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Packagetw.gov.mohw.nhi.pas
Resource TypeClaimResponse
IdClaimResponse-self-assessment-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

狀態：Active

審查委員身分證號：F123456789（http://www.moi.gov.tw）、A123456789（http://www.moi.gov.tw）

類型：Institutional

用途：Preauthorization

病人：Patient/pat-min

核定日期：2024-07-30

保險商：Organization 衛生福利部中央健康保險署

處置狀態：Processing Complete

item

itemSequence：1

Adjudications

-類型核定註記審查結果數量
*Submitted Amount同意備查5

Source1

{
  "resourceType": "ClaimResponse",
  "id": "self-assessment-example",
  "meta": {
    "profile": [
      "https://nhicore.nhi.gov.tw/pas/StructureDefinition/ClaimResponse-self-assessment-twpas"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor",
      "valueIdentifier": {
        "system": "http://www.moi.gov.tw",
        "value": "F123456789"
      }
    },
    {
      "url": "https://nhicore.nhi.gov.tw/pas/StructureDefinition/extension-claimResponse-requestor",
      "valueIdentifier": {
        "system": "http://www.moi.gov.tw",
        "value": "A123456789"
      }
    }
  ],
  "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"
  },
  "outcome": "complete",
  "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": 5
        }
      ]
    }
  ]
}