臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions
Resource Profile: 長照支付審查－申報檢核結果
| Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCOperationOutcomeFeeAudit | Version: 1.0.0 | |||
| Draft as of 2026-07-29 | Computable Name: LTCOperationOutcomeFeeAudit | |||
此 Profile 說明本 IG 如何進一步定義 FHIR 的 OperationOutcome Resource，以呈現衛生福利部支付審核系統（照管平台）回覆的服務紀錄檢核錯誤與 API 回覆結果代碼。適用情境包含：（1）「服務記錄申報」（FeeApply）之回覆明細中的錯誤服務記錄（err_record），每筆含識別碼（objid）與多筆錯誤訊息（err_info：err_code 錯誤碼、err_message 錯誤原因）；（2）「(查詢A) 申報結果查詢」回覆之分案異常資料（exception_records）與服務紀錄刪除失敗資料（delete_exception_records），其結構同為 objid、err_code、err_message；（3）API 交易層級之回覆結果代碼（rtncode）與回覆訊息（errmsg）。每一筆錯誤訊息（err_info）對應一個 OperationOutcome.issue。
Usages:
- Use this Profile: 長照支付審查－分案審核明細回覆打包 and 長照支付審查－分案審核狀態回覆打包
- Refer to this Profile: 長照支付審查－申報交易任務
- Examples for this Profile: OperationOutcome/ltc-operationoutcome-feeaudit-example, OperationOutcome/ltc-operationoutcome-feeaudit-exception-example, OperationOutcome/ltc-operationoutcome-feeaudit-objdel-2-example and OperationOutcome/ltc-operationoutcome-feeaudit-objdel-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.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  OperationOutcome |
0..* | OperationOutcome | 支付審核系統之申報檢核結果；API 交易層級之回覆結果代碼（rtncode）由 VS_TW_LTC_FeeAuditRtnCode（vs-tw-ltc-feeaudit-rtncode）表達，例：0 成功回傳、1 Request 輸入參數錯誤、40 查無資料、90 發生無法預期錯誤；本 Profile 之 issue 則表達個別服務紀錄之檢核錯誤（err_code／err_message） | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:caseNo |
S | 0..1 | string | 核銷案號（case_no，最長 30 碼）；OperationOutcome 無 identifier 元素，故沿用既有 Extension ExtTWLTCExportCaseNo（Ext-TW-LTC-Export-CaseNo）承載案件編號，該 Extension 之 ^context 已涵蓋 OperationOutcome，於本 Profile 中其語意為支付審核系統之核銷案號 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
  issue |
SΣ | 1..* | BackboneElement | 檢核錯誤項目；每一筆錯誤訊息（err_info／exception_records／delete_exception_records）對應一個 issue，同一筆服務紀錄有多筆錯誤時以多個 issue 表達 |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| severity |
SΣ | 1..1 | code | 錯誤嚴重程度；因檢核未通過而導致該筆服務紀錄申報、分案或刪除失敗者，使用 error Binding: IssueSeverity (required): How the issue affects the success of the action. |
| code |
SΣ | 1..1 | code | FHIR 問題類型代碼；欄位必填或長度／格式檢核（E1xxx、E2xxx）建議使用 required 或 value，資料查詢與寫入異常（E4xxx）建議使用 not-found 或 processing，審核規則與支付碼專屬檢核（E5xxx、EBA／EBC／ECB／EGA／EOT／ESC 系列）建議使用 business-rule Binding: IssueType (required): A code that describes the type of issue. |
| details |
SΣ | 1..1 | CodeableConcept | 錯誤內容，承載回覆明細之錯誤碼（err_code，最長 5 碼）與錯誤原因（err_message，最長 200 字） Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue. |
| coding |
SΣ | 1..1 | Coding | 錯誤碼（err_code），綁定支付審查錯誤代碼值集 VS_TW_LTC_FeeAuditErrorCode，例：E1001（服務紀錄識別碼不可空白）、E4015（單位已執行申報確認通知，不在受理新的服務紀錄申報）、E4032（此筆服務紀錄不存在） Binding: 支付審查－錯誤代碼 (extensible) |
 text |
SΣ | 0..1 | string | 錯誤原因（err_message）之顯示文字 |
| diagnostics |
SΣ | 0..1 | string | 錯誤原因原文或補充說明，可放回覆明細之 err_message 全文，或 API 層級之回覆訊息（errmsg）、批次處理結果（batch_proc_result）等敘述文字 |
| expression |
SΣ | 0..* | string | 指向出錯的服務紀錄識別碼（objid），即 err_record.objid、exception_records.objid 或 delete_exception_records.objid。表述時須將實際的 objid 值寫入條件，方能唯一指出是哪一筆服務紀錄，例：Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914')；僅寫出路徑而未帶入 objid 值者無法定位錯誤來源 |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| OperationOutcome.issue.severity | Base | required | IssueSeverity | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.code | Base | required | IssueType | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details | Base | example | Operation Outcome Codes | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details.coding | Base | extensible | 支付審查－錯誤代碼 | 📦1.0.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | OperationOutcome | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | OperationOutcome | 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 | OperationOutcome | 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 | OperationOutcome | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | OperationOutcome | 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()
|
This structure is derived from OperationOutcome
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| OperationOutcome |
0..* | OperationOutcome | 支付審核系統之申報檢核結果；API 交易層級之回覆結果代碼（rtncode）由 VS_TW_LTC_FeeAuditRtnCode（vs-tw-ltc-feeaudit-rtncode）表達，例：0 成功回傳、1 Request 輸入參數錯誤、40 查無資料、90 發生無法預期錯誤；本 Profile 之 issue 則表達個別服務紀錄之檢核錯誤（err_code／err_message） | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:caseNo |
S | 0..1 | string | 核銷案號（case_no，最長 30 碼）；OperationOutcome 無 identifier 元素，故沿用既有 Extension ExtTWLTCExportCaseNo（Ext-TW-LTC-Export-CaseNo）承載案件編號，該 Extension 之 ^context 已涵蓋 OperationOutcome，於本 Profile 中其語意為支付審核系統之核銷案號 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo |
 issue |
S | 1..* | BackboneElement | 檢核錯誤項目；每一筆錯誤訊息（err_info／exception_records／delete_exception_records）對應一個 issue，同一筆服務紀錄有多筆錯誤時以多個 issue 表達 |
| severity |
S | 1..1 | code | 錯誤嚴重程度；因檢核未通過而導致該筆服務紀錄申報、分案或刪除失敗者，使用 error |
| code |
S | 1..1 | code | FHIR 問題類型代碼；欄位必填或長度／格式檢核（E1xxx、E2xxx）建議使用 required 或 value，資料查詢與寫入異常（E4xxx）建議使用 not-found 或 processing，審核規則與支付碼專屬檢核（E5xxx、EBA／EBC／ECB／EGA／EOT／ESC 系列）建議使用 business-rule |
| details |
S | 1..1 | CodeableConcept | 錯誤內容，承載回覆明細之錯誤碼（err_code，最長 5 碼）與錯誤原因（err_message，最長 200 字） |
| coding |
S | 1..1 | Coding | 錯誤碼（err_code），綁定支付審查錯誤代碼值集 VS_TW_LTC_FeeAuditErrorCode，例：E1001（服務紀錄識別碼不可空白）、E4015（單位已執行申報確認通知，不在受理新的服務紀錄申報）、E4032（此筆服務紀錄不存在） Binding: 支付審查－錯誤代碼 (extensible) |
| text |
S | 0..1 | string | 錯誤原因（err_message）之顯示文字 |
| diagnostics |
S | 0..1 | string | 錯誤原因原文或補充說明，可放回覆明細之 err_message 全文，或 API 層級之回覆訊息（errmsg）、批次處理結果（batch_proc_result）等敘述文字 |
| expression |
S | 0..* | string | 指向出錯的服務紀錄識別碼（objid），即 err_record.objid、exception_records.objid 或 delete_exception_records.objid。表述時須將實際的 objid 值寫入條件，方能唯一指出是哪一筆服務紀錄，例：Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914')；僅寫出路徑而未帶入 objid 值者無法定位錯誤來源 |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| OperationOutcome.issue.details.coding | Base | extensible | 支付審查－錯誤代碼 | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| OperationOutcome |
0..* | OperationOutcome | 支付審核系統之申報檢核結果；API 交易層級之回覆結果代碼（rtncode）由 VS_TW_LTC_FeeAuditRtnCode（vs-tw-ltc-feeaudit-rtncode）表達，例：0 成功回傳、1 Request 輸入參數錯誤、40 查無資料、90 發生無法預期錯誤；本 Profile 之 issue 則表達個別服務紀錄之檢核錯誤（err_code／err_message） | |||||
| 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.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:caseNo |
S | 0..1 | string | 核銷案號（case_no，最長 30 碼）；OperationOutcome 無 identifier 元素，故沿用既有 Extension ExtTWLTCExportCaseNo（Ext-TW-LTC-Export-CaseNo）承載案件編號，該 Extension 之 ^context 已涵蓋 OperationOutcome，於本 Profile 中其語意為支付審核系統之核銷案號 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| issue |
SΣ | 1..* | BackboneElement | 檢核錯誤項目；每一筆錯誤訊息（err_info／exception_records／delete_exception_records）對應一個 issue，同一筆服務紀錄有多筆錯誤時以多個 issue 表達 | ||||
| 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 | ||||
| severity |
SΣ | 1..1 | code | 錯誤嚴重程度；因檢核未通過而導致該筆服務紀錄申報、分案或刪除失敗者，使用 error Binding: IssueSeverity (required): How the issue affects the success of the action. | ||||
| code |
SΣ | 1..1 | code | FHIR 問題類型代碼；欄位必填或長度／格式檢核（E1xxx、E2xxx）建議使用 required 或 value，資料查詢與寫入異常（E4xxx）建議使用 not-found 或 processing，審核規則與支付碼專屬檢核（E5xxx、EBA／EBC／ECB／EGA／EOT／ESC 系列）建議使用 business-rule Binding: IssueType (required): A code that describes the type of issue. | ||||
| details |
SΣ | 1..1 | CodeableConcept | 錯誤內容，承載回覆明細之錯誤碼（err_code，最長 5 碼）與錯誤原因（err_message，最長 200 字） Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue. | ||||
| 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 | 錯誤碼（err_code），綁定支付審查錯誤代碼值集 VS_TW_LTC_FeeAuditErrorCode，例：E1001（服務紀錄識別碼不可空白）、E4015（單位已執行申報確認通知，不在受理新的服務紀錄申報）、E4032（此筆服務紀錄不存在） Binding: 支付審查－錯誤代碼 (extensible) | ||||
| text |
SΣ | 0..1 | string | 錯誤原因（err_message）之顯示文字 | ||||
| diagnostics |
SΣ | 0..1 | string | 錯誤原因原文或補充說明，可放回覆明細之 err_message 全文，或 API 層級之回覆訊息（errmsg）、批次處理結果（batch_proc_result）等敘述文字 | ||||
| location |
Σ | 0..* | string | Deprecated: Path of element(s) related to issue | ||||
| expression |
SΣ | 0..* | string | 指向出錯的服務紀錄識別碼（objid），即 err_record.objid、exception_records.objid 或 delete_exception_records.objid。表述時須將實際的 objid 值寫入條件，方能唯一指出是哪一筆服務紀錄，例：Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914')；僅寫出路徑而未帶入 objid 值者無法定位錯誤來源 | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| OperationOutcome.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.severity | Base | required | IssueSeverity | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.code | Base | required | IssueType | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details | Base | example | Operation Outcome Codes | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details.coding | Base | extensible | 支付審查－錯誤代碼 | 📦1.0.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | OperationOutcome | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | OperationOutcome | 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 | OperationOutcome | 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 | OperationOutcome | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | OperationOutcome | 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()
|
This structure is derived from OperationOutcome
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| OperationOutcome |
0..* | OperationOutcome | 支付審核系統之申報檢核結果；API 交易層級之回覆結果代碼（rtncode）由 VS_TW_LTC_FeeAuditRtnCode（vs-tw-ltc-feeaudit-rtncode）表達，例：0 成功回傳、1 Request 輸入參數錯誤、40 查無資料、90 發生無法預期錯誤；本 Profile 之 issue 則表達個別服務紀錄之檢核錯誤（err_code／err_message） | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:caseNo |
S | 0..1 | string | 核銷案號（case_no，最長 30 碼）；OperationOutcome 無 identifier 元素，故沿用既有 Extension ExtTWLTCExportCaseNo（Ext-TW-LTC-Export-CaseNo）承載案件編號，該 Extension 之 ^context 已涵蓋 OperationOutcome，於本 Profile 中其語意為支付審核系統之核銷案號 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| issue |
SΣ | 1..* | BackboneElement | 檢核錯誤項目；每一筆錯誤訊息（err_info／exception_records／delete_exception_records）對應一個 issue，同一筆服務紀錄有多筆錯誤時以多個 issue 表達 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| severity |
SΣ | 1..1 | code | 錯誤嚴重程度；因檢核未通過而導致該筆服務紀錄申報、分案或刪除失敗者，使用 error Binding: IssueSeverity (required): How the issue affects the success of the action. |
| code |
SΣ | 1..1 | code | FHIR 問題類型代碼；欄位必填或長度／格式檢核（E1xxx、E2xxx）建議使用 required 或 value，資料查詢與寫入異常（E4xxx）建議使用 not-found 或 processing，審核規則與支付碼專屬檢核（E5xxx、EBA／EBC／ECB／EGA／EOT／ESC 系列）建議使用 business-rule Binding: IssueType (required): A code that describes the type of issue. |
| details |
SΣ | 1..1 | CodeableConcept | 錯誤內容，承載回覆明細之錯誤碼（err_code，最長 5 碼）與錯誤原因（err_message，最長 200 字） Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue. |
| coding |
SΣ | 1..1 | Coding | 錯誤碼（err_code），綁定支付審查錯誤代碼值集 VS_TW_LTC_FeeAuditErrorCode，例：E1001（服務紀錄識別碼不可空白）、E4015（單位已執行申報確認通知，不在受理新的服務紀錄申報）、E4032（此筆服務紀錄不存在） Binding: 支付審查－錯誤代碼 (extensible) |
| text |
SΣ | 0..1 | string | 錯誤原因（err_message）之顯示文字 |
| diagnostics |
SΣ | 0..1 | string | 錯誤原因原文或補充說明，可放回覆明細之 err_message 全文，或 API 層級之回覆訊息（errmsg）、批次處理結果（batch_proc_result）等敘述文字 |
| expression |
SΣ | 0..* | string | 指向出錯的服務紀錄識別碼（objid），即 err_record.objid、exception_records.objid 或 delete_exception_records.objid。表述時須將實際的 objid 值寫入條件，方能唯一指出是哪一筆服務紀錄，例：Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914')；僅寫出路徑而未帶入 objid 值者無法定位錯誤來源 |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| OperationOutcome.issue.severity | Base | required | IssueSeverity | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.code | Base | required | IssueType | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details | Base | example | Operation Outcome Codes | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details.coding | Base | extensible | 支付審查－錯誤代碼 | 📦1.0.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | OperationOutcome | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | OperationOutcome | 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 | OperationOutcome | 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 | OperationOutcome | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | OperationOutcome | 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()
|
Differential View
This structure is derived from OperationOutcome
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| OperationOutcome |
0..* | OperationOutcome | 支付審核系統之申報檢核結果；API 交易層級之回覆結果代碼（rtncode）由 VS_TW_LTC_FeeAuditRtnCode（vs-tw-ltc-feeaudit-rtncode）表達，例：0 成功回傳、1 Request 輸入參數錯誤、40 查無資料、90 發生無法預期錯誤；本 Profile 之 issue 則表達個別服務紀錄之檢核錯誤（err_code／err_message） | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:caseNo |
S | 0..1 | string | 核銷案號（case_no，最長 30 碼）；OperationOutcome 無 identifier 元素，故沿用既有 Extension ExtTWLTCExportCaseNo（Ext-TW-LTC-Export-CaseNo）承載案件編號，該 Extension 之 ^context 已涵蓋 OperationOutcome，於本 Profile 中其語意為支付審核系統之核銷案號 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo |
| issue |
S | 1..* | BackboneElement | 檢核錯誤項目；每一筆錯誤訊息（err_info／exception_records／delete_exception_records）對應一個 issue，同一筆服務紀錄有多筆錯誤時以多個 issue 表達 |
| severity |
S | 1..1 | code | 錯誤嚴重程度；因檢核未通過而導致該筆服務紀錄申報、分案或刪除失敗者，使用 error |
| code |
S | 1..1 | code | FHIR 問題類型代碼；欄位必填或長度／格式檢核（E1xxx、E2xxx）建議使用 required 或 value，資料查詢與寫入異常（E4xxx）建議使用 not-found 或 processing，審核規則與支付碼專屬檢核（E5xxx、EBA／EBC／ECB／EGA／EOT／ESC 系列）建議使用 business-rule |
| details |
S | 1..1 | CodeableConcept | 錯誤內容，承載回覆明細之錯誤碼（err_code，最長 5 碼）與錯誤原因（err_message，最長 200 字） |
| coding |
S | 1..1 | Coding | 錯誤碼（err_code），綁定支付審查錯誤代碼值集 VS_TW_LTC_FeeAuditErrorCode，例：E1001（服務紀錄識別碼不可空白）、E4015（單位已執行申報確認通知，不在受理新的服務紀錄申報）、E4032（此筆服務紀錄不存在） Binding: 支付審查－錯誤代碼 (extensible) |
| text |
S | 0..1 | string | 錯誤原因（err_message）之顯示文字 |
| diagnostics |
S | 0..1 | string | 錯誤原因原文或補充說明，可放回覆明細之 err_message 全文，或 API 層級之回覆訊息（errmsg）、批次處理結果（batch_proc_result）等敘述文字 |
| expression |
S | 0..* | string | 指向出錯的服務紀錄識別碼（objid），即 err_record.objid、exception_records.objid 或 delete_exception_records.objid。表述時須將實際的 objid 值寫入條件，方能唯一指出是哪一筆服務紀錄，例：Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914')；僅寫出路徑而未帶入 objid 值者無法定位錯誤來源 |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| OperationOutcome.issue.details.coding | Base | extensible | 支付審查－錯誤代碼 | 📦1.0.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| OperationOutcome |
0..* | OperationOutcome | 支付審核系統之申報檢核結果；API 交易層級之回覆結果代碼（rtncode）由 VS_TW_LTC_FeeAuditRtnCode（vs-tw-ltc-feeaudit-rtncode）表達，例：0 成功回傳、1 Request 輸入參數錯誤、40 查無資料、90 發生無法預期錯誤；本 Profile 之 issue 則表達個別服務紀錄之檢核錯誤（err_code／err_message） | |||||
| 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.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:caseNo |
S | 0..1 | string | 核銷案號（case_no，最長 30 碼）；OperationOutcome 無 identifier 元素，故沿用既有 Extension ExtTWLTCExportCaseNo（Ext-TW-LTC-Export-CaseNo）承載案件編號，該 Extension 之 ^context 已涵蓋 OperationOutcome，於本 Profile 中其語意為支付審核系統之核銷案號 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| issue |
SΣ | 1..* | BackboneElement | 檢核錯誤項目；每一筆錯誤訊息（err_info／exception_records／delete_exception_records）對應一個 issue，同一筆服務紀錄有多筆錯誤時以多個 issue 表達 | ||||
| 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 | ||||
| severity |
SΣ | 1..1 | code | 錯誤嚴重程度；因檢核未通過而導致該筆服務紀錄申報、分案或刪除失敗者，使用 error Binding: IssueSeverity (required): How the issue affects the success of the action. | ||||
| code |
SΣ | 1..1 | code | FHIR 問題類型代碼；欄位必填或長度／格式檢核（E1xxx、E2xxx）建議使用 required 或 value，資料查詢與寫入異常（E4xxx）建議使用 not-found 或 processing，審核規則與支付碼專屬檢核（E5xxx、EBA／EBC／ECB／EGA／EOT／ESC 系列）建議使用 business-rule Binding: IssueType (required): A code that describes the type of issue. | ||||
| details |
SΣ | 1..1 | CodeableConcept | 錯誤內容，承載回覆明細之錯誤碼（err_code，最長 5 碼）與錯誤原因（err_message，最長 200 字） Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue. | ||||
| 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 | 錯誤碼（err_code），綁定支付審查錯誤代碼值集 VS_TW_LTC_FeeAuditErrorCode，例：E1001（服務紀錄識別碼不可空白）、E4015（單位已執行申報確認通知，不在受理新的服務紀錄申報）、E4032（此筆服務紀錄不存在） Binding: 支付審查－錯誤代碼 (extensible) | ||||
| text |
SΣ | 0..1 | string | 錯誤原因（err_message）之顯示文字 | ||||
| diagnostics |
SΣ | 0..1 | string | 錯誤原因原文或補充說明，可放回覆明細之 err_message 全文，或 API 層級之回覆訊息（errmsg）、批次處理結果（batch_proc_result）等敘述文字 | ||||
| location |
Σ | 0..* | string | Deprecated: Path of element(s) related to issue | ||||
| expression |
SΣ | 0..* | string | 指向出錯的服務紀錄識別碼（objid），即 err_record.objid、exception_records.objid 或 delete_exception_records.objid。表述時須將實際的 objid 值寫入條件，方能唯一指出是哪一筆服務紀錄，例：Claim.identifier.where(system='http://ltc-ig.fhir.tw/identifier/feeaudit/objid' and value='882601914')；僅寫出路徑而未帶入 objid 值者無法定位錯誤來源 | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| OperationOutcome.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.severity | Base | required | IssueSeverity | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.code | Base | required | IssueType | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details | Base | example | Operation Outcome Codes | 📍4.0.1 | FHIR Std. |
| OperationOutcome.issue.details.coding | Base | extensible | 支付審查－錯誤代碼 | 📦1.0.0 | This IG |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | OperationOutcome | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | OperationOutcome | 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 | OperationOutcome | 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 | OperationOutcome | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | OperationOutcome | 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()
|
This structure is derived from OperationOutcome
Other representations of profile: CSV, Excel, Schematron