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 1.1.0 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
Extension: 長照支付審查－服務記錄識別資訊
| Official URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef | Version: 1.1.0 | |||
| Active as of 2026-10-30 | Computable Name: ExtTWLTCFeeAuditRecordRef | |||
此 Extension 用於在長照支付審查之分案審核明細（ClaimResponse）中，結構化承載每一筆服務記錄的識別資訊：服務記錄識別碼（objid／ref_objid，長度 20）、來源系統別（source_system／ref_source_system，長度 20）與申報交易序號（trans_no，長度 10）。適用於審核通過服務記錄（ClaimResponse.item）、錯誤服務記錄（ClaimResponse.error）與 A 碼加成資料區（ClaimResponse.addItem，此時承載所加成之審核通過服務記錄之 ref_objid 與 ref_source_system）。因 ClaimResponse 之各 itemSequence 元素於 FHIR R4 為 positiveInt 且語意上僅能指向單一 Claim 內之項目序號，無法承載跨 Claim 之字串識別碼，故以本 Extension 表達。
Context of Use
-
Element ID:
ClaimResponse.item -
Element ID:
ClaimResponse.error -
Element ID:
ClaimResponse.addItem
This extension may be used on the following element(s)
Usage info
Usages:
- Use this Extension: 長照支付審查－分案審核明細
- Examples for this Extension: Bundle/ltc-bundle-feeaudit-response-example and ClaimResponse/ltc-claimresponse-feeaudit-example
You can also check for usages in the FHIR IG Statistics
Formal Views of Extension Content
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Extension |
0..* | Extension | 長照支付審查－服務記錄識別資訊 | |
  extension |
1..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:objid |
1..1 | Extension | 服務記錄識別碼（objid；於 addItem 為 ref_objid），長度上限 20，對應該筆服務紀錄申報（LTCClaimFeeApply）之 identifier[objid].value | |
  extension |
0..0 | Extension | ||
| url |
1..1 | uri | "objid" | |
  value[x] |
1..1 | string | 服務記錄識別碼值，例如 882601915 | |
| extension:sourceSystem |
0..1 | Extension | 來源系統別（source_system；於 addItem 為 ref_source_system），長度上限 20 | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "sourceSystem" | |
| value[x] |
1..1 | string | 來源系統別值，例如 TranCareCenter | |
 extension:transNo |
0..1 | Extension | 該筆服務記錄申報時之交易序號（trans_no），長度上限 10 | |
 extension |
0..0 | Extension | ||
| url |
1..1 | uri | "transNo" | |
| value[x] |
1..1 | string | 交易序號值，例如 A123456789 | |
| url |
1..1 | uri | "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef" | |
 value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | 長照支付審查－服務記錄識別資訊 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:objid |
1..1 | Extension | 服務記錄識別碼（objid；於 addItem 為 ref_objid），長度上限 20，對應該筆服務紀錄申報（LTCClaimFeeApply）之 identifier[objid].value | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| url |
1..1 | uri | "objid" | |
| value[x] |
1..1 | string | 服務記錄識別碼值，例如 882601915 | |
| extension:sourceSystem |
0..1 | Extension | 來源系統別（source_system；於 addItem 為 ref_source_system），長度上限 20 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| url |
1..1 | uri | "sourceSystem" | |
| value[x] |
1..1 | string | 來源系統別值，例如 TranCareCenter | |
| extension:transNo |
0..1 | Extension | 該筆服務記錄申報時之交易序號（trans_no），長度上限 10 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| url |
1..1 | uri | "transNo" | |
| value[x] |
1..1 | string | 交易序號值，例如 A123456789 | |
| url |
1..1 | uri | "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: 此 Extension 用於在長照支付審查之分案審核明細（ClaimResponse）中，結構化承載每一筆服務記錄的識別資訊：服務記錄識別碼（objid／ref_objid，長度 20）、來源系統別（source_system／ref_source_system，長度 20）與申報交易序號（trans_no，長度 10）。適用於審核通過服務記錄（ClaimResponse.item）、錯誤服務記錄（ClaimResponse.error）與 A 碼加成資料區（ClaimResponse.addItem，此時承載所加成之審核通過服務記錄之 ref_objid 與 ref_source_system）。因 ClaimResponse 之各 itemSequence 元素於 FHIR R4 為 positiveInt 且語意上僅能指向單一 Claim 內之項目序號，無法承載跨 Claim 之字串識別碼，故以本 Extension 表達。
- objid: string: An Extension
- sourceSystem: string: An Extension
- transNo: string: An Extension
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | 長照支付審查－服務記錄識別資訊 | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:objid |
1..1 | Extension | 服務記錄識別碼（objid；於 addItem 為 ref_objid），長度上限 20，對應該筆服務紀錄申報（LTCClaimFeeApply）之 identifier[objid].value | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "objid" | |
| value[x] |
1..1 | string | 服務記錄識別碼值，例如 882601915 | |
| extension:sourceSystem |
0..1 | Extension | 來源系統別（source_system；於 addItem 為 ref_source_system），長度上限 20 | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "sourceSystem" | |
| value[x] |
1..1 | string | 來源系統別值，例如 TranCareCenter | |
| extension:transNo |
0..1 | Extension | 該筆服務記錄申報時之交易序號（trans_no），長度上限 10 | |
| extension |
0..0 | Extension | ||
| url |
1..1 | uri | "transNo" | |
| value[x] |
1..1 | string | 交易序號值，例如 A123456789 | |
| url |
1..1 | uri | "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | 長照支付審查－服務記錄識別資訊 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:objid |
1..1 | Extension | 服務記錄識別碼（objid；於 addItem 為 ref_objid），長度上限 20，對應該筆服務紀錄申報（LTCClaimFeeApply）之 identifier[objid].value | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| url |
1..1 | uri | "objid" | |
| value[x] |
1..1 | string | 服務記錄識別碼值，例如 882601915 | |
| extension:sourceSystem |
0..1 | Extension | 來源系統別（source_system；於 addItem 為 ref_source_system），長度上限 20 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| url |
1..1 | uri | "sourceSystem" | |
| value[x] |
1..1 | string | 來源系統別值，例如 TranCareCenter | |
| extension:transNo |
0..1 | Extension | 該筆服務記錄申報時之交易序號（trans_no），長度上限 10 | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| url |
1..1 | uri | "transNo" | |
| value[x] |
1..1 | string | 交易序號值，例如 A123456789 | |
| url |
1..1 | uri | "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-FeeAudit-RecordRef" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: 此 Extension 用於在長照支付審查之分案審核明細（ClaimResponse）中，結構化承載每一筆服務記錄的識別資訊：服務記錄識別碼（objid／ref_objid，長度 20）、來源系統別（source_system／ref_source_system，長度 20）與申報交易序號（trans_no，長度 10）。適用於審核通過服務記錄（ClaimResponse.item）、錯誤服務記錄（ClaimResponse.error）與 A 碼加成資料區（ClaimResponse.addItem，此時承載所加成之審核通過服務記錄之 ref_objid 與 ref_source_system）。因 ClaimResponse 之各 itemSequence 元素於 FHIR R4 為 positiveInt 且語意上僅能指向單一 Claim 內之項目序號，無法承載跨 Claim 之字串識別碼，故以本 Extension 表達。
- objid: string: An Extension
- sourceSystem: string: An Extension
- transNo: string: An Extension
Other representations of profile: CSV, Excel, Schematron
Constraints
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|