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
| Active as of 2026-07-29 |
@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/CodeSystem/cs-tw-ltc-feeaudit-adjudication> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "cs-tw-ltc-feeaudit-adjudication"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cs-tw-ltc-feeaudit-adjudication</b></p><a name=\"cs-tw-ltc-feeaudit-adjudication\"> </a><a name=\"hccs-tw-ltc-feeaudit-adjudication\"> </a><p>This case-sensitive code system <code>http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">approveFee<a name=\"cs-tw-ltc-feeaudit-adjudication-approveFee\"> </a></td><td>核定金額</td><td/></tr><tr><td style=\"white-space:nowrap\">incInAcc<a name=\"cs-tw-ltc-feeaudit-adjudication-incInAcc\"> </a></td><td>核增金額</td><td/></tr><tr><td style=\"white-space:nowrap\">decInAcc<a name=\"cs-tw-ltc-feeaudit-adjudication-decInAcc\"> </a></td><td>核減金額</td><td/></tr><tr><td style=\"white-space:nowrap\">copayment<a name=\"cs-tw-ltc-feeaudit-adjudication-copayment\"> </a></td><td>自付額</td><td>個案就該筆服務所應自行負擔之金額（copayment）。語意等同 HL7 標準代碼 http://terminology.hl7.org/CodeSystem/adjudication#copay。</td></tr><tr><td style=\"white-space:nowrap\">aSvcFee<a name=\"cs-tw-ltc-feeaudit-adjudication-aSvcFee\"> </a></td><td>政策鼓勵金額</td><td/></tr><tr><td style=\"white-space:nowrap\">tempPaymentFee<a name=\"cs-tw-ltc-feeaudit-adjudication-tempPaymentFee\"> </a></td><td>分案暫付金額</td><td/></tr><tr><td style=\"white-space:nowrap\">price<a name=\"cs-tw-ltc-feeaudit-adjudication-price\"> </a></td><td>單價</td><td/></tr><tr><td style=\"white-space:nowrap\">submitted<a name=\"cs-tw-ltc-feeaudit-adjudication-submitted\"> </a></td><td>申請核銷金額</td><td>服務單位就本分案所申請核銷之總金額（amount）。語意等同 HL7 標準代碼 http://terminology.hl7.org/CodeSystem/adjudication#submitted。</td></tr></table></div>"
] ;
fhir:CodeSystem.url [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication"] ;
fhir:CodeSystem.version [ fhir:value "1.0.0"] ;
fhir:CodeSystem.name [ fhir:value "CS_TW_LTC_FeeAuditAdjudication"] ;
fhir:CodeSystem.title [ fhir:value "支付審查－核定金額類別"] ;
fhir:CodeSystem.status [ fhir:value "active"] ;
fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:CodeSystem.date [ fhir:value "2026-07-29T07:47:19+00:00"^^xsd:dateTime] ;
fhir:CodeSystem.publisher [ fhir:value "經濟部產業發展署"] ;
fhir:CodeSystem.contact [
fhir:index 0 ;
fhir:ContactDetail.name [ fhir:value "經濟部產業發展署" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "https://www.ida.gov.tw/" ]
]
] ;
fhir:CodeSystem.description [ fhir:value "此 CodeSystem 定義《衛生福利部 支付審核系統 API 規格說明書（照管平台）》「(查詢B)分案審核明細查詢」回覆明細中各項金額欄位之類別代碼，供 ClaimResponse.total.category 與 ClaimResponse.item.adjudication.category 使用。其中核定金額（approveFee）、核增金額（incInAcc）、核減金額（decInAcc）、政策鼓勵金額（aSvcFee）、分案暫付金額（tempPaymentFee）為長照支付審查特有、國際標準無對應者；申請核銷金額（submitted）、自付額（copayment）與單價（price）則與 HL7 標準代碼系統 http://terminology.hl7.org/CodeSystem/adjudication 之 submitted、copay、eligible 語意相近，本 CodeSystem 為保持同一組金額類別代碼之一致性而一併收錄，實作者於跨國情境交換時得改用該標準代碼。"] ;
fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
fhir:CodeSystem.content [ fhir:value "complete"] ;
fhir:CodeSystem.count [ fhir:value "8"^^xsd:nonNegativeInteger] ;
fhir:CodeSystem.concept [
fhir:index 0 ;
fhir:CodeSystem.concept.code [ fhir:value "approveFee" ] ;
fhir:CodeSystem.concept.display [ fhir:value "核定金額" ]
], [
fhir:index 1 ;
fhir:CodeSystem.concept.code [ fhir:value "incInAcc" ] ;
fhir:CodeSystem.concept.display [ fhir:value "核增金額" ]
], [
fhir:index 2 ;
fhir:CodeSystem.concept.code [ fhir:value "decInAcc" ] ;
fhir:CodeSystem.concept.display [ fhir:value "核減金額" ]
], [
fhir:index 3 ;
fhir:CodeSystem.concept.code [ fhir:value "copayment" ] ;
fhir:CodeSystem.concept.display [ fhir:value "自付額" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "個案就該筆服務所應自行負擔之金額（copayment）。語意等同 HL7 標準代碼 http://terminology.hl7.org/CodeSystem/adjudication#copay。" ]
], [
fhir:index 4 ;
fhir:CodeSystem.concept.code [ fhir:value "aSvcFee" ] ;
fhir:CodeSystem.concept.display [ fhir:value "政策鼓勵金額" ]
], [
fhir:index 5 ;
fhir:CodeSystem.concept.code [ fhir:value "tempPaymentFee" ] ;
fhir:CodeSystem.concept.display [ fhir:value "分案暫付金額" ]
], [
fhir:index 6 ;
fhir:CodeSystem.concept.code [ fhir:value "price" ] ;
fhir:CodeSystem.concept.display [ fhir:value "單價" ]
], [
fhir:index 7 ;
fhir:CodeSystem.concept.code [ fhir:value "submitted" ] ;
fhir:CodeSystem.concept.display [ fhir:value "申請核銷金額" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "服務單位就本分案所申請核銷之總金額（amount）。語意等同 HL7 標準代碼 http://terminology.hl7.org/CodeSystem/adjudication#submitted。" ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/cs-tw-ltc-feeaudit-adjudication.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CodeSystem/cs-tw-ltc-feeaudit-adjudication.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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