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

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

Resource Profile: 長照支付審查－申報檢核結果

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCOperationOutcomeFeeAudit Version: 1.1.0
Draft as of 2026-09-28 Computable Name: LTCOperationOutcomeFeeAudit

此 OperationOutcome 以衛生福利部支付審核系統的回覆資料為基礎，用以表述服務紀錄的檢核錯誤與申報處理結果。

用於回覆申報檢核錯誤、分案異常及服務紀錄刪除失敗的原因。每個問題分別填寫一筆 issue，包含嚴重程度、問題類型、錯誤代碼及原因。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome 申報檢核結果
... 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 發生問題的核銷案號。[應在 valueString 填入最長 30 個字元的字串]
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code 錯誤的嚴重程度，如檢核錯誤造成申報、分案或刪除失敗，則填入 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
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 1..1 CodeableConcept 檢核錯誤的代碼與原因
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... coding SΣ 1..1 Coding 檢核錯誤代碼。[應填入 Coding，code 為最長 5 個字元的支付審查錯誤代碼]
Binding: 支付審查－錯誤代碼 (extensible)
..... text SΣ 0..1 string 檢核錯誤原因。[應填入最長 200 個字元的字串]
.... diagnostics SΣ 0..1 string 錯誤的補充說明。[可填入完整錯誤訊息或批次處理結果]
.... expression SΣ 0..* string 發生錯誤的服務紀錄。[應填入包含實際服務紀錄識別碼的 FHIRPath 表達式]

doco 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 📦1.1.0 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome 申報檢核結果
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:caseNo S 0..1 string 發生問題的核銷案號。[應在 valueString 填入最長 30 個字元的字串]
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... issue S 1..* BackboneElement 檢核錯誤的內容，如有多筆錯誤，則可放入多個 issue。
.... severity S 1..1 code 錯誤的嚴重程度，如檢核錯誤造成申報、分案或刪除失敗，則填入 error。
.... code S 1..1 code FHIR 問題類型代碼
.... details S 1..1 CodeableConcept 檢核錯誤的代碼與原因
..... coding S 1..1 Coding 檢核錯誤代碼。[應填入 Coding，code 為最長 5 個字元的支付審查錯誤代碼]
Binding: 支付審查－錯誤代碼 (extensible)
..... text S 0..1 string 檢核錯誤原因。[應填入最長 200 個字元的字串]
.... diagnostics S 0..1 string 錯誤的補充說明。[可填入完整錯誤訊息或批次處理結果]
.... expression S 0..* string 發生錯誤的服務紀錄。[應填入包含實際服務紀錄識別碼的 FHIRPath 表達式]

doco 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 📦1.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome 申報檢核結果
... 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
... 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 發生問題的核銷案號。[應在 valueString 填入最長 30 個字元的字串]
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue SΣ 1..* BackboneElement 檢核錯誤的內容，如有多筆錯誤，則可放入多個 issue。
.... 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 錯誤的嚴重程度，如檢核錯誤造成申報、分案或刪除失敗，則填入 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
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 1..1 CodeableConcept 檢核錯誤的代碼與原因
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 檢核錯誤代碼。[應填入 Coding，code 為最長 5 個字元的支付審查錯誤代碼]
Binding: 支付審查－錯誤代碼 (extensible)
..... text SΣ 0..1 string 檢核錯誤原因。[應填入最長 200 個字元的字串]
.... diagnostics SΣ 0..1 string 錯誤的補充說明。[可填入完整錯誤訊息或批次處理結果]
.... location Σ 0..* string Deprecated: Path of element(s) related to issue
.... expression SΣ 0..* string 發生錯誤的服務紀錄。[應填入包含實際服務紀錄識別碼的 FHIRPath 表達式]

doco 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 📦1.1.0 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

Summary

Mandatory: 2 elements
Must-Support: 9 elements

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome 申報檢核結果
... 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 發生問題的核銷案號。[應在 valueString 填入最長 30 個字元的字串]
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity SΣ 1..1 code 錯誤的嚴重程度，如檢核錯誤造成申報、分案或刪除失敗，則填入 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
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 1..1 CodeableConcept 檢核錯誤的代碼與原因
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.
..... coding SΣ 1..1 Coding 檢核錯誤代碼。[應填入 Coding，code 為最長 5 個字元的支付審查錯誤代碼]
Binding: 支付審查－錯誤代碼 (extensible)
..... text SΣ 0..1 string 檢核錯誤原因。[應填入最長 200 個字元的字串]
.... diagnostics SΣ 0..1 string 錯誤的補充說明。[可填入完整錯誤訊息或批次處理結果]
.... expression SΣ 0..* string 發生錯誤的服務紀錄。[應填入包含實際服務紀錄識別碼的 FHIRPath 表達式]

doco 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 📦1.1.0 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome 申報檢核結果
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:caseNo S 0..1 string 發生問題的核銷案號。[應在 valueString 填入最長 30 個字元的字串]
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... issue S 1..* BackboneElement 檢核錯誤的內容，如有多筆錯誤，則可放入多個 issue。
.... severity S 1..1 code 錯誤的嚴重程度，如檢核錯誤造成申報、分案或刪除失敗，則填入 error。
.... code S 1..1 code FHIR 問題類型代碼
.... details S 1..1 CodeableConcept 檢核錯誤的代碼與原因
..... coding S 1..1 Coding 檢核錯誤代碼。[應填入 Coding，code 為最長 5 個字元的支付審查錯誤代碼]
Binding: 支付審查－錯誤代碼 (extensible)
..... text S 0..1 string 檢核錯誤原因。[應填入最長 200 個字元的字串]
.... diagnostics S 0..1 string 錯誤的補充說明。[可填入完整錯誤訊息或批次處理結果]
.... expression S 0..* string 發生錯誤的服務紀錄。[應填入包含實際服務紀錄識別碼的 FHIRPath 表達式]

doco 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 📦1.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. OperationOutcome 0..* OperationOutcome 申報檢核結果
... 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
... 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 發生問題的核銷案號。[應在 valueString 填入最長 30 個字元的字串]
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue SΣ 1..* BackboneElement 檢核錯誤的內容，如有多筆錯誤，則可放入多個 issue。
.... 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 錯誤的嚴重程度，如檢核錯誤造成申報、分案或刪除失敗，則填入 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
Binding: IssueType (required): A code that describes the type of issue.
.... details SΣ 1..1 CodeableConcept 檢核錯誤的代碼與原因
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 檢核錯誤代碼。[應填入 Coding，code 為最長 5 個字元的支付審查錯誤代碼]
Binding: 支付審查－錯誤代碼 (extensible)
..... text SΣ 0..1 string 檢核錯誤原因。[應填入最長 200 個字元的字串]
.... diagnostics SΣ 0..1 string 錯誤的補充說明。[可填入完整錯誤訊息或批次處理結果]
.... location Σ 0..* string Deprecated: Path of element(s) related to issue
.... expression SΣ 0..* string 發生錯誤的服務紀錄。[應填入包含實際服務紀錄識別碼的 FHIRPath 表達式]

doco 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 📦1.1.0 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

Summary

Mandatory: 2 elements
Must-Support: 9 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron