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 - XML Representation

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<ClaimResponse xmlns="http://hl7.org/fhir">
  <id value="ltc-claimresponse-export-example"/>
  <meta>
    <profile
             value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-ClaimResponse-Export"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Error">
    <valueString value="跨月金額超出核定上限"/>
  </extension>
  <extension
             url="http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Unit">
    <extension url="type">
      <valueCodeableConcept>
        <text value="PIA"/>
      </valueCodeableConcept>
    </extension>
    <extension url="name">
      <valueString value="OOO居家長照機構"/>
    </extension>
    <extension url="code">
      <valueString value="A10001"/>
    </extension>
  </extension>
  <identifier>
    <system value="http://ltc-ig.fhir.tw/identifier/export/yyyymm-roc"/>
    <value value="11407"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="professional"/>
    </coding>
  </type>
  <use value="preauthorization"/>
  <patient>🔗 
    <reference value="Patient/ltc-patient-cs100-example"/>
  </patient>
  <created value="2025-07-04"/>
  <insurer>🔗 
    <reference value="Organization/ltc-organization-cs100-example"/>
  </insurer>
  <outcome value="complete"/>
  <disposition value="審核通過"/>
</ClaimResponse>