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 CS100－核定額度回應（CoverageEligibilityResponse）範例 - JSON Representation

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{
  "resourceType" : "CoverageEligibilityResponse",
  "id" : "ltc-coverageeligibilityresponse-cs100-example",
  "meta" : {
    "profile" : [
      🔗 "http://ltc-ig.fhir.tw/StructureDefinition/LTC-CoverageEligibilityResponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CoverageEligibilityResponse ltc-coverageeligibilityresponse-cs100-example</b></p><a name=\"ltc-coverageeligibilityresponse-cs100-example\"> </a><a name=\"hcltc-coverageeligibilityresponse-cs100-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-CoverageEligibilityResponse.html\">長照－核定額度（CoverageEligibilityResponse）</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</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>: 2025-10-05 10:00:00+0800</p><p><b>requestor</b>: <a href=\"Organization-ltc-organization-cs100-example.html\">Organization 某某長照管理中心</a></p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-ltc-coverageeligibilityrequest-cs100-example.html\">CoverageEligibilityRequest: status = active; purpose = benefits; created = 2025-10-05 09:00:00+0800</a></p><p><b>outcome</b>: Processing Complete</p><p><b>insurer</b>: <a href=\"Organization-ltc-organization-cs100-example.html\">Organization 某某長照管理中心</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Coverage-ltc-coverage-cs100-example.html\">Coverage: status = active</a></p><blockquote><p><b>item</b></p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group care-pro}\">照顧及專業服務</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type total}\">總額度</span></p><p><b>allowed</b>: <span title=\"New Taiwan Dollar\">NT$15,460.00</span> (TWD)</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type subsidy}\">補助額度</span></p><p><b>allowed</b>: <span title=\"New Taiwan Dollar\">NT$12,987.00</span> (TWD)</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type copay}\">部分負擔</span></p><p><b>allowed</b>: <span title=\"New Taiwan Dollar\">NT$2,473.00</span> (TWD)</p></blockquote></blockquote></blockquote></div>"
  },
  "status" : "active",
  "purpose" : [
    "benefits"
  ],
  "patient" : {
    🔗 "reference" : "Patient/ltc-patient-cs100-example"
  },
  "created" : "2025-10-05T10:00:00+08:00",
  "requestor" : {
    🔗 "reference" : "Organization/ltc-organization-cs100-example"
  },
  "request" : {
    🔗 "reference" : "CoverageEligibilityRequest/ltc-coverageeligibilityrequest-cs100-example"
  },
  "outcome" : "complete",
  "insurer" : {
    🔗 "reference" : "Organization/ltc-organization-cs100-example"
  },
  "insurance" : [
    {
      "coverage" : {
        🔗 "reference" : "Coverage/ltc-coverage-cs100-example"
      },
      "item" : [
        {
          "category" : {
            "coding" : [
              {
                "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group",
                "code" : "care-pro"
              }
            ]
          },
          "benefit" : [
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type",
                    "code" : "total"
                  }
                ]
              },
              "allowedMoney" : {
                "value" : 15460,
                "currency" : "TWD"
              }
            },
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type",
                    "code" : "subsidy"
                  }
                ]
              },
              "allowedMoney" : {
                "value" : 12987,
                "currency" : "TWD"
              }
            },
            {
              "type" : {
                "coding" : [
                  {
                    "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type",
                    "code" : "copay"
                  }
                ]
              },
              "allowedMoney" : {
                "value" : 2473,
                "currency" : "TWD"
              }
            }
          ]
        }
      ]
    }
  ]
}