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

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

Resource Profile: 長照支付審查－個案服務紀錄申報

此 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:

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

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	申報資料的識別碼 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼。[應填入 Identifier]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	服務紀錄識別碼。[應填入最長 20 個字元的字串] Example General: 123456
identifier:transNo	S	0..1	Identifier	交易序號。[應填入 Identifier]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	交易序號。[應填入最長 10 個字元的字串] Example General: 123456
identifier:yyyymm	S	0..1	Identifier	支審年月。[應填入 Identifier]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901] Example General: 123456
status	?!SΣ	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
type	SΣ	1..1	CodeableConcept	申報單的類別。[應填入 professional] Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	SΣ	1..1	code	申報單的用途。[應填入 claim] Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務的個案。[應填入對應 Patient 的 Reference]
created	SΣ	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]
insurer	SΣ	0..1	Reference(Organization)	受理審查的主管機關。[應填入對應 Organization 的 Reference]
provider	SΣ	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]
priority	Σ	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.
careTeam	S	0..*	BackboneElement	提供服務的照顧服務員
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員的序號。[應依序填入 1 至 5 的整數]
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Slices for supportingInfo	S	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
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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)
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.
supportingInfo:svcItem	S	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。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務項目 (required)
supportingInfo:svcItemOther	S	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象，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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務對象 (required)
supportingInfo:svcContent	S	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務重點 (required)
supportingInfo:svcPointOther	S	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務的 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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－專業服務復能目標達成情形 (required)
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	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）]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
supportingInfo:lastSvc	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否陪同接種 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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態，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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－AA10 申報狀態 (required)
supportingInfo:remark	S	0..1	BackboneElement	服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
insurance	SΣ	1..*	BackboneElement	長照給付來源，至少應填寫一筆。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
coverage	Σ	1..1	Reference(Coverage)	Insurance information
item	S	1..1	BackboneElement	個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細的序號。[應填入 1]
category	S	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)
productOrService	S	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)
serviced[x]	S	1..1	Period	服務的開始與結束時間。[應填入 Period]
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]
quantity	S	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]
unitPrice	S	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]
net	S	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]
total	S	0..1	Money	本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]
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	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:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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
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())

This structure is derived from Claim

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Slices for identifier	S	1..*	Identifier	申報資料的識別碼 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼。[應填入 Identifier]
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	S	1..1	string	服務紀錄識別碼。[應填入最長 20 個字元的字串]
identifier:transNo	S	0..1	Identifier	交易序號。[應填入 Identifier]
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	S	1..1	string	交易序號。[應填入最長 10 個字元的字串]
identifier:yyyymm	S	0..1	Identifier	支審年月。[應填入 Identifier]
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	S	1..1	string	支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
status	S	1..1	code	申報單的狀態。[應填入 active] Required Pattern: active
type	S	1..1	CodeableConcept	申報單的類別。[應填入 professional]
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	S	1..1	code	申報單的用途。[應填入 claim] Required Pattern: claim
patient	S	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]
created	S	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]
insurer	S	0..1	Reference(Organization)	受理審查的主管機關。[應填入對應 Organization 的 Reference]
provider	S	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]
priority		1..1	CodeableConcept	申報處理的優先順序，長照申報一般填入 normal。
careTeam	S	0..*	BackboneElement	提供服務的照顧服務員
sequence	S	1..1	positiveInt	照顧服務員的序號。[應依序填入 1 至 5 的整數]
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Slices for supportingInfo	S	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
supportingInfo:All Slices				Content/Rules for 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)
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]
supportingInfo:svcItem	S	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。
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務項目 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcItemOther	S	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象，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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務對象 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務重點 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcPointOther	S	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務的 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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－專業服務復能目標達成情形 (required)
value[x]		0..0		Data to be provided
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	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）]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
value[x]		0..0		Data to be provided
supportingInfo:lastSvc	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否陪同接種 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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態，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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－AA10 申報狀態 (required)
value[x]		0..0		Data to be provided
supportingInfo:remark	S	0..1	BackboneElement	服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
value[x]	S	1..1	string	Data to be provided
insurance	S	1..*	BackboneElement	長照給付來源，至少應填寫一筆。
item	S	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。
sequence		1..1	positiveInt	服務明細的序號。[應填入 1]
category	S	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)
productOrService	S	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)
serviced[x]	S	1..1	Period	服務的開始與結束時間。[應填入 Period]
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]
quantity	S	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]
unitPrice	S	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]
net	S	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]
total	S	0..1	Money	本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]
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())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	申報資料的識別碼 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼。[應填入 Identifier]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	服務紀錄識別碼。[應填入最長 20 個字元的字串] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:transNo	S	0..1	Identifier	交易序號。[應填入 Identifier]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	交易序號。[應填入最長 10 個字元的字串] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:yyyymm	S	0..1	Identifier	支審年月。[應填入 Identifier]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	申報單的狀態。[應填入 active] Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	SΣ	1..1	CodeableConcept	申報單的類別。[應填入 professional] Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subType		0..1	CodeableConcept	More granular claim type Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
use	SΣ	1..1	code	申報單的用途。[應填入 claim] Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務的個案。[應填入對應 Patient 的 Reference]
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
created	SΣ	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]
enterer		0..1	Reference(Practitioner | PractitionerRole)	Author of the claim
insurer	SΣ	0..1	Reference(Organization)	受理審查的主管機關。[應填入對應 Organization 的 Reference]
provider	SΣ	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]
priority	Σ	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.
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related		0..*	BackboneElement	Prior or corollary claims
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim		0..1	Reference(Claim)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
facility		0..1	Reference(Location)	Servicing facility
careTeam	S	0..*	BackboneElement	提供服務的照顧服務員
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員的序號。[應依序填入 1 至 5 的整數]
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification		0..1	CodeableConcept	Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Slices for supportingInfo	S	0..*	BackboneElement	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
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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)
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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務項目 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItemOther	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象，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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務對象 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務重點 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPointOther	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcTrace	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcSuitable	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務的 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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoalType	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－專業服務復能目標達成情形 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContentTarget	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrFrom	S	0..1	BackboneElement	接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrTo	S	0..1	BackboneElement	接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:carNo	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:driver	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:milage	S	0..1	BackboneElement	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）]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Quantity	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:bd03Type	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:lastSvc	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否陪同接種 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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態，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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－AA10 申報狀態 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:remark	S	0..1	BackboneElement	服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis		0..*	BackboneElement	Pertinent diagnosis information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Diagnosis instance identifier
diagnosis[x]		1..1		Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept			CodeableConcept
diagnosisReference			Reference(Condition)
type		0..*	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date		0..1	dateTime	When the procedure was performed
procedure[x]		1..1		Specific clinical procedure Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept			CodeableConcept
procedureReference			Reference(Procedure)
udi		0..*	Reference(Device)	Unique device identifier
insurance	SΣ	1..*	BackboneElement	長照給付來源，至少應填寫一筆。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	Σ	1..1	Reference(Coverage)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		1..1	date	When the incident occurred
type		0..1	CodeableConcept	The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
item	S	1..1	BackboneElement	個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細的序號。[應填入 1]
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category	S	0..1	CodeableConcept	服務類別。[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)
productOrService	S	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)
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x]	S	1..1	Period	服務的開始與結束時間。[應填入 Period]
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]
quantity	S	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]
unitPrice	S	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]
factor		0..1	decimal	Price scaling factor
net	S	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]
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..1	CodeableConcept	Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite		0..*	CodeableConcept	Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter		0..*	Reference(Encounter)	Encounters related to this billed item
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total	S	0..1	Money	本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]
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	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:svcItem.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcItemOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.1.0	This IG
Claim.supportingInfo:svcPeople.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.1.0	This IG
Claim.supportingInfo:svcPoint.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPointOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcTrace.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcSuitable.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcUnit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	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:svccGoalType.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContentTarget.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccSuggest.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrFrom.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrTo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:carNo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:driver.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:milage.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	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:bd03Type.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:lastSvc.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:missedVisit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyCovid19.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA03.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA09.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.1.0	This IG
Claim.supportingInfo:aa10Status.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:remark.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.diagnosis[x]	Base	example	ICD-10 Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.type	Base	example	Example Diagnosis Type Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.onAdmission	Base	example	Example Diagnosis on Admission Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.packageCode	Base	example	Example Diagnosis Related Group Codes	📍4.0.1	FHIR Std.
Claim.procedure.type	Base	example	Example Procedure Type Codes	📍4.0.1	FHIR Std.
Claim.procedure.procedure[x]	Base	example	ICD-10 Procedure Codes	📍4.0.1	FHIR Std.
Claim.accident.type	Base	extensible	ActIncidentCode	📦3.0.0	THO v7.4
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())

This structure is derived from Claim

Summary

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

Structures

This structure refers to these other structures:

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

Slices

This structure defines the following Slices:

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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	申報資料的識別碼 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼。[應填入 Identifier]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	服務紀錄識別碼。[應填入最長 20 個字元的字串] Example General: 123456
identifier:transNo	S	0..1	Identifier	交易序號。[應填入 Identifier]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	交易序號。[應填入最長 10 個字元的字串] Example General: 123456
identifier:yyyymm	S	0..1	Identifier	支審年月。[應填入 Identifier]
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901] Example General: 123456
status	?!SΣ	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
type	SΣ	1..1	CodeableConcept	申報單的類別。[應填入 professional] Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	SΣ	1..1	code	申報單的用途。[應填入 claim] Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務的個案。[應填入對應 Patient 的 Reference]
created	SΣ	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]
insurer	SΣ	0..1	Reference(Organization)	受理審查的主管機關。[應填入對應 Organization 的 Reference]
provider	SΣ	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]
priority	Σ	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.
careTeam	S	0..*	BackboneElement	提供服務的照顧服務員
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員的序號。[應依序填入 1 至 5 的整數]
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Slices for supportingInfo	S	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
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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)
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.
supportingInfo:svcItem	S	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。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務項目 (required)
supportingInfo:svcItemOther	S	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象，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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務對象 (required)
supportingInfo:svcContent	S	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務重點 (required)
supportingInfo:svcPointOther	S	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務的 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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－專業服務復能目標達成情形 (required)
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	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）]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
supportingInfo:lastSvc	S	0..1	BackboneElement	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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否陪同接種 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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態，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]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－AA10 申報狀態 (required)
supportingInfo:remark	S	0..1	BackboneElement	服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	string	Data to be provided
insurance	SΣ	1..*	BackboneElement	長照給付來源，至少應填寫一筆。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
coverage	Σ	1..1	Reference(Coverage)	Insurance information
item	S	1..1	BackboneElement	個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細的序號。[應填入 1]
category	S	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)
productOrService	S	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)
serviced[x]	S	1..1	Period	服務的開始與結束時間。[應填入 Period]
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]
quantity	S	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]
unitPrice	S	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]
net	S	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]
total	S	0..1	Money	本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]
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	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:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦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
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())

Differential View

This structure is derived from Claim

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
Slices for identifier	S	1..*	Identifier	申報資料的識別碼 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼。[應填入 Identifier]
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	S	1..1	string	服務紀錄識別碼。[應填入最長 20 個字元的字串]
identifier:transNo	S	0..1	Identifier	交易序號。[應填入 Identifier]
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	S	1..1	string	交易序號。[應填入最長 10 個字元的字串]
identifier:yyyymm	S	0..1	Identifier	支審年月。[應填入 Identifier]
system	S	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	S	1..1	string	支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901]
status	S	1..1	code	申報單的狀態。[應填入 active] Required Pattern: active
type	S	1..1	CodeableConcept	申報單的類別。[應填入 professional]
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
use	S	1..1	code	申報單的用途。[應填入 claim] Required Pattern: claim
patient	S	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]
created	S	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]
insurer	S	0..1	Reference(Organization)	受理審查的主管機關。[應填入對應 Organization 的 Reference]
provider	S	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]
priority		1..1	CodeableConcept	申報處理的優先順序，長照申報一般填入 normal。
careTeam	S	0..*	BackboneElement	提供服務的照顧服務員
sequence	S	1..1	positiveInt	照顧服務員的序號。[應依序填入 1 至 5 的整數]
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
Slices for supportingInfo	S	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
supportingInfo:All Slices				Content/Rules for 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)
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]
supportingInfo:svcItem	S	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。
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務項目 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcItemOther	S	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象，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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務對象 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務重點 (required)
value[x]		0..0		Data to be provided
supportingInfo:svcPointOther	S	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcTrace	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcSuitable	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
value[x]	S	1..1	string	Data to be provided
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務的 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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccGoalType	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－專業服務復能目標達成情形 (required)
value[x]		0..0		Data to be provided
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContentTarget	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
value[x]	S	1..1	string	Data to be provided
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
value[x]	S	1..1	string	Data to be provided
supportingInfo:addrFrom	S	0..1	BackboneElement	接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:addrTo	S	0..1	BackboneElement	接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
supportingInfo:carNo	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
value[x]	S	1..1	string	Data to be provided
supportingInfo:driver	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
value[x]	S	1..1	string	Data to be provided
supportingInfo:milage	S	0..1	BackboneElement	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）]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
value[x]	S	1..1	Quantity	Data to be provided
supportingInfo:bd03Type	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
value[x]		0..0		Data to be provided
supportingInfo:lastSvc	S	0..1	BackboneElement	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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否陪同接種 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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
value[x]	S	1..1	boolean	Data to be provided
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態，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]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－AA10 申報狀態 (required)
value[x]		0..0		Data to be provided
supportingInfo:remark	S	0..1	BackboneElement	服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
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] Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
value[x]	S	1..1	string	Data to be provided
insurance	S	1..*	BackboneElement	長照給付來源，至少應填寫一筆。
item	S	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。
sequence		1..1	positiveInt	服務明細的序號。[應填入 1]
category	S	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)
productOrService	S	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)
serviced[x]	S	1..1	Period	服務的開始與結束時間。[應填入 Period]
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]
quantity	S	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]
unitPrice	S	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]
net	S	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]
total	S	0..1	Money	本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim	C	0..*	Claim	Claim, Pre-determination or Pre-authorization Constraints: ltc-feeaudit-1, ltc-feeaudit-2, ltc-feeaudit-3, ltc-feeaudit-4
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier	申報資料的識別碼 Slice: Unordered, Open by value:system
identifier:objid	S	1..1	Identifier	服務紀錄識別碼。[應填入 Identifier]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/objid
value	SΣ	1..1	string	服務紀錄識別碼。[應填入最長 20 個字元的字串] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:transNo	S	0..1	Identifier	交易序號。[應填入 Identifier]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no
value	SΣ	1..1	string	交易序號。[應填入最長 10 個字元的字串] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:yyyymm	S	0..1	Identifier	支審年月。[應填入 Identifier]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm
value	SΣ	1..1	string	支審年月。[應填入 6 碼西元年月，格式為 yyyyMM，例如 201901] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	申報單的狀態。[應填入 active] Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Required Pattern: active
type	SΣ	1..1	CodeableConcept	申報單的類別。[應填入 professional] Binding: ClaimTypeCodes (extensible): The type or discipline-style of the claim.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/claim-type
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: professional
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subType		0..1	CodeableConcept	More granular claim type Binding: ExampleClaimSubTypeCodes (example): A more granular claim typecode.
use	SΣ	1..1	code	申報單的用途。[應填入 claim] Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: claim
patient	SΣ	1..1	Reference(長期照顧－住民基本資料)	接受服務的個案。[應填入對應 Patient 的 Reference]
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
created	SΣ	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]
enterer		0..1	Reference(Practitioner | PractitionerRole)	Author of the claim
insurer	SΣ	0..1	Reference(Organization)	受理審查的主管機關。[應填入對應 Organization 的 Reference]
provider	SΣ	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]
priority	Σ	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.
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: Funds Reservation Codes (example): For whom funds are to be reserved: (Patient, Provider, None).
related		0..*	BackboneElement	Prior or corollary claims
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim		0..1	Reference(Claim)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: Claim Payee Type Codes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
facility		0..1	Reference(Location)	Servicing facility
careTeam	S	0..*	BackboneElement	提供服務的照顧服務員
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	S	1..1	positiveInt	照顧服務員的序號。[應依序填入 1 至 5 的整數]
provider	S	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構)	照顧服務員或服務提供者。[應填入對應 Practitioner、PractitionerRole 或 Organization 的 Reference]
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
qualification		0..1	CodeableConcept	Practitioner credential or specialization Binding: ExampleProviderQualificationCodes (example): Provider professional qualifications.
Slices for supportingInfo	S	0..*	BackboneElement	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
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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)
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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItem	S	0..*	BackboneElement	服務項目，申報 AA00、AA03 時必填。如選擇其他，則續填服務項目的補充說明。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItem
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務項目 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcItemOther	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcItemOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPeople	S	0..*	BackboneElement	服務對象，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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPeople
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務對象 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcContent	S	0..1	BackboneElement	服務內容，申報 AA00 時必填。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPoint	S	0..*	BackboneElement	服務重點，申報 AA00 時填寫。如選擇其他，則續填服務重點的補充說明。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPoint
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－服務重點 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcPointOther	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcPointOther
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcTrace	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcTrace
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcGoal	S	0..1	BackboneElement	各項服務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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcSuitable	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcSuitable
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svcUnit	S	0..1	BackboneElement	提供專業服務的 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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svcUnit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoalType	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoalType
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－專業服務復能目標達成情形 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccGoal	S	0..1	BackboneElement	專業服務的復能目標，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccGoal
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContentTarget	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContentTarget
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccContent	S	0..1	BackboneElement	專業服務的內容，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccContent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:svccSuggest	S	0..1	BackboneElement	專業服務的指導與建議，申報 C 碼時填寫。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: svccSuggest
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrFrom	S	0..1	BackboneElement	接送的出發地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrFrom
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:addrTo	S	0..1	BackboneElement	接送的目的地，申報 BD03、DA01 時填寫。[應在 valueReference 填入對應 Location 的 Reference]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: addrTo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Reference(長照支付審查－交通接送起訖地)	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:carNo	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: carNo
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:driver	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: driver
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:milage	S	0..1	BackboneElement	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）]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: milage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	Quantity	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:bd03Type	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: bd03Type
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－社區式服務交通接送服務使用類型 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:lastSvc	S	0..1	BackboneElement	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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: lastSvc
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:missedVisit	S	0..1	BackboneElement	訪視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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: missedVisit
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyCovid19	S	0..1	BackboneElement	是否陪同接種 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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyCovid19
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA03	S	0..1	BackboneElement	是否申報 AA03，預設為 false。[應填入以下布林值之一：true 是 | false 否]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA03
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:applyAA09	S	0..1	BackboneElement	是否申報 AA09，預設為 true。[應填入以下布林值之一：true 是 | false 否]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: applyAA09
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:aa10Status	S	0..1	BackboneElement	AA10 申報狀態，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]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: aa10Status
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	補充資料的代碼。[應依資料類別填入對應 Slice 值集的代碼] Binding: 支付審查－AA10 申報狀態 (required)
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:remark	S	0..1	BackboneElement	服務紀錄的備註。[應在 valueString 填入最長 4000 個字元的字串]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	補充資料的類別。[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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: remark
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	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.
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]	S	1..1	string	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis		0..*	BackboneElement	Pertinent diagnosis information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Diagnosis instance identifier
diagnosis[x]		1..1		Nature of illness or problem Binding: ICD-10Codes (example): Example ICD10 Diagnostic codes.
diagnosisCodeableConcept			CodeableConcept
diagnosisReference			Reference(Condition)
type		0..*	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
packageCode		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example): The DRG codes associated with the diagnosis.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date		0..1	dateTime	When the procedure was performed
procedure[x]		1..1		Specific clinical procedure Binding: ICD-10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept			CodeableConcept
procedureReference			Reference(Procedure)
udi		0..*	Reference(Device)	Unique device identifier
insurance	SΣ	1..*	BackboneElement	長照給付來源，至少應填寫一筆。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	Σ	1..1	Reference(Coverage)	Insurance information
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date		1..1	date	When the incident occurred
type		0..1	CodeableConcept	The nature of the accident Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
item	S	1..1	BackboneElement	個案服務紀錄的內容，每筆服務紀錄應填寫一筆服務明細。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	服務明細的序號。[應填入 1]
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category	S	0..1	CodeableConcept	服務類別。[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)
productOrService	S	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)
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x]	S	1..1	Period	服務的開始與結束時間。[應填入 Period]
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]
quantity	S	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]
unitPrice	S	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]
factor		0..1	decimal	Price scaling factor
net	S	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]
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..1	CodeableConcept	Anatomical location Binding: OralSiteCodes (example): The code for the teeth, quadrant, sextant and arch.
subSite		0..*	CodeableConcept	Anatomical sub-location Binding: SurfaceCodes (example): The code for the tooth surface and surface combinations.
encounter		0..*	Reference(Encounter)	Encounters related to this billed item
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		1..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
quantity		0..1	SimpleQuantity(4.0.1)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total	S	0..1	Money	本筆服務紀錄的申報金額。[應填入 Money，幣別為 TWD]
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	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:svcItem.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcItemOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcItemOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPeople.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPeople.​code	Base	required	支付審查－服務對象	📦1.1.0	This IG
Claim.supportingInfo:svcPeople.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPoint.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPoint.​code	Base	required	支付審查－服務重點	📦1.1.0	This IG
Claim.supportingInfo:svcPoint.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcPointOther.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcPointOther.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcTrace.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcTrace.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcSuitable.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcSuitable.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svcUnit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svcUnit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoalType.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	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:svccGoalType.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccGoal.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccGoal.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContentTarget.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContentTarget.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccContent.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccContent.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:svccSuggest.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:svccSuggest.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrFrom.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrFrom.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:addrTo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:addrTo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:carNo.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:carNo.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:driver.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:driver.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:milage.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:milage.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:bd03Type.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	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:bd03Type.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:lastSvc.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:lastSvc.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:missedVisit.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:missedVisit.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyCovid19.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyCovid19.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA03.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA03.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:applyAA09.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:applyAA09.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:aa10Status.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:aa10Status.​code	Base	required	支付審查－AA10 申報狀態	📦1.1.0	This IG
Claim.supportingInfo:aa10Status.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​category	Base	extensible	支付審查－服務紀錄補充資訊類別	📦1.1.0	This IG
Claim.supportingInfo:remark.​code	Base	example	Exception Codes	📍4.0.1	FHIR Std.
Claim.supportingInfo:remark.​reason	Base	example	Missing Tooth Reason Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.diagnosis[x]	Base	example	ICD-10 Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.type	Base	example	Example Diagnosis Type Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.onAdmission	Base	example	Example Diagnosis on Admission Codes	📍4.0.1	FHIR Std.
Claim.diagnosis.packageCode	Base	example	Example Diagnosis Related Group Codes	📍4.0.1	FHIR Std.
Claim.procedure.type	Base	example	Example Procedure Type Codes	📍4.0.1	FHIR Std.
Claim.procedure.procedure[x]	Base	example	ICD-10 Procedure Codes	📍4.0.1	FHIR Std.
Claim.accident.type	Base	extensible	ActIncidentCode	📦3.0.0	THO v7.4
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())

This structure is derived from Claim

Summary

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

Structures

This structure refers to these other structures:

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

Slices

This structure defines the following Slices:

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