FHIR IG analytics| Package | tw.cathay.fhir.iclaim |
| Resource Type | Bundle |
| Id | Bundle-Bundle-C3.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "Bundle-C3",
"meta": {
"profile": [
"https://claim.cgh.org.tw/iclaim/StructureDefinition/bundle-iclaim"
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},
"identifier": {
"system": "https://www.cgh.org.tw",
"value": "A0003"
},
"type": "document",
"timestamp": "2023-08-21T14:30:00+01:00",
"entry": [
{
"fullUrl": "https://claim.cgh.org.tw/iclaim/Composition/Composition-C3",
"resource": {
"resourceType": "Composition",
"id": "Composition-C3",
"meta": {
"profile": [
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"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>Composition</b></h3><p><b>文件識別碼</b>：A0003 (https://www.cgh.org.tw)</p><p><b>文件狀態</b>：Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/valueset-composition-status.html\">CompositionStatus</a>#final)</span></p><p><b>文件種類</b>：Charge ticket or encounter form <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#64291-8)</span></p><p><b>文件創建日期</b>：2023-08-21T14:30:00+08:00</p><p><b>文件創建單位</b>：<a href=\"Organization-Organization-min.html\">Organization/Organization-min</a> \"國泰醫療財團法人國泰綜合醫院\"</p><p><b>病人</b>：<a href=\"Patient-Patient-C3.html\">Patient/Patient-C3</a> \"玳健康\"</p><p><b>section.entry[iClaim]</b>：<a href=\"Claim-Claim-C3.html\">Claim/Claim-C3</a></p><p><b>section.entry[coverage]</b>：<a href=\"Coverage-Coverage-C3.html\">Coverage/Coverage-C3</a></p><p><b>section.entry[payor]</b>：<a href=\"Organization-Organization-cathay.html\">Organization/Organization-cathay</a></p></div>"
},
"identifier": {
"system": "https://www.cgh.org.tw",
"value": "A0003"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "64291-8"
}
]
},
"subject": {
"reference": "Patient/Patient-C3"
},
"date": "2023-08-21T14:30:00+08:00",
"author": [
{
"reference": "Organization/Organization-min"
}
],
"title": "理賠用收據-診斷證明-檢驗紀錄",
"section": [
{
"title": "理賠用收據-診斷證明-檢驗紀錄",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "64291-8"
}
]
},
"entry": [
{
"reference": "Claim/Claim-C3"
},
{
"reference": "Coverage/Coverage-C3"
},
{
"reference": "Organization/Organization-cathay"
}
]
}
]
}
},
{
"fullUrl": "https://claim.cgh.org.tw/iclaim/Claim/Claim-C3",
"resource": {
"resourceType": "Claim",
"id": "Claim-C3",
"meta": {
"profile": [
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},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>理賠申請書編號</b>：A0003 (https://www.cgh.org.tw)</p><p><b>理賠申請書狀態</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/codesystem-fm-status.html\">Financial Resource Status Codes</a>#active)</span></p><p><b>理賠申請書類別</b>: Institutional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#institutional)</span></p><p><b>理賠申請書用途</b>: Claim <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/codesystem-claim-use.html\">Use</a>#claim)</span></p><p><b>病人</b>： <a href=\"Patient-Patient-C3.html\">Patient/Patient-C3</a> \"康美女\"</p><p><b>理賠申請書日期</b>: 2023-08-12</p><p><b>醫院</b>： <a href=\"Organization-Organization-min.html\">Organization/Organization-min</a> \"國泰醫療財團法人國泰綜合醫院\"</p><p><b>處理優先順序</b>: Immediate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#stat)</span></p><p><b>保險</b>：</p><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>順序</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-Coverage-C3.html\">Coverage/Coverage-C3</a></td></tr></table></div>"
},
"identifier": [
{
"system": "https://www.cgh.org.tw",
"value": "A0003"
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],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "institutional"
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},
"use": "claim",
"patient": {
"reference": "Patient/Patient-C3"
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"created": "2023-08-12",
"provider": {
"reference": "Organization/Organization-min"
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"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "stat"
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]
},
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/Coverage-C3"
}
}
]
}
},
{
"fullUrl": "https://claim.cgh.org.tw/iclaim/Patient/Patient-C3",
"resource": {
"resourceType": "Patient",
"id": "Patient-C3",
"meta": {
"profile": [
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},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>病人基本資料</b></h3><blockquote><p><b>識別碼型別</b>：National Person Identifier <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#NNxxx <b>[extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix\">Identifier Suffix</a>]：</b>TWN）</span><br/><b>身分證字號（official）</b>P137786694 （http://www.moi.gov.tw）</p></blockquote><blockquote><p><b>識別碼型別</b>：Medical record number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：ADCM9527 （https://www.cgh.org.tw）</p></blockquote><p><b>姓名（official）</b>：玳健康</p><p><b>性別</b>：Male <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a>#male)</span></p><p><b>出生日期</b>：2002-02-22</p><p><b>職業[extension: <a href=\"StructureDefinition-cathay-occupation.html\">Occupation</a>]</b>：內勤人員 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-lia-roc-occupation-values.html\">Occupation</a>#00010010)</span></p><p><b>聯絡地址</b>：台北市北投區明德路365號<br/><b> 縣/市（district）</b>：台北市<br/><b> 鄉/鎮/市/區（city）</b>：北投區<br/><b> 路/街（line）</b>：明德路<br/><b> 號（number）</b>[extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number\">tw-number</a>]：365號<br/><b> 國家（country）</b>：臺灣<br/></p></div>"
},
"extension": [
{
"url": "https://claim.cgh.org.tw/iclaim/StructureDefinition/cathay-occupation",
"valueCodeableConcept": {
"coding": [
{
"system": "https://claim.cgh.org.tw/iclaim/CodeSystem/lia-roc-occupation-values",
"code": "00010010"
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]
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],
"identifier": [
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"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "NNxxx",
"_code": {
"extension": [
{
"extension": [
{
"url": "suffix",
"valueString": "TWN"
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{
"url": "valueSet",
"valueCanonical": "http://hl7.org/fhir/ValueSet/iso3166-1-3"
}
],
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix"
}
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},
"system": "http://www.moi.gov.tw",
"value": "P137786694"
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{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
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]
},
"system": "https://www.cgh.org.tw",
"value": "ADCM9527"
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],
"name": [
{
"use": "usual",
"text": "玳健康"
}
],
"gender": "male",
"birthDate": "2002-02-22",
"address": [
{
"extension": [
{
"url": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number",
"valueString": "365號"
}
],
"text": "台北市北投區明德路365號",
"line": [
"明德路"
],
"city": "北投區",
"district": "台北市",
"country": "TW"
}
]
}
},
{
"fullUrl": "https://claim.cgh.org.tw/iclaim/Organization/Organization-min",
"resource": {
"resourceType": "Organization",
"id": "Organization-min",
"meta": {
"profile": [
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},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫事機構基本資料</b></h3><p><b>機構名稱</b>：國泰醫療財團法人國泰綜合醫院</p><p><b>識別碼型別</b>：Provider number<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">IdentifierType</a>#PRN）</span><br/><b>機構代碼（official）</b>：1101020018 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>：Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#prov)</span></p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PRN"
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]
},
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw",
"value": "1101020018"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov"
}
]
}
],
"name": "國泰醫療財團法人國泰綜合醫院"
}
},
{
"fullUrl": "https://claim.cgh.org.tw/iclaim/Coverage/Coverage-C3",
"resource": {
"resourceType": "Coverage",
"id": "Coverage-C3",
"meta": {
"profile": [
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},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://hl7.org/fhir/R4/codesystem-fm-status.html\">FinancialResourceStatusCodes</a>#active ）</span></p><p><b>beneficiary</b>： <a href=\"Patient-Patient-C3.html\">Patient/Patient-C3</a> \"玳健康\"</p><p><b>payor</b>： <a href=\"Organization-Organization-cathay.html\">Organization/Organization-cathay</a> \"國泰人壽保險股份有限公司\"</p></div>"
},
"status": "active",
"beneficiary": {
"reference": "Patient/Patient-C3"
},
"payor": [
{
"reference": "Organization/Organization-cathay"
}
]
}
},
{
"fullUrl": "https://claim.cgh.org.tw/iclaim/Organization/Organization-cathay",
"resource": {
"resourceType": "Organization",
"id": "Organization-cathay",
"meta": {
"profile": [
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]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>公司行號基本資料</b></h3><p><b>機構名稱</b>：國泰人壽保險股份有限公司</p><p><b>識別碼型別</b>：Unified Business number<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203\">臺灣識別碼類型</a>#UBN）</span><br/><b>公司或企業統一編號（official）</b>：03374707 (https://gcis.nat.gov.tw)</p><p><b>機構種類</b>：Non-Healthcare Business or Corporation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#bus)</span></p></div>"
},
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203",
"code": "UBN"
}
]
},
"system": "https://gcis.nat.gov.tw",
"value": "03374707"
}
],
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "bus"
}
]
}
],
"name": "國泰人壽保險股份有限公司"
}
}
]
}