FHIR IG analytics| Package | tw.gov.mohw.nhi.pas |
| Resource Type | Bundle |
| Id | Bundle-bun-response.json |
| FHIR Version | R4 |
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FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "bun-response",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/pas/StructureDefinition/Bundle-response-twpas"
]
},
"type": "searchset",
"total": 1,
"link": [
{
"relation": "self",
"url": "https://twcore.mohw.gov.tw/fhir/ClaimResponse?request.patient.identifier=A123456789"
}
],
"entry": [
{
"fullUrl": "https://nhicore.nhi.gov.tw/pas/ClaimResponse/claim-response-example",
"resource": {
"resourceType": "ClaimResponse",
"id": "claim-response-example",
"meta": {
"profile": [
"https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClaimResponse-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%\"><a name=\"ClaimResponse_claim-response-example\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ClaimResponse-twpas.html\">事前審查結果-ClaimResponse TWPAS</a></p></div><p><b>狀態</b>：Active</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>關聯的事前審查</b>：<a href=\"Claim-cla-1.html\">Claim/cla-1</a></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>requestor</b>：<a href=\"Organization-org-hosp-example.html\">Organization 醫事機構</a></p><p><b>處置狀態</b>：Processing Complete</p><p><b>案件受理狀態</b>：審畢結果</p><blockquote><p><b>item</b></p><p><b>itemSequence</b>：1</p><h3>受理審查案件核定註記</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>類型</b></td><td><b>受理審查案件核定註記</b></td><td><b>核定數量</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></td><td>同意備查 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-approve-comment.html\">NHI-健保事前審查-核定註記</a>#1) </span>)</td><td>2</td></tr></table><h3>個別醫令核定註記</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>類型</b></td><td><b>Claim.item.sequence</b></td><td><b>個別醫令核定註記</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></td><td>1</td><td>同意備查 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-approve-comment.html\">NHI-健保事前審查-核定註記</a>#1) </span>)</td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/adjudication submitted}\">Submitted Amount</span></td><td>2</td><td>同意備查 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-approve-comment.html\">NHI-健保事前審查-核定註記</a>#1) </span>)</td></tr></table></blockquote></div>"
},
"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"
},
"requestor": {
"reference": "Organization/org-hosp-example"
},
"request": {
"reference": "Claim/cla-1"
},
"outcome": "complete",
"disposition": "審畢結果",
"item": [
{
"itemSequence": 1,
"adjudication": [
{
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted"
}
]
},
"reason": {
"coding": [
{
"system": "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-approve-comment",
"code": "1"
}
]
},
"value": 2
}
],
"detail": [
{
"detailSequence": 1,
"adjudication": [
{
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted"
}
]
},
"reason": {
"coding": [
{
"system": "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-approve-comment",
"code": "1"
}
]
}
}
]
},
{
"detailSequence": 2,
"adjudication": [
{
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/adjudication",
"code": "submitted"
}
]
},
"reason": {
"coding": [
{
"system": "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-approve-comment",
"code": "1"
}
]
}
}
]
}
]
}
]
},
"search": {
"mode": "match"
}
}
]
}