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

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

Logical Model: LTCFeeApplyModel - Mappings

Draft as of 2026-10-30

Mappings for the LTCFeeApplyModel logical model.

Mappings to Structures in this Implementation Guide

Name長照支付審查-服務記錄申報邏輯模型對應doco
LTCFeeApplyModel
LTCFeeApplyModel / applyInfo
Claim
申報資料整體對應至一次申報交易,於 FHIR 中以 LTCBundleFeeApply 打包多個 LTCClaimFeeApply
LTCFeeApplyModel / applyInfo / @id
LTCFeeApplyModel / applyInfo / extension
LTCFeeApplyModel / applyInfo / modifierExtension
LTCFeeApplyModel / applyInfo / writeoffYyyymm
//ltc-ig.fhir.tw/identifier/feeaudit/yyyymm').value
支審年月(yyyyMM),複寫於本批次內每一筆 Claim 之 identifier[yyyymm]
LTCFeeApplyModel / applyInfo / transNo
//ltc-ig.fhir.tw/identifier/feeaudit/trans-no').value
交易序號,落於 Bundle.identifier.value,並複寫於本批次內每一筆 Claim 之 identifier[transNo]
LTCFeeApplyModel / applyInfo / records
Claim
服務記錄筆數,為統計值;等於 LTCBundleFeeApply 中 entry[claim] 之筆數(Bundle.entry.resource.ofType(Claim).count()),本 IG 不另設欄位
LTCFeeApplyModel / applyInfo / amount
Claim.total
服務紀錄金額,為統計值;等於本批次內各 Claim.total.value 之合計,本 IG 不另設欄位
LTCFeeApplyModel / applyInfo / cases
Claim.patient
申請個案數,為統計值;等於本批次內不重複 Claim.patient 之數量,本 IG 不另設欄位
LTCFeeApplyModel / applyInfo / caseSvcRecords
Claim
每筆個案服務紀錄對應一個 LTCClaimFeeApply (Claim) 實例
LTCFeeApplyModel / applyInfo / caseSvcRecords / @id
LTCFeeApplyModel / applyInfo / caseSvcRecords / extension
LTCFeeApplyModel / applyInfo / caseSvcRecords / modifierExtension
LTCFeeApplyModel / applyInfo / caseSvcRecords / objid
//ltc-ig.fhir.tw/identifier/feeaudit/objid').value
服務紀錄唯一識別碼
LTCFeeApplyModel / applyInfo / caseSvcRecords / idn
Claim.patient
以 Reference(LTCPatient) 指向個案,個案身分證字號記錄於 Patient.identifier.value
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcDt
Claim.item.servicedPeriod.start
服務日期,與起始時段組成服務期間起點
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcEndDt
Claim.item.servicedPeriod.end
服務結束日期,空白時與服務日期同日
LTCFeeApplyModel / applyInfo / caseSvcRecords / govItemCd
Claim.item.productOrService
照顧組合代碼,取值自 VS_TW_LTC_ServiceItem;A 單位個案管理服務紀錄填 AA00
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcFeeTp
Claim.item.category
服務類別(1:補助、2:自費),取值自 VS_TW_LTC_FeeAuditFeeType
LTCFeeApplyModel / applyInfo / caseSvcRecords / price
LTCFeeApplyModel / applyInfo / caseSvcRecords / amount
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcUserNo1
Claim.careTeam.where(sequence=1).provider
照顧服務員1,以 Reference(Practitioner) 表示,身分證字號記錄於 Practitioner.identifier.value
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcUserNo2
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcUserNo3
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcUserNo4
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcUserNo5
LTCFeeApplyModel / applyInfo / caseSvcRecords / startHh
Claim.item.servicedPeriod.start
起始時段-小時,與服務日期組成服務期間起點時間
LTCFeeApplyModel / applyInfo / caseSvcRecords / startMm
Claim.item.servicedPeriod.start
起始時段-分鐘,與服務日期組成服務期間起點時間
LTCFeeApplyModel / applyInfo / caseSvcRecords / endHh
Claim.item.servicedPeriod.end
結束時段-小時,與服務結束日期組成服務期間終點時間
LTCFeeApplyModel / applyInfo / caseSvcRecords / endMm
Claim.item.servicedPeriod.end
結束時段-分鐘,與服務結束日期組成服務期間終點時間
LTCFeeApplyModel / applyInfo / caseSvcRecords / remark
Claim.supportingInfo.where(category.coding.code='remark').valueString
備註,supportingInfo.category 代碼為 remark
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcItem
Claim.supportingInfo.where(category.coding.code='svcItem').code
服務項目,為代碼型欄位,取值自 VS_TW_LTC_FeeAuditSvcItem;原始電文之複選(以「|」分隔)表達為多個同 category 之 supportingInfo 切片實例
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcItemOther
Claim.supportingInfo.where(category.coding.code='svcItemOther').valueString
服務項目-其他,supportingInfo.category 代碼為 svcItemOther
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcPeople
Claim.supportingInfo.where(category.coding.code='svcPeople').code
服務對象,為代碼型欄位,取值自 VS_TW_LTC_FeeAuditSvcPeople;複選時表達為多個切片實例
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcContent
Claim.supportingInfo.where(category.coding.code='svcContent').valueString
服務內容,supportingInfo.category 代碼為 svcContent
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcPoint
Claim.supportingInfo.where(category.coding.code='svcPoint').code
服務重點,為代碼型欄位,取值自 VS_TW_LTC_FeeAuditSvcPoint;複選時表達為多個切片實例
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcPointOther
Claim.supportingInfo.where(category.coding.code='svcPointOther').valueString
服務重點-其他,supportingInfo.category 代碼為 svcPointOther
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcTrace
Claim.supportingInfo.where(category.coding.code='svcTrace').valueString
追蹤服務適應與介入情形,supportingInfo.category 代碼為 svcTrace
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcGoal
Claim.supportingInfo.where(category.coding.code='svcGoal').valueString
各項服務目標及整體計畫目標達成情形,supportingInfo.category 代碼為 svcGoal
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcSuitable
Claim.supportingInfo.where(category.coding.code='svcSuitable').valueString
整體計畫的適切性及需求異動,supportingInfo.category 代碼為 svcSuitable
LTCFeeApplyModel / applyInfo / caseSvcRecords / svcUnit
Claim.supportingInfo.where(category.coding.code='svcUnit').valueString
提供專業服務單位,內容為 C 單位之單位代碼(長度 20),以字串承載;supportingInfo.category 代碼為 svcUnit
LTCFeeApplyModel / applyInfo / caseSvcRecords / svccGoalType
Claim.supportingInfo.where(category.coding.code='svccGoalType').code
專業服務復能目標達成情形,為代碼型欄位,取值自 VS_TW_LTC_FeeAuditSvccGoalType
LTCFeeApplyModel / applyInfo / caseSvcRecords / svccGoal
Claim.supportingInfo.where(category.coding.code='svccGoal').valueString
專業服務復能目標,supportingInfo.category 代碼為 svccGoal
LTCFeeApplyModel / applyInfo / caseSvcRecords / svccContentTarget
Claim.supportingInfo.where(category.coding.code='svccContentTarget').valueString
專業服務指導對象,supportingInfo.category 代碼為 svccContentTarget
LTCFeeApplyModel / applyInfo / caseSvcRecords / svccContent
Claim.supportingInfo.where(category.coding.code='svccContent').valueString
專業服務服務內容,supportingInfo.category 代碼為 svccContent
LTCFeeApplyModel / applyInfo / caseSvcRecords / svccSuggest
Claim.supportingInfo.where(category.coding.code='svccSuggest').valueString
專業服務指導建議摘要,supportingInfo.category 代碼為 svccSuggest
LTCFeeApplyModel / applyInfo / caseSvcRecords / addr1
Claim.supportingInfo.where(category.coding.code='addrFrom').valueReference
出發地,以 Reference(LTCLocationFeeAuditPlace) 表示,地點名稱或地址記錄於 Location.name/Location.address;supportingInfo.category 代碼為 addrFrom
LTCFeeApplyModel / applyInfo / caseSvcRecords / addr2
Claim.supportingInfo.where(category.coding.code='addrTo').valueReference
目的地,以 Reference(LTCLocationFeeAuditPlace) 表示,地點名稱或地址記錄於 Location.name/Location.address;supportingInfo.category 代碼為 addrTo
LTCFeeApplyModel / applyInfo / caseSvcRecords / addrlat1
Claim.supportingInfo.where(category.coding.code='addrFrom').valueReference
出發地-緯度,記錄於出發地 Location 之 position.latitude
LTCFeeApplyModel / applyInfo / caseSvcRecords / addrlng1
Claim.supportingInfo.where(category.coding.code='addrFrom').valueReference
出發地-經度,記錄於出發地 Location 之 position.longitude
LTCFeeApplyModel / applyInfo / caseSvcRecords / addrlat2
Claim.supportingInfo.where(category.coding.code='addrTo').valueReference
目的地-緯度,記錄於目的地 Location 之 position.latitude
LTCFeeApplyModel / applyInfo / caseSvcRecords / addrlng2
Claim.supportingInfo.where(category.coding.code='addrTo').valueReference
目的地-經度,記錄於目的地 Location 之 position.longitude
LTCFeeApplyModel / applyInfo / caseSvcRecords / milage
Claim.supportingInfo.where(category.coding.code='milage').valueQuantity
里程數,建議單位為公里(km);supportingInfo.category 代碼為 milage
LTCFeeApplyModel / applyInfo / caseSvcRecords / carNo
Claim.supportingInfo.where(category.coding.code='carNo').valueString
車號,supportingInfo.category 代碼為 carNo
LTCFeeApplyModel / applyInfo / caseSvcRecords / driver
Claim.supportingInfo.where(category.coding.code='driver').valueString
駕駛員,supportingInfo.category 代碼為 driver
LTCFeeApplyModel / applyInfo / caseSvcRecords / bd03Type
Claim.supportingInfo.where(category.coding.code='bd03Type').code
社區式服務交通接送服務使用類型,為代碼型欄位,取值自 VS_TW_LTC_FeeAuditBD03Type
LTCFeeApplyModel / applyInfo / caseSvcRecords / lastSvc
Claim.supportingInfo.where(category.coding.code='lastSvc').valueBoolean
臨終日照顧(Y 對應 true、N 對應 false),supportingInfo.category 代碼為 lastSvc
LTCFeeApplyModel / applyInfo / caseSvcRecords / missedVisit
Claim.supportingInfo.where(category.coding.code='missedVisit').valueBoolean
訪視/服務未遇(Y 對應 true、N 對應 false),supportingInfo.category 代碼為 missedVisit
LTCFeeApplyModel / applyInfo / caseSvcRecords / applyCovid19
Claim.supportingInfo.where(category.coding.code='applyCovid19').valueBoolean
是否為陪同施打 COVID-19 疫苗(Y 對應 true、N 對應 false),supportingInfo.category 代碼為 applyCovid19
LTCFeeApplyModel / applyInfo / caseSvcRecords / applyAa03
Claim.supportingInfo.where(category.coding.code='applyAA03').valueBoolean
是否申報 AA03(Y 對應 true、N 對應 false),supportingInfo.category 代碼為 applyAA03(大小寫須完全相符,該代碼系統為 case sensitive)
LTCFeeApplyModel / applyInfo / caseSvcRecords / applyAa09
Claim.supportingInfo.where(category.coding.code='applyAA09').valueBoolean
是否申報 AA09(Y 對應 true、N 對應 false),supportingInfo.category 代碼為 applyAA09(大小寫須完全相符)
LTCFeeApplyModel / applyInfo / caseSvcRecords / aa10Status
Claim.supportingInfo.where(category.coding.code='aa10Status').code
AA10 申報狀態,為代碼型欄位,取值自 VS_TW_LTC_FeeAuditAA10Status

doco Documentation for this format

Mappings to other Structures

No Mappings Found

Other Mappings

No Mappings Found