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
<ClaimResponse xmlns="http://hl7.org/fhir">
<id value="claimresponse-min"/>
<meta>
<profile
value="https://sfaa.gov.tw/base/StructureDefinition/ClaimResponse-twss-base"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="https://sfaa.gov.tw/base/StructureDefinition/twss-claim-review-status">
<valueCodeableConcept>
<coding>
<system
value="https://sfaa.gov.tw/base/CodeSystem/twss-review-result"/>
<code value="Y"/>
<display value="通過"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://sfaa.gov.tw/base/StructureDefinition/twss-claim-payment-status">
<valueCodeableConcept>
<coding>
<system
value="https://sfaa.gov.tw/base/CodeSystem/twss-payment-status"/>
<code value="1"/>
<display value="已出帳"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://sfaa.gov.tw/base/StructureDefinition/twss-claim-subsidy-month">
<valueInteger value="6"/>
</extension>
<status value="active"/>
<type>
<text value="補助審核結果"/>
</type>
<use value="claim"/>
<patient>🔗
<reference value="Patient/pat-min"/>
</patient>
<created value="2026-06-30"/>
<insurer>🔗
<reference value="Organization/org-min"/>
</insurer>
<requestor>🔗
<reference value="PractitionerRole/pracrole-min"/>
</requestor>
<request>🔗
<reference value="Claim/claim-min"/>
</request>
<outcome value="complete"/>
<disposition value="核定通過"/>
<item>
<itemSequence value="1"/>
<adjudication>
<category>
<coding>
<system
value="https://sfaa.gov.tw/base/CodeSystem/twss-claim-adjudication-category"/>
<code value="approved-amount"/>
<display value="核定補助金額"/>
</coding>
</category>
<amount>
<value value="1000"/>
<currency value="TWD"/>
</amount>
</adjudication>
</item>
<total>
<category>
<text value="核定金額"/>
</category>
<amount>
<value value="1000"/>
<currency value="TWD"/>
</amount>
</total>
<processNote>
<number value="1"/>
<type value="display"/>
<text value="已完成補助核定作業。"/>
</processNote>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>🔗
<reference value="Coverage/coverage-min"/>
</coverage>
</insurance>
</ClaimResponse>