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

• Narrative Content
• XML
• JSON
• TTL

: 長照 CS100－核定額度回應（CoverageEligibilityResponse）範例 - XML Representation

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<CoverageEligibilityResponse xmlns="http://hl7.org/fhir">
  <id value="ltc-coverageeligibilityresponse-cs100-example"/>
  <meta>
    <profile
             value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-CoverageEligibilityResponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="active"/>
  <purpose value="benefits"/>
  <patient>🔗 
    <reference value="Patient/ltc-patient-cs100-example"/>
  </patient>
  <created value="2025-10-05T10:00:00+08:00"/>
  <requestor>🔗 
    <reference value="Organization/ltc-organization-cs100-example"/>
  </requestor>
  <request>🔗 
    <reference
               value="CoverageEligibilityRequest/ltc-coverageeligibilityrequest-cs100-example"/>
  </request>
  <outcome value="complete"/>
  <insurer>🔗 
    <reference value="Organization/ltc-organization-cs100-example"/>
  </insurer>
  <insurance>
    <coverage>🔗 
      <reference value="Coverage/ltc-coverage-cs100-example"/>
    </coverage>
    <item>
      <category>
        <coding>
          <system
                  value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group"/>
          <code value="care-pro"/>
        </coding>
      </category>
      <benefit>
        <type>
          <coding>
            <system
                    value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type"/>
            <code value="total"/>
          </coding>
        </type>
        <allowedMoney>
          <value value="15460"/>
          <currency value="TWD"/>
        </allowedMoney>
      </benefit>
      <benefit>
        <type>
          <coding>
            <system
                    value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type"/>
            <code value="subsidy"/>
          </coding>
        </type>
        <allowedMoney>
          <value value="12987"/>
          <currency value="TWD"/>
        </allowedMoney>
      </benefit>
      <benefit>
        <type>
          <coding>
            <system
                    value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type"/>
            <code value="copay"/>
          </coding>
        </type>
        <allowedMoney>
          <value value="2473"/>
          <currency value="TWD"/>
        </allowedMoney>
      </benefit>
    </item>
  </insurance>
</CoverageEligibilityResponse>