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: 長照支付審查－分案審核明細邏輯模型
| Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCFeeAuditDetailModel | Version: 1.1.0 | |||
| Draft as of 2026-10-30 | Computable Name: LTCFeeAuditDetailModel | |||
此邏輯模型以《衛生福利部 支付審核系統 API 規格說明書（照管平台）v2.2.1》「五、(查詢B)分案審核明細查詢」為基礎，用以描述分案審核明細查詢之傳送資料與回覆明細的資料結構與欄位準備指引。需先執行（查詢A）取得案件之核銷案號、核銷狀況與總表版次，當為新核銷案號或核銷狀況、總表版次有異動時，才執行（查詢B）取得該案件之明細資料。
Usages:
- This Logical Model is not used by any profiles in this Specification
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  LTCFeeAuditDetailModel |
0..* | Base | 長照支付審查－分案審核明細邏輯模型 | |
  queryInfo |
1..1 | BackboneElement | 查詢輸入資訊 | |
   @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| writeoffYyyymm |
1..1 | string | 支審年月 | |
| transNo |
1..1 | string | 交易序號 | |
| queryType |
1..1 | string | 查詢類別 | |
| cityCd |
1..1 | string | 縣市代碼 | |
 caseNo |
1..1 | string | 核銷案號 | |
 auditResult |
1..1 | BackboneElement | 分案審核明細 | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| caseNo |
1..1 | string | 核銷案號 | |
| records |
0..1 | integer | 服務記錄筆數 | |
| cases |
0..1 | integer | 個案數 | |
| amount |
0..1 | decimal | 申請核銷金額 | |
| auditMan |
0..1 | string | 承辦人員 | |
| auditReason |
0..1 | string | 承辦審核意見 | |
| docVer |
0..1 | string | 總表版次 | |
| verDt |
0..1 | string | 版次時間 | |
| approveCaseNum |
0..1 | integer | 核定個案數 | |
| approveRecordCount |
0..1 | integer | 核定服務記錄數 | |
| approveFee |
0..1 | decimal | 核定金額 | |
| aSvcFee |
0..1 | decimal | 政策鼓勵金額 | |
| tempPaymentStatus |
0..1 | string | 暫付申請狀態 | |
| tempPaymentFee |
0..1 | decimal | 分案暫付金額 | |
| tempPaymentDocUrl |
0..1 | url | 暫付總表下載路徑 | |
| caseSummaryNoticeUrl |
0..1 | url | 總表下載路徑 | |
| caseSvcListUrl |
0..1 | url | 清冊路徑 | |
| caseSvcListExcelUrl |
0..1 | url | 清冊 EXCEL 下載路徑 | |
| caseASvcListUrl |
0..1 | url | A 碼清冊路徑 | |
| caseASvcListExcelUrl |
0..1 | url | A 碼清冊 EXCEL 下載路徑 | |
| caseErrListUrl |
0..1 | url | 申請記錄不通過清冊路徑 | |
| caseErrListExcelUrl |
0..1 | url | 申請記錄不通過 EXCEL 清冊路徑 | |
| transNos |
0..* | string | 分案已處理之單號 | |
| incInAcc |
0..1 | decimal | 核增金額 | |
| incInReason |
0..1 | string | 核增原因 | |
| decInAcc |
0..1 | decimal | 核減金額 | |
| decInReason |
0..1 | string | 核減原因 | |
| approveRecords |
0..* | BackboneElement | 審核通過服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| price |
0..1 | decimal | 單價 | |
| copayment |
0..1 | decimal | 自付額 | |
| errRecords |
0..* | BackboneElement | 錯誤服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| errCode |
0..1 | string | 錯誤碼 | |
| errMessage |
0..1 | string | 錯誤原因 | |
| aSvcRecords |
0..* | BackboneElement | A 碼加成資料區 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| refSourceSystem |
0..1 | string | 審核通過服務記錄來源系統別 | |
| refObjid |
0..1 | string | 審核通過服務記錄識別碼 | |
| aGovItemCd |
0..1 | string | A 碼 | |
| price |
0..1 | decimal | 單價 | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LTCFeeAuditDetailModel |
0..* | Base | 長照支付審查－分案審核明細邏輯模型 | |
| queryInfo |
1..1 | BackboneElement | 查詢輸入資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| writeoffYyyymm |
1..1 | string | 支審年月 | |
| transNo |
1..1 | string | 交易序號 | |
| queryType |
1..1 | string | 查詢類別 | |
| cityCd |
1..1 | string | 縣市代碼 | |
| caseNo |
1..1 | string | 核銷案號 | |
| auditResult |
1..1 | BackboneElement | 分案審核明細 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| caseNo |
1..1 | string | 核銷案號 | |
| records |
0..1 | integer | 服務記錄筆數 | |
| cases |
0..1 | integer | 個案數 | |
| amount |
0..1 | decimal | 申請核銷金額 | |
| auditMan |
0..1 | string | 承辦人員 | |
| auditReason |
0..1 | string | 承辦審核意見 | |
| docVer |
0..1 | string | 總表版次 | |
| verDt |
0..1 | string | 版次時間 | |
| approveCaseNum |
0..1 | integer | 核定個案數 | |
| approveRecordCount |
0..1 | integer | 核定服務記錄數 | |
| approveFee |
0..1 | decimal | 核定金額 | |
| aSvcFee |
0..1 | decimal | 政策鼓勵金額 | |
| tempPaymentStatus |
0..1 | string | 暫付申請狀態 | |
| tempPaymentFee |
0..1 | decimal | 分案暫付金額 | |
| tempPaymentDocUrl |
0..1 | url | 暫付總表下載路徑 | |
| caseSummaryNoticeUrl |
0..1 | url | 總表下載路徑 | |
| caseSvcListUrl |
0..1 | url | 清冊路徑 | |
| caseSvcListExcelUrl |
0..1 | url | 清冊 EXCEL 下載路徑 | |
| caseASvcListUrl |
0..1 | url | A 碼清冊路徑 | |
| caseASvcListExcelUrl |
0..1 | url | A 碼清冊 EXCEL 下載路徑 | |
| caseErrListUrl |
0..1 | url | 申請記錄不通過清冊路徑 | |
| caseErrListExcelUrl |
0..1 | url | 申請記錄不通過 EXCEL 清冊路徑 | |
| transNos |
0..* | string | 分案已處理之單號 | |
| incInAcc |
0..1 | decimal | 核增金額 | |
| incInReason |
0..1 | string | 核增原因 | |
| decInAcc |
0..1 | decimal | 核減金額 | |
| decInReason |
0..1 | string | 核減原因 | |
| approveRecords |
0..* | BackboneElement | 審核通過服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| price |
0..1 | decimal | 單價 | |
| copayment |
0..1 | decimal | 自付額 | |
| errRecords |
0..* | BackboneElement | 錯誤服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| errCode |
0..1 | string | 錯誤碼 | |
| errMessage |
0..1 | string | 錯誤原因 | |
| aSvcRecords |
0..* | BackboneElement | A 碼加成資料區 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| refSourceSystem |
0..1 | string | 審核通過服務記錄來源系統別 | |
| refObjid |
0..1 | string | 審核通過服務記錄識別碼 | |
| aGovItemCd |
0..1 | string | A 碼 | |
| price |
0..1 | decimal | 單價 | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LTCFeeAuditDetailModel |
0..* | Base | 長照支付審查－分案審核明細邏輯模型 | |
| queryInfo |
1..1 | BackboneElement | 查詢輸入資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| writeoffYyyymm |
1..1 | string | 支審年月 | |
| transNo |
1..1 | string | 交易序號 | |
| queryType |
1..1 | string | 查詢類別 | |
| cityCd |
1..1 | string | 縣市代碼 | |
| caseNo |
1..1 | string | 核銷案號 | |
| auditResult |
1..1 | BackboneElement | 分案審核明細 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| caseNo |
1..1 | string | 核銷案號 | |
| records |
0..1 | integer | 服務記錄筆數 | |
| cases |
0..1 | integer | 個案數 | |
| amount |
0..1 | decimal | 申請核銷金額 | |
| auditMan |
0..1 | string | 承辦人員 | |
| auditReason |
0..1 | string | 承辦審核意見 | |
| docVer |
0..1 | string | 總表版次 | |
| verDt |
0..1 | string | 版次時間 | |
| approveCaseNum |
0..1 | integer | 核定個案數 | |
| approveRecordCount |
0..1 | integer | 核定服務記錄數 | |
| approveFee |
0..1 | decimal | 核定金額 | |
| aSvcFee |
0..1 | decimal | 政策鼓勵金額 | |
| tempPaymentStatus |
0..1 | string | 暫付申請狀態 | |
| tempPaymentFee |
0..1 | decimal | 分案暫付金額 | |
| tempPaymentDocUrl |
0..1 | url | 暫付總表下載路徑 | |
| caseSummaryNoticeUrl |
0..1 | url | 總表下載路徑 | |
| caseSvcListUrl |
0..1 | url | 清冊路徑 | |
| caseSvcListExcelUrl |
0..1 | url | 清冊 EXCEL 下載路徑 | |
| caseASvcListUrl |
0..1 | url | A 碼清冊路徑 | |
| caseASvcListExcelUrl |
0..1 | url | A 碼清冊 EXCEL 下載路徑 | |
| caseErrListUrl |
0..1 | url | 申請記錄不通過清冊路徑 | |
| caseErrListExcelUrl |
0..1 | url | 申請記錄不通過 EXCEL 清冊路徑 | |
| transNos |
0..* | string | 分案已處理之單號 | |
| incInAcc |
0..1 | decimal | 核增金額 | |
| incInReason |
0..1 | string | 核增原因 | |
| decInAcc |
0..1 | decimal | 核減金額 | |
| decInReason |
0..1 | string | 核減原因 | |
| approveRecords |
0..* | BackboneElement | 審核通過服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| price |
0..1 | decimal | 單價 | |
| copayment |
0..1 | decimal | 自付額 | |
| errRecords |
0..* | BackboneElement | 錯誤服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| errCode |
0..1 | string | 錯誤碼 | |
| errMessage |
0..1 | string | 錯誤原因 | |
| aSvcRecords |
0..* | BackboneElement | A 碼加成資料區 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| refSourceSystem |
0..1 | string | 審核通過服務記錄來源系統別 | |
| refObjid |
0..1 | string | 審核通過服務記錄識別碼 | |
| aGovItemCd |
0..1 | string | A 碼 | |
| price |
0..1 | decimal | 單價 | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Base
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| LTCFeeAuditDetailModel |
0..* | Base | 長照支付審查－分案審核明細邏輯模型 | |
| queryInfo |
1..1 | BackboneElement | 查詢輸入資訊 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| writeoffYyyymm |
1..1 | string | 支審年月 | |
| transNo |
1..1 | string | 交易序號 | |
| queryType |
1..1 | string | 查詢類別 | |
| cityCd |
1..1 | string | 縣市代碼 | |
| caseNo |
1..1 | string | 核銷案號 | |
| auditResult |
1..1 | BackboneElement | 分案審核明細 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| caseNo |
1..1 | string | 核銷案號 | |
| records |
0..1 | integer | 服務記錄筆數 | |
| cases |
0..1 | integer | 個案數 | |
| amount |
0..1 | decimal | 申請核銷金額 | |
| auditMan |
0..1 | string | 承辦人員 | |
| auditReason |
0..1 | string | 承辦審核意見 | |
| docVer |
0..1 | string | 總表版次 | |
| verDt |
0..1 | string | 版次時間 | |
| approveCaseNum |
0..1 | integer | 核定個案數 | |
| approveRecordCount |
0..1 | integer | 核定服務記錄數 | |
| approveFee |
0..1 | decimal | 核定金額 | |
| aSvcFee |
0..1 | decimal | 政策鼓勵金額 | |
| tempPaymentStatus |
0..1 | string | 暫付申請狀態 | |
| tempPaymentFee |
0..1 | decimal | 分案暫付金額 | |
| tempPaymentDocUrl |
0..1 | url | 暫付總表下載路徑 | |
| caseSummaryNoticeUrl |
0..1 | url | 總表下載路徑 | |
| caseSvcListUrl |
0..1 | url | 清冊路徑 | |
| caseSvcListExcelUrl |
0..1 | url | 清冊 EXCEL 下載路徑 | |
| caseASvcListUrl |
0..1 | url | A 碼清冊路徑 | |
| caseASvcListExcelUrl |
0..1 | url | A 碼清冊 EXCEL 下載路徑 | |
| caseErrListUrl |
0..1 | url | 申請記錄不通過清冊路徑 | |
| caseErrListExcelUrl |
0..1 | url | 申請記錄不通過 EXCEL 清冊路徑 | |
| transNos |
0..* | string | 分案已處理之單號 | |
| incInAcc |
0..1 | decimal | 核增金額 | |
| incInReason |
0..1 | string | 核增原因 | |
| decInAcc |
0..1 | decimal | 核減金額 | |
| decInReason |
0..1 | string | 核減原因 | |
| approveRecords |
0..* | BackboneElement | 審核通過服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| price |
0..1 | decimal | 單價 | |
| copayment |
0..1 | decimal | 自付額 | |
| errRecords |
0..* | BackboneElement | 錯誤服務記錄 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| sourceSystem |
0..1 | string | 來源系統別 | |
| objid |
0..1 | string | 識別碼 | |
| transNo |
0..1 | string | 交易序號 | |
| errCode |
0..1 | string | 錯誤碼 | |
| errMessage |
0..1 | string | 錯誤原因 | |
| aSvcRecords |
0..* | BackboneElement | A 碼加成資料區 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| refSourceSystem |
0..1 | string | 審核通過服務記錄來源系統別 | |
| refObjid |
0..1 | string | 審核通過服務記錄識別碼 | |
| aGovItemCd |
0..1 | string | A 碼 | |
| price |
0..1 | decimal | 單價 | |
| Documentation for this format | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Base