臺灣健保事前審查實作指引
1.2.3 - ci-build

臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

: 自主審查 - JSON Representation

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{
  "resourceType" : "ClaimResponse",
  "id" : "self-assessment-example",
  "meta" : {
    "profile" : [
      🔗 "https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClaimResponse-self-assessment-twpas"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ClaimResponse-self-assessment-twpas.html\">自主審查-ClaimResponse Self Assessment TWPAS</a></p></div><p><b>狀態</b>：Active</p><p><b>審查委員身分證號</b>：F123456789（http://www.moi.gov.tw）、A123456789（http://www.moi.gov.tw）</p><p><b>類型</b>：<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>用途</b>：Preauthorization</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>核定日期</b>：2024-07-30</p><p><b>保險商</b>：<a href=\"Organization-org-nhi.html\">Organization 衛生福利部中央健康保險署</a></p><p><b>處置狀態</b>：Processing Complete</p></div>"
  },
  "extension" : [
    {
      "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor",
      "valueIdentifier" : {
        "system" : "http://www.moi.gov.tw",
        "value" : "F123456789"
      }
    },
    {
      "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor",
      "valueIdentifier" : {
        "system" : "http://www.moi.gov.tw",
        "value" : "A123456789"
      }
    }
  ],
  "status" : "active",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "code" : "institutional"
      }
    ]
  },
  "use" : "preauthorization",
  "patient" : {
    🔗 "reference" : "Patient/pat-min"
  },
  "created" : "2024-07-30",
  "insurer" : {
    🔗 "reference" : "Organization/org-nhi"
  },
  "outcome" : "complete"
}