臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0

臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: 長照支付審查－個案服務紀錄申報

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCClaimFeeApply Version: 1.1.0
Draft as of 2026-10-30 Computable Name: LTCClaimFeeApply

此 Claim 以衛生福利部支付審核系統的服務記錄申報資料為基礎，用以表述一筆個案服務紀錄的申報內容。

每筆 Claim 填寫一筆個案服務紀錄，包含接受服務的個案、服務單位、照顧服務員、服務時間及費用。同次交易的服務紀錄以 Bundle 打包，每次最多 5000 筆。應依照顧組合代碼填寫所需的補充資料。

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim C 0..* Claim Claim, Pre-determination or Pre-authorization
Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.Slices for identifier This element must be supported. 1..* Identifier 申報資料的識別碼
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for identifier.identifier:objid This element must be supported. 1..1 Identifier 服務紀錄識別碼。[應填入 Identifier]
Claim.Slices for identifier.identifier:objid.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:objid.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid (extensions allowed)
Claim.Slices for identifier.identifier:objid.value This element must be supported. This element is included in summaries. 1..1 string 服務紀錄識別碼。[應填入最長 20 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:transNo This element must be supported. 0..1 Identifier 交易序號。[應填入 Identifier]
Claim.Slices for identifier.identifier:transNo.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:transNo.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no (extensions allowed)
Claim.Slices for identifier.identifier:transNo.value This element must be supported. This element is included in summaries. 1..1 string 交易序號。[應填入最長 10 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:yyyymm This element must be supported. 0..1 Identifier 支審年月。[應填入 Identifier]
Claim.Slices for identifier.identifier:yyyymm.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:yyyymm.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm (extensions allowed)
Claim.Slices for identifier.identifier:yyyymm.value This element must be supported. This element is included in summaries. 1..1 string 支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
Example General: 123456
Claim.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 申報單的狀態。[應填入 active]
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Required Pattern: active (extensions allowed)
Claim.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept 申報單的類別。[應填入 professional]
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Claim.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Claim.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type (extensions allowed)
Claim.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: professional (extensions allowed)
Claim.use This element must be supported. This element is included in summaries. 1..1 code 申報單的用途。[應填入 claim]
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim (extensions allowed)
Claim.patient This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－住民基本資料) 接受服務的個案。[應填入對應 Patient 的 Reference]
Claim.created This element must be supported. This element is included in summaries. 1..1 dateTime 申報單的建立時間。[應填入日期時間，例如 2026-09-17T09:30:00+08:00]
Claim.insurer This element must be supported. This element is included in summaries. 0..1 Reference(Organization) 受理審查的主管機關。[應填入對應 Organization 的 Reference]
Claim.provider This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－機構) 提出申報的特約服務單位。[應填入對應 Organization 的 Reference]
Claim.priority This element is included in summaries. 1..1 CodeableConcept 申報處理的優先順序，長照申報一般填入 normal。
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.careTeam This element must be supported. 0..* BackboneElement 提供服務的照顧服務員
Claim.careTeam.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.careTeam.sequence This element must be supported. 1..1 positiveInt 照顧服務員的序號。[應依序填入 1 至 5 的整數]
Claim.careTeam.provider This element must be supported. 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) 照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Claim.Slices for supportingInfo This element must be supported. 0..* BackboneElement 服務紀錄的補充資料，應依申報的照顧組合代碼填寫。
Slice: Unordered, Open by pattern:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept 補充資料的類別。[應填入支付審查服務紀錄補充資訊類別代碼]
Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept 補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼]
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcItem This element must be supported. 0..* BackboneElement 服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcItem.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItem.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItem.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItem"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItem.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務項目 (required)
Claim.Slices for supportingInfo.supportingInfo:svcItemOther This element must be supported. 0..1 BackboneElement 其他服務項目的說明，服務項目選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItemOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPeople This element must be supported. 0..* BackboneElement 服務對象，申報 AA00 時必填。[可填入以下代碼，可複選：1 服務使用者 | 2 家庭照顧者]
Claim.Slices for supportingInfo.supportingInfo:svcPeople.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPeople.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPeople.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPeople"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPeople.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務對象 (required)
Claim.Slices for supportingInfo.supportingInfo:svcContent This element must be supported. 0..1 BackboneElement 服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPoint This element must be supported. 0..* BackboneElement 服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcPoint.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPoint.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPoint.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPoint"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPoint.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務重點 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPointOther This element must be supported. 0..1 BackboneElement 其他服務重點的說明，服務重點選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPointOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcTrace This element must be supported. 0..1 BackboneElement 服務適應情形與後續協助，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcTrace.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcTrace.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcTrace.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcTrace"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcTrace.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcGoal This element must be supported. 0..1 BackboneElement 各項服務與整體照顧計畫的目標達成情形，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcSuitable This element must be supported. 0..1 BackboneElement 照顧計畫是否合適及需求變動的說明，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcSuitable"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcUnit This element must be supported. 0..1 BackboneElement 提供專業服務的 C 單位代碼，申報 AA03 時必填。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcUnit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcUnit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcUnit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcUnit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcUnit.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoalType This element must be supported. 0..1 BackboneElement 復能目標達成情形，申報 C 碼時填寫。[應填入 1 至 5 其中一個代碼]
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoalType"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－專業服務復能目標達成情形 (required)
Claim.Slices for supportingInfo.supportingInfo:svccGoal This element must be supported. 0..1 BackboneElement 專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget This element must be supported. 0..1 BackboneElement 接受專業服務指導的對象，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContentTarget"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContent This element must be supported. 0..1 BackboneElement 專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccSuggest This element must be supported. 0..1 BackboneElement 專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccSuggest"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrFrom This element must be supported. 0..1 BackboneElement 接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrFrom.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrFrom.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrFrom.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrFrom"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrFrom.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrTo This element must be supported. 0..1 BackboneElement 接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrTo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrTo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrTo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrTo.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:carNo This element must be supported. 0..1 BackboneElement 接送車輛的車牌號碼，申報 BD03、DA01 時必填。[應在 valueString 填入最長 10 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:carNo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:carNo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:carNo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "carNo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:carNo.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:driver This element must be supported. 0..1 BackboneElement 接送駕駛員的姓名，申報 BD03、DA01 時填寫。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:driver.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:driver.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:driver.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "driver"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:driver.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:milage This element must be supported. 0..1 BackboneElement 接送里程數，申報 BD03、DA01 時必填。[應在 valueQuantity 填入里程數與單位，建議單位為公里（km）]
Claim.Slices for supportingInfo.supportingInfo:milage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:milage.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:milage.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "milage"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:milage.value[x] This element must be supported. 1..1 Quantity Data to be provided
Claim.Slices for supportingInfo.supportingInfo:bd03Type This element must be supported. 0..1 BackboneElement BD03 接送服務的使用類型，申報 BD03 時必填，預設為 1。[應填入以下代碼之一：1 社區式長照機構 | 2 社區服務據點（不含身障類）| 3 輔具中心 | 4 身障日間照顧服務]
Claim.Slices for supportingInfo.supportingInfo:bd03Type.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:bd03Type.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:bd03Type.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "bd03Type"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:bd03Type.code This element must be supported. 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)
Claim.Slices for supportingInfo.supportingInfo:lastSvc This element must be supported. 0..1 BackboneElement 是否於個案臨終當天提供照顧，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:lastSvc.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:lastSvc.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:lastSvc.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "lastSvc"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:lastSvc.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:missedVisit This element must be supported. 0..1 BackboneElement 訪視或服務時是否未遇到個案，預設為 false。[應填入以下布林值之一：true 未遇到 | false 正常訪視或服務]
Claim.Slices for supportingInfo.supportingInfo:missedVisit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:missedVisit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:missedVisit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "missedVisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:missedVisit.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyCovid19 This element must be supported. 0..1 BackboneElement 是否陪同接種 COVID-19 疫苗，僅供 BA13、BA13a 申報，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyCovid19"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA03 This element must be supported. 0..1 BackboneElement 是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA03.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA03.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA03.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA03"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA03.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA09 This element must be supported. 0..1 BackboneElement 是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA09.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA09.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA09.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA09"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA09.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:aa10Status This element must be supported. 0..1 BackboneElement AA10 申報狀態，預設為 0。[應填入以下代碼之一：0 未申報 | 1 申請待確認 | 2 確認為非緊急服務 | 3 確認為緊急服務]
Claim.Slices for supportingInfo.supportingInfo:aa10Status.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:aa10Status.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:aa10Status.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "aa10Status"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:aa10Status.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－AA10 申報狀態 (required)
Claim.Slices for supportingInfo.supportingInfo:remark This element must be supported. 0..1 BackboneElement 服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "remark"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.value[x] This element must be supported. 1..1 string Data to be provided
Claim.insurance This element must be supported. This element is included in summaries. 1..* BackboneElement 長照給付來源，至少應填寫一筆。
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(Coverage) Insurance information
Claim.item This element must be supported. 1..1 BackboneElement 個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
Claim.item.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.sequence 1..1 positiveInt 服務明細的序號。[應填入 1]
Claim.item.category This element must be supported. 0..1 CodeableConcept 服務類別。[應填入以下代碼之一：1 補助 | 2 自費]
Binding: 支付審查－服務類別 (required)
Claim.item.productOrService This element must be supported. 1..1 CodeableConcept 照顧組合代碼，如為 A 單位個案管理服務，則填入 AA00。[應填入最長 10 個字元的代碼]
Binding: 臺灣長照服務項目 (extensible)
Claim.item.serviced[x] This element must be supported. 1..1 Period 服務的開始與結束時間。[應填入 Period]
Claim.item.location[x] 0..1 Reference(長照支付審查－交通接送起訖地) 服務地點。[應填入對應 Location 的 Reference]
Claim.item.quantity This element must be supported. C 0..1 SimpleQuantity(4.0.1) 申報數量，申報各類服務時皆應填寫。[應填入 Quantity，value 為服務數量]
Constraints: sqty-1
Claim.item.unitPrice This element must be supported. 0..1 Money 服務單價，申報 BD03、DA01 時必填，其餘服務可選填。[應填入 Money，幣別為 TWD]
Claim.item.net This element must be supported. 0..1 Money 服務明細的小計金額，為單價乘以數量。[應填入 Money，幣別為 TWD]
Claim.total This element must be supported. 0..1 Money 本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]

doco 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 📦1.1.0 This IG
Claim.supportingInfo.​code Base example Exception Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItem.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItem.​code Base required 支付審查－服務項目 📦1.1.0 This IG
Claim.supportingInfo:svcItemOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPeople.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPeople.​code Base required 支付審查－服務對象 📦1.1.0 This IG
Claim.supportingInfo:svcContent.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPoint.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPoint.​code Base required 支付審查－服務重點 📦1.1.0 This IG
Claim.supportingInfo:svcPointOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcTrace.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcGoal.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcSuitable.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcUnit.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoalType.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoalType.​code Base required 支付審查－專業服務復能目標達成情形 📦1.1.0 This IG
Claim.supportingInfo:svccGoal.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccContentTarget.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccContent.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccSuggest.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:addrFrom.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:addrTo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:carNo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:driver.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:milage.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:bd03Type.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 📦1.1.0 This IG
Claim.supportingInfo:lastSvc.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:missedVisit.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:applyCovid19.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:applyAA03.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:applyAA09.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:aa10Status.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:aa10Status.​code Base required 支付審查－AA10 申報狀態 📦1.1.0 This IG
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.item.category Base required 支付審查－服務類別 📦1.1.0 This IG
Claim.item.productOrService Base extensible 臺灣長照服務項目 📦1.1.0 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，應填寫里程數與車號。 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。 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、服務對象與服務內容。 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，應填寫服務項目與提供專業服務單位。 item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())
sqty-1 error Claim.item.quantity The comparator is not used on a SimpleQuantity comparator.empty()

This structure is derived from Claim

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim C 0..* Claim Claim, Pre-determination or Pre-authorization
Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Claim.Slices for identifier This element must be supported. 1..* Identifier 申報資料的識別碼
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for identifier.identifier:objid This element must be supported. 1..1 Identifier 服務紀錄識別碼。[應填入 Identifier]
Claim.Slices for identifier.identifier:objid.system This element must be supported. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid (extensions allowed)
Claim.Slices for identifier.identifier:objid.value This element must be supported. 1..1 string 服務紀錄識別碼。[應填入最長 20 個字元的字串]
Claim.Slices for identifier.identifier:transNo This element must be supported. 0..1 Identifier 交易序號。[應填入 Identifier]
Claim.Slices for identifier.identifier:transNo.system This element must be supported. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no (extensions allowed)
Claim.Slices for identifier.identifier:transNo.value This element must be supported. 1..1 string 交易序號。[應填入最長 10 個字元的字串]
Claim.Slices for identifier.identifier:yyyymm This element must be supported. 0..1 Identifier 支審年月。[應填入 Identifier]
Claim.Slices for identifier.identifier:yyyymm.system This element must be supported. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm (extensions allowed)
Claim.Slices for identifier.identifier:yyyymm.value This element must be supported. 1..1 string 支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
Claim.status This element must be supported. 1..1 code 申報單的狀態。[應填入 active]
Required Pattern: active (extensions allowed)
Claim.type This element must be supported. 1..1 CodeableConcept 申報單的類別。[應填入 professional]
Claim.type.coding This element must be supported. 1..1 Coding Code defined by a terminology system
Claim.type.coding.system This element must be supported. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type (extensions allowed)
Claim.type.coding.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Required Pattern: professional (extensions allowed)
Claim.patient This element must be supported. 1..1 Reference(長期照顧－住民基本資料) 接受服務的個案。[應填入對應 Patient 的 Reference]
Claim.created This element must be supported. 1..1 dateTime 申報單的建立時間。[應填入日期時間，例如 2026-09-17T09:30:00+08:00]
Claim.insurer This element must be supported. 0..1 Reference(Organization) 受理審查的主管機關。[應填入對應 Organization 的 Reference]
Claim.provider This element must be supported. 1..1 Reference(長期照顧－機構) 提出申報的特約服務單位。[應填入對應 Organization 的 Reference]
Claim.priority 1..1 CodeableConcept 申報處理的優先順序，長照申報一般填入 normal。
Claim.careTeam This element must be supported. 0..* BackboneElement 提供服務的照顧服務員
Claim.careTeam.sequence This element must be supported. 1..1 positiveInt 照顧服務員的序號。[應依序填入 1 至 5 的整數]
Claim.careTeam.provider This element must be supported. 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) 照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Claim.Slices for supportingInfo This element must be supported. 0..* BackboneElement 服務紀錄的補充資料，應依申報的照顧組合代碼填寫。
Slice: Unordered, Open by pattern:category
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept 補充資料的類別。[應填入支付審查服務紀錄補充資訊類別代碼]
Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept 補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼]
Claim.Slices for supportingInfo.supportingInfo:svcItem This element must be supported. 0..* BackboneElement 服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcItem.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItem"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItem.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務項目 (required)
Claim.Slices for supportingInfo.supportingInfo:svcItem.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcItemOther This element must be supported. 0..1 BackboneElement 其他服務項目的說明，服務項目選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItemOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPeople This element must be supported. 0..* BackboneElement 服務對象，申報 AA00 時必填。[可填入以下代碼，可複選：1 服務使用者 | 2 家庭照顧者]
Claim.Slices for supportingInfo.supportingInfo:svcPeople.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPeople"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPeople.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務對象 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPeople.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcContent This element must be supported. 0..1 BackboneElement 服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcContent.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPoint This element must be supported. 0..* BackboneElement 服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcPoint.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPoint"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPoint.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務重點 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPoint.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPointOther This element must be supported. 0..1 BackboneElement 其他服務重點的說明，服務重點選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPointOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcTrace This element must be supported. 0..1 BackboneElement 服務適應情形與後續協助，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcTrace.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcTrace"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcTrace.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcGoal This element must be supported. 0..1 BackboneElement 各項服務與整體照顧計畫的目標達成情形，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcGoal.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcSuitable This element must be supported. 0..1 BackboneElement 照顧計畫是否合適及需求變動的說明，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcSuitable"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcUnit This element must be supported. 0..1 BackboneElement 提供專業服務的 C 單位代碼，申報 AA03 時必填。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcUnit.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcUnit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcUnit.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoalType This element must be supported. 0..1 BackboneElement 復能目標達成情形，申報 C 碼時填寫。[應填入 1 至 5 其中一個代碼]
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoalType"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－專業服務復能目標達成情形 (required)
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoal This element must be supported. 0..1 BackboneElement 專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccGoal.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget This element must be supported. 0..1 BackboneElement 接受專業服務指導的對象，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContentTarget"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContent This element must be supported. 0..1 BackboneElement 專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContent.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccSuggest This element must be supported. 0..1 BackboneElement 專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccSuggest"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrFrom This element must be supported. 0..1 BackboneElement 接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrFrom.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrFrom"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrFrom.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrTo This element must be supported. 0..1 BackboneElement 接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrTo.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrTo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrTo.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:carNo This element must be supported. 0..1 BackboneElement 接送車輛的車牌號碼，申報 BD03、DA01 時必填。[應在 valueString 填入最長 10 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:carNo.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "carNo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:carNo.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:driver This element must be supported. 0..1 BackboneElement 接送駕駛員的姓名，申報 BD03、DA01 時填寫。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:driver.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "driver"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:driver.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:milage This element must be supported. 0..1 BackboneElement 接送里程數，申報 BD03、DA01 時必填。[應在 valueQuantity 填入里程數與單位，建議單位為公里（km）]
Claim.Slices for supportingInfo.supportingInfo:milage.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "milage"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:milage.value[x] This element must be supported. 1..1 Quantity Data to be provided
Claim.Slices for supportingInfo.supportingInfo:bd03Type This element must be supported. 0..1 BackboneElement BD03 接送服務的使用類型，申報 BD03 時必填，預設為 1。[應填入以下代碼之一：1 社區式長照機構 | 2 社區服務據點（不含身障類）| 3 輔具中心 | 4 身障日間照顧服務]
Claim.Slices for supportingInfo.supportingInfo:bd03Type.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "bd03Type"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:bd03Type.code This element must be supported. 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)
Claim.Slices for supportingInfo.supportingInfo:bd03Type.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:lastSvc This element must be supported. 0..1 BackboneElement 是否於個案臨終當天提供照顧，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:lastSvc.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "lastSvc"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:lastSvc.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:missedVisit This element must be supported. 0..1 BackboneElement 訪視或服務時是否未遇到個案，預設為 false。[應填入以下布林值之一：true 未遇到 | false 正常訪視或服務]
Claim.Slices for supportingInfo.supportingInfo:missedVisit.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "missedVisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:missedVisit.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyCovid19 This element must be supported. 0..1 BackboneElement 是否陪同接種 COVID-19 疫苗，僅供 BA13、BA13a 申報，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyCovid19"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA03 This element must be supported. 0..1 BackboneElement 是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA03.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA03"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA03.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA09 This element must be supported. 0..1 BackboneElement 是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA09.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA09"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA09.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:aa10Status This element must be supported. 0..1 BackboneElement AA10 申報狀態，預設為 0。[應填入以下代碼之一：0 未申報 | 1 申請待確認 | 2 確認為非緊急服務 | 3 確認為緊急服務]
Claim.Slices for supportingInfo.supportingInfo:aa10Status.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "aa10Status"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:aa10Status.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－AA10 申報狀態 (required)
Claim.Slices for supportingInfo.supportingInfo:aa10Status.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:remark This element must be supported. 0..1 BackboneElement 服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "remark"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.value[x] This element must be supported. 1..1 string Data to be provided
Claim.insurance This element must be supported. 1..* BackboneElement 長照給付來源，至少應填寫一筆。
Claim.item This element must be supported. 1..1 BackboneElement 個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
Claim.item.sequence 1..1 positiveInt 服務明細的序號。[應填入 1]
Claim.item.category This element must be supported. 0..1 CodeableConcept 服務類別。[應填入以下代碼之一：1 補助 | 2 自費]
Binding: 支付審查－服務類別 (required)
Claim.item.productOrService This element must be supported. 1..1 CodeableConcept 照顧組合代碼，如為 A 單位個案管理服務，則填入 AA00。[應填入最長 10 個字元的代碼]
Binding: 臺灣長照服務項目 (extensible)
Claim.item.serviced[x] This element must be supported. 1..1 Period 服務的開始與結束時間。[應填入 Period]
Claim.item.location[x] 0..1 Reference(長照支付審查－交通接送起訖地) 服務地點。[應填入對應 Location 的 Reference]
Claim.item.quantity This element must be supported. 0..1 SimpleQuantity(4.0.1) 申報數量，申報各類服務時皆應填寫。[應填入 Quantity，value 為服務數量]
Claim.item.unitPrice This element must be supported. 0..1 Money 服務單價，申報 BD03、DA01 時必填，其餘服務可選填。[應填入 Money，幣別為 TWD]
Claim.item.net This element must be supported. 0..1 Money 服務明細的小計金額，為單價乘以數量。[應填入 Money，幣別為 TWD]
Claim.total This element must be supported. 0..1 Money 本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]

doco 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 📦1.1.0 This IG
Claim.supportingInfo:svcItem.​code Base required 支付審查－服務項目 📦1.1.0 This IG
Claim.supportingInfo:svcPeople.​code Base required 支付審查－服務對象 📦1.1.0 This IG
Claim.supportingInfo:svcPoint.​code Base required 支付審查－服務重點 📦1.1.0 This IG
Claim.supportingInfo:svccGoalType.​code Base required 支付審查－專業服務復能目標達成情形 📦1.1.0 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 📦1.1.0 This IG
Claim.supportingInfo:aa10Status.​code Base required 支付審查－AA10 申報狀態 📦1.1.0 This IG
Claim.item.category Base required 支付審查－服務類別 📦1.1.0 This IG
Claim.item.productOrService Base extensible 臺灣長照服務項目 📦1.1.0 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，應填寫里程數與車號。 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。 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、服務對象與服務內容。 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，應填寫服務項目與提供專業服務單位。 item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim C 0..* Claim Claim, Pre-determination or Pre-authorization
Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Claim.id This element is included in summaries. 0..1 id Logical id of this artifact
Claim.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Claim.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
Claim.contained 0..* Resource Contained, inline Resources
Claim.extension 0..* Extension Additional content defined by implementations
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.Slices for identifier This element must be supported. 1..* Identifier 申報資料的識別碼
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for identifier.identifier:objid This element must be supported. 1..1 Identifier 服務紀錄識別碼。[應填入 Identifier]
Claim.Slices for identifier.identifier:objid.id 0..1 string Unique id for inter-element referencing
Claim.Slices for identifier.identifier:objid.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.Slices for identifier.identifier:objid.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:objid.type This element is included in summaries. 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.
Claim.Slices for identifier.identifier:objid.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid (extensions allowed)
Claim.Slices for identifier.identifier:objid.value This element must be supported. This element is included in summaries. 1..1 string 服務紀錄識別碼。[應填入最長 20 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:objid.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Claim.Slices for identifier.identifier:objid.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Claim.Slices for identifier.identifier:transNo This element must be supported. 0..1 Identifier 交易序號。[應填入 Identifier]
Claim.Slices for identifier.identifier:transNo.id 0..1 string Unique id for inter-element referencing
Claim.Slices for identifier.identifier:transNo.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.Slices for identifier.identifier:transNo.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:transNo.type This element is included in summaries. 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.
Claim.Slices for identifier.identifier:transNo.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no (extensions allowed)
Claim.Slices for identifier.identifier:transNo.value This element must be supported. This element is included in summaries. 1..1 string 交易序號。[應填入最長 10 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:transNo.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Claim.Slices for identifier.identifier:transNo.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Claim.Slices for identifier.identifier:yyyymm This element must be supported. 0..1 Identifier 支審年月。[應填入 Identifier]
Claim.Slices for identifier.identifier:yyyymm.id 0..1 string Unique id for inter-element referencing
Claim.Slices for identifier.identifier:yyyymm.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.Slices for identifier.identifier:yyyymm.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:yyyymm.type This element is included in summaries. 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.
Claim.Slices for identifier.identifier:yyyymm.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm (extensions allowed)
Claim.Slices for identifier.identifier:yyyymm.value This element must be supported. This element is included in summaries. 1..1 string 支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
Example General: 123456
Claim.Slices for identifier.identifier:yyyymm.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Claim.Slices for identifier.identifier:yyyymm.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Claim.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 申報單的狀態。[應填入 active]
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Required Pattern: active (extensions allowed)
Claim.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept 申報單的類別。[應填入 professional]
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Claim.type.id 0..1 string Unique id for inter-element referencing
Claim.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Claim.type.coding.id 0..1 string Unique id for inter-element referencing
Claim.type.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type (extensions allowed)
Claim.type.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: professional (extensions allowed)
Claim.type.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.type.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.type.text This element is included in summaries. 0..1 string Plain text representation of the concept
Claim.subType 0..1 CodeableConcept More granular claim type
Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
Claim.use This element must be supported. This element is included in summaries. 1..1 code 申報單的用途。[應填入 claim]
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim (extensions allowed)
Claim.patient This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－住民基本資料) 接受服務的個案。[應填入對應 Patient 的 Reference]
Claim.billablePeriod This element is included in summaries. 0..1 Period Relevant time frame for the claim
Claim.created This element must be supported. This element is included in summaries. 1..1 dateTime 申報單的建立時間。[應填入日期時間，例如 2026-09-17T09:30:00+08:00]
Claim.enterer 0..1 Reference(Practitioner | PractitionerRole) Author of the claim
Claim.insurer This element must be supported. This element is included in summaries. 0..1 Reference(Organization) 受理審查的主管機關。[應填入對應 Organization 的 Reference]
Claim.provider This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－機構) 提出申報的特約服務單位。[應填入對應 Organization 的 Reference]
Claim.priority This element is included in summaries. 1..1 CodeableConcept 申報處理的優先順序，長照申報一般填入 normal。
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
Claim.related 0..* BackboneElement Prior or corollary claims
Claim.related.id 0..1 string Unique id for inter-element referencing
Claim.related.extension 0..* Extension Additional content defined by implementations
Claim.related.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.related.claim 0..1 Reference(Claim) Reference to the related claim
Claim.related.relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Claim.related.reference 0..1 Identifier File or case reference
Claim.prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
Claim.originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
Claim.payee 0..1 BackboneElement Recipient of benefits payable
Claim.payee.id 0..1 string Unique id for inter-element referencing
Claim.payee.extension 0..* Extension Additional content defined by implementations
Claim.payee.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.payee.type 1..1 CodeableConcept Category of recipient
Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
Claim.payee.party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
Claim.referral 0..1 Reference(ServiceRequest) Treatment referral
Claim.facility 0..1 Reference(Location) Servicing facility
Claim.careTeam This element must be supported. 0..* BackboneElement 提供服務的照顧服務員
Claim.careTeam.id 0..1 string Unique id for inter-element referencing
Claim.careTeam.extension 0..* Extension Additional content defined by implementations
Claim.careTeam.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.careTeam.sequence This element must be supported. 1..1 positiveInt 照顧服務員的序號。[應依序填入 1 至 5 的整數]
Claim.careTeam.provider This element must be supported. 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) 照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Claim.careTeam.responsible 0..1 boolean Indicator of the lead practitioner
Claim.careTeam.role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
Claim.careTeam.qualification 0..1 CodeableConcept Practitioner credential or specialization
Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Claim.Slices for supportingInfo This element must be supported. 0..* BackboneElement 服務紀錄的補充資料，應依申報的照顧組合代碼填寫。
Slice: Unordered, Open by pattern:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:All Slices.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept 補充資料的類別。[應填入支付審查服務紀錄補充資訊類別代碼]
Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept 補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼]
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x] 0..1 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueBoolean boolean
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueString string
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueQuantity Quantity
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueAttachment Attachment
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueReference Reference(Resource)
Claim.Slices for supportingInfo.supportingInfo:All Slices.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcItem This element must be supported. 0..* BackboneElement 服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcItem.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcItem.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcItem.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItem.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItem.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItem"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItem.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務項目 (required)
Claim.Slices for supportingInfo.supportingInfo:svcItem.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcItem.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcItem.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcItem.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcItemOther This element must be supported. 0..1 BackboneElement 其他服務項目的說明，服務項目選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItemOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcPeople This element must be supported. 0..* BackboneElement 服務對象，申報 AA00 時必填。[可填入以下代碼，可複選：1 服務使用者 | 2 家庭照顧者]
Claim.Slices for supportingInfo.supportingInfo:svcPeople.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcPeople.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcPeople.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPeople.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPeople.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPeople"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPeople.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務對象 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPeople.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcPeople.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcPeople.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcPeople.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcContent This element must be supported. 0..1 BackboneElement 服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcContent.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcContent.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcContent.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcContent.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcContent.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcContent.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcContent.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcPoint This element must be supported. 0..* BackboneElement 服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcPoint.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcPoint.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcPoint.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPoint.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPoint.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPoint"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPoint.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務重點 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPoint.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcPoint.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcPoint.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcPoint.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcPointOther This element must be supported. 0..1 BackboneElement 其他服務重點的說明，服務重點選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPointOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcTrace This element must be supported. 0..1 BackboneElement 服務適應情形與後續協助，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcTrace.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcTrace.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcTrace.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcTrace.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcTrace.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcTrace"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcTrace.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcTrace.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcTrace.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcTrace.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcTrace.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcTrace.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcGoal This element must be supported. 0..1 BackboneElement 各項服務與整體照顧計畫的目標達成情形，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcGoal.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcGoal.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcGoal.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcGoal.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcGoal.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcGoal.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcGoal.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcSuitable This element must be supported. 0..1 BackboneElement 照顧計畫是否合適及需求變動的說明，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcSuitable"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcUnit This element must be supported. 0..1 BackboneElement 提供專業服務的 C 單位代碼，申報 AA03 時必填。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcUnit.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcUnit.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcUnit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcUnit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcUnit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcUnit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcUnit.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcUnit.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcUnit.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcUnit.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcUnit.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcUnit.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccGoalType This element must be supported. 0..1 BackboneElement 復能目標達成情形，申報 C 碼時填寫。[應填入 1 至 5 其中一個代碼]
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoalType"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－專業服務復能目標達成情形 (required)
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccGoal This element must be supported. 0..1 BackboneElement 專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccGoal.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccGoal.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoal.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccGoal.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccGoal.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccGoal.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoal.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget This element must be supported. 0..1 BackboneElement 接受專業服務指導的對象，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContentTarget"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccContent This element must be supported. 0..1 BackboneElement 專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContent.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccContent.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContent.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccContent.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccContent.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccContent.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContent.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccSuggest This element must be supported. 0..1 BackboneElement 專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccSuggest"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:addrFrom This element must be supported. 0..1 BackboneElement 接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrFrom.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:addrFrom.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:addrFrom.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrFrom.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrFrom.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrFrom"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrFrom.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:addrFrom.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:addrFrom.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:addrFrom.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:addrFrom.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrFrom.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:addrTo This element must be supported. 0..1 BackboneElement 接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrTo.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:addrTo.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:addrTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrTo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrTo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrTo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrTo.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:addrTo.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:addrTo.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:addrTo.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:addrTo.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrTo.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:carNo This element must be supported. 0..1 BackboneElement 接送車輛的車牌號碼，申報 BD03、DA01 時必填。[應在 valueString 填入最長 10 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:carNo.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:carNo.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:carNo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:carNo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:carNo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "carNo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:carNo.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:carNo.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:carNo.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:carNo.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:carNo.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:carNo.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:driver This element must be supported. 0..1 BackboneElement 接送駕駛員的姓名，申報 BD03、DA01 時填寫。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:driver.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:driver.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:driver.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:driver.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:driver.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "driver"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:driver.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:driver.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:driver.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:driver.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:driver.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:driver.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:milage This element must be supported. 0..1 BackboneElement 接送里程數，申報 BD03、DA01 時必填。[應在 valueQuantity 填入里程數與單位，建議單位為公里（km）]
Claim.Slices for supportingInfo.supportingInfo:milage.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:milage.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:milage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:milage.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:milage.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "milage"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:milage.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:milage.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:milage.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:milage.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:milage.value[x] This element must be supported. 1..1 Quantity Data to be provided
Claim.Slices for supportingInfo.supportingInfo:milage.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:bd03Type This element must be supported. 0..1 BackboneElement BD03 接送服務的使用類型，申報 BD03 時必填，預設為 1。[應填入以下代碼之一：1 社區式長照機構 | 2 社區服務據點（不含身障類）| 3 輔具中心 | 4 身障日間照顧服務]
Claim.Slices for supportingInfo.supportingInfo:bd03Type.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:bd03Type.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:bd03Type.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:bd03Type.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:bd03Type.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "bd03Type"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:bd03Type.code This element must be supported. 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)
Claim.Slices for supportingInfo.supportingInfo:bd03Type.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:bd03Type.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:bd03Type.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:bd03Type.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:lastSvc This element must be supported. 0..1 BackboneElement 是否於個案臨終當天提供照顧，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:lastSvc.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:lastSvc.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:lastSvc.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:lastSvc.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:lastSvc.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "lastSvc"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:lastSvc.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:lastSvc.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:lastSvc.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:lastSvc.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:lastSvc.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:lastSvc.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:missedVisit This element must be supported. 0..1 BackboneElement 訪視或服務時是否未遇到個案，預設為 false。[應填入以下布林值之一：true 未遇到 | false 正常訪視或服務]
Claim.Slices for supportingInfo.supportingInfo:missedVisit.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:missedVisit.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:missedVisit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:missedVisit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:missedVisit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "missedVisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:missedVisit.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:missedVisit.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:missedVisit.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:missedVisit.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:missedVisit.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:missedVisit.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:applyCovid19 This element must be supported. 0..1 BackboneElement 是否陪同接種 COVID-19 疫苗，僅供 BA13、BA13a 申報，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyCovid19"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:applyAA03 This element must be supported. 0..1 BackboneElement 是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA03.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:applyAA03.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:applyAA03.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA03.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA03.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA03"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA03.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:applyAA03.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:applyAA03.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:applyAA03.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:applyAA03.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA03.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:applyAA09 This element must be supported. 0..1 BackboneElement 是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA09.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:applyAA09.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:applyAA09.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA09.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA09.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA09"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA09.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:applyAA09.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:applyAA09.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:applyAA09.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:applyAA09.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA09.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:aa10Status This element must be supported. 0..1 BackboneElement AA10 申報狀態，預設為 0。[應填入以下代碼之一：0 未申報 | 1 申請待確認 | 2 確認為非緊急服務 | 3 確認為緊急服務]
Claim.Slices for supportingInfo.supportingInfo:aa10Status.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:aa10Status.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:aa10Status.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:aa10Status.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:aa10Status.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "aa10Status"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:aa10Status.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－AA10 申報狀態 (required)
Claim.Slices for supportingInfo.supportingInfo:aa10Status.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:aa10Status.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:aa10Status.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:aa10Status.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:remark This element must be supported. 0..1 BackboneElement 服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:remark.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:remark.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "remark"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:remark.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:remark.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.diagnosis 0..* BackboneElement Pertinent diagnosis information
Claim.diagnosis.id 0..1 string Unique id for inter-element referencing
Claim.diagnosis.extension 0..* Extension Additional content defined by implementations
Claim.diagnosis.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.diagnosis.sequence 1..1 positiveInt Diagnosis instance identifier
Claim.diagnosis.diagnosis[x] 1..1 Nature of illness or problem
Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
Claim.diagnosis.diagnosis[x].diagnosisCodeableConcept CodeableConcept
Claim.diagnosis.diagnosis[x].diagnosisReference Reference(Condition)
Claim.diagnosis.type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
Claim.diagnosis.onAdmission 0..1 CodeableConcept Present on admission
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
Claim.diagnosis.packageCode 0..1 CodeableConcept Package billing code
Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
Claim.procedure 0..* BackboneElement Clinical procedures performed
Claim.procedure.id 0..1 string Unique id for inter-element referencing
Claim.procedure.extension 0..* Extension Additional content defined by implementations
Claim.procedure.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.procedure.sequence 1..1 positiveInt Procedure instance identifier
Claim.procedure.type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
Claim.procedure.date 0..1 dateTime When the procedure was performed
Claim.procedure.procedure[x] 1..1 Specific clinical procedure
Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
Claim.procedure.procedure[x].procedureCodeableConcept CodeableConcept
Claim.procedure.procedure[x].procedureReference Reference(Procedure)
Claim.procedure.udi 0..* Reference(Device) Unique device identifier
Claim.insurance This element must be supported. This element is included in summaries. 1..* BackboneElement 長照給付來源，至少應填寫一筆。
Claim.insurance.id 0..1 string Unique id for inter-element referencing
Claim.insurance.extension 0..* Extension Additional content defined by implementations
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.identifier 0..1 Identifier Pre-assigned Claim number
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(Coverage) Insurance information
Claim.insurance.businessArrangement 0..1 string Additional provider contract number
Claim.insurance.preAuthRef 0..* string Prior authorization reference number
Claim.insurance.claimResponse 0..1 Reference(ClaimResponse) Adjudication results
Claim.accident 0..1 BackboneElement Details of the event
Claim.accident.id 0..1 string Unique id for inter-element referencing
Claim.accident.extension 0..* Extension Additional content defined by implementations
Claim.accident.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.accident.date 1..1 date When the incident occurred
Claim.accident.type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
Claim.accident.location[x] 0..1 Where the event occurred
Claim.accident.location[x].locationAddress Address
Claim.accident.location[x].locationReference Reference(Location)
Claim.item This element must be supported. 1..1 BackboneElement 個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
Claim.item.id 0..1 string Unique id for inter-element referencing
Claim.item.extension 0..* Extension Additional content defined by implementations
Claim.item.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.sequence 1..1 positiveInt 服務明細的序號。[應填入 1]
Claim.item.careTeamSequence 0..* positiveInt Applicable careTeam members
Claim.item.diagnosisSequence 0..* positiveInt Applicable diagnoses
Claim.item.procedureSequence 0..* positiveInt Applicable procedures
Claim.item.informationSequence 0..* positiveInt Applicable exception and supporting information
Claim.item.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.
Claim.item.category This element must be supported. 0..1 CodeableConcept 服務類別。[應填入以下代碼之一：1 補助 | 2 自費]
Binding: 支付審查－服務類別 (required)
Claim.item.productOrService This element must be supported. 1..1 CodeableConcept 照顧組合代碼，如為 A 單位個案管理服務，則填入 AA00。[應填入最長 10 個字元的代碼]
Binding: 臺灣長照服務項目 (extensible)
Claim.item.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.
Claim.item.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.serviced[x] This element must be supported. 1..1 Period 服務的開始與結束時間。[應填入 Period]
Claim.item.location[x] 0..1 Reference(長照支付審查－交通接送起訖地) 服務地點。[應填入對應 Location 的 Reference]
Claim.item.quantity This element must be supported. C 0..1 SimpleQuantity(4.0.1) 申報數量，申報各類服務時皆應填寫。[應填入 Quantity，value 為服務數量]
Constraints: sqty-1
Claim.item.unitPrice This element must be supported. 0..1 Money 服務單價，申報 BD03、DA01 時必填，其餘服務可選填。[應填入 Money，幣別為 TWD]
Claim.item.factor 0..1 decimal Price scaling factor
Claim.item.net This element must be supported. 0..1 Money 服務明細的小計金額，為單價乘以數量。[應填入 Money，幣別為 TWD]
Claim.item.udi 0..* Reference(Device) Unique device identifier
Claim.item.bodySite 0..1 CodeableConcept Anatomical location
Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
Claim.item.subSite 0..* CodeableConcept Anatomical sub-location
Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
Claim.item.encounter 0..* Reference(Encounter) Encounters related to this billed item
Claim.item.detail 0..* BackboneElement Product or service provided
Claim.item.detail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.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.
Claim.item.detail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.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.
Claim.item.detail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.factor 0..1 decimal Price scaling factor
Claim.item.detail.net 0..1 Money Total item cost
Claim.item.detail.udi 0..* Reference(Device) Unique device identifier
Claim.item.detail.subDetail 0..* BackboneElement Product or service provided
Claim.item.detail.subDetail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.subDetail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.subDetail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.subDetail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.subDetail.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.
Claim.item.detail.subDetail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.subDetail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.subDetail.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.
Claim.item.detail.subDetail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.subDetail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.subDetail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.subDetail.factor 0..1 decimal Price scaling factor
Claim.item.detail.subDetail.net 0..1 Money Total item cost
Claim.item.detail.subDetail.udi 0..* Reference(Device) Unique device identifier
Claim.total This element must be supported. 0..1 Money 本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]

doco 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 📦1.1.0 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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItem.​code Base required 支付審查－服務項目 📦1.1.0 This IG
Claim.supportingInfo:svcItem.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItemOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPeople.​code Base required 支付審查－服務對象 📦1.1.0 This IG
Claim.supportingInfo:svcPeople.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcContent.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPoint.​code Base required 支付審查－服務重點 📦1.1.0 This IG
Claim.supportingInfo:svcPoint.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPointOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoalType.​code Base required 支付審查－專業服務復能目標達成情形 📦1.1.0 This IG
Claim.supportingInfo:svccGoalType.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoal.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 📦1.1.0 This IG
Claim.supportingInfo:bd03Type.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:lastSvc.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:aa10Status.​code Base required 支付審查－AA10 申報狀態 📦1.1.0 This IG
Claim.supportingInfo:aa10Status.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 v7.5
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 📦1.1.0 This IG
Claim.item.productOrService Base extensible 臺灣長照服務項目 📦1.1.0 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，應填寫里程數與車號。 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。 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、服務對象與服務內容。 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，應填寫服務項目與提供專業服務單位。 item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())
sqty-1 error Claim.item.quantity, Claim.item.detail.quantity, Claim.item.detail.subDetail.quantity The comparator is not used on a SimpleQuantity comparator.empty()

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:

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim C 0..* Claim Claim, Pre-determination or Pre-authorization
Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.Slices for identifier This element must be supported. 1..* Identifier 申報資料的識別碼
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for identifier.identifier:objid This element must be supported. 1..1 Identifier 服務紀錄識別碼。[應填入 Identifier]
Claim.Slices for identifier.identifier:objid.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:objid.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid (extensions allowed)
Claim.Slices for identifier.identifier:objid.value This element must be supported. This element is included in summaries. 1..1 string 服務紀錄識別碼。[應填入最長 20 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:transNo This element must be supported. 0..1 Identifier 交易序號。[應填入 Identifier]
Claim.Slices for identifier.identifier:transNo.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:transNo.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no (extensions allowed)
Claim.Slices for identifier.identifier:transNo.value This element must be supported. This element is included in summaries. 1..1 string 交易序號。[應填入最長 10 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:yyyymm This element must be supported. 0..1 Identifier 支審年月。[應填入 Identifier]
Claim.Slices for identifier.identifier:yyyymm.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:yyyymm.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm (extensions allowed)
Claim.Slices for identifier.identifier:yyyymm.value This element must be supported. This element is included in summaries. 1..1 string 支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
Example General: 123456
Claim.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 申報單的狀態。[應填入 active]
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Required Pattern: active (extensions allowed)
Claim.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept 申報單的類別。[應填入 professional]
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Claim.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Claim.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type (extensions allowed)
Claim.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: professional (extensions allowed)
Claim.use This element must be supported. This element is included in summaries. 1..1 code 申報單的用途。[應填入 claim]
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim (extensions allowed)
Claim.patient This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－住民基本資料) 接受服務的個案。[應填入對應 Patient 的 Reference]
Claim.created This element must be supported. This element is included in summaries. 1..1 dateTime 申報單的建立時間。[應填入日期時間，例如 2026-09-17T09:30:00+08:00]
Claim.insurer This element must be supported. This element is included in summaries. 0..1 Reference(Organization) 受理審查的主管機關。[應填入對應 Organization 的 Reference]
Claim.provider This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－機構) 提出申報的特約服務單位。[應填入對應 Organization 的 Reference]
Claim.priority This element is included in summaries. 1..1 CodeableConcept 申報處理的優先順序，長照申報一般填入 normal。
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.careTeam This element must be supported. 0..* BackboneElement 提供服務的照顧服務員
Claim.careTeam.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.careTeam.sequence This element must be supported. 1..1 positiveInt 照顧服務員的序號。[應依序填入 1 至 5 的整數]
Claim.careTeam.provider This element must be supported. 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) 照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Claim.Slices for supportingInfo This element must be supported. 0..* BackboneElement 服務紀錄的補充資料，應依申報的照顧組合代碼填寫。
Slice: Unordered, Open by pattern:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept 補充資料的類別。[應填入支付審查服務紀錄補充資訊類別代碼]
Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept 補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼]
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcItem This element must be supported. 0..* BackboneElement 服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcItem.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItem.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItem.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItem"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItem.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務項目 (required)
Claim.Slices for supportingInfo.supportingInfo:svcItemOther This element must be supported. 0..1 BackboneElement 其他服務項目的說明，服務項目選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItemOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPeople This element must be supported. 0..* BackboneElement 服務對象，申報 AA00 時必填。[可填入以下代碼，可複選：1 服務使用者 | 2 家庭照顧者]
Claim.Slices for supportingInfo.supportingInfo:svcPeople.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPeople.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPeople.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPeople"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPeople.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務對象 (required)
Claim.Slices for supportingInfo.supportingInfo:svcContent This element must be supported. 0..1 BackboneElement 服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPoint This element must be supported. 0..* BackboneElement 服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcPoint.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPoint.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPoint.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPoint"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPoint.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務重點 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPointOther This element must be supported. 0..1 BackboneElement 其他服務重點的說明，服務重點選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPointOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcTrace This element must be supported. 0..1 BackboneElement 服務適應情形與後續協助，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcTrace.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcTrace.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcTrace.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcTrace"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcTrace.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcGoal This element must be supported. 0..1 BackboneElement 各項服務與整體照顧計畫的目標達成情形，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcSuitable This element must be supported. 0..1 BackboneElement 照顧計畫是否合適及需求變動的說明，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcSuitable"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcUnit This element must be supported. 0..1 BackboneElement 提供專業服務的 C 單位代碼，申報 AA03 時必填。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcUnit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcUnit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcUnit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcUnit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcUnit.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoalType This element must be supported. 0..1 BackboneElement 復能目標達成情形，申報 C 碼時填寫。[應填入 1 至 5 其中一個代碼]
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoalType"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－專業服務復能目標達成情形 (required)
Claim.Slices for supportingInfo.supportingInfo:svccGoal This element must be supported. 0..1 BackboneElement 專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget This element must be supported. 0..1 BackboneElement 接受專業服務指導的對象，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContentTarget"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContent This element must be supported. 0..1 BackboneElement 專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccSuggest This element must be supported. 0..1 BackboneElement 專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccSuggest"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrFrom This element must be supported. 0..1 BackboneElement 接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrFrom.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrFrom.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrFrom.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrFrom"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrFrom.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrTo This element must be supported. 0..1 BackboneElement 接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrTo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrTo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrTo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrTo.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:carNo This element must be supported. 0..1 BackboneElement 接送車輛的車牌號碼，申報 BD03、DA01 時必填。[應在 valueString 填入最長 10 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:carNo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:carNo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:carNo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "carNo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:carNo.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:driver This element must be supported. 0..1 BackboneElement 接送駕駛員的姓名，申報 BD03、DA01 時填寫。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:driver.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:driver.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:driver.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "driver"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:driver.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:milage This element must be supported. 0..1 BackboneElement 接送里程數，申報 BD03、DA01 時必填。[應在 valueQuantity 填入里程數與單位，建議單位為公里（km）]
Claim.Slices for supportingInfo.supportingInfo:milage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:milage.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:milage.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "milage"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:milage.value[x] This element must be supported. 1..1 Quantity Data to be provided
Claim.Slices for supportingInfo.supportingInfo:bd03Type This element must be supported. 0..1 BackboneElement BD03 接送服務的使用類型，申報 BD03 時必填，預設為 1。[應填入以下代碼之一：1 社區式長照機構 | 2 社區服務據點（不含身障類）| 3 輔具中心 | 4 身障日間照顧服務]
Claim.Slices for supportingInfo.supportingInfo:bd03Type.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:bd03Type.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:bd03Type.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "bd03Type"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:bd03Type.code This element must be supported. 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)
Claim.Slices for supportingInfo.supportingInfo:lastSvc This element must be supported. 0..1 BackboneElement 是否於個案臨終當天提供照顧，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:lastSvc.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:lastSvc.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:lastSvc.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "lastSvc"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:lastSvc.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:missedVisit This element must be supported. 0..1 BackboneElement 訪視或服務時是否未遇到個案，預設為 false。[應填入以下布林值之一：true 未遇到 | false 正常訪視或服務]
Claim.Slices for supportingInfo.supportingInfo:missedVisit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:missedVisit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:missedVisit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "missedVisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:missedVisit.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyCovid19 This element must be supported. 0..1 BackboneElement 是否陪同接種 COVID-19 疫苗，僅供 BA13、BA13a 申報，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyCovid19"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA03 This element must be supported. 0..1 BackboneElement 是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA03.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA03.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA03.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA03"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA03.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA09 This element must be supported. 0..1 BackboneElement 是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA09.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA09.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA09.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA09"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA09.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:aa10Status This element must be supported. 0..1 BackboneElement AA10 申報狀態，預設為 0。[應填入以下代碼之一：0 未申報 | 1 申請待確認 | 2 確認為非緊急服務 | 3 確認為緊急服務]
Claim.Slices for supportingInfo.supportingInfo:aa10Status.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:aa10Status.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:aa10Status.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "aa10Status"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:aa10Status.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－AA10 申報狀態 (required)
Claim.Slices for supportingInfo.supportingInfo:remark This element must be supported. 0..1 BackboneElement 服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "remark"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.value[x] This element must be supported. 1..1 string Data to be provided
Claim.insurance This element must be supported. This element is included in summaries. 1..* BackboneElement 長照給付來源，至少應填寫一筆。
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(Coverage) Insurance information
Claim.item This element must be supported. 1..1 BackboneElement 個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
Claim.item.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.sequence 1..1 positiveInt 服務明細的序號。[應填入 1]
Claim.item.category This element must be supported. 0..1 CodeableConcept 服務類別。[應填入以下代碼之一：1 補助 | 2 自費]
Binding: 支付審查－服務類別 (required)
Claim.item.productOrService This element must be supported. 1..1 CodeableConcept 照顧組合代碼，如為 A 單位個案管理服務，則填入 AA00。[應填入最長 10 個字元的代碼]
Binding: 臺灣長照服務項目 (extensible)
Claim.item.serviced[x] This element must be supported. 1..1 Period 服務的開始與結束時間。[應填入 Period]
Claim.item.location[x] 0..1 Reference(長照支付審查－交通接送起訖地) 服務地點。[應填入對應 Location 的 Reference]
Claim.item.quantity This element must be supported. C 0..1 SimpleQuantity(4.0.1) 申報數量，申報各類服務時皆應填寫。[應填入 Quantity，value 為服務數量]
Constraints: sqty-1
Claim.item.unitPrice This element must be supported. 0..1 Money 服務單價，申報 BD03、DA01 時必填，其餘服務可選填。[應填入 Money，幣別為 TWD]
Claim.item.net This element must be supported. 0..1 Money 服務明細的小計金額，為單價乘以數量。[應填入 Money，幣別為 TWD]
Claim.total This element must be supported. 0..1 Money 本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]

doco 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 📦1.1.0 This IG
Claim.supportingInfo.​code Base example Exception Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItem.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItem.​code Base required 支付審查－服務項目 📦1.1.0 This IG
Claim.supportingInfo:svcItemOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPeople.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPeople.​code Base required 支付審查－服務對象 📦1.1.0 This IG
Claim.supportingInfo:svcContent.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPoint.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPoint.​code Base required 支付審查－服務重點 📦1.1.0 This IG
Claim.supportingInfo:svcPointOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcTrace.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcGoal.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcSuitable.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcUnit.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoalType.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoalType.​code Base required 支付審查－專業服務復能目標達成情形 📦1.1.0 This IG
Claim.supportingInfo:svccGoal.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccContentTarget.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccContent.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccSuggest.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:addrFrom.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:addrTo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:carNo.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:driver.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:milage.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:bd03Type.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 📦1.1.0 This IG
Claim.supportingInfo:lastSvc.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:missedVisit.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:applyCovid19.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:applyAA03.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:applyAA09.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:aa10Status.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:aa10Status.​code Base required 支付審查－AA10 申報狀態 📦1.1.0 This IG
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.item.category Base required 支付審查－服務類別 📦1.1.0 This IG
Claim.item.productOrService Base extensible 臺灣長照服務項目 📦1.1.0 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，應填寫里程數與車號。 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。 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、服務對象與服務內容。 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，應填寫服務項目與提供專業服務單位。 item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())
sqty-1 error Claim.item.quantity The comparator is not used on a SimpleQuantity comparator.empty()

Differential View

This structure is derived from Claim

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim C 0..* Claim Claim, Pre-determination or Pre-authorization
Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Claim.Slices for identifier This element must be supported. 1..* Identifier 申報資料的識別碼
Slice: Unordered, Open by value:system
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for identifier.identifier:objid This element must be supported. 1..1 Identifier 服務紀錄識別碼。[應填入 Identifier]
Claim.Slices for identifier.identifier:objid.system This element must be supported. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid (extensions allowed)
Claim.Slices for identifier.identifier:objid.value This element must be supported. 1..1 string 服務紀錄識別碼。[應填入最長 20 個字元的字串]
Claim.Slices for identifier.identifier:transNo This element must be supported. 0..1 Identifier 交易序號。[應填入 Identifier]
Claim.Slices for identifier.identifier:transNo.system This element must be supported. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no (extensions allowed)
Claim.Slices for identifier.identifier:transNo.value This element must be supported. 1..1 string 交易序號。[應填入最長 10 個字元的字串]
Claim.Slices for identifier.identifier:yyyymm This element must be supported. 0..1 Identifier 支審年月。[應填入 Identifier]
Claim.Slices for identifier.identifier:yyyymm.system This element must be supported. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm (extensions allowed)
Claim.Slices for identifier.identifier:yyyymm.value This element must be supported. 1..1 string 支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
Claim.status This element must be supported. 1..1 code 申報單的狀態。[應填入 active]
Required Pattern: active (extensions allowed)
Claim.type This element must be supported. 1..1 CodeableConcept 申報單的類別。[應填入 professional]
Claim.type.coding This element must be supported. 1..1 Coding Code defined by a terminology system
Claim.type.coding.system This element must be supported. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type (extensions allowed)
Claim.type.coding.code This element must be supported. 1..1 code Symbol in syntax defined by the system
Required Pattern: professional (extensions allowed)
Claim.use This element must be supported. 1..1 code 申報單的用途。[應填入 claim]
Required Pattern: claim (extensions allowed)
Claim.patient This element must be supported. 1..1 Reference(長期照顧－住民基本資料) 接受服務的個案。[應填入對應 Patient 的 Reference]
Claim.created This element must be supported. 1..1 dateTime 申報單的建立時間。[應填入日期時間，例如 2026-09-17T09:30:00+08:00]
Claim.insurer This element must be supported. 0..1 Reference(Organization) 受理審查的主管機關。[應填入對應 Organization 的 Reference]
Claim.provider This element must be supported. 1..1 Reference(長期照顧－機構) 提出申報的特約服務單位。[應填入對應 Organization 的 Reference]
Claim.priority 1..1 CodeableConcept 申報處理的優先順序，長照申報一般填入 normal。
Claim.careTeam This element must be supported. 0..* BackboneElement 提供服務的照顧服務員
Claim.careTeam.sequence This element must be supported. 1..1 positiveInt 照顧服務員的序號。[應依序填入 1 至 5 的整數]
Claim.careTeam.provider This element must be supported. 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) 照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Claim.Slices for supportingInfo This element must be supported. 0..* BackboneElement 服務紀錄的補充資料，應依申報的照顧組合代碼填寫。
Slice: Unordered, Open by pattern:category
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept 補充資料的類別。[應填入支付審查服務紀錄補充資訊類別代碼]
Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept 補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼]
Claim.Slices for supportingInfo.supportingInfo:svcItem This element must be supported. 0..* BackboneElement 服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcItem.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItem"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItem.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務項目 (required)
Claim.Slices for supportingInfo.supportingInfo:svcItem.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcItemOther This element must be supported. 0..1 BackboneElement 其他服務項目的說明，服務項目選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItemOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPeople This element must be supported. 0..* BackboneElement 服務對象，申報 AA00 時必填。[可填入以下代碼，可複選：1 服務使用者 | 2 家庭照顧者]
Claim.Slices for supportingInfo.supportingInfo:svcPeople.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPeople"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPeople.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務對象 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPeople.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcContent This element must be supported. 0..1 BackboneElement 服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcContent.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPoint This element must be supported. 0..* BackboneElement 服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcPoint.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPoint"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPoint.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務重點 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPoint.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPointOther This element must be supported. 0..1 BackboneElement 其他服務重點的說明，服務重點選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPointOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcTrace This element must be supported. 0..1 BackboneElement 服務適應情形與後續協助，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcTrace.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcTrace"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcTrace.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcGoal This element must be supported. 0..1 BackboneElement 各項服務與整體照顧計畫的目標達成情形，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcGoal.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcSuitable This element must be supported. 0..1 BackboneElement 照顧計畫是否合適及需求變動的說明，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcSuitable"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcUnit This element must be supported. 0..1 BackboneElement 提供專業服務的 C 單位代碼，申報 AA03 時必填。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcUnit.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcUnit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcUnit.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoalType This element must be supported. 0..1 BackboneElement 復能目標達成情形，申報 C 碼時填寫。[應填入 1 至 5 其中一個代碼]
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoalType"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－專業服務復能目標達成情形 (required)
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoal This element must be supported. 0..1 BackboneElement 專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccGoal.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget This element must be supported. 0..1 BackboneElement 接受專業服務指導的對象，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContentTarget"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContent This element must be supported. 0..1 BackboneElement 專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContent.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccSuggest This element must be supported. 0..1 BackboneElement 專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccSuggest"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrFrom This element must be supported. 0..1 BackboneElement 接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrFrom.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrFrom"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrFrom.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrTo This element must be supported. 0..1 BackboneElement 接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrTo.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrTo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrTo.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:carNo This element must be supported. 0..1 BackboneElement 接送車輛的車牌號碼，申報 BD03、DA01 時必填。[應在 valueString 填入最長 10 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:carNo.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "carNo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:carNo.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:driver This element must be supported. 0..1 BackboneElement 接送駕駛員的姓名，申報 BD03、DA01 時填寫。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:driver.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "driver"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:driver.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:milage This element must be supported. 0..1 BackboneElement 接送里程數，申報 BD03、DA01 時必填。[應在 valueQuantity 填入里程數與單位，建議單位為公里（km）]
Claim.Slices for supportingInfo.supportingInfo:milage.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "milage"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:milage.value[x] This element must be supported. 1..1 Quantity Data to be provided
Claim.Slices for supportingInfo.supportingInfo:bd03Type This element must be supported. 0..1 BackboneElement BD03 接送服務的使用類型，申報 BD03 時必填，預設為 1。[應填入以下代碼之一：1 社區式長照機構 | 2 社區服務據點（不含身障類）| 3 輔具中心 | 4 身障日間照顧服務]
Claim.Slices for supportingInfo.supportingInfo:bd03Type.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "bd03Type"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:bd03Type.code This element must be supported. 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)
Claim.Slices for supportingInfo.supportingInfo:bd03Type.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:lastSvc This element must be supported. 0..1 BackboneElement 是否於個案臨終當天提供照顧，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:lastSvc.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "lastSvc"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:lastSvc.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:missedVisit This element must be supported. 0..1 BackboneElement 訪視或服務時是否未遇到個案，預設為 false。[應填入以下布林值之一：true 未遇到 | false 正常訪視或服務]
Claim.Slices for supportingInfo.supportingInfo:missedVisit.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "missedVisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:missedVisit.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyCovid19 This element must be supported. 0..1 BackboneElement 是否陪同接種 COVID-19 疫苗，僅供 BA13、BA13a 申報，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyCovid19"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA03 This element must be supported. 0..1 BackboneElement 是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA03.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA03"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA03.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA09 This element must be supported. 0..1 BackboneElement 是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA09.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA09"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA09.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:aa10Status This element must be supported. 0..1 BackboneElement AA10 申報狀態，預設為 0。[應填入以下代碼之一：0 未申報 | 1 申請待確認 | 2 確認為非緊急服務 | 3 確認為緊急服務]
Claim.Slices for supportingInfo.supportingInfo:aa10Status.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "aa10Status"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:aa10Status.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－AA10 申報狀態 (required)
Claim.Slices for supportingInfo.supportingInfo:aa10Status.value[x] 0..0 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:remark This element must be supported. 0..1 BackboneElement 服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "remark"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.value[x] This element must be supported. 1..1 string Data to be provided
Claim.insurance This element must be supported. 1..* BackboneElement 長照給付來源，至少應填寫一筆。
Claim.item This element must be supported. 1..1 BackboneElement 個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
Claim.item.sequence 1..1 positiveInt 服務明細的序號。[應填入 1]
Claim.item.category This element must be supported. 0..1 CodeableConcept 服務類別。[應填入以下代碼之一：1 補助 | 2 自費]
Binding: 支付審查－服務類別 (required)
Claim.item.productOrService This element must be supported. 1..1 CodeableConcept 照顧組合代碼，如為 A 單位個案管理服務，則填入 AA00。[應填入最長 10 個字元的代碼]
Binding: 臺灣長照服務項目 (extensible)
Claim.item.serviced[x] This element must be supported. 1..1 Period 服務的開始與結束時間。[應填入 Period]
Claim.item.location[x] 0..1 Reference(長照支付審查－交通接送起訖地) 服務地點。[應填入對應 Location 的 Reference]
Claim.item.quantity This element must be supported. 0..1 SimpleQuantity(4.0.1) 申報數量，申報各類服務時皆應填寫。[應填入 Quantity，value 為服務數量]
Claim.item.unitPrice This element must be supported. 0..1 Money 服務單價，申報 BD03、DA01 時必填，其餘服務可選填。[應填入 Money，幣別為 TWD]
Claim.item.net This element must be supported. 0..1 Money 服務明細的小計金額，為單價乘以數量。[應填入 Money，幣別為 TWD]
Claim.total This element must be supported. 0..1 Money 本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]

doco 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 📦1.1.0 This IG
Claim.supportingInfo:svcItem.​code Base required 支付審查－服務項目 📦1.1.0 This IG
Claim.supportingInfo:svcPeople.​code Base required 支付審查－服務對象 📦1.1.0 This IG
Claim.supportingInfo:svcPoint.​code Base required 支付審查－服務重點 📦1.1.0 This IG
Claim.supportingInfo:svccGoalType.​code Base required 支付審查－專業服務復能目標達成情形 📦1.1.0 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 📦1.1.0 This IG
Claim.supportingInfo:aa10Status.​code Base required 支付審查－AA10 申報狀態 📦1.1.0 This IG
Claim.item.category Base required 支付審查－服務類別 📦1.1.0 This IG
Claim.item.productOrService Base extensible 臺灣長照服務項目 📦1.1.0 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，應填寫里程數與車號。 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。 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、服務對象與服務內容。 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，應填寫服務項目與提供專業服務單位。 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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Claim C 0..* Claim Claim, Pre-determination or Pre-authorization
Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Claim.id This element is included in summaries. 0..1 id Logical id of this artifact
Claim.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Claim.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Claim.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Claim.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
Claim.contained 0..* Resource Contained, inline Resources
Claim.extension 0..* Extension Additional content defined by implementations
Claim.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Claim.Slices for identifier This element must be supported. 1..* Identifier 申報資料的識別碼
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for identifier.identifier:objid This element must be supported. 1..1 Identifier 服務紀錄識別碼。[應填入 Identifier]
Claim.Slices for identifier.identifier:objid.id 0..1 string Unique id for inter-element referencing
Claim.Slices for identifier.identifier:objid.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.Slices for identifier.identifier:objid.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:objid.type This element is included in summaries. 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.
Claim.Slices for identifier.identifier:objid.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid (extensions allowed)
Claim.Slices for identifier.identifier:objid.value This element must be supported. This element is included in summaries. 1..1 string 服務紀錄識別碼。[應填入最長 20 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:objid.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Claim.Slices for identifier.identifier:objid.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Claim.Slices for identifier.identifier:transNo This element must be supported. 0..1 Identifier 交易序號。[應填入 Identifier]
Claim.Slices for identifier.identifier:transNo.id 0..1 string Unique id for inter-element referencing
Claim.Slices for identifier.identifier:transNo.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.Slices for identifier.identifier:transNo.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:transNo.type This element is included in summaries. 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.
Claim.Slices for identifier.identifier:transNo.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no (extensions allowed)
Claim.Slices for identifier.identifier:transNo.value This element must be supported. This element is included in summaries. 1..1 string 交易序號。[應填入最長 10 個字元的字串]
Example General: 123456
Claim.Slices for identifier.identifier:transNo.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Claim.Slices for identifier.identifier:transNo.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Claim.Slices for identifier.identifier:yyyymm This element must be supported. 0..1 Identifier 支審年月。[應填入 Identifier]
Claim.Slices for identifier.identifier:yyyymm.id 0..1 string Unique id for inter-element referencing
Claim.Slices for identifier.identifier:yyyymm.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.Slices for identifier.identifier:yyyymm.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Claim.Slices for identifier.identifier:yyyymm.type This element is included in summaries. 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.
Claim.Slices for identifier.identifier:yyyymm.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm (extensions allowed)
Claim.Slices for identifier.identifier:yyyymm.value This element must be supported. This element is included in summaries. 1..1 string 支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
Example General: 123456
Claim.Slices for identifier.identifier:yyyymm.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
Claim.Slices for identifier.identifier:yyyymm.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
Claim.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 申報單的狀態。[應填入 active]
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Required Pattern: active (extensions allowed)
Claim.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept 申報單的類別。[應填入 professional]
Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
Claim.type.id 0..1 string Unique id for inter-element referencing
Claim.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.type.coding This element must be supported. This element is included in summaries. 1..1 Coding Code defined by a terminology system
Claim.type.coding.id 0..1 string Unique id for inter-element referencing
Claim.type.coding.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Claim.type.coding.system This element must be supported. This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type (extensions allowed)
Claim.type.coding.version This element is included in summaries. 0..1 string Version of the system - if relevant
Claim.type.coding.code This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: professional (extensions allowed)
Claim.type.coding.display This element is included in summaries. 0..1 string Representation defined by the system
Claim.type.coding.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Claim.type.text This element is included in summaries. 0..1 string Plain text representation of the concept
Claim.subType 0..1 CodeableConcept More granular claim type
Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
Claim.use This element must be supported. This element is included in summaries. 1..1 code 申報單的用途。[應填入 claim]
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim (extensions allowed)
Claim.patient This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－住民基本資料) 接受服務的個案。[應填入對應 Patient 的 Reference]
Claim.billablePeriod This element is included in summaries. 0..1 Period Relevant time frame for the claim
Claim.created This element must be supported. This element is included in summaries. 1..1 dateTime 申報單的建立時間。[應填入日期時間，例如 2026-09-17T09:30:00+08:00]
Claim.enterer 0..1 Reference(Practitioner | PractitionerRole) Author of the claim
Claim.insurer This element must be supported. This element is included in summaries. 0..1 Reference(Organization) 受理審查的主管機關。[應填入對應 Organization 的 Reference]
Claim.provider This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－機構) 提出申報的特約服務單位。[應填入對應 Organization 的 Reference]
Claim.priority This element is included in summaries. 1..1 CodeableConcept 申報處理的優先順序，長照申報一般填入 normal。
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
Claim.fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
Claim.related 0..* BackboneElement Prior or corollary claims
Claim.related.id 0..1 string Unique id for inter-element referencing
Claim.related.extension 0..* Extension Additional content defined by implementations
Claim.related.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.related.claim 0..1 Reference(Claim) Reference to the related claim
Claim.related.relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Claim.related.reference 0..1 Identifier File or case reference
Claim.prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
Claim.originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
Claim.payee 0..1 BackboneElement Recipient of benefits payable
Claim.payee.id 0..1 string Unique id for inter-element referencing
Claim.payee.extension 0..* Extension Additional content defined by implementations
Claim.payee.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.payee.type 1..1 CodeableConcept Category of recipient
Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
Claim.payee.party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
Claim.referral 0..1 Reference(ServiceRequest) Treatment referral
Claim.facility 0..1 Reference(Location) Servicing facility
Claim.careTeam This element must be supported. 0..* BackboneElement 提供服務的照顧服務員
Claim.careTeam.id 0..1 string Unique id for inter-element referencing
Claim.careTeam.extension 0..* Extension Additional content defined by implementations
Claim.careTeam.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.careTeam.sequence This element must be supported. 1..1 positiveInt 照顧服務員的序號。[應依序填入 1 至 5 的整數]
Claim.careTeam.provider This element must be supported. 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) 照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Claim.careTeam.responsible 0..1 boolean Indicator of the lead practitioner
Claim.careTeam.role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
Claim.careTeam.qualification 0..1 CodeableConcept Practitioner credential or specialization
Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Claim.Slices for supportingInfo This element must be supported. 0..* BackboneElement 服務紀錄的補充資料，應依申報的照顧組合代碼填寫。
Slice: Unordered, Open by pattern:category

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Claim.Slices for supportingInfo.supportingInfo:All Slices Content/Rules for all slices
Claim.Slices for supportingInfo.supportingInfo:All Slices.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:All Slices.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:All Slices.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:All Slices.category 1..1 CodeableConcept 補充資料的類別。[應填入支付審查服務紀錄補充資訊類別代碼]
Binding: 支付審查－服務紀錄補充資訊類別 (extensible)
Claim.Slices for supportingInfo.supportingInfo:All Slices.code 0..1 CodeableConcept 補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼]
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:All Slices.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x] 0..1 Data to be provided
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueBoolean boolean
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueString string
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueQuantity Quantity
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueAttachment Attachment
Claim.Slices for supportingInfo.supportingInfo:All Slices.value[x].valueReference Reference(Resource)
Claim.Slices for supportingInfo.supportingInfo:All Slices.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcItem This element must be supported. 0..* BackboneElement 服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcItem.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcItem.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcItem.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItem.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItem.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItem"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItem.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務項目 (required)
Claim.Slices for supportingInfo.supportingInfo:svcItem.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcItem.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcItem.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcItem.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcItemOther This element must be supported. 0..1 BackboneElement 其他服務項目的說明，服務項目選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcItemOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcItemOther.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcPeople This element must be supported. 0..* BackboneElement 服務對象，申報 AA00 時必填。[可填入以下代碼，可複選：1 服務使用者 | 2 家庭照顧者]
Claim.Slices for supportingInfo.supportingInfo:svcPeople.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcPeople.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcPeople.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPeople.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPeople.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPeople"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPeople.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務對象 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPeople.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcPeople.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcPeople.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcPeople.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcContent This element must be supported. 0..1 BackboneElement 服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcContent.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcContent.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcContent.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcContent.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcContent.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcContent.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcContent.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcPoint This element must be supported. 0..* BackboneElement 服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
Claim.Slices for supportingInfo.supportingInfo:svcPoint.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcPoint.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcPoint.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPoint.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPoint.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPoint"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPoint.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－服務重點 (required)
Claim.Slices for supportingInfo.supportingInfo:svcPoint.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcPoint.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcPoint.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcPoint.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcPointOther This element must be supported. 0..1 BackboneElement 其他服務重點的說明，服務重點選擇「9 其他」時填寫。[應在 valueString 填入最長 255 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcPointOther"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcPointOther.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcTrace This element must be supported. 0..1 BackboneElement 服務適應情形與後續協助，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcTrace.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcTrace.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcTrace.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcTrace.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcTrace.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcTrace"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcTrace.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcTrace.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcTrace.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcTrace.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcTrace.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcTrace.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcGoal This element must be supported. 0..1 BackboneElement 各項服務與整體照顧計畫的目標達成情形，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcGoal.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcGoal.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcGoal.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcGoal.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcGoal.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcGoal.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcGoal.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcSuitable This element must be supported. 0..1 BackboneElement 照顧計畫是否合適及需求變動的說明，申報 AA00 時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcSuitable"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcSuitable.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svcUnit This element must be supported. 0..1 BackboneElement 提供專業服務的 C 單位代碼，申報 AA03 時必填。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svcUnit.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svcUnit.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svcUnit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svcUnit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svcUnit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svcUnit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svcUnit.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svcUnit.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svcUnit.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svcUnit.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svcUnit.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svcUnit.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccGoalType This element must be supported. 0..1 BackboneElement 復能目標達成情形，申報 C 碼時填寫。[應填入 1 至 5 其中一個代碼]
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoalType"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－專業服務復能目標達成情形 (required)
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccGoalType.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccGoal This element must be supported. 0..1 BackboneElement 專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccGoal.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccGoal.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccGoal.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccGoal.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccGoal.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccGoal"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccGoal.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccGoal.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccGoal.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccGoal.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccGoal.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccGoal.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget This element must be supported. 0..1 BackboneElement 接受專業服務指導的對象，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContentTarget"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContentTarget.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccContent This element must be supported. 0..1 BackboneElement 專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccContent.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccContent.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccContent.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccContent.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccContent.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccContent"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccContent.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccContent.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccContent.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccContent.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccContent.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccContent.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:svccSuggest This element must be supported. 0..1 BackboneElement 專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "svccSuggest"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:svccSuggest.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:addrFrom This element must be supported. 0..1 BackboneElement 接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrFrom.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:addrFrom.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:addrFrom.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrFrom.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrFrom.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrFrom"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrFrom.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:addrFrom.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:addrFrom.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:addrFrom.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:addrFrom.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrFrom.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:addrTo This element must be supported. 0..1 BackboneElement 接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
Claim.Slices for supportingInfo.supportingInfo:addrTo.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:addrTo.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:addrTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:addrTo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:addrTo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "addrTo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:addrTo.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:addrTo.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:addrTo.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:addrTo.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:addrTo.value[x] This element must be supported. 1..1 Reference(長照支付審查－交通接送起訖地) Data to be provided
Claim.Slices for supportingInfo.supportingInfo:addrTo.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:carNo This element must be supported. 0..1 BackboneElement 接送車輛的車牌號碼，申報 BD03、DA01 時必填。[應在 valueString 填入最長 10 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:carNo.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:carNo.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:carNo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:carNo.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:carNo.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "carNo"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:carNo.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:carNo.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:carNo.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:carNo.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:carNo.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:carNo.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:driver This element must be supported. 0..1 BackboneElement 接送駕駛員的姓名，申報 BD03、DA01 時填寫。[應在 valueString 填入最長 20 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:driver.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:driver.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:driver.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:driver.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:driver.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "driver"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:driver.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:driver.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:driver.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:driver.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:driver.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:driver.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:milage This element must be supported. 0..1 BackboneElement 接送里程數，申報 BD03、DA01 時必填。[應在 valueQuantity 填入里程數與單位，建議單位為公里（km）]
Claim.Slices for supportingInfo.supportingInfo:milage.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:milage.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:milage.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:milage.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:milage.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "milage"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:milage.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:milage.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:milage.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:milage.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:milage.value[x] This element must be supported. 1..1 Quantity Data to be provided
Claim.Slices for supportingInfo.supportingInfo:milage.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:bd03Type This element must be supported. 0..1 BackboneElement BD03 接送服務的使用類型，申報 BD03 時必填，預設為 1。[應填入以下代碼之一：1 社區式長照機構 | 2 社區服務據點（不含身障類）| 3 輔具中心 | 4 身障日間照顧服務]
Claim.Slices for supportingInfo.supportingInfo:bd03Type.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:bd03Type.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:bd03Type.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:bd03Type.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:bd03Type.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "bd03Type"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:bd03Type.code This element must be supported. 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)
Claim.Slices for supportingInfo.supportingInfo:bd03Type.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:bd03Type.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:bd03Type.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:bd03Type.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:lastSvc This element must be supported. 0..1 BackboneElement 是否於個案臨終當天提供照顧，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:lastSvc.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:lastSvc.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:lastSvc.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:lastSvc.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:lastSvc.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "lastSvc"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:lastSvc.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:lastSvc.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:lastSvc.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:lastSvc.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:lastSvc.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:lastSvc.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:missedVisit This element must be supported. 0..1 BackboneElement 訪視或服務時是否未遇到個案，預設為 false。[應填入以下布林值之一：true 未遇到 | false 正常訪視或服務]
Claim.Slices for supportingInfo.supportingInfo:missedVisit.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:missedVisit.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:missedVisit.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:missedVisit.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:missedVisit.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "missedVisit"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:missedVisit.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:missedVisit.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:missedVisit.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:missedVisit.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:missedVisit.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:missedVisit.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:applyCovid19 This element must be supported. 0..1 BackboneElement 是否陪同接種 COVID-19 疫苗，僅供 BA13、BA13a 申報，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyCovid19"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyCovid19.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:applyAA03 This element must be supported. 0..1 BackboneElement 是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA03.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:applyAA03.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:applyAA03.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA03.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA03.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA03"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA03.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:applyAA03.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:applyAA03.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:applyAA03.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:applyAA03.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA03.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:applyAA09 This element must be supported. 0..1 BackboneElement 是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
Claim.Slices for supportingInfo.supportingInfo:applyAA09.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:applyAA09.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:applyAA09.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:applyAA09.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:applyAA09.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "applyAA09"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:applyAA09.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:applyAA09.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:applyAA09.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:applyAA09.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:applyAA09.value[x] This element must be supported. 1..1 boolean Data to be provided
Claim.Slices for supportingInfo.supportingInfo:applyAA09.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:aa10Status This element must be supported. 0..1 BackboneElement AA10 申報狀態，預設為 0。[應填入以下代碼之一：0 未申報 | 1 申請待確認 | 2 確認為非緊急服務 | 3 確認為緊急服務]
Claim.Slices for supportingInfo.supportingInfo:aa10Status.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:aa10Status.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:aa10Status.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:aa10Status.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:aa10Status.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "aa10Status"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:aa10Status.code This element must be supported. 1..1 CodeableConcept Type of information
Binding: 支付審查－AA10 申報狀態 (required)
Claim.Slices for supportingInfo.supportingInfo:aa10Status.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:aa10Status.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:aa10Status.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:aa10Status.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.Slices for supportingInfo.supportingInfo:remark This element must be supported. 0..1 BackboneElement 服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
Claim.Slices for supportingInfo.supportingInfo:remark.id 0..1 string Unique id for inter-element referencing
Claim.Slices for supportingInfo.supportingInfo:remark.extension 0..* Extension Additional content defined by implementations
Claim.Slices for supportingInfo.supportingInfo:remark.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.Slices for supportingInfo.supportingInfo:remark.sequence 1..1 positiveInt Information instance identifier
Claim.Slices for supportingInfo.supportingInfo:remark.category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
      "code" : "remark"
    }
  ]
}
Claim.Slices for supportingInfo.supportingInfo:remark.code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x] 0..1 When it occurred
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingDate date
Claim.Slices for supportingInfo.supportingInfo:remark.timing[x].timingPeriod Period
Claim.Slices for supportingInfo.supportingInfo:remark.value[x] This element must be supported. 1..1 string Data to be provided
Claim.Slices for supportingInfo.supportingInfo:remark.reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
Claim.diagnosis 0..* BackboneElement Pertinent diagnosis information
Claim.diagnosis.id 0..1 string Unique id for inter-element referencing
Claim.diagnosis.extension 0..* Extension Additional content defined by implementations
Claim.diagnosis.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.diagnosis.sequence 1..1 positiveInt Diagnosis instance identifier
Claim.diagnosis.diagnosis[x] 1..1 Nature of illness or problem
Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
Claim.diagnosis.diagnosis[x].diagnosisCodeableConcept CodeableConcept
Claim.diagnosis.diagnosis[x].diagnosisReference Reference(Condition)
Claim.diagnosis.type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
Claim.diagnosis.onAdmission 0..1 CodeableConcept Present on admission
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
Claim.diagnosis.packageCode 0..1 CodeableConcept Package billing code
Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
Claim.procedure 0..* BackboneElement Clinical procedures performed
Claim.procedure.id 0..1 string Unique id for inter-element referencing
Claim.procedure.extension 0..* Extension Additional content defined by implementations
Claim.procedure.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.procedure.sequence 1..1 positiveInt Procedure instance identifier
Claim.procedure.type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
Claim.procedure.date 0..1 dateTime When the procedure was performed
Claim.procedure.procedure[x] 1..1 Specific clinical procedure
Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
Claim.procedure.procedure[x].procedureCodeableConcept CodeableConcept
Claim.procedure.procedure[x].procedureReference Reference(Procedure)
Claim.procedure.udi 0..* Reference(Device) Unique device identifier
Claim.insurance This element must be supported. This element is included in summaries. 1..* BackboneElement 長照給付來源，至少應填寫一筆。
Claim.insurance.id 0..1 string Unique id for inter-element referencing
Claim.insurance.extension 0..* Extension Additional content defined by implementations
Claim.insurance.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.insurance.sequence This element is included in summaries. 1..1 positiveInt Insurance instance identifier
Claim.insurance.focal This element is included in summaries. 1..1 boolean Coverage to be used for adjudication
Claim.insurance.identifier 0..1 Identifier Pre-assigned Claim number
Claim.insurance.coverage This element is included in summaries. 1..1 Reference(Coverage) Insurance information
Claim.insurance.businessArrangement 0..1 string Additional provider contract number
Claim.insurance.preAuthRef 0..* string Prior authorization reference number
Claim.insurance.claimResponse 0..1 Reference(ClaimResponse) Adjudication results
Claim.accident 0..1 BackboneElement Details of the event
Claim.accident.id 0..1 string Unique id for inter-element referencing
Claim.accident.extension 0..* Extension Additional content defined by implementations
Claim.accident.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.accident.date 1..1 date When the incident occurred
Claim.accident.type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
Claim.accident.location[x] 0..1 Where the event occurred
Claim.accident.location[x].locationAddress Address
Claim.accident.location[x].locationReference Reference(Location)
Claim.item This element must be supported. 1..1 BackboneElement 個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
Claim.item.id 0..1 string Unique id for inter-element referencing
Claim.item.extension 0..* Extension Additional content defined by implementations
Claim.item.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.sequence 1..1 positiveInt 服務明細的序號。[應填入 1]
Claim.item.careTeamSequence 0..* positiveInt Applicable careTeam members
Claim.item.diagnosisSequence 0..* positiveInt Applicable diagnoses
Claim.item.procedureSequence 0..* positiveInt Applicable procedures
Claim.item.informationSequence 0..* positiveInt Applicable exception and supporting information
Claim.item.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.
Claim.item.category This element must be supported. 0..1 CodeableConcept 服務類別。[應填入以下代碼之一：1 補助 | 2 自費]
Binding: 支付審查－服務類別 (required)
Claim.item.productOrService This element must be supported. 1..1 CodeableConcept 照顧組合代碼，如為 A 單位個案管理服務，則填入 AA00。[應填入最長 10 個字元的代碼]
Binding: 臺灣長照服務項目 (extensible)
Claim.item.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.
Claim.item.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.serviced[x] This element must be supported. 1..1 Period 服務的開始與結束時間。[應填入 Period]
Claim.item.location[x] 0..1 Reference(長照支付審查－交通接送起訖地) 服務地點。[應填入對應 Location 的 Reference]
Claim.item.quantity This element must be supported. C 0..1 SimpleQuantity(4.0.1) 申報數量，申報各類服務時皆應填寫。[應填入 Quantity，value 為服務數量]
Constraints: sqty-1
Claim.item.unitPrice This element must be supported. 0..1 Money 服務單價，申報 BD03、DA01 時必填，其餘服務可選填。[應填入 Money，幣別為 TWD]
Claim.item.factor 0..1 decimal Price scaling factor
Claim.item.net This element must be supported. 0..1 Money 服務明細的小計金額，為單價乘以數量。[應填入 Money，幣別為 TWD]
Claim.item.udi 0..* Reference(Device) Unique device identifier
Claim.item.bodySite 0..1 CodeableConcept Anatomical location
Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
Claim.item.subSite 0..* CodeableConcept Anatomical sub-location
Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
Claim.item.encounter 0..* Reference(Encounter) Encounters related to this billed item
Claim.item.detail 0..* BackboneElement Product or service provided
Claim.item.detail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.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.
Claim.item.detail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.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.
Claim.item.detail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.factor 0..1 decimal Price scaling factor
Claim.item.detail.net 0..1 Money Total item cost
Claim.item.detail.udi 0..* Reference(Device) Unique device identifier
Claim.item.detail.subDetail 0..* BackboneElement Product or service provided
Claim.item.detail.subDetail.id 0..1 string Unique id for inter-element referencing
Claim.item.detail.subDetail.extension 0..* Extension Additional content defined by implementations
Claim.item.detail.subDetail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Claim.item.detail.subDetail.sequence 1..1 positiveInt Item instance identifier
Claim.item.detail.subDetail.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.
Claim.item.detail.subDetail.category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
Claim.item.detail.subDetail.productOrService 1..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
Claim.item.detail.subDetail.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.
Claim.item.detail.subDetail.programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
Claim.item.detail.subDetail.quantity C 0..1 SimpleQuantity(4.0.1) Count of products or services
Constraints: sqty-1
Claim.item.detail.subDetail.unitPrice 0..1 Money Fee, charge or cost per item
Claim.item.detail.subDetail.factor 0..1 decimal Price scaling factor
Claim.item.detail.subDetail.net 0..1 Money Total item cost
Claim.item.detail.subDetail.udi 0..* Reference(Device) Unique device identifier
Claim.total This element must be supported. 0..1 Money 本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]

doco 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 📦1.1.0 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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItem.​code Base required 支付審查－服務項目 📦1.1.0 This IG
Claim.supportingInfo:svcItem.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcItemOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPeople.​code Base required 支付審查－服務對象 📦1.1.0 This IG
Claim.supportingInfo:svcPeople.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcContent.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPoint.​code Base required 支付審查－服務重點 📦1.1.0 This IG
Claim.supportingInfo:svcPoint.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svcPointOther.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoalType.​code Base required 支付審查－專業服務復能目標達成情形 📦1.1.0 This IG
Claim.supportingInfo:svccGoalType.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:svccGoal.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 📦1.1.0 This IG
Claim.supportingInfo:bd03Type.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:lastSvc.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 example Claim Information Category Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:aa10Status.​code Base required 支付審查－AA10 申報狀態 📦1.1.0 This IG
Claim.supportingInfo:aa10Status.​reason Base example Missing Tooth Reason Codes 📍4.0.1 FHIR Std.
Claim.supportingInfo:remark.​category Base example Claim Information Category Codes 📍4.0.1 FHIR Std.
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 v7.5
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 📦1.1.0 This IG
Claim.item.productOrService Base extensible 臺灣長照服務項目 📦1.1.0 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，應填寫里程數與車號。 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。 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、服務對象與服務內容。 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，應填寫服務項目與提供專業服務單位。 item.productOrService.coding.where(code = 'AA03').exists() implies (supportingInfo.category.coding.where(code = 'svcItem').exists() and supportingInfo.category.coding.where(code = 'svcUnit').exists())
sqty-1 error Claim.item.quantity, Claim.item.detail.quantity, Claim.item.detail.subDetail.quantity The comparator is not used on a SimpleQuantity comparator.empty()

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:

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

 

Other representations of profile: CSV, Excel, Schematron