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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 長照支付審查－個案服務紀錄申報

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Claim Resource，以呈現服務提供單位向衛生福利部支付審核系統（照管平台）執行「服務記錄申報（FeeApply）」時所傳送之單筆個案服務紀錄。一筆 Claim 對應規格書中一筆具唯一識別碼（objid）之個案服務紀錄，識別碼不存在時於支審系統新增服務紀錄、已存在時則更新服務紀錄；同一次申報交易（trans_no，最多 5000 筆）之多筆服務紀錄以 Bundle 打包。共通欄位以 Claim 基本元素及 Claim.item 承載；隨照顧組合代碼（gov_item_cd）而特化之欄位，依規格書「表1: 支付碼必填欄位一覽表」以 Claim.supportingInfo 之具名切片承載。因 FHIR R4 之 Claim.supportingInfo.value[x] 型別僅允許 boolean、string、Quantity、Attachment 與 Reference，故代碼型欄位（服務項目、服務對象、服務重點、專業服務復能目標達成情形、BD03 服務使用類型、AA10 申報狀態）改以 supportingInfo.code 承載並綁定對應 ValueSet。條件必填規則因隨支付碼而異，於本 Profile 中以 severity 為 warning 之 invariant（ltc-feeaudit-1 至 ltc-feeaudit-4）表達。

Usages:

• Use this Profile: 長照支付審查－服務記錄申報文件打包
• Examples for this Profile: Claim/ltc-claim-feeapply-aa00-example, Claim/ltc-claim-feeapply-c-code-example and Claim/ltc-claim-feeapply-da01-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	支付審查業務識別碼，以 system 區分服務紀錄識別碼、交易序號與支審年月。 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼（objid），字串長度 20，由服務提供單位系統產生且全域唯一；識別碼不存在時新增支審系統之服務紀錄，已存在時則更新之。
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:transNo	S	0..1	Identifier	交易序號（trans_no），字串長度 10，識別本筆服務紀錄所屬之申報交易批次；每個交易序號每次申報最多 5000 筆個案服務紀錄。
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:yyyymm	S	0..1	Identifier	支審年月（writeoff_yyyymm），字串長度 6，為西元年月格式 yyyyMM（例如 201901），非民國年。
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	申報單狀態。個案服務紀錄申報固定為 active。 Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	SΣ	1..1	CodeableConcept	申報單類別。長照服務紀錄申報固定使用 professional（專業服務）。 Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	SΣ	1..1	code	用途。個案服務紀錄申報為實際請款，固定為 claim。 Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務之長照需要者，對應規格書欄位 idn（個案身分證字號）。
created	SΣ	1..1	dateTime	本筆服務紀錄之申報建立時間。
insurer	SΣ	0..1	Reference(Organization)	受理審查之單位，如直轄市、縣（市）主管機關或衛生福利部支付審核系統。
provider	SΣ	1..1	Reference(長期照顧－機構)	申報之服務提供單位（特約單位）。
priority	Σ	1..1	CodeableConcept	申報處理優先序。長照支付審查情境無優先序區分，建議固定填 normal。 Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
careTeam	S	0..*	BackboneElement	提供本筆服務之照顧服務員，對應規格書欄位 svc_user_no1 至 svc_user_no5（照顧服務員身分證字號 1 至 5）；careTeam.sequence 之 1 至 5 依序對應 svc_user_no1 至 svc_user_no5。申報 AA00、B 碼、G 碼、SC 碼、C 碼、BD03、DA01 時 svc_user_no1（sequence = 1）為必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員序號，1 至 5 依序對應規格書之 svc_user_no1 至 svc_user_no5。
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員，以身分證字號作為 Practitioner.identifier 之值。
Slices for supportingInfo	S	0..*	BackboneElement	隨照顧組合代碼（gov_item_cd）而特化之補充資訊，依規格書「表1: 支付碼必填欄位一覽表」條件填寫。 Slice: Unordered, Open by pattern:category
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目（svc_item）。申報 AA00 必填；申報 AA03 必填（填寫 C 碼服務）。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcItemOther 切片補充。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務項目 (required)
supportingInfo:svcItemOther	S	0..1	BackboneElement	服務項目－其他（svc_item_other），字串長度 255。服務項目選填「9 其他」時填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象（svc_people）。申報 AA00 必填：1 服務使用者、2 家庭照顧者。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務對象 (required)
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容（svc_content），字串長度 4000。申報 AA00 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點（svc_point）。申報 AA00 填寫。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcPointOther 切片補充。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務重點 (required)
supportingInfo:svcPointOther	S	0..1	BackboneElement	服務重點－其他（svc_point_other），字串長度 255。服務重點選填「9 其他」時填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	追蹤服務適應與介入情形（svc_trace），字串長度 4000。申報 AA00 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務目標及整體計畫目標達成情形（svc_goal），字串長度 4000。申報 AA00 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	整體計畫的適切性及需求異動（svc_suitable），字串長度 4000。申報 AA00 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務單位（svc_unit），字串長度 20，內容為 C 單位之單位代碼。申報 AA03 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	專業服務復能目標達成情形（svcc_goal_type），單選。申報 C 碼填寫；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－專業服務復能目標達成情形 (required)
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務復能目標（svcc_goal），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	專業服務指導對象（svcc_content_target），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務服務內容（svcc_content），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務指導建議摘要（svcc_suggest），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	出發地（addr1），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。地址或地點名稱以 Location.name／Location.address 表達；出發地緯度（addrlat1）與經度（addrlng1）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，出發地與出發地經緯度需至少填寫一組。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	目的地（addr2），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。目的地可為醫院、社區式長照機構等非住家地點，故不使用 type 已固定為個案住所之 LTCLocation。地址或地點名稱以 Location.name／Location.address 表達；目的地緯度（addrlat2）與經度（addrlng2）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，目的地與目的地經緯度需至少填寫一組。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	車號（car_no），字串長度 10。申報 BD03、DA01 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	駕駛員（driver），字串長度 20。申報 BD03、DA01 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	里程數（milage），數值型態，建議單位為公里（km）。申報 BD03、DA01 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	社區式服務交通接送（BD03）服務使用類型（bd03_type），預設為 1（社區式長照機構）。申報 BD03 必填；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
supportingInfo:lastSvc	S	0..1	BackboneElement	臨終日照顧（last_svc）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視／服務未遇（missed_visit）。原始電文 Y（未遇）對應 true、N（正常）對應 false，預設為 N（false）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否為陪同施打 COVID-19 疫苗（apply_covid19）。原始電文 Y（陪同）對應 true、N（未陪同）對應 false，預設為 N（false）；僅開放 BA13、BA13a 申報。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03（apply_aa03）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09（apply_aa09）。原始電文 Y 對應 true、N 對應 false，預設為 Y（true）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態（aa10_status），預設為 0（未申報）；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－AA10 申報狀態 (required)
supportingInfo:remark	S	0..1	BackboneElement	備註（remark），字串長度 4000。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
insurance	SΣ	1..*	BackboneElement	保險／給付來源區塊。此為 FHIR Claim 之必填結構；長照情境下僅需一個最小保險區塊，填 insurance.sequence = 1、insurance.focal = true，並以 insurance.coverage 指向長照給付額度（如 Coverage 或以 display 註明「長期照顧給付及支付基準」）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
coverage	Σ	1..1	Reference(Coverage)	Insurance information
item	S	1..1	BackboneElement	服務明細。一筆個案服務紀錄（objid）僅對應一個 item。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細序號。一筆服務紀錄僅一個 item，固定填 1。
category	S	0..1	CodeableConcept	服務類別，對應規格書欄位 svc_fee_tp。1：補助、2：自費。 Binding: 支付審查－服務類別 (required)
productOrService	S	1..1	CodeableConcept	照顧組合代碼，對應規格書欄位 gov_item_cd（字串長度 10）；A 單位之個案管理服務紀錄請填 AA00（該代碼已收錄於臺灣長照服務項目代碼系統 CS_TW_LTC_ServiceItem，須以 coding 承載，方能觸發 invariant ltc-feeaudit-3 之條件必填檢核）。 Binding: 臺灣長照服務項目 (extensible)
serviced[x]	S	1..1	Period	服務起訖時間。start 由服務日期（svc_dt，yyyyMMdd）與起始時段（start_hh、start_mm）組成；end 由服務結束日期（svc_end_dt，空白時同 svc_dt）與結束時段（end_hh、end_mm）組成。時段採 24 小時制且不足兩碼補 0。
location[x]		0..1	Reference(長照支付審查－交通接送起訖地)	服務地點。申報 BD03、DA01 交通接送時，可用以表達目的地；出發地與目的地之完整資訊另以 supportingInfo 之 addrFrom、addrTo 切片承載。
quantity	S	0..1	SimpleQuantity(4.0.1)	申報數量，對應規格書欄位 amount（數量）。表1 中各支付碼皆為必填。
unitPrice	S	0..1	Money	單價，對應規格書欄位 price。表1 條件必填：申報 BD03、DA01 為必填，其餘支付碼為非必填。
net	S	0..1	Money	本筆服務明細之小計金額（單價 × 數量）。
total	S	0..1	Money	本筆服務紀錄之申報金額，對應規格書之服務紀錄金額（amount）。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.identifier:objid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:transNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:yyyymm.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.status	Base	required	Financial Resource Status Codes	📍4.0.1	FHIR Std.
Claim.type	Base	extensible	Claim Type Codes	📍4.0.1	FHIR Std.
Claim.use	Base	required	Use	📍4.0.1	FHIR Std.
Claim.priority	Base	example	Process Priority Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​code	Base	required	支付審查－服務項目	📦1.0.0	This IG
Claim.supportingInfo:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.0.0	This IG
Claim.supportingInfo:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.0.0	This IG
Claim.supportingInfo:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​code	Base	required	支付審查－專業服務復能目標達成情形	📦1.0.0	This IG
Claim.supportingInfo:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​code	Base	required	支付審查－社區式服務交通接送服務使用類型	📦1.0.0	This IG
Claim.supportingInfo:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.0.0	This IG
Claim.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.item.category	Base	required	支付審查－服務類別	📦1.0.0	This IG
Claim.item.productOrService	Base	extensible	臺灣長照服務項目	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
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()
ltc-feeaudit-1	warning	Claim	申報照顧組合代碼 BD03 或 DA01（交通接送）時，應填寫里程數（milage）與車號（carNo）。	item.productOrService.coding.where(code = 'BD03' or code = 'DA01').exists() implies (supportingInfo.category.coding.where(code = 'milage').exists() and supportingInfo.category.coding.where(code = 'carNo').exists())
ltc-feeaudit-2	warning	Claim	申報照顧組合代碼 BD03（社區式服務交通接送）時，應填寫服務使用類型（bd03Type）。	item.productOrService.coding.where(code = 'BD03').exists() implies supportingInfo.category.coding.where(code = 'bd03Type').exists()
ltc-feeaudit-3	warning	Claim	申報照顧組合代碼 AA00（A 單位個案管理服務）時，應填寫服務項目（svcItem）、服務對象（svcPeople）與服務內容（svcContent）。	item.productOrService.coding.where(code = 'AA00').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcPeople').exists() and supportingInfo.category.coding.where(code = 'svcContent').exists())
ltc-feeaudit-4	warning	Claim	申報照顧組合代碼 AA03（專業服務）時，應填寫服務項目（svcItem）與提供專業服務單位（svcUnit）。	item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())

This structure is derived from Claim

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Slices for identifier	S	1..*	Identifier	支付審查業務識別碼，以 system 區分服務紀錄識別碼、交易序號與支審年月。 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼（objid），字串長度 20，由服務提供單位系統產生且全域唯一；識別碼不存在時新增支審系統之服務紀錄，已存在時則更新之。
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	S	1..1	string	The value that is unique
identifier:transNo	S	0..1	Identifier	交易序號（trans_no），字串長度 10，識別本筆服務紀錄所屬之申報交易批次；每個交易序號每次申報最多 5000 筆個案服務紀錄。
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	S	1..1	string	The value that is unique
identifier:yyyymm	S	0..1	Identifier	支審年月（writeoff_yyyymm），字串長度 6，為西元年月格式 yyyyMM（例如 201901），非民國年。
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	S	1..1	string	The value that is unique
status	S	1..1	code	申報單狀態。個案服務紀錄申報固定為 active。 Required Pattern: active
type	S	1..1	CodeableConcept	申報單類別。長照服務紀錄申報固定使用 professional（專業服務）。
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	S	1..1	code	用途。個案服務紀錄申報為實際請款，固定為 claim。 Required Pattern: claim
patient	S	1..1	Reference(長期照顧－住民基本資料)	接受服務之長照需要者，對應規格書欄位 idn（個案身分證字號）。
created	S	1..1	dateTime	本筆服務紀錄之申報建立時間。
insurer	S	0..1	Reference(Organization)	受理審查之單位，如直轄市、縣（市）主管機關或衛生福利部支付審核系統。
provider	S	1..1	Reference(長期照顧－機構)	申報之服務提供單位（特約單位）。
priority		1..1	CodeableConcept	申報處理優先序。長照支付審查情境無優先序區分，建議固定填 normal。
careTeam	S	0..*	BackboneElement	提供本筆服務之照顧服務員，對應規格書欄位 svc_user_no1 至 svc_user_no5（照顧服務員身分證字號 1 至 5）；careTeam.sequence 之 1 至 5 依序對應 svc_user_no1 至 svc_user_no5。申報 AA00、B 碼、G 碼、SC 碼、C 碼、BD03、DA01 時 svc_user_no1（sequence = 1）為必填。
sequence	S	1..1	positiveInt	照顧服務員序號，1 至 5 依序對應規格書之 svc_user_no1 至 svc_user_no5。
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員，以身分證字號作為 Practitioner.identifier 之值。
Slices for supportingInfo	S	0..*	BackboneElement	隨照顧組合代碼（gov_item_cd）而特化之補充資訊，依規格書「表1: 支付碼必填欄位一覽表」條件填寫。 Slice: Unordered, Open by pattern:category
supportingInfo:All Slices				Content/Rules for all slices
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目（svc_item）。申報 AA00 必填；申報 AA03 必填（填寫 C 碼服務）。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcItemOther 切片補充。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務項目 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcItemOther	S	0..1	BackboneElement	服務項目－其他（svc_item_other），字串長度 255。服務項目選填「9 其他」時填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象（svc_people）。申報 AA00 必填：1 服務使用者、2 家庭照顧者。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務對象 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容（svc_content），字串長度 4000。申報 AA00 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點（svc_point）。申報 AA00 填寫。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcPointOther 切片補充。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務重點 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcPointOther	S	0..1	BackboneElement	服務重點－其他（svc_point_other），字串長度 255。服務重點選填「9 其他」時填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	追蹤服務適應與介入情形（svc_trace），字串長度 4000。申報 AA00 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務目標及整體計畫目標達成情形（svc_goal），字串長度 4000。申報 AA00 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	整體計畫的適切性及需求異動（svc_suitable），字串長度 4000。申報 AA00 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務單位（svc_unit），字串長度 20，內容為 C 單位之單位代碼。申報 AA03 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	專業服務復能目標達成情形（svcc_goal_type），單選。申報 C 碼填寫；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－專業服務復能目標達成情形 (required)
value[x]		0..0		Data to be provided
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務復能目標（svcc_goal），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	專業服務指導對象（svcc_content_target），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務服務內容（svcc_content），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務指導建議摘要（svcc_suggest），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	出發地（addr1），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。地址或地點名稱以 Location.name／Location.address 表達；出發地緯度（addrlat1）與經度（addrlng1）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，出發地與出發地經緯度需至少填寫一組。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	目的地（addr2），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。目的地可為醫院、社區式長照機構等非住家地點，故不使用 type 已固定為個案住所之 LTCLocation。地址或地點名稱以 Location.name／Location.address 表達；目的地緯度（addrlat2）與經度（addrlng2）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，目的地與目的地經緯度需至少填寫一組。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	車號（car_no），字串長度 10。申報 BD03、DA01 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	駕駛員（driver），字串長度 20。申報 BD03、DA01 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	里程數（milage），數值型態，建議單位為公里（km）。申報 BD03、DA01 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	社區式服務交通接送（BD03）服務使用類型（bd03_type），預設為 1（社區式長照機構）。申報 BD03 必填；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
value[x]		0..0		Data to be provided
supportingInfo:lastSvc	S	0..1	BackboneElement	臨終日照顧（last_svc）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視／服務未遇（missed_visit）。原始電文 Y（未遇）對應 true、N（正常）對應 false，預設為 N（false）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否為陪同施打 COVID-19 疫苗（apply_covid19）。原始電文 Y（陪同）對應 true、N（未陪同）對應 false，預設為 N（false）；僅開放 BA13、BA13a 申報。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03（apply_aa03）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09（apply_aa09）。原始電文 Y 對應 true、N 對應 false，預設為 Y（true）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態（aa10_status），預設為 0（未申報）；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－AA10 申報狀態 (required)
value[x]		0..0		Data to be provided
supportingInfo:remark	S	0..1	BackboneElement	備註（remark），字串長度 4000。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
value[x]	S	1..1	string	Data to be provided
insurance	S	1..*	BackboneElement	保險／給付來源區塊。此為 FHIR Claim 之必填結構；長照情境下僅需一個最小保險區塊，填 insurance.sequence = 1、insurance.focal = true，並以 insurance.coverage 指向長照給付額度（如 Coverage 或以 display 註明「長期照顧給付及支付基準」）。
item	S	1..1	BackboneElement	服務明細。一筆個案服務紀錄（objid）僅對應一個 item。
sequence		1..1	positiveInt	服務明細序號。一筆服務紀錄僅一個 item，固定填 1。
category	S	0..1	CodeableConcept	服務類別，對應規格書欄位 svc_fee_tp。1：補助、2：自費。 Binding: 支付審查－服務類別 (required)
productOrService	S	1..1	CodeableConcept	照顧組合代碼，對應規格書欄位 gov_item_cd（字串長度 10）；A 單位之個案管理服務紀錄請填 AA00（該代碼已收錄於臺灣長照服務項目代碼系統 CS_TW_LTC_ServiceItem，須以 coding 承載，方能觸發 invariant ltc-feeaudit-3 之條件必填檢核）。 Binding: 臺灣長照服務項目 (extensible)
serviced[x]	S	1..1	Period	服務起訖時間。start 由服務日期（svc_dt，yyyyMMdd）與起始時段（start_hh、start_mm）組成；end 由服務結束日期（svc_end_dt，空白時同 svc_dt）與結束時段（end_hh、end_mm）組成。時段採 24 小時制且不足兩碼補 0。
location[x]		0..1	Reference(長照支付審查－交通接送起訖地)	服務地點。申報 BD03、DA01 交通接送時，可用以表達目的地；出發地與目的地之完整資訊另以 supportingInfo 之 addrFrom、addrTo 切片承載。
quantity	S	0..1	SimpleQuantity(4.0.1)	申報數量，對應規格書欄位 amount（數量）。表1 中各支付碼皆為必填。
unitPrice	S	0..1	Money	單價，對應規格書欄位 price。表1 條件必填：申報 BD03、DA01 為必填，其餘支付碼為非必填。
net	S	0..1	Money	本筆服務明細之小計金額（單價 × 數量）。
total	S	0..1	Money	本筆服務紀錄之申報金額，對應規格書之服務紀錄金額（amount）。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Claim.supportingInfo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​code	Base	required	支付審查－服務項目	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​code	Base	required	支付審查－專業服務復能目標達成情形	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​code	Base	required	支付審查－社區式服務交通接送服務使用類型	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.0.0	This IG
Claim.item.category	Base	required	支付審查－服務類別	📦1.0.0	This IG
Claim.item.productOrService	Base	extensible	臺灣長照服務項目	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ltc-feeaudit-1	warning	Claim	申報照顧組合代碼 BD03 或 DA01（交通接送）時，應填寫里程數（milage）與車號（carNo）。	item.productOrService.coding.where(code = 'BD03' or code = 'DA01').exists() implies (supportingInfo.category.coding.where(code = 'milage').exists() and supportingInfo.category.coding.where(code = 'carNo').exists())
ltc-feeaudit-2	warning	Claim	申報照顧組合代碼 BD03（社區式服務交通接送）時，應填寫服務使用類型（bd03Type）。	item.productOrService.coding.where(code = 'BD03').exists() implies supportingInfo.category.coding.where(code = 'bd03Type').exists()
ltc-feeaudit-3	warning	Claim	申報照顧組合代碼 AA00（A 單位個案管理服務）時，應填寫服務項目（svcItem）、服務對象（svcPeople）與服務內容（svcContent）。	item.productOrService.coding.where(code = 'AA00').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcPeople').exists() and supportingInfo.category.coding.where(code = 'svcContent').exists())
ltc-feeaudit-4	warning	Claim	申報照顧組合代碼 AA03（專業服務）時，應填寫服務項目（svcItem）與提供專業服務單位（svcUnit）。	item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	支付審查業務識別碼，以 system 區分服務紀錄識別碼、交易序號與支審年月。 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼（objid），字串長度 20，由服務提供單位系統產生且全域唯一；識別碼不存在時新增支審系統之服務紀錄，已存在時則更新之。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:transNo	S	0..1	Identifier	交易序號（trans_no），字串長度 10，識別本筆服務紀錄所屬之申報交易批次；每個交易序號每次申報最多 5000 筆個案服務紀錄。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:yyyymm	S	0..1	Identifier	支審年月（writeoff_yyyymm），字串長度 6，為西元年月格式 yyyyMM（例如 201901），非民國年。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	申報單狀態。個案服務紀錄申報固定為 active。 Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	SΣ	1..1	CodeableConcept	申報單類別。長照服務紀錄申報固定使用 professional（專業服務）。 Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subType		0..1	CodeableConcept	More granular claim type Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
use	SΣ	1..1	code	用途。個案服務紀錄申報為實際請款，固定為 claim。 Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務之長照需要者，對應規格書欄位 idn（個案身分證字號）。
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
created	SΣ	1..1	dateTime	本筆服務紀錄之申報建立時間。
enterer		0..1	Reference(Practitioner | PractitionerRole)	Author of the claim
insurer	SΣ	0..1	Reference(Organization)	受理審查之單位，如直轄市、縣（市）主管機關或衛生福利部支付審核系統。
provider	SΣ	1..1	Reference(長期照顧－機構)	申報之服務提供單位（特約單位）。
priority	Σ	1..1	CodeableConcept	申報處理優先序。長照支付審查情境無優先序區分，建議固定填 normal。 Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related		0..*	BackboneElement	Prior or corollary claims
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim		0..1	Reference(Claim)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
facility		0..1	Reference(Location)	Servicing facility
careTeam	S	0..*	BackboneElement	提供本筆服務之照顧服務員，對應規格書欄位 svc_user_no1 至 svc_user_no5（照顧服務員身分證字號 1 至 5）；careTeam.sequence 之 1 至 5 依序對應 svc_user_no1 至 svc_user_no5。申報 AA00、B 碼、G 碼、SC 碼、C 碼、BD03、DA01 時 svc_user_no1（sequence = 1）為必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員序號，1 至 5 依序對應規格書之 svc_user_no1 至 svc_user_no5。
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員，以身分證字號作為 Practitioner.identifier 之值。
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification		0..1	CodeableConcept	Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Slices for supportingInfo	S	0..*	BackboneElement	隨照顧組合代碼（gov_item_cd）而特化之補充資訊，依規格書「表1: 支付碼必填欄位一覽表」條件填寫。 Slice: Unordered, Open by pattern:category
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目（svc_item）。申報 AA00 必填；申報 AA03 必填（填寫 C 碼服務）。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcItemOther 切片補充。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務項目 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItemOther	S	0..1	BackboneElement	服務項目－其他（svc_item_other），字串長度 255。服務項目選填「9 其他」時填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象（svc_people）。申報 AA00 必填：1 服務使用者、2 家庭照顧者。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務對象 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容（svc_content），字串長度 4000。申報 AA00 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點（svc_point）。申報 AA00 填寫。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcPointOther 切片補充。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務重點 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPointOther	S	0..1	BackboneElement	服務重點－其他（svc_point_other），字串長度 255。服務重點選填「9 其他」時填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcTrace	S	0..1	BackboneElement	追蹤服務適應與介入情形（svc_trace），字串長度 4000。申報 AA00 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務目標及整體計畫目標達成情形（svc_goal），字串長度 4000。申報 AA00 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcSuitable	S	0..1	BackboneElement	整體計畫的適切性及需求異動（svc_suitable），字串長度 4000。申報 AA00 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務單位（svc_unit），字串長度 20，內容為 C 單位之單位代碼。申報 AA03 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoalType	S	0..1	BackboneElement	專業服務復能目標達成情形（svcc_goal_type），單選。申報 C 碼填寫；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－專業服務復能目標達成情形 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務復能目標（svcc_goal），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContentTarget	S	0..1	BackboneElement	專業服務指導對象（svcc_content_target），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務服務內容（svcc_content），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務指導建議摘要（svcc_suggest），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrFrom	S	0..1	BackboneElement	出發地（addr1），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。地址或地點名稱以 Location.name／Location.address 表達；出發地緯度（addrlat1）與經度（addrlng1）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，出發地與出發地經緯度需至少填寫一組。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrTo	S	0..1	BackboneElement	目的地（addr2），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。目的地可為醫院、社區式長照機構等非住家地點，故不使用 type 已固定為個案住所之 LTCLocation。地址或地點名稱以 Location.name／Location.address 表達；目的地緯度（addrlat2）與經度（addrlng2）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，目的地與目的地經緯度需至少填寫一組。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:carNo	S	0..1	BackboneElement	車號（car_no），字串長度 10。申報 BD03、DA01 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:driver	S	0..1	BackboneElement	駕駛員（driver），字串長度 20。申報 BD03、DA01 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:milage	S	0..1	BackboneElement	里程數（milage），數值型態，建議單位為公里（km）。申報 BD03、DA01 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Quantity	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:bd03Type	S	0..1	BackboneElement	社區式服務交通接送（BD03）服務使用類型（bd03_type），預設為 1（社區式長照機構）。申報 BD03 必填；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:lastSvc	S	0..1	BackboneElement	臨終日照顧（last_svc）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視／服務未遇（missed_visit）。原始電文 Y（未遇）對應 true、N（正常）對應 false，預設為 N（false）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否為陪同施打 COVID-19 疫苗（apply_covid19）。原始電文 Y（陪同）對應 true、N（未陪同）對應 false，預設為 N（false）；僅開放 BA13、BA13a 申報。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03（apply_aa03）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09（apply_aa09）。原始電文 Y 對應 true、N 對應 false，預設為 Y（true）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態（aa10_status），預設為 0（未申報）；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－AA10 申報狀態 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:remark	S	0..1	BackboneElement	備註（remark），字串長度 4000。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis		0..*	BackboneElement	Pertinent diagnosis information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Diagnosis instance identifier
diagnosis[x]		1..1		Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept			CodeableConcept
diagnosisReference			Reference(Condition)
type		0..*	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date		0..1	dateTime	When the procedure was performed
procedure[x]		1..1		Specific clinical procedure Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept			CodeableConcept
procedureReference			Reference(Procedure)
udi		0..*	Reference(Device)	Unique device identifier
insurance	SΣ	1..*	BackboneElement	保險／給付來源區塊。此為 FHIR Claim 之必填結構；長照情境下僅需一個最小保險區塊，填 insurance.sequence = 1、insurance.focal = true，並以 insurance.coverage 指向長照給付額度（如 Coverage 或以 display 註明「長期照顧給付及支付基準」）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	Σ	1..1	Reference(Coverage)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		1..1	date	When the incident occurred
type		0..1	CodeableConcept	The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
item	S	1..1	BackboneElement	服務明細。一筆個案服務紀錄（objid）僅對應一個 item。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細序號。一筆服務紀錄僅一個 item，固定填 1。
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category	S	0..1	CodeableConcept	服務類別，對應規格書欄位 svc_fee_tp。1：補助、2：自費。 Binding: 支付審查－服務類別 (required)
productOrService	S	1..1	CodeableConcept	照顧組合代碼，對應規格書欄位 gov_item_cd（字串長度 10）；A 單位之個案管理服務紀錄請填 AA00（該代碼已收錄於臺灣長照服務項目代碼系統 CS_TW_LTC_ServiceItem，須以 coding 承載，方能觸發 invariant ltc-feeaudit-3 之條件必填檢核）。 Binding: 臺灣長照服務項目 (extensible)
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x]	S	1..1	Period	服務起訖時間。start 由服務日期（svc_dt，yyyyMMdd）與起始時段（start_hh、start_mm）組成；end 由服務結束日期（svc_end_dt，空白時同 svc_dt）與結束時段（end_hh、end_mm）組成。時段採 24 小時制且不足兩碼補 0。
location[x]		0..1	Reference(長照支付審查－交通接送起訖地)	服務地點。申報 BD03、DA01 交通接送時，可用以表達目的地；出發地與目的地之完整資訊另以 supportingInfo 之 addrFrom、addrTo 切片承載。
quantity	S	0..1	SimpleQuantity(4.0.1)	申報數量，對應規格書欄位 amount（數量）。表1 中各支付碼皆為必填。
unitPrice	S	0..1	Money	單價，對應規格書欄位 price。表1 條件必填：申報 BD03、DA01 為必填，其餘支付碼為非必填。
factor		0..1	decimal	Price scaling factor
net	S	0..1	Money	本筆服務明細之小計金額（單價 × 數量）。
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..1	CodeableConcept	Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite		0..*	CodeableConcept	Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter		0..*	Reference(Encounter)	Encounters related to this billed item
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total	S	0..1	Money	本筆服務紀錄之申報金額，對應規格書之服務紀錄金額（amount）。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Claim.identifier:objid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:objid.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Claim.identifier:transNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:transNo.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Claim.identifier:yyyymm.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:yyyymm.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Claim.status	Base	required	Financial Resource Status Codes	📍4.0.1	FHIR Std.
Claim.type	Base	extensible	Claim Type Codes	📍4.0.1	FHIR Std.
Claim.subType	Base	example	Example Claim SubType Codes	📍4.0.1	FHIR Std.
Claim.use	Base	required	Use	📍4.0.1	FHIR Std.
Claim.priority	Base	example	Process Priority Codes	📍4.0.1	FHIR Std.
Claim.fundsReserve	Base	example	FundsReserve	📍4.0.1	FHIR Std.
Claim.related.relationship	Base	example	Example Related Claim Relationship Codes	📍4.0.1	FHIR Std.
Claim.payee.type	Base	example	PayeeType	📍4.0.1	FHIR Std.
Claim.careTeam.role	Base	example	Claim Care Team Role Codes	📍4.0.1	FHIR Std.
Claim.careTeam.qualification	Base	example	Example Provider Qualification Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItem.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​code	Base	required	支付審查－服務項目	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItemOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPointOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcTrace.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcSuitable.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcUnit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​code	Base	required	支付審查－專業服務復能目標達成情形	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContentTarget.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccSuggest.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrFrom.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrTo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:carNo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:driver.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:milage.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​code	Base	required	支付審查－社區式服務交通接送服務使用類型	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:lastSvc.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:missedVisit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyCovid19.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA03.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA09.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:remark.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.diagnosis[x]	Base	example	ICD-10 Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.type	Base	example	Example Diagnosis Type Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.onAdmission	Base	example	Example Diagnosis on Admission Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.packageCode	Base	example	Example Diagnosis Related Group Codes	📍4.0.1	FHIR Std.
Claim.procedure.type	Base	example	Example Procedure Type Codes	📍4.0.1	FHIR Std.
Claim.procedure.procedure[x]	Base	example	ICD-10 Procedure Codes	📍4.0.1	FHIR Std.
Claim.accident.type	Base	extensible	ActIncidentCode	📦3.0.0	THO v7.3
Claim.item.revenue	Base	example	Example Revenue Center Codes	📍4.0.1	FHIR Std.
Claim.item.category	Base	required	支付審查－服務類別	📦1.0.0	This IG
Claim.item.productOrService	Base	extensible	臺灣長照服務項目	📦1.0.0	This IG
Claim.item.modifier	Base	example	Modifier type Codes	📍4.0.1	FHIR Std.
Claim.item.programCode	Base	example	Example Program Reason Codes	📍4.0.1	FHIR Std.
Claim.item.bodySite	Base	example	Oral Site Codes	📍4.0.1	FHIR Std.
Claim.item.subSite	Base	example	Surface Codes	📍4.0.1	FHIR Std.
Claim.item.detail.revenue	Base	example	Example Revenue Center Codes	📍4.0.1	FHIR Std.
Claim.item.detail.category	Base	example	Benefit Category Codes	📍4.0.1	FHIR Std.
Claim.item.detail.productOrService	Base	example	USCLS Codes	📍4.0.1	FHIR Std.
Claim.item.detail.modifier	Base	example	Modifier type Codes	📍4.0.1	FHIR Std.
Claim.item.detail.programCode	Base	example	Example Program Reason Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​revenue	Base	example	Example Revenue Center Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​category	Base	example	Benefit Category Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​productOrService	Base	example	USCLS Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​modifier	Base	example	Modifier type Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​programCode	Base	example	Example Program Reason Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
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()
ltc-feeaudit-1	warning	Claim	申報照顧組合代碼 BD03 或 DA01（交通接送）時，應填寫里程數（milage）與車號（carNo）。	item.productOrService.coding.where(code = 'BD03' or code = 'DA01').exists() implies (supportingInfo.category.coding.where(code = 'milage').exists() and supportingInfo.category.coding.where(code = 'carNo').exists())
ltc-feeaudit-2	warning	Claim	申報照顧組合代碼 BD03（社區式服務交通接送）時，應填寫服務使用類型（bd03Type）。	item.productOrService.coding.where(code = 'BD03').exists() implies supportingInfo.category.coding.where(code = 'bd03Type').exists()
ltc-feeaudit-3	warning	Claim	申報照顧組合代碼 AA00（A 單位個案管理服務）時，應填寫服務項目（svcItem）、服務對象（svcPeople）與服務內容（svcContent）。	item.productOrService.coding.where(code = 'AA00').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcPeople').exists() and supportingInfo.category.coding.where(code = 'svcContent').exists())
ltc-feeaudit-4	warning	Claim	申報照顧組合代碼 AA03（專業服務）時，應填寫服務項目（svcItem）與提供專業服務單位（svcUnit）。	item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())

This structure is derived from Claim

Summary

Mandatory: 9 elements(32 nested mandatory elements)
Must-Support: 89 elements
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－機構 (http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
• 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
• 長照支付審查－交通接送起訖地 (http://ltc-ig.fhir.tw/StructureDefinition/LTCLocationFeeAuditPlace)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Claim.identifier
• The element 1 is sliced based on the value of Claim.supportingInfo

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	支付審查業務識別碼，以 system 區分服務紀錄識別碼、交易序號與支審年月。 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼（objid），字串長度 20，由服務提供單位系統產生且全域唯一；識別碼不存在時新增支審系統之服務紀錄，已存在時則更新之。
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:transNo	S	0..1	Identifier	交易序號（trans_no），字串長度 10，識別本筆服務紀錄所屬之申報交易批次；每個交易序號每次申報最多 5000 筆個案服務紀錄。
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:yyyymm	S	0..1	Identifier	支審年月（writeoff_yyyymm），字串長度 6，為西元年月格式 yyyyMM（例如 201901），非民國年。
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	申報單狀態。個案服務紀錄申報固定為 active。 Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	SΣ	1..1	CodeableConcept	申報單類別。長照服務紀錄申報固定使用 professional（專業服務）。 Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	SΣ	1..1	code	用途。個案服務紀錄申報為實際請款，固定為 claim。 Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務之長照需要者，對應規格書欄位 idn（個案身分證字號）。
created	SΣ	1..1	dateTime	本筆服務紀錄之申報建立時間。
insurer	SΣ	0..1	Reference(Organization)	受理審查之單位，如直轄市、縣（市）主管機關或衛生福利部支付審核系統。
provider	SΣ	1..1	Reference(長期照顧－機構)	申報之服務提供單位（特約單位）。
priority	Σ	1..1	CodeableConcept	申報處理優先序。長照支付審查情境無優先序區分，建議固定填 normal。 Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
careTeam	S	0..*	BackboneElement	提供本筆服務之照顧服務員，對應規格書欄位 svc_user_no1 至 svc_user_no5（照顧服務員身分證字號 1 至 5）；careTeam.sequence 之 1 至 5 依序對應 svc_user_no1 至 svc_user_no5。申報 AA00、B 碼、G 碼、SC 碼、C 碼、BD03、DA01 時 svc_user_no1（sequence = 1）為必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員序號，1 至 5 依序對應規格書之 svc_user_no1 至 svc_user_no5。
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員，以身分證字號作為 Practitioner.identifier 之值。
Slices for supportingInfo	S	0..*	BackboneElement	隨照顧組合代碼（gov_item_cd）而特化之補充資訊，依規格書「表1: 支付碼必填欄位一覽表」條件填寫。 Slice: Unordered, Open by pattern:category
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目（svc_item）。申報 AA00 必填；申報 AA03 必填（填寫 C 碼服務）。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcItemOther 切片補充。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務項目 (required)
supportingInfo:svcItemOther	S	0..1	BackboneElement	服務項目－其他（svc_item_other），字串長度 255。服務項目選填「9 其他」時填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象（svc_people）。申報 AA00 必填：1 服務使用者、2 家庭照顧者。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務對象 (required)
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容（svc_content），字串長度 4000。申報 AA00 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點（svc_point）。申報 AA00 填寫。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcPointOther 切片補充。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務重點 (required)
supportingInfo:svcPointOther	S	0..1	BackboneElement	服務重點－其他（svc_point_other），字串長度 255。服務重點選填「9 其他」時填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	追蹤服務適應與介入情形（svc_trace），字串長度 4000。申報 AA00 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務目標及整體計畫目標達成情形（svc_goal），字串長度 4000。申報 AA00 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	整體計畫的適切性及需求異動（svc_suitable），字串長度 4000。申報 AA00 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務單位（svc_unit），字串長度 20，內容為 C 單位之單位代碼。申報 AA03 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	專業服務復能目標達成情形（svcc_goal_type），單選。申報 C 碼填寫；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－專業服務復能目標達成情形 (required)
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務復能目標（svcc_goal），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	專業服務指導對象（svcc_content_target），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務服務內容（svcc_content），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務指導建議摘要（svcc_suggest），字串長度 4000。申報 C 碼填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	出發地（addr1），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。地址或地點名稱以 Location.name／Location.address 表達；出發地緯度（addrlat1）與經度（addrlng1）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，出發地與出發地經緯度需至少填寫一組。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	目的地（addr2），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。目的地可為醫院、社區式長照機構等非住家地點，故不使用 type 已固定為個案住所之 LTCLocation。地址或地點名稱以 Location.name／Location.address 表達；目的地緯度（addrlat2）與經度（addrlng2）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，目的地與目的地經緯度需至少填寫一組。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	車號（car_no），字串長度 10。申報 BD03、DA01 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	駕駛員（driver），字串長度 20。申報 BD03、DA01 填寫。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	里程數（milage），數值型態，建議單位為公里（km）。申報 BD03、DA01 必填。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	社區式服務交通接送（BD03）服務使用類型（bd03_type），預設為 1（社區式長照機構）。申報 BD03 必填；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
supportingInfo:lastSvc	S	0..1	BackboneElement	臨終日照顧（last_svc）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視／服務未遇（missed_visit）。原始電文 Y（未遇）對應 true、N（正常）對應 false，預設為 N（false）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否為陪同施打 COVID-19 疫苗（apply_covid19）。原始電文 Y（陪同）對應 true、N（未陪同）對應 false，預設為 N（false）；僅開放 BA13、BA13a 申報。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03（apply_aa03）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09（apply_aa09）。原始電文 Y 對應 true、N 對應 false，預設為 Y（true）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態（aa10_status），預設為 0（未申報）；代碼以 supportingInfo.code 承載。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－AA10 申報狀態 (required)
supportingInfo:remark	S	0..1	BackboneElement	備註（remark），字串長度 4000。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
insurance	SΣ	1..*	BackboneElement	保險／給付來源區塊。此為 FHIR Claim 之必填結構；長照情境下僅需一個最小保險區塊，填 insurance.sequence = 1、insurance.focal = true，並以 insurance.coverage 指向長照給付額度（如 Coverage 或以 display 註明「長期照顧給付及支付基準」）。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
coverage	Σ	1..1	Reference(Coverage)	Insurance information
item	S	1..1	BackboneElement	服務明細。一筆個案服務紀錄（objid）僅對應一個 item。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細序號。一筆服務紀錄僅一個 item，固定填 1。
category	S	0..1	CodeableConcept	服務類別，對應規格書欄位 svc_fee_tp。1：補助、2：自費。 Binding: 支付審查－服務類別 (required)
productOrService	S	1..1	CodeableConcept	照顧組合代碼，對應規格書欄位 gov_item_cd（字串長度 10）；A 單位之個案管理服務紀錄請填 AA00（該代碼已收錄於臺灣長照服務項目代碼系統 CS_TW_LTC_ServiceItem，須以 coding 承載，方能觸發 invariant ltc-feeaudit-3 之條件必填檢核）。 Binding: 臺灣長照服務項目 (extensible)
serviced[x]	S	1..1	Period	服務起訖時間。start 由服務日期（svc_dt，yyyyMMdd）與起始時段（start_hh、start_mm）組成；end 由服務結束日期（svc_end_dt，空白時同 svc_dt）與結束時段（end_hh、end_mm）組成。時段採 24 小時制且不足兩碼補 0。
location[x]		0..1	Reference(長照支付審查－交通接送起訖地)	服務地點。申報 BD03、DA01 交通接送時，可用以表達目的地；出發地與目的地之完整資訊另以 supportingInfo 之 addrFrom、addrTo 切片承載。
quantity	S	0..1	SimpleQuantity(4.0.1)	申報數量，對應規格書欄位 amount（數量）。表1 中各支付碼皆為必填。
unitPrice	S	0..1	Money	單價，對應規格書欄位 price。表1 條件必填：申報 BD03、DA01 為必填，其餘支付碼為非必填。
net	S	0..1	Money	本筆服務明細之小計金額（單價 × 數量）。
total	S	0..1	Money	本筆服務紀錄之申報金額，對應規格書之服務紀錄金額（amount）。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.identifier:objid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:transNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:yyyymm.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.status	Base	required	Financial Resource Status Codes	📍4.0.1	FHIR Std.
Claim.type	Base	extensible	Claim Type Codes	📍4.0.1	FHIR Std.
Claim.use	Base	required	Use	📍4.0.1	FHIR Std.
Claim.priority	Base	example	Process Priority Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​code	Base	required	支付審查－服務項目	📦1.0.0	This IG
Claim.supportingInfo:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.0.0	This IG
Claim.supportingInfo:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.0.0	This IG
Claim.supportingInfo:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​code	Base	required	支付審查－專業服務復能目標達成情形	📦1.0.0	This IG
Claim.supportingInfo:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​code	Base	required	支付審查－社區式服務交通接送服務使用類型	📦1.0.0	This IG
Claim.supportingInfo:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.0.0	This IG
Claim.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.item.category	Base	required	支付審查－服務類別	📦1.0.0	This IG
Claim.item.productOrService	Base	extensible	臺灣長照服務項目	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
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()
ltc-feeaudit-1	warning	Claim	申報照顧組合代碼 BD03 或 DA01（交通接送）時，應填寫里程數（milage）與車號（carNo）。	item.productOrService.coding.where(code = 'BD03' or code = 'DA01').exists() implies (supportingInfo.category.coding.where(code = 'milage').exists() and supportingInfo.category.coding.where(code = 'carNo').exists())
ltc-feeaudit-2	warning	Claim	申報照顧組合代碼 BD03（社區式服務交通接送）時，應填寫服務使用類型（bd03Type）。	item.productOrService.coding.where(code = 'BD03').exists() implies supportingInfo.category.coding.where(code = 'bd03Type').exists()
ltc-feeaudit-3	warning	Claim	申報照顧組合代碼 AA00（A 單位個案管理服務）時，應填寫服務項目（svcItem）、服務對象（svcPeople）與服務內容（svcContent）。	item.productOrService.coding.where(code = 'AA00').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcPeople').exists() and supportingInfo.category.coding.where(code = 'svcContent').exists())
ltc-feeaudit-4	warning	Claim	申報照顧組合代碼 AA03（專業服務）時，應填寫服務項目（svcItem）與提供專業服務單位（svcUnit）。	item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())

Differential View

This structure is derived from Claim

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Slices for identifier	S	1..*	Identifier	支付審查業務識別碼，以 system 區分服務紀錄識別碼、交易序號與支審年月。 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼（objid），字串長度 20，由服務提供單位系統產生且全域唯一；識別碼不存在時新增支審系統之服務紀錄，已存在時則更新之。
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	S	1..1	string	The value that is unique
identifier:transNo	S	0..1	Identifier	交易序號（trans_no），字串長度 10，識別本筆服務紀錄所屬之申報交易批次；每個交易序號每次申報最多 5000 筆個案服務紀錄。
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	S	1..1	string	The value that is unique
identifier:yyyymm	S	0..1	Identifier	支審年月（writeoff_yyyymm），字串長度 6，為西元年月格式 yyyyMM（例如 201901），非民國年。
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	S	1..1	string	The value that is unique
status	S	1..1	code	申報單狀態。個案服務紀錄申報固定為 active。 Required Pattern: active
type	S	1..1	CodeableConcept	申報單類別。長照服務紀錄申報固定使用 professional（專業服務）。
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	S	1..1	code	用途。個案服務紀錄申報為實際請款，固定為 claim。 Required Pattern: claim
patient	S	1..1	Reference(長期照顧－住民基本資料)	接受服務之長照需要者，對應規格書欄位 idn（個案身分證字號）。
created	S	1..1	dateTime	本筆服務紀錄之申報建立時間。
insurer	S	0..1	Reference(Organization)	受理審查之單位，如直轄市、縣（市）主管機關或衛生福利部支付審核系統。
provider	S	1..1	Reference(長期照顧－機構)	申報之服務提供單位（特約單位）。
priority		1..1	CodeableConcept	申報處理優先序。長照支付審查情境無優先序區分，建議固定填 normal。
careTeam	S	0..*	BackboneElement	提供本筆服務之照顧服務員，對應規格書欄位 svc_user_no1 至 svc_user_no5（照顧服務員身分證字號 1 至 5）；careTeam.sequence 之 1 至 5 依序對應 svc_user_no1 至 svc_user_no5。申報 AA00、B 碼、G 碼、SC 碼、C 碼、BD03、DA01 時 svc_user_no1（sequence = 1）為必填。
sequence	S	1..1	positiveInt	照顧服務員序號，1 至 5 依序對應規格書之 svc_user_no1 至 svc_user_no5。
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員，以身分證字號作為 Practitioner.identifier 之值。
Slices for supportingInfo	S	0..*	BackboneElement	隨照顧組合代碼（gov_item_cd）而特化之補充資訊，依規格書「表1: 支付碼必填欄位一覽表」條件填寫。 Slice: Unordered, Open by pattern:category
supportingInfo:All Slices				Content/Rules for all slices
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目（svc_item）。申報 AA00 必填；申報 AA03 必填（填寫 C 碼服務）。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcItemOther 切片補充。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務項目 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcItemOther	S	0..1	BackboneElement	服務項目－其他（svc_item_other），字串長度 255。服務項目選填「9 其他」時填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象（svc_people）。申報 AA00 必填：1 服務使用者、2 家庭照顧者。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務對象 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容（svc_content），字串長度 4000。申報 AA00 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點（svc_point）。申報 AA00 填寫。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcPointOther 切片補充。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務重點 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcPointOther	S	0..1	BackboneElement	服務重點－其他（svc_point_other），字串長度 255。服務重點選填「9 其他」時填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	追蹤服務適應與介入情形（svc_trace），字串長度 4000。申報 AA00 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務目標及整體計畫目標達成情形（svc_goal），字串長度 4000。申報 AA00 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	整體計畫的適切性及需求異動（svc_suitable），字串長度 4000。申報 AA00 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務單位（svc_unit），字串長度 20，內容為 C 單位之單位代碼。申報 AA03 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	專業服務復能目標達成情形（svcc_goal_type），單選。申報 C 碼填寫；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－專業服務復能目標達成情形 (required)
value[x]		0..0		Data to be provided
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務復能目標（svcc_goal），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	專業服務指導對象（svcc_content_target），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務服務內容（svcc_content），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務指導建議摘要（svcc_suggest），字串長度 4000。申報 C 碼填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	出發地（addr1），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。地址或地點名稱以 Location.name／Location.address 表達；出發地緯度（addrlat1）與經度（addrlng1）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，出發地與出發地經緯度需至少填寫一組。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	目的地（addr2），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。目的地可為醫院、社區式長照機構等非住家地點，故不使用 type 已固定為個案住所之 LTCLocation。地址或地點名稱以 Location.name／Location.address 表達；目的地緯度（addrlat2）與經度（addrlng2）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，目的地與目的地經緯度需至少填寫一組。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	車號（car_no），字串長度 10。申報 BD03、DA01 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	駕駛員（driver），字串長度 20。申報 BD03、DA01 填寫。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	里程數（milage），數值型態，建議單位為公里（km）。申報 BD03、DA01 必填。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	社區式服務交通接送（BD03）服務使用類型（bd03_type），預設為 1（社區式長照機構）。申報 BD03 必填；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
value[x]		0..0		Data to be provided
supportingInfo:lastSvc	S	0..1	BackboneElement	臨終日照顧（last_svc）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視／服務未遇（missed_visit）。原始電文 Y（未遇）對應 true、N（正常）對應 false，預設為 N（false）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否為陪同施打 COVID-19 疫苗（apply_covid19）。原始電文 Y（陪同）對應 true、N（未陪同）對應 false，預設為 N（false）；僅開放 BA13、BA13a 申報。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03（apply_aa03）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09（apply_aa09）。原始電文 Y 對應 true、N 對應 false，預設為 Y（true）。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態（aa10_status），預設為 0（未申報）；代碼以 supportingInfo.code 承載。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－AA10 申報狀態 (required)
value[x]		0..0		Data to be provided
supportingInfo:remark	S	0..1	BackboneElement	備註（remark），字串長度 4000。
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
value[x]	S	1..1	string	Data to be provided
insurance	S	1..*	BackboneElement	保險／給付來源區塊。此為 FHIR Claim 之必填結構；長照情境下僅需一個最小保險區塊，填 insurance.sequence = 1、insurance.focal = true，並以 insurance.coverage 指向長照給付額度（如 Coverage 或以 display 註明「長期照顧給付及支付基準」）。
item	S	1..1	BackboneElement	服務明細。一筆個案服務紀錄（objid）僅對應一個 item。
sequence		1..1	positiveInt	服務明細序號。一筆服務紀錄僅一個 item，固定填 1。
category	S	0..1	CodeableConcept	服務類別，對應規格書欄位 svc_fee_tp。1：補助、2：自費。 Binding: 支付審查－服務類別 (required)
productOrService	S	1..1	CodeableConcept	照顧組合代碼，對應規格書欄位 gov_item_cd（字串長度 10）；A 單位之個案管理服務紀錄請填 AA00（該代碼已收錄於臺灣長照服務項目代碼系統 CS_TW_LTC_ServiceItem，須以 coding 承載，方能觸發 invariant ltc-feeaudit-3 之條件必填檢核）。 Binding: 臺灣長照服務項目 (extensible)
serviced[x]	S	1..1	Period	服務起訖時間。start 由服務日期（svc_dt，yyyyMMdd）與起始時段（start_hh、start_mm）組成；end 由服務結束日期（svc_end_dt，空白時同 svc_dt）與結束時段（end_hh、end_mm）組成。時段採 24 小時制且不足兩碼補 0。
location[x]		0..1	Reference(長照支付審查－交通接送起訖地)	服務地點。申報 BD03、DA01 交通接送時，可用以表達目的地；出發地與目的地之完整資訊另以 supportingInfo 之 addrFrom、addrTo 切片承載。
quantity	S	0..1	SimpleQuantity(4.0.1)	申報數量，對應規格書欄位 amount（數量）。表1 中各支付碼皆為必填。
unitPrice	S	0..1	Money	單價，對應規格書欄位 price。表1 條件必填：申報 BD03、DA01 為必填，其餘支付碼為非必填。
net	S	0..1	Money	本筆服務明細之小計金額（單價 × 數量）。
total	S	0..1	Money	本筆服務紀錄之申報金額，對應規格書之服務紀錄金額（amount）。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Claim.supportingInfo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​code	Base	required	支付審查－服務項目	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​code	Base	required	支付審查－專業服務復能目標達成情形	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​code	Base	required	支付審查－社區式服務交通接送服務使用類型	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.0.0	This IG
Claim.item.category	Base	required	支付審查－服務類別	📦1.0.0	This IG
Claim.item.productOrService	Base	extensible	臺灣長照服務項目	📦1.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
ltc-feeaudit-1	warning	Claim	申報照顧組合代碼 BD03 或 DA01（交通接送）時，應填寫里程數（milage）與車號（carNo）。	item.productOrService.coding.where(code = 'BD03' or code = 'DA01').exists() implies (supportingInfo.category.coding.where(code = 'milage').exists() and supportingInfo.category.coding.where(code = 'carNo').exists())
ltc-feeaudit-2	warning	Claim	申報照顧組合代碼 BD03（社區式服務交通接送）時，應填寫服務使用類型（bd03Type）。	item.productOrService.coding.where(code = 'BD03').exists() implies supportingInfo.category.coding.where(code = 'bd03Type').exists()
ltc-feeaudit-3	warning	Claim	申報照顧組合代碼 AA00（A 單位個案管理服務）時，應填寫服務項目（svcItem）、服務對象（svcPeople）與服務內容（svcContent）。	item.productOrService.coding.where(code = 'AA00').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcPeople').exists() and supportingInfo.category.coding.where(code = 'svcContent').exists())
ltc-feeaudit-4	warning	Claim	申報照顧組合代碼 AA03（專業服務）時，應填寫服務項目（svcItem）與提供專業服務單位（svcUnit）。	item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	支付審查業務識別碼，以 system 區分服務紀錄識別碼、交易序號與支審年月。 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼（objid），字串長度 20，由服務提供單位系統產生且全域唯一；識別碼不存在時新增支審系統之服務紀錄，已存在時則更新之。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:transNo	S	0..1	Identifier	交易序號（trans_no），字串長度 10，識別本筆服務紀錄所屬之申報交易批次；每個交易序號每次申報最多 5000 筆個案服務紀錄。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:yyyymm	S	0..1	Identifier	支審年月（writeoff_yyyymm），字串長度 6，為西元年月格式 yyyyMM（例如 201901），非民國年。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	申報單狀態。個案服務紀錄申報固定為 active。 Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	SΣ	1..1	CodeableConcept	申報單類別。長照服務紀錄申報固定使用 professional（專業服務）。 Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subType		0..1	CodeableConcept	More granular claim type Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
use	SΣ	1..1	code	用途。個案服務紀錄申報為實際請款，固定為 claim。 Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務之長照需要者，對應規格書欄位 idn（個案身分證字號）。
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
created	SΣ	1..1	dateTime	本筆服務紀錄之申報建立時間。
enterer		0..1	Reference(Practitioner | PractitionerRole)	Author of the claim
insurer	SΣ	0..1	Reference(Organization)	受理審查之單位，如直轄市、縣（市）主管機關或衛生福利部支付審核系統。
provider	SΣ	1..1	Reference(長期照顧－機構)	申報之服務提供單位（特約單位）。
priority	Σ	1..1	CodeableConcept	申報處理優先序。長照支付審查情境無優先序區分，建議固定填 normal。 Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related		0..*	BackboneElement	Prior or corollary claims
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim		0..1	Reference(Claim)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
facility		0..1	Reference(Location)	Servicing facility
careTeam	S	0..*	BackboneElement	提供本筆服務之照顧服務員，對應規格書欄位 svc_user_no1 至 svc_user_no5（照顧服務員身分證字號 1 至 5）；careTeam.sequence 之 1 至 5 依序對應 svc_user_no1 至 svc_user_no5。申報 AA00、B 碼、G 碼、SC 碼、C 碼、BD03、DA01 時 svc_user_no1（sequence = 1）為必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員序號，1 至 5 依序對應規格書之 svc_user_no1 至 svc_user_no5。
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員，以身分證字號作為 Practitioner.identifier 之值。
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification		0..1	CodeableConcept	Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Slices for supportingInfo	S	0..*	BackboneElement	隨照顧組合代碼（gov_item_cd）而特化之補充資訊，依規格書「表1: 支付碼必填欄位一覽表」條件填寫。 Slice: Unordered, Open by pattern:category
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目（svc_item）。申報 AA00 必填；申報 AA03 必填（填寫 C 碼服務）。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcItemOther 切片補充。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務項目 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItemOther	S	0..1	BackboneElement	服務項目－其他（svc_item_other），字串長度 255。服務項目選填「9 其他」時填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象（svc_people）。申報 AA00 必填：1 服務使用者、2 家庭照顧者。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務對象 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容（svc_content），字串長度 4000。申報 AA00 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點（svc_point）。申報 AA00 填寫。原始電文可複選並以「|」分隔，於本 Profile 中每個選項各為一個 supportingInfo 切片實例；代碼以 supportingInfo.code 承載。選填「9 其他」時另以 svcPointOther 切片補充。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－服務重點 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPointOther	S	0..1	BackboneElement	服務重點－其他（svc_point_other），字串長度 255。服務重點選填「9 其他」時填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcTrace	S	0..1	BackboneElement	追蹤服務適應與介入情形（svc_trace），字串長度 4000。申報 AA00 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務目標及整體計畫目標達成情形（svc_goal），字串長度 4000。申報 AA00 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcSuitable	S	0..1	BackboneElement	整體計畫的適切性及需求異動（svc_suitable），字串長度 4000。申報 AA00 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務單位（svc_unit），字串長度 20，內容為 C 單位之單位代碼。申報 AA03 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoalType	S	0..1	BackboneElement	專業服務復能目標達成情形（svcc_goal_type），單選。申報 C 碼填寫；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－專業服務復能目標達成情形 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務復能目標（svcc_goal），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContentTarget	S	0..1	BackboneElement	專業服務指導對象（svcc_content_target），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務服務內容（svcc_content），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務指導建議摘要（svcc_suggest），字串長度 4000。申報 C 碼填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrFrom	S	0..1	BackboneElement	出發地（addr1），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。地址或地點名稱以 Location.name／Location.address 表達；出發地緯度（addrlat1）與經度（addrlng1）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，出發地與出發地經緯度需至少填寫一組。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrTo	S	0..1	BackboneElement	目的地（addr2），申報 BD03、DA01 填寫，以 Reference(LTCLocationFeeAuditPlace) 表達。目的地可為醫院、社區式長照機構等非住家地點，故不使用 type 已固定為個案住所之 LTCLocation。地址或地點名稱以 Location.name／Location.address 表達；目的地緯度（addrlat2）與經度（addrlng2）以 Location.position.latitude 與 Location.position.longitude 表達。依 v2.2.1 規定，目的地與目的地經緯度需至少填寫一組。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:carNo	S	0..1	BackboneElement	車號（car_no），字串長度 10。申報 BD03、DA01 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:driver	S	0..1	BackboneElement	駕駛員（driver），字串長度 20。申報 BD03、DA01 填寫。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:milage	S	0..1	BackboneElement	里程數（milage），數值型態，建議單位為公里（km）。申報 BD03、DA01 必填。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Quantity	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:bd03Type	S	0..1	BackboneElement	社區式服務交通接送（BD03）服務使用類型（bd03_type），預設為 1（社區式長照機構）。申報 BD03 必填；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:lastSvc	S	0..1	BackboneElement	臨終日照顧（last_svc）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視／服務未遇（missed_visit）。原始電文 Y（未遇）對應 true、N（正常）對應 false，預設為 N（false）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否為陪同施打 COVID-19 疫苗（apply_covid19）。原始電文 Y（陪同）對應 true、N（未陪同）對應 false，預設為 N（false）；僅開放 BA13、BA13a 申報。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03（apply_aa03）。原始電文 Y 對應 true、N 對應 false，預設為 N（false）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09（apply_aa09）。原始電文 Y 對應 true、N 對應 false，預設為 Y（true）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態（aa10_status），預設為 0（未申報）；代碼以 supportingInfo.code 承載。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of information Binding: 支付審查－AA10 申報狀態 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:remark	S	0..1	BackboneElement	備註（remark），字串長度 4000。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資訊類別，取值自支付審查服務紀錄補充資訊類別代碼系統。 Binding: 支付審查－服務紀錄補充資訊類別 (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis		0..*	BackboneElement	Pertinent diagnosis information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Diagnosis instance identifier
diagnosis[x]		1..1		Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept			CodeableConcept
diagnosisReference			Reference(Condition)
type		0..*	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date		0..1	dateTime	When the procedure was performed
procedure[x]		1..1		Specific clinical procedure Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept			CodeableConcept
procedureReference			Reference(Procedure)
udi		0..*	Reference(Device)	Unique device identifier
insurance	SΣ	1..*	BackboneElement	保險／給付來源區塊。此為 FHIR Claim 之必填結構；長照情境下僅需一個最小保險區塊，填 insurance.sequence = 1、insurance.focal = true，並以 insurance.coverage 指向長照給付額度（如 Coverage 或以 display 註明「長期照顧給付及支付基準」）。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	Σ	1..1	Reference(Coverage)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		1..1	date	When the incident occurred
type		0..1	CodeableConcept	The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
item	S	1..1	BackboneElement	服務明細。一筆個案服務紀錄（objid）僅對應一個 item。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細序號。一筆服務紀錄僅一個 item，固定填 1。
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category	S	0..1	CodeableConcept	服務類別，對應規格書欄位 svc_fee_tp。1：補助、2：自費。 Binding: 支付審查－服務類別 (required)
productOrService	S	1..1	CodeableConcept	照顧組合代碼，對應規格書欄位 gov_item_cd（字串長度 10）；A 單位之個案管理服務紀錄請填 AA00（該代碼已收錄於臺灣長照服務項目代碼系統 CS_TW_LTC_ServiceItem，須以 coding 承載，方能觸發 invariant ltc-feeaudit-3 之條件必填檢核）。 Binding: 臺灣長照服務項目 (extensible)
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x]	S	1..1	Period	服務起訖時間。start 由服務日期（svc_dt，yyyyMMdd）與起始時段（start_hh、start_mm）組成；end 由服務結束日期（svc_end_dt，空白時同 svc_dt）與結束時段（end_hh、end_mm）組成。時段採 24 小時制且不足兩碼補 0。
location[x]		0..1	Reference(長照支付審查－交通接送起訖地)	服務地點。申報 BD03、DA01 交通接送時，可用以表達目的地；出發地與目的地之完整資訊另以 supportingInfo 之 addrFrom、addrTo 切片承載。
quantity	S	0..1	SimpleQuantity(4.0.1)	申報數量，對應規格書欄位 amount（數量）。表1 中各支付碼皆為必填。
unitPrice	S	0..1	Money	單價，對應規格書欄位 price。表1 條件必填：申報 BD03、DA01 為必填，其餘支付碼為非必填。
factor		0..1	decimal	Price scaling factor
net	S	0..1	Money	本筆服務明細之小計金額（單價 × 數量）。
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..1	CodeableConcept	Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite		0..*	CodeableConcept	Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter		0..*	Reference(Encounter)	Encounters related to this billed item
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total	S	0..1	Money	本筆服務紀錄之申報金額，對應規格書之服務紀錄金額（amount）。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Claim.identifier:objid.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:objid.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Claim.identifier:transNo.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:transNo.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Claim.identifier:yyyymm.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Claim.identifier:yyyymm.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Claim.status	Base	required	Financial Resource Status Codes	📍4.0.1	FHIR Std.
Claim.type	Base	extensible	Claim Type Codes	📍4.0.1	FHIR Std.
Claim.subType	Base	example	Example Claim SubType Codes	📍4.0.1	FHIR Std.
Claim.use	Base	required	Use	📍4.0.1	FHIR Std.
Claim.priority	Base	example	Process Priority Codes	📍4.0.1	FHIR Std.
Claim.fundsReserve	Base	example	FundsReserve	📍4.0.1	FHIR Std.
Claim.related.relationship	Base	example	Example Related Claim Relationship Codes	📍4.0.1	FHIR Std.
Claim.payee.type	Base	example	PayeeType	📍4.0.1	FHIR Std.
Claim.careTeam.role	Base	example	Claim Care Team Role Codes	📍4.0.1	FHIR Std.
Claim.careTeam.qualification	Base	example	Example Provider Qualification Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItem.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​code	Base	required	支付審查－服務項目	📦1.0.0	This IG
Claim.supportingInfo:svcItem.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcItemOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.0.0	This IG
Claim.supportingInfo:svcPeople.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.0.0	This IG
Claim.supportingInfo:svcPoint.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcPointOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcTrace.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcSuitable.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svcUnit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​code	Base	required	支付審查－專業服務復能目標達成情形	📦1.0.0	This IG
Claim.supportingInfo:svccGoalType.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContentTarget.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:svccSuggest.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrFrom.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:addrTo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:carNo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:driver.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:milage.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​code	Base	required	支付審查－社區式服務交通接送服務使用類型	📦1.0.0	This IG
Claim.supportingInfo:bd03Type.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:lastSvc.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:missedVisit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyCovid19.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA03.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:applyAA09.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.0.0	This IG
Claim.supportingInfo:aa10Status.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.0.0	This IG
Claim.supportingInfo:remark.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.diagnosis[x]	Base	example	ICD-10 Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.type	Base	example	Example Diagnosis Type Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.onAdmission	Base	example	Example Diagnosis on Admission Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.packageCode	Base	example	Example Diagnosis Related Group Codes	📍4.0.1	FHIR Std.
Claim.procedure.type	Base	example	Example Procedure Type Codes	📍4.0.1	FHIR Std.
Claim.procedure.procedure[x]	Base	example	ICD-10 Procedure Codes	📍4.0.1	FHIR Std.
Claim.accident.type	Base	extensible	ActIncidentCode	📦3.0.0	THO v7.3
Claim.item.revenue	Base	example	Example Revenue Center Codes	📍4.0.1	FHIR Std.
Claim.item.category	Base	required	支付審查－服務類別	📦1.0.0	This IG
Claim.item.productOrService	Base	extensible	臺灣長照服務項目	📦1.0.0	This IG
Claim.item.modifier	Base	example	Modifier type Codes	📍4.0.1	FHIR Std.
Claim.item.programCode	Base	example	Example Program Reason Codes	📍4.0.1	FHIR Std.
Claim.item.bodySite	Base	example	Oral Site Codes	📍4.0.1	FHIR Std.
Claim.item.subSite	Base	example	Surface Codes	📍4.0.1	FHIR Std.
Claim.item.detail.revenue	Base	example	Example Revenue Center Codes	📍4.0.1	FHIR Std.
Claim.item.detail.category	Base	example	Benefit Category Codes	📍4.0.1	FHIR Std.
Claim.item.detail.productOrService	Base	example	USCLS Codes	📍4.0.1	FHIR Std.
Claim.item.detail.modifier	Base	example	Modifier type Codes	📍4.0.1	FHIR Std.
Claim.item.detail.programCode	Base	example	Example Program Reason Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​revenue	Base	example	Example Revenue Center Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​category	Base	example	Benefit Category Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​productOrService	Base	example	USCLS Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​modifier	Base	example	Modifier type Codes	📍4.0.1	FHIR Std.
Claim.item.detail.subDetail.​programCode	Base	example	Example Program Reason Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
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()
ltc-feeaudit-1	warning	Claim	申報照顧組合代碼 BD03 或 DA01（交通接送）時，應填寫里程數（milage）與車號（carNo）。	item.productOrService.coding.where(code = 'BD03' or code = 'DA01').exists() implies (supportingInfo.category.coding.where(code = 'milage').exists() and supportingInfo.category.coding.where(code = 'carNo').exists())
ltc-feeaudit-2	warning	Claim	申報照顧組合代碼 BD03（社區式服務交通接送）時，應填寫服務使用類型（bd03Type）。	item.productOrService.coding.where(code = 'BD03').exists() implies supportingInfo.category.coding.where(code = 'bd03Type').exists()
ltc-feeaudit-3	warning	Claim	申報照顧組合代碼 AA00（A 單位個案管理服務）時，應填寫服務項目（svcItem）、服務對象（svcPeople）與服務內容（svcContent）。	item.productOrService.coding.where(code = 'AA00').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcPeople').exists() and supportingInfo.category.coding.where(code = 'svcContent').exists())
ltc-feeaudit-4	warning	Claim	申報照顧組合代碼 AA03（專業服務）時，應填寫服務項目（svcItem）與提供專業服務單位（svcUnit）。	item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())

This structure is derived from Claim

Summary

Mandatory: 9 elements(32 nested mandatory elements)
Must-Support: 89 elements
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－機構 (http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
• 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
• 長照支付審查－交通接送起訖地 (http://ltc-ig.fhir.tw/StructureDefinition/LTCLocationFeeAuditPlace)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Claim.identifier
• The element 1 is sliced based on the value of Claim.supportingInfo