家長照機構" ]
     ], [
       fhir:index 2 ;
       fhir:Extension.url [ fhir:value "code" ] ;
       fhir:Extension.valueString [ fhir:value "A10001" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Unit" ]
  ] ;
  fhir:ClaimResponse.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/export/yyyymm-roc" ] ;
     fhir:Identifier.value [ fhir:value "11407" ]
  ] ;
  fhir:ClaimResponse.status [ fhir:value "active"] ;
  fhir:ClaimResponse.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:ClaimResponse.use [ fhir:value "preauthorization"] ;
  fhir:ClaimResponse.patient [
     fhir:link <http://hl7.org/fhir/Patient/ltc-patient-cs100-example> ;
     fhir:Reference.reference [ fhir:value "Patient/ltc-patient-cs100-example" ]
  ] ;
  fhir:ClaimResponse.created [ fhir:value "2025-07-04"^^xsd:date] ;
  fhir:ClaimResponse.insurer [
     fhir:link <http://hl7.org/fhir/Organization/ltc-organization-cs100-example> ;
     fhir:Reference.reference [ fhir:value "Organization/ltc-organization-cs100-example" ]
  ] ;
  fhir:ClaimResponse.outcome [ fhir:value "complete"] ;
  fhir:ClaimResponse.disposition [ fhir:value "審核通過"] .

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

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

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

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