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
@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-feeaudit-example> a fhir:ClaimResponse ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "ltc-claimresponse-feeaudit-example"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/LTCClaimResponseFeeAudit" ; fhir:index 0 ; fhir:link <http://ltc-ig.fhir.tw/StructureDefinition/LTCClaimResponseFeeAudit> ] ] ; 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-feeaudit-example</b></p><a name=\"ltc-claimresponse-feeaudit-example\"> </a><a name=\"hcltc-claimresponse-feeaudit-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-LTCClaimResponseFeeAudit.html\">長照支付審查－分案審核明細</a></p></div><blockquote><p><b>長照支付審查－分案審核統計與承辦資訊</b></p><ul><li>records: 3</li><li>cases: 2</li><li>approveCaseNum: 2</li><li>approveRecordCount: 1</li><li>tempPaymentStatus: 1: 等待暫付總表</li><li>transNo: 00106</li><li>auditMan: CG碼承辦人</li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type tempPaymentDoc}\">暫付總表</span></li><li>url: <a href=\"http://url/download/doc/dc6a\">http://url/download/doc/dc6a</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseSummaryNotice}\">總表</span></li><li>url: <a href=\"http://url/download/doc/dc6adc6a\">http://url/download/doc/dc6adc6a</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseSvcList}\">清冊</span></li><li>url: <a href=\"http://url/download/doc/dc6afa306c\">http://url/download/doc/dc6afa306c</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseSvcListExcel}\">清冊EXCEL</span></li><li>url: <a href=\"http://url/download/doc/dc6a6c\">http://url/download/doc/dc6a6c</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseASvcList}\">A碼清冊</span></li><li>url: <a href=\"http://url/download/doc/dc6afa306cc554311c\">http://url/download/doc/dc6afa306cc554311c</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseASvcListExcel}\">A碼清冊EXCEL</span></li><li>url: <a href=\"http://url/download/doc9967-7bddc554311c\">http://url/download/doc9967-7bddc554311c</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseErrList}\">申請記錄不通過清冊</span></li><li>url: <a href=\"http://url/download/doc/dc6afa306cc-5ce29d30f843\">http://url/download/doc/dc6afa306cc-5ce29d30f843</a></li></ul></blockquote><blockquote><p><b>長照支付審查－清冊文件下載路徑</b></p><ul><li>docType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type caseErrListExcel}\">申請記錄不通過EXCEL清冊</span></li><li>url: <a href=\"http://url/download/doc/dc6afa306c-5ce29d30f843\">http://url/download/doc/dc6afa306c-5ce29d30f843</a></li></ul></blockquote><p><b>identifier</b>: <code>http://ltc-ig.fhir.tw/identifier/feeaudit/case-no</code>/201907C010163, <code>http://ltc-ig.fhir.tw/identifier/feeaudit/doc-ver</code>/006, <code>http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm</code>/201907</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-chen-ming-hui.html\">陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))</a></p><p><b>created</b>: 2019-07-23 15:43:51+0800</p><p><b>insurer</b>: <a href=\"Organization-ltc-organization-feeaudit-authority-example.html\">Organization 新北市政府衛生局</a></p><p><b>outcome</b>: Partial Processing</p><p><b>disposition</b>: 請長照機構於5日內將總表送至本局</p><blockquote><p><b>item</b></p><blockquote><p><b>長照支付審查－服務記錄識別資訊</b></p><ul><li>objid: 882601915</li><li>sourceSystem: TranCareCenter</li><li>transNo: A123456789</li></ul></blockquote><p><b>itemSequence</b>: 1</p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication price}\">單價</span></p><h3>Amounts</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>400</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication copayment}\">自付額</span></p><h3>Amounts</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>85</td><td>New Taiwan dollar</td></tr></table></blockquote></blockquote><blockquote><p><b>addItem</b></p><blockquote><p><b>長照支付審查－服務記錄識別資訊</b></p><ul><li>objid: 882601915</li><li>sourceSystem: TranCareCenter</li></ul></blockquote><p><b>itemSequence</b>: 1</p><p><b>productOrService</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item AA05}\">照顧困難之服務加計</span></p><blockquote><p><b>adjudication</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication price}\">單價</span></p><h3>Amounts</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>200</td><td>New Taiwan dollar</td></tr></table></blockquote></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication submitted}\">申請核銷金額</span></p><h3>Amounts</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>4500</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication approveFee}\">核定金額</span></p><h3>Amounts</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>1596</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication aSvcFee}\">政策鼓勵金額</span></p><h3>Amounts</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>400</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication tempPaymentFee}\">分案暫付金額</span></p><h3>Amounts</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>17500</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication incInAcc}\">核增金額</span></p><h3>Amounts</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>4000</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>total</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication decInAcc}\">核減金額</span></p><h3>Amounts</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>500</td><td>New Taiwan dollar</td></tr></table></blockquote><blockquote><p><b>processNote</b></p><p><b>number</b>: 1</p><p><b>type</b>: Display</p><p><b>text</b>: 核增原因（inc_in_reason）：因個案身分異動</p></blockquote><blockquote><p><b>processNote</b></p><p><b>number</b>: 2</p><p><b>type</b>: Display</p><p><b>text</b>: 核減原因（dec_in_reason）：因個案CMS等級異動</p></blockquote></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "records" ] ; fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "cases" ] ; fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "approveCaseNum" ] ; fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ], [ fhir:index 3 ; fhir:Extension.url [ fhir:value "approveRecordCount" ] ; fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ], [ fhir:index 4 ; fhir:Extension.url [ fhir:value "tempPaymentStatus" ] ; fhir:Extension.valueString [ fhir:value "1: 等待暫付總表" ] ], [ fhir:index 5 ; fhir:Extension.url [ fhir:value "transNo" ] ; fhir:Extension.valueString [ fhir:value "00106" ] ], [ fhir:index 6 ; fhir:Extension.url [ fhir:value "auditMan" ] ; fhir:Extension.valueString [ fhir:value "CG碼承辦人" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-AuditSummary" ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "tempPaymentDoc" ] ; fhir:Coding.display [ fhir:value "暫付總表" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6a" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseSummaryNotice" ] ; fhir:Coding.display [ fhir:value "總表" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6adc6a" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseSvcList" ] ; fhir:Coding.display [ fhir:value "清冊" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6afa306c" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 4 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseSvcListExcel" ] ; fhir:Coding.display [ fhir:value "清冊EXCEL" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6a6c" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 5 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseASvcList" ] ; fhir:Coding.display [ fhir:value "A碼清冊" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6afa306cc554311c" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 6 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseASvcListExcel" ] ; fhir:Coding.display [ fhir:value "A碼清冊EXCEL" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc9967-7bddc554311c" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 7 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseErrList" ] ; fhir:Coding.display [ fhir:value "申請記錄不通過清冊" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6afa306cc-5ce29d30f843" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ], [ fhir:index 8 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "docType" ] ; fhir:Extension.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-doc-type" ] ; fhir:Coding.code [ fhir:value "caseErrListExcel" ] ; fhir:Coding.display [ fhir:value "申請記錄不通過EXCEL清冊" ] ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "url" ] ; fhir:Extension.valueUrl [ fhir:value "http://url/download/doc/dc6afa306c-5ce29d30f843" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-DocUrl" ] ] ; fhir:ClaimResponse.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/feeaudit/case-no" ] ; fhir:Identifier.value [ fhir:value "201907C010163" ] ], [ fhir:index 1 ; fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/feeaudit/doc-ver" ] ; fhir:Identifier.value [ fhir:value "006" ] ], [ fhir:index 2 ; fhir:Identifier.system [ fhir:value "http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm" ] ; fhir:Identifier.value [ fhir:value "201907" ] ] ; 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:Coding.display [ fhir:value "Professional" ] ] ] ; fhir:ClaimResponse.use [ fhir:value "claim"] ; fhir:ClaimResponse.patient [ fhir:link <http://hl7.org/fhir/Patient/ltc-patient-chen-ming-hui> ; fhir:Reference.reference [ fhir:value "Patient/ltc-patient-chen-ming-hui" ] ] ; fhir:ClaimResponse.created [ fhir:value "2019-07-23T15:43:51+08:00"^^xsd:dateTime] ; fhir:ClaimResponse.insurer [ fhir:link <http://hl7.org/fhir/Organization/ltc-organization-feeaudit-authority-example> ; fhir:Reference.reference [ fhir:value "Organization/ltc-organization-feeaudit-authority-example" ] ] ; fhir:ClaimResponse.outcome [ fhir:value "partial"] ; fhir:ClaimResponse.disposition [ fhir:value "請長照機構於5日內將總表送至本局"] ; fhir:ClaimResponse.item [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "objid" ] ; fhir:Extension.valueString [ fhir:value "882601915" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "sourceSystem" ] ; fhir:Extension.valueString [ fhir:value "TranCareCenter" ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "transNo" ] ; fhir:Extension.valueString [ fhir:value "A123456789" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef" ] ] ; fhir:ClaimResponse.item.itemSequence [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:ClaimResponse.item.adjudication [ fhir:index 0 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "price" ] ; fhir:Coding.display [ fhir:value "單價" ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "400"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ], [ fhir:index 1 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "copayment" ] ; fhir:Coding.display [ fhir:value "自付額" ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "85"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ] ] ; fhir:ClaimResponse.addItem [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "objid" ] ; fhir:Extension.valueString [ fhir:value "882601915" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "sourceSystem" ] ; fhir:Extension.valueString [ fhir:value "TranCareCenter" ] ] ; fhir:Extension.url [ fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef" ] ] ; fhir:ClaimResponse.addItem.itemSequence [ fhir:value "1"^^xsd:positiveInteger ; fhir:index 0 ] ; fhir:ClaimResponse.addItem.productOrService [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item" ] ; fhir:Coding.code [ fhir:value "AA05" ] ; fhir:Coding.display [ fhir:value "照顧困難之服務加計" ] ] ] ; fhir:ClaimResponse.addItem.adjudication [ fhir:index 0 ; fhir:ClaimResponse.item.adjudication.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "price" ] ; fhir:Coding.display [ fhir:value "單價" ] ] ] ; fhir:ClaimResponse.item.adjudication.amount [ fhir:Money.value [ fhir:value "200"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ] ] ; fhir:ClaimResponse.total [ fhir:index 0 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "submitted" ] ; fhir:Coding.display [ fhir:value "申請核銷金額" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "4500"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ], [ fhir:index 1 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "approveFee" ] ; fhir:Coding.display [ fhir:value "核定金額" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "1596"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ], [ fhir:index 2 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "aSvcFee" ] ; fhir:Coding.display [ fhir:value "政策鼓勵金額" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "400"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ], [ fhir:index 3 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "tempPaymentFee" ] ; fhir:Coding.display [ fhir:value "分案暫付金額" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "17500"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ], [ fhir:index 4 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "incInAcc" ] ; fhir:Coding.display [ fhir:value "核增金額" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "4000"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ], [ fhir:index 5 ; fhir:ClaimResponse.total.category [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication" ] ; fhir:Coding.code [ fhir:value "decInAcc" ] ; fhir:Coding.display [ fhir:value "核減金額" ] ] ] ; fhir:ClaimResponse.total.amount [ fhir:Money.value [ fhir:value "500"^^xsd:decimal ] ; fhir:Money.currency [ fhir:value "TWD" ] ] ] ; fhir:ClaimResponse.processNote [ fhir:index 0 ; fhir:ClaimResponse.processNote.number [ fhir:value "1"^^xsd:positiveInteger ] ; fhir:ClaimResponse.processNote.type [ fhir:value "display" ] ; fhir:ClaimResponse.processNote.text [ fhir:value "核增原因（inc_in_reason）：因個案身分異動" ] ], [ fhir:index 1 ; fhir:ClaimResponse.processNote.number [ fhir:value "2"^^xsd:positiveInteger ] ; fhir:ClaimResponse.processNote.type [ fhir:value "display" ] ; fhir:ClaimResponse.processNote.text [ fhir:value "核減原因（dec_in_reason）：因個案CMS等級異動" ] ] . <http://hl7.org/fhir/Patient/ltc-patient-chen-ming-hui> a fhir:Patient . <http://hl7.org/fhir/Organization/ltc-organization-feeaudit-authority-example> a fhir:Organization . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/ClaimResponse/ltc-claimresponse-feeaudit-example.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/ClaimResponse/ltc-claimresponse-feeaudit-example.ttl> .
IG © 2024+ 經濟部產業發展署. Package tw.iii.ltc#1.0.0 based on FHIR 4.0.1. Generated 2026-07-29
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