FHIRsmith: Claim/Claim-ltc-claim-export-dispatch-example.json

FHIR IG analytics

Package	tw.iii.ltc
Resource Type	Claim
Id	Claim-ltc-claim-export-dispatch-example.json
FHIR Version	R4

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

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

Generated Narrative: Claim ltc-claim-export-dispatch-example

Profile: 長照 SDK－照管全量匯出（Claim）

identifier: https://ltc-ig.fhir.tw/identifier/export/case-no/111307113, https://ltc-ig.fhir.tw/identifier/export/eva-id/7546385480

status: Active

type: Professional

use: Preauthorization

patient: 王小明 (no stated gender), DoB Unknown ( https://example.org/mrn#A0001)

created: 2025-07-01

provider: Organization 某某長照管理中心

priority: Normal

Insurances

Sequence

Focal

Coverage

true

Coverage: status = active

item
sequence: 1
productOrService: 協助進食或管灌餵食

item
sequence: 2
productOrService: 協助沐浴及洗頭

item
sequence: 3
productOrService: 安全看視

item
sequence: 4
productOrService: 基本日常照顧

item
sequence: 5
productOrService: 陪同外出

Source1

{
  "resourceType": "Claim",
  "id": "ltc-claim-export-dispatch-example",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTC-Claim-Export"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "https://ltc-ig.fhir.tw/identifier/export/case-no",
      "value": "111307113"
    },
    {
      "system": "https://ltc-ig.fhir.tw/identifier/export/eva-id",
      "value": "7546385480"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "professional"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/ltc-patient-cs100-example"
  },
  "created": "2025-07-01",
  "provider": {
    "reference": "Organization/ltc-organization-cs100-example"
  },
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/processpriority",
        "code": "normal"
      }
    ]
  },
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/ltc-coverage-cs100-example"
      }
    }
  ],
  "item": [
    {
      "sequence": 1,
      "productOrService": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code": "BA04"
          }
        ]
      }
    },
    {
      "sequence": 2,
      "productOrService": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code": "BA07"
          }
        ]
      }
    },
    {
      "sequence": 3,
      "productOrService": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code": "BA18"
          }
        ]
      }
    },
    {
      "sequence": 4,
      "productOrService": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code": "BA02"
          }
        ]
      }
    },
    {
      "sequence": 5,
      "productOrService": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
            "code": "BA13"
          }
        ]
      }
    }
  ]
}