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
Mappings for the ClaimResponse-twss-base resource profile.
| Name | Mapping to TWSSBase ClaimResponse |
 ClaimResponse |
|
  ClaimResponse / id |
|
  ClaimResponse / meta |
|
  ClaimResponse / implicitRules |
|
  ClaimResponse / language |
|
  ClaimResponse / text |
|
  ClaimResponse / contained |
|
  ClaimResponse / Slices for extension |
|
   ClaimResponse / Slices for extension / extension:paymentStatus |
|
   ClaimResponse / Slices for extension / extension:subsidyMonth |
|
   ClaimResponse / Slices for extension / extension:subsidyPeriod |
|
  ClaimResponse / modifierExtension |
|
  ClaimResponse / identifier |
|
  ClaimResponse / status |
|
  ClaimResponse / type |
|
  ClaimResponse / subType |
|
  ClaimResponse / use |
|
  ClaimResponse / patient |
|
  ClaimResponse / created |
|
  ClaimResponse / insurer |
|
  ClaimResponse / requestor |
|
  ClaimResponse / request |
|
  ClaimResponse / outcome |
|
  ClaimResponse / disposition |
|
  ClaimResponse / preAuthRef |
|
  ClaimResponse / preAuthPeriod |
|
   ClaimResponse / preAuthPeriod / id |
|
   ClaimResponse / preAuthPeriod / extension |
|
   ClaimResponse / preAuthPeriod / start |
|
   ClaimResponse / preAuthPeriod / end |
|
  ClaimResponse / payeeType |
|
  ClaimResponse / item |
|
   ClaimResponse / item / id |
|
   ClaimResponse / item / extension |
|
   ClaimResponse / item / modifierExtension |
|
   ClaimResponse / item / itemSequence |
|
   ClaimResponse / item / noteNumber |
|
   ClaimResponse / item / Slices for adjudication |
|
    ClaimResponse / item / Slices for adjudication / adjudication:All Slices |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / id |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / extension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / modifierExtension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / category |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / reason |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / amount |
|
     ClaimResponse / item / Slices for adjudication / adjudication:All Slices / value |
|
    ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / id |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / extension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / modifierExtension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / id |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / extension |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / system |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / version |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / code |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / display |
|
       ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / coding / userSelected |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / category / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / reason |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / reason / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / reason / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / reason / coding |
|
      ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / reason / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / amount |
|
     ClaimResponse / item / Slices for adjudication / adjudication:approvedBenefit / value |
|
    ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / id |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / extension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / modifierExtension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / id |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / extension |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / system |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / version |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / code |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / display |
|
       ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / coding / userSelected |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / category / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / reason |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / reason / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / reason / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / reason / coding |
|
      ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / reason / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / amount |
|
     ClaimResponse / item / Slices for adjudication / adjudication:eligibilityDenial / value |
|
    ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / id |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / extension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / modifierExtension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / id |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / extension |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / system |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / version |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / code |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / display |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / coding / userSelected |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / category / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / reason |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / reason / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / reason / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / reason / coding |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / reason / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / amount |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitTermination / value |
|
    ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / id |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / extension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / modifierExtension |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / id |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / extension |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / system |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / version |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / code |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / display |
|
       ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / coding / userSelected |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / category / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / reason |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / reason / id |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / reason / extension |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / reason / coding |
|
      ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / reason / text |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / amount |
|
     ClaimResponse / item / Slices for adjudication / adjudication:benefitSuspension / value |
|
   ClaimResponse / item / detail |
|
    ClaimResponse / item / detail / id |
|
    ClaimResponse / item / detail / extension |
|
    ClaimResponse / item / detail / modifierExtension |
|
    ClaimResponse / item / detail / detailSequence |
|
    ClaimResponse / item / detail / noteNumber |
|
    ClaimResponse / item / detail / adjudication |
|
    ClaimResponse / item / detail / subDetail |
|
     ClaimResponse / item / detail / subDetail / id |
|
     ClaimResponse / item / detail / subDetail / extension |
|
     ClaimResponse / item / detail / subDetail / modifierExtension |
|
     ClaimResponse / item / detail / subDetail / subDetailSequence |
|
     ClaimResponse / item / detail / subDetail / noteNumber |
|
     ClaimResponse / item / detail / subDetail / adjudication |
|
  ClaimResponse / addItem |
|
   ClaimResponse / addItem / id |
|
   ClaimResponse / addItem / extension |
|
   ClaimResponse / addItem / modifierExtension |
|
   ClaimResponse / addItem / itemSequence |
|
   ClaimResponse / addItem / detailSequence |
|
   ClaimResponse / addItem / subdetailSequence |
|
   ClaimResponse / addItem / provider |
|
   ClaimResponse / addItem / productOrService |
|
   ClaimResponse / addItem / modifier |
|
   ClaimResponse / addItem / programCode |
|
   ClaimResponse / addItem / serviced[x] |
|
   ClaimResponse / addItem / location[x] |
|
   ClaimResponse / addItem / quantity |
|
   ClaimResponse / addItem / unitPrice |
|
   ClaimResponse / addItem / factor |
|
   ClaimResponse / addItem / net |
|
   ClaimResponse / addItem / bodySite |
|
   ClaimResponse / addItem / subSite |
|
   ClaimResponse / addItem / noteNumber |
|
   ClaimResponse / addItem / adjudication |
|
   ClaimResponse / addItem / detail |
|
    ClaimResponse / addItem / detail / id |
|
    ClaimResponse / addItem / detail / extension |
|
    ClaimResponse / addItem / detail / modifierExtension |
|
    ClaimResponse / addItem / detail / productOrService |
|
    ClaimResponse / addItem / detail / modifier |
|
    ClaimResponse / addItem / detail / quantity |
|
    ClaimResponse / addItem / detail / unitPrice |
|
    ClaimResponse / addItem / detail / factor |
|
    ClaimResponse / addItem / detail / net |
|
    ClaimResponse / addItem / detail / noteNumber |
|
    ClaimResponse / addItem / detail / adjudication |
|
    ClaimResponse / addItem / detail / subDetail |
|
     ClaimResponse / addItem / detail / subDetail / id |
|
     ClaimResponse / addItem / detail / subDetail / extension |
|
     ClaimResponse / addItem / detail / subDetail / modifierExtension |
|
     ClaimResponse / addItem / detail / subDetail / productOrService |
|
     ClaimResponse / addItem / detail / subDetail / modifier |
|
     ClaimResponse / addItem / detail / subDetail / quantity |
|
     ClaimResponse / addItem / detail / subDetail / unitPrice |
|
     ClaimResponse / addItem / detail / subDetail / factor |
|
     ClaimResponse / addItem / detail / subDetail / net |
|
     ClaimResponse / addItem / detail / subDetail / noteNumber |
|
     ClaimResponse / addItem / detail / subDetail / adjudication |
|
  ClaimResponse / adjudication |
|
  ClaimResponse / total |
|
   ClaimResponse / total / id |
|
   ClaimResponse / total / extension |
|
   ClaimResponse / total / modifierExtension |
|
   ClaimResponse / total / category |
|
   ClaimResponse / total / amount |
|
  ClaimResponse / payment |
|
   ClaimResponse / payment / id |
|
   ClaimResponse / payment / extension |
|
   ClaimResponse / payment / modifierExtension |
|
   ClaimResponse / payment / type |
|
   ClaimResponse / payment / adjustment |
|
   ClaimResponse / payment / adjustmentReason |
|
   ClaimResponse / payment / date |
|
   ClaimResponse / payment / amount |
|
   ClaimResponse / payment / identifier |
|
  ClaimResponse / fundsReserve |
|
  ClaimResponse / formCode |
|
  ClaimResponse / form |
|
  ClaimResponse / processNote |
|
   ClaimResponse / processNote / id |
|
   ClaimResponse / processNote / extension |
|
   ClaimResponse / processNote / modifierExtension |
|
   ClaimResponse / processNote / number |
|
   ClaimResponse / processNote / type |
|
   ClaimResponse / processNote / text |
|
   ClaimResponse / processNote / language |
|
  ClaimResponse / communicationRequest |
|
  ClaimResponse / insurance |
|
   ClaimResponse / insurance / id |
|
   ClaimResponse / insurance / extension |
|
   ClaimResponse / insurance / modifierExtension |
|
   ClaimResponse / insurance / sequence |
|
   ClaimResponse / insurance / focal |
|
   ClaimResponse / insurance / coverage |
|
   ClaimResponse / insurance / businessArrangement |
|
   ClaimResponse / insurance / claimResponse |
|
  ClaimResponse / error |
|
   ClaimResponse / error / id |
|
   ClaimResponse / error / extension |
|
   ClaimResponse / error / modifierExtension |
|
   ClaimResponse / error / itemSequence |
|
   ClaimResponse / error / detailSequence |
|
   ClaimResponse / error / subDetailSequence |
|
   ClaimResponse / error / code |
|
Documentation for this format |