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Packagetw.gov.mohw.twss.base
Resource TypeClaimResponse
IdClaimResponse-claimresponse-min.json
FHIR VersionR4

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Narrative

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

補助審核或核付結果資料

審核結果狀態：Active

用途：Claim

申請類型：補助審核結果

個案： Patient/pat-min "王小明"

建立日：2026-06-30

核付單位： Organization/org-min "社家署示範機構"

申請人員： PractitionerRole/pracrole-min "主責社工"

對應申請： Claim/claim-min "補助申請範例"

結果：Complete

審核結果：通過

補助撥款狀況：已出帳

補助月分：6

結果說明：核定通過

項目核定金額：1000 TWD

補助資格： Coverage/coverage-min "中低收入戶"

處理備註：審核日期：2026-06-30；審核結果：符合。

核定金額：1000 TWD

Source1

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