FHIR IG analytics| Package | tw.iii.ltc |
| Resource Type | Claim |
| Id | Claim-ltc-claim-feeapply-aa00-example.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Claim ltc-claim-feeapply-aa00-example
Profile: 長照支付審查－個案服務紀錄申報
identifier: http://ltc-ig.fhir.tw/identifier/feeaudit/objid/00000000000000000101, http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no/A000000101, http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm/202507
status: Active
type: Professional
use: Claim
patient: 王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))
created: 2025-08-05 10:00:00+0800
insurer: Organization OOO長期照顧管理中心
provider: Organization OOO長期照顧管理中心
priority: Normal
| Sequence | Provider |
| 1 | 李小華（A 個管單位個案管理師） |
supportingInfo
sequence: 1
category: 服務項目
code: 電訪
supportingInfo
sequence: 2
category: 服務項目
code: 家訪
supportingInfo
sequence: 3
category: 服務對象
code: 服務使用者
supportingInfo
sequence: 4
category: 服務對象
code: 家庭照顧者
supportingInfo
sequence: 5
category: 服務內容
value: 以電話訪視確認長照需要者出院返家後之照顧情形，並於同日進行家庭訪視，說明照顧服務（BA01、BA02）與喘息服務之使用方式，並與家庭照顧者討論服務時段調整需求。
supportingInfo
sequence: 6
category: 服務重點
code: 追蹤長照需要者與各項服務之連結情形
supportingInfo
sequence: 7
category: 服務重點
code: 計畫與內容異動討論
supportingInfo
sequence: 8
category: 追蹤服務適應與介入情形
value: 長照需要者自 114 年 6 月起接受居家照顧服務，適應情形良好；家庭照顧者反映上午時段人力銜接困難，已協調服務提供單位將服務時段調整為上午 9 時至 11 時，後續持續追蹤服務銜接情形。
supportingInfo
sequence: 9
category: 各項服務目標及整體計畫目標達成情形
value: 服務目標「維持長照需要者基本日常生活自理能力」達成情形良好；「減輕家庭照顧者照顧負荷」目標持續進行中，整體照顧計畫目標達成約八成。
supportingInfo
sequence: 10
category: 整體計畫的適切性及需求異動
value: 現行照顧計畫尚屬適切。因家庭照顧者將於 114 年 8 月返回職場，照顧人力需求異動，擬於次月複評時檢討是否增加日間照顧服務時數。
supportingInfo
sequence: 11
category: 訪視/服務未遇
value: false
supportingInfo
sequence: 12
category: 臨終日照顧
value: false
supportingInfo
sequence: 13
category: AA10申報狀態
code: 未申報
supportingInfo
sequence: 14
category: 備註
value: 本次同時完成 114 年 7 月份服務紀錄核對。
| Sequence | Focal | Coverage |
| 1 | true | Coverage: status = active |
| Sequence | Category | ProductOrService | Serviced[x] | Quantity |
| 1 | 補助 | A 單位服務紀錄 | 2025-07-08 09:30:00+0800 --> 2025-07-08 10:30:00+0800 | 1 |
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "ltc-claim-feeapply-aa00-example",
"meta": {
"profile": [
"http://ltc-ig.fhir.tw/StructureDefinition/LTCClaimFeeApply"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"system": "http://ltc-ig.fhir.tw/identifier/feeaudit/objid",
"value": "00000000000000000101"
},
{
"system": "http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no",
"value": "A000000101"
},
{
"system": "http://ltc-ig.fhir.tw/identifier/feeaudit/yyyymm",
"value": "202507"
}
],
"status": "active",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/claim-type",
"code": "professional",
"display": "Professional"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/ltc-patient-sdk-example"
},
"created": "2025-08-05T10:00:00+08:00",
"insurer": {
"reference": "Organization/ltc-organization-sdk-example"
},
"provider": {
"reference": "Organization/ltc-organization-sdk-example"
},
"priority": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/processpriority",
"code": "normal",
"display": "Normal"
}
]
},
"careTeam": [
{
"sequence": 1,
"provider": {
"reference": "Practitioner/ltc-practitioner-sdk-example",
"identifier": {
"system": "http://www.moi.gov.tw",
"value": "A123456789"
},
"display": "李小華（A 個管單位個案管理師）"
}
}
],
"supportingInfo": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcItem",
"display": "服務項目"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-item",
"code": "1",
"display": "電訪"
}
]
}
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcItem",
"display": "服務項目"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-item",
"code": "2",
"display": "家訪"
}
]
}
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcPeople",
"display": "服務對象"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-people",
"code": "1",
"display": "服務使用者"
}
]
}
},
{
"sequence": 4,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcPeople",
"display": "服務對象"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-people",
"code": "2",
"display": "家庭照顧者"
}
]
}
},
{
"sequence": 5,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcContent",
"display": "服務內容"
}
]
},
"valueString": "以電話訪視確認長照需要者出院返家後之照顧情形，並於同日進行家庭訪視，說明照顧服務（BA01、BA02）與喘息服務之使用方式，並與家庭照顧者討論服務時段調整需求。"
},
{
"sequence": 6,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcPoint",
"display": "服務重點"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-point",
"code": "1",
"display": "追蹤長照需要者與各項服務之連結情形"
}
]
}
},
{
"sequence": 7,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcPoint",
"display": "服務重點"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svc-point",
"code": "2",
"display": "計畫與內容異動討論"
}
]
}
},
{
"sequence": 8,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcTrace",
"display": "追蹤服務適應與介入情形"
}
]
},
"valueString": "長照需要者自 114 年 6 月起接受居家照顧服務，適應情形良好；家庭照顧者反映上午時段人力銜接困難，已協調服務提供單位將服務時段調整為上午 9 時至 11 時，後續持續追蹤服務銜接情形。"
},
{
"sequence": 9,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcGoal",
"display": "各項服務目標及整體計畫目標達成情形"
}
]
},
"valueString": "服務目標「維持長照需要者基本日常生活自理能力」達成情形良好；「減輕家庭照顧者照顧負荷」目標持續進行中，整體照顧計畫目標達成約八成。"
},
{
"sequence": 10,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "svcSuitable",
"display": "整體計畫的適切性及需求異動"
}
]
},
"valueString": "現行照顧計畫尚屬適切。因家庭照顧者將於 114 年 8 月返回職場，照顧人力需求異動，擬於次月複評時檢討是否增加日間照顧服務時數。"
},
{
"sequence": 11,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "missedVisit",
"display": "訪視/服務未遇"
}
]
},
"valueBoolean": false
},
{
"sequence": 12,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "lastSvc",
"display": "臨終日照顧"
}
]
},
"valueBoolean": false
},
{
"sequence": 13,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "aa10Status",
"display": "AA10申報狀態"
}
]
},
"code": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-aa10-status",
"code": "0",
"display": "未申報"
}
]
}
},
{
"sequence": 14,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
"code": "remark",
"display": "備註"
}
]
},
"valueString": "本次同時完成 114 年 7 月份服務紀錄核對。"
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/ltc-coverage-sdk-example"
}
}
],
"item": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-fee-type",
"code": "1",
"display": "補助"
}
]
},
"productOrService": {
"coding": [
{
"system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item",
"code": "AA00",
"display": "A 單位服務紀錄"
}
]
},
"servicedPeriod": {
"start": "2025-07-08T09:30:00+08:00",
"end": "2025-07-08T10:30:00+08:00"
},
"quantity": {
"value": 1
}
}
]
}