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 SDK－核定額度回應（CoverageEligibilityResponse）範例 - TTL Representation

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@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/CoverageEligibilityResponse/ltc-coverageeligibilityresponse-sdk-example> a fhir:CoverageEligibilityResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ltc-coverageeligibilityresponse-sdk-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/LTC-CoverageEligibilityResponse" ;
       fhir:index 0 ;
       fhir:link <http://ltc-ig.fhir.tw/StructureDefinition/LTC-CoverageEligibilityResponse>
     ]
  ] ;
  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: CoverageEligibilityResponse ltc-coverageeligibilityresponse-sdk-example</b></p><a name=\"ltc-coverageeligibilityresponse-sdk-example\"> </a><a name=\"hcltc-coverageeligibilityresponse-sdk-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-sdk-example.html\">王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))</a></p><p><b>created</b>: 2025-08-04 17:02:19+0800</p><p><b>request</b>: <a href=\"CoverageEligibilityRequest-ltc-coverageeligibilityrequest-sdk-example.html\">CoverageEligibilityRequest: status = active; purpose = benefits; created = 2025-08-04 17:00:00+0800</a></p><p><b>outcome</b>: Processing Complete</p><p><b>insurer</b>: <a href=\"Organization-ltc-organization-sdk-example.html\">Organization OOO長期照顧管理中心</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href=\"Coverage-ltc-coverage-sdk-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>"
  ] ;
  fhir:CoverageEligibilityResponse.status [ fhir:value "active"] ;
  fhir:CoverageEligibilityResponse.purpose [
     fhir:value "benefits" ;
     fhir:index 0
  ] ;
  fhir:CoverageEligibilityResponse.patient [
     fhir:link <http://hl7.org/fhir/Patient/ltc-patient-sdk-example> ;
     fhir:Reference.reference [ fhir:value "Patient/ltc-patient-sdk-example" ]
  ] ;
  fhir:CoverageEligibilityResponse.created [ fhir:value "2025-08-04T17:02:19+08:00"^^xsd:dateTime] ;
  fhir:CoverageEligibilityResponse.request [
     fhir:link <http://hl7.org/fhir/CoverageEligibilityRequest/ltc-coverageeligibilityrequest-sdk-example> ;
     fhir:Reference.reference [ fhir:value "CoverageEligibilityRequest/ltc-coverageeligibilityrequest-sdk-example" ]
  ] ;
  fhir:CoverageEligibilityResponse.outcome [ fhir:value "complete"] ;
  fhir:CoverageEligibilityResponse.insurer [
     fhir:link <http://hl7.org/fhir/Organization/ltc-organization-sdk-example> ;
     fhir:Reference.reference [ fhir:value "Organization/ltc-organization-sdk-example" ]
  ] ;
  fhir:CoverageEligibilityResponse.insurance [
     fhir:index 0 ;
     fhir:CoverageEligibilityResponse.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/ltc-coverage-sdk-example> ;
       fhir:Reference.reference [ fhir:value "Coverage/ltc-coverage-sdk-example" ]
     ] ;
     fhir:CoverageEligibilityResponse.insurance.item [
       fhir:index 0 ;
       fhir:CoverageEligibilityResponse.insurance.item.category [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group" ] ;
           fhir:Coding.code [ fhir:value "care-pro" ] ;
           fhir:Coding.display [ fhir:value "照顧及專業服務" ]
         ]
       ] ;
       fhir:CoverageEligibilityResponse.insurance.item.benefit [
         fhir:index 0 ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type" ] ;
             fhir:Coding.code [ fhir:value "total" ]
           ]
         ] ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "15460"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "TWD" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type" ] ;
             fhir:Coding.code [ fhir:value "subsidy" ]
           ]
         ] ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "12987"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "TWD" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.type [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type" ] ;
             fhir:Coding.code [ fhir:value "copay" ]
           ]
         ] ;
         fhir:CoverageEligibilityResponse.insurance.item.benefit.allowedMoney [
           fhir:Money.value [ fhir:value "2473"^^xsd:decimal ] ;
           fhir:Money.currency [ fhir:value "TWD" ]
         ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Patient/ltc-patient-sdk-example> a fhir:Patient .

<http://hl7.org/fhir/CoverageEligibilityRequest/ltc-coverageeligibilityrequest-sdk-example> a fhir:CoverageEligibilityRequest .

<http://hl7.org/fhir/Organization/ltc-organization-sdk-example> a fhir:Organization .

<http://hl7.org/fhir/Coverage/ltc-coverage-sdk-example> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CoverageEligibilityResponse/ltc-coverageeligibilityresponse-sdk-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CoverageEligibilityResponse/ltc-coverageeligibilityresponse-sdk-example.ttl> .