臺灣社政領域基礎實作指引
0.0.1 - ci-build

臺灣社政領域基礎實作指引, published by 衛生福利部社會及家庭署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/sfaassn2025-source/base/ and changes regularly. See the Directory of published versions

: 補助審核結果範例 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ClaimResponse/claimresponse-min> a fhir:ClaimResponse ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "claimresponse-min"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://sfaa.gov.tw/base/StructureDefinition/ClaimResponse-twss-base" ;
       fhir:index 0 ;
       fhir:link <https://sfaa.gov.tw/base/StructureDefinition/ClaimResponse-twss-base>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>補助審核或核付結果資料</b></h3><p><b>審核結果狀態</b>：Active</p><p><b>用途</b>：Claim</p><p><b>申請類型</b>：補助審核結果</p><p><b>個案</b>： <a href=\"Patient-pat-min.html\">Patient/pat-min</a> \"王小明\"</p><p><b>建立日</b>：2026-06-30</p><p><b>核付單位</b>： <a href=\"Organization-org-min.html\">Organization/org-min</a> \"社家署示範機構\"</p><p><b>申請人員</b>： <a href=\"PractitionerRole-pracrole-min.html\">PractitionerRole/pracrole-min</a> \"主責社工\"</p><p><b>對應申請</b>： <a href=\"Claim-claim-min.html\">Claim/claim-min</a> \"補助申請範例\"</p><p><b>結果</b>：Complete</p><p><b>審核結果</b>：通過</p><p><b>補助撥款狀況</b>：已出帳</p><p><b>補助月分</b>：6</p><p><b>結果說明</b>：核定通過</p><p><b>項目核定金額</b>：1000 TWD</p><p><b>補助資格</b>： <a href=\"Coverage-coverage-min.html\">Coverage/coverage-min</a> \"中低收入戶\"</p><p><b>處理備註</b>：審核日期：2026-06-30；審核結果：符合。</p><p><b>核定金額</b>：1000 TWD</p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "https://sfaa.gov.tw/base/StructureDefinition/twss-claim-review-status" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://sfaa.gov.tw/base/CodeSystem/twss-review-result" ] ;
         fhir:Coding.code [ fhir:value "Y" ] ;
         fhir:Coding.display [ fhir:value "通過" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "https://sfaa.gov.tw/base/StructureDefinition/twss-claim-payment-status" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://sfaa.gov.tw/base/CodeSystem/twss-payment-status" ] ;
         fhir:Coding.code [ fhir:value "1" ] ;
         fhir:Coding.display [ fhir:value "已出帳" ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Extension.url [ fhir:value "https://sfaa.gov.tw/base/StructureDefinition/twss-claim-subsidy-month" ] ;
     fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]
  ] ;
  fhir:ClaimResponse.status [ fhir:value "active"] ;
  fhir:ClaimResponse.type [
     fhir:CodeableConcept.text [ fhir:value "補助審核結果" ]
  ] ;
  fhir:ClaimResponse.use [ fhir:value "claim"] ;
  fhir:ClaimResponse.patient [
     fhir:link <http://hl7.org/fhir/Patient/pat-min> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-min" ]
  ] ;
  fhir:ClaimResponse.created [ fhir:value "2026-06-30"^^xsd:date] ;
  fhir:ClaimResponse.insurer [
     fhir:link <http://hl7.org/fhir/Organization/org-min> ;
     fhir:Reference.reference [ fhir:value "Organization/org-min" ]
  ] ;
  fhir:ClaimResponse.requestor [
     fhir:link <http://hl7.org/fhir/PractitionerRole/pracrole-min> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/pracrole-min" ]
  ] ;
  fhir:ClaimResponse.request [
     fhir:link <http://hl7.org/fhir/Claim/claim-min> ;
     fhir:Reference.reference [ fhir:value "Claim/claim-min" ]
  ] ;
  fhir:ClaimResponse.outcome [ fhir:value "complete"] ;
  fhir:ClaimResponse.disposition [ fhir:value "核定通過"] ;
  fhir:ClaimResponse.item [
     fhir:index 0 ;
     fhir:ClaimResponse.item.itemSequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:ClaimResponse.item.adjudication [
       fhir:index 0 ;
       fhir:ClaimResponse.item.adjudication.category [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "https://sfaa.gov.tw/base/CodeSystem/twss-claim-adjudication-category" ] ;
           fhir:Coding.code [ fhir:value "approved-amount" ] ;
           fhir:Coding.display [ fhir:value "核定補助金額" ]
         ]
       ] ;
       fhir:ClaimResponse.item.adjudication.amount [
         fhir:Money.value [ fhir:value "1000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "TWD" ]
       ]
     ]
  ] ;
  fhir:ClaimResponse.total [
     fhir:index 0 ;
     fhir:ClaimResponse.total.category [
       fhir:CodeableConcept.text [ fhir:value "核定金額" ]
     ] ;
     fhir:ClaimResponse.total.amount [
       fhir:Money.value [ fhir:value "1000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "TWD" ]
     ]
  ] ;
  fhir:ClaimResponse.processNote [
     fhir:index 0 ;
     fhir:ClaimResponse.processNote.number [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:ClaimResponse.processNote.type [ fhir:value "display" ] ;
     fhir:ClaimResponse.processNote.text [ fhir:value "已完成補助核定作業。" ]
  ] ;
  fhir:ClaimResponse.insurance [
     fhir:index 0 ;
     fhir:ClaimResponse.insurance.sequence [ fhir:value "1"^^xsd:positiveInteger ] ;
     fhir:ClaimResponse.insurance.focal [ fhir:value "true"^^xsd:boolean ] ;
     fhir:ClaimResponse.insurance.coverage [
       fhir:link <http://hl7.org/fhir/Coverage/coverage-min> ;
       fhir:Reference.reference [ fhir:value "Coverage/coverage-min" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/pat-min> a fhir:Patient .

<http://hl7.org/fhir/Organization/org-min> a fhir:Organization .

<http://hl7.org/fhir/PractitionerRole/pracrole-min> a fhir:PractitionerRole .

<http://hl7.org/fhir/Claim/claim-min> a fhir:Claim .

<http://hl7.org/fhir/Coverage/coverage-min> a fhir:Coverage .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ClaimResponse/claimresponse-min.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ClaimResponse/claimresponse-min.ttl> .