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

Example ClaimResponse: 長照支付審查-分案審核明細(ClaimResponse)範例

長照支付審查-分案審核統計與承辦資訊

  • records: 3
  • cases: 2
  • approveCaseNum: 2
  • approveRecordCount: 1
  • tempPaymentStatus: 1: 等待暫付總表
  • transNo: 00106
  • auditMan: CG碼承辦人

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

長照支付審查-清冊文件下載路徑

identifier: http://ltc-ig.fhir.tw/identifier/feeaudit/case-no/201907C010163, http://ltc-ig.fhir.tw/identifier/feeaudit/doc-ver/006, http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm/201907

status: Active

type: Professional

use: Claim

patient: 陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))

created: 2019-07-23 15:43:51+0800

insurer: Organization 新北市政府衛生局

outcome: Partial Processing

disposition: 請長照機構於5日內將總表送至本局

item

長照支付審查-服務記錄識別資訊

  • objid: 882601915
  • sourceSystem: TranCareCenter
  • transNo: A123456789

itemSequence: 1

adjudication

category: 單價

Amounts

-ValueCurrency
*400New Taiwan dollar

adjudication

category: 自付額

Amounts

-ValueCurrency
*85New Taiwan dollar

addItem

長照支付審查-服務記錄識別資訊

  • objid: 882601915
  • sourceSystem: TranCareCenter

itemSequence: 1

productOrService: 照顧困難之服務加計

adjudication

category: 單價

Amounts

-ValueCurrency
*200New Taiwan dollar

total

category: 申請核銷金額

Amounts

-ValueCurrency
*4500New Taiwan dollar

total

category: 核定金額

Amounts

-ValueCurrency
*1596New Taiwan dollar

total

category: 政策鼓勵金額

Amounts

-ValueCurrency
*400New Taiwan dollar

total

category: 分案暫付金額

Amounts

-ValueCurrency
*17500New Taiwan dollar

total

category: 核增金額

Amounts

-ValueCurrency
*4000New Taiwan dollar

total

category: 核減金額

Amounts

-ValueCurrency
*500New Taiwan dollar

processNote

number: 1

type: Display

text: 核增原因(inc_in_reason):因個案身分異動

processNote

number: 2

type: Display

text: 核減原因(dec_in_reason):因個案CMS等級異動