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Source1

{
  "resourceType": "Claim",
  "id": "ltc-claim-feeapply-c-code-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": "00000000000000000102"
    },
    {
      "system": "http://ltc-ig.fhir.tw/identifier/feeaudit/trans-no",
      "value": "C000000101"
    },
    {
      "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": "2025-08-05T10:30:00+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-example",
        "identifier": {
          "system": "http://www.moi.gov.tw",
          "value": "B223456789"
        },
        "display": "王美玲（C 單位專業服務人員）"
      }
    }
  ],
  "supportingInfo": [
    {
      "sequence": 1,
      "category": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
            "code": "svccGoalType",
            "display": "專業服務復能目標達成情形"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-svcc-goal-type",
            "code": "3",
            "display": "已滿1照顧組合之次數，但尚未達目標"
          }
        ]
      }
    },
    {
      "sequence": 2,
      "category": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
            "code": "svccGoal",
            "display": "專業服務復能目標"
          }
        ]
      },
      "valueString": "三個月內提升長照需要者下肢肌力與床邊坐站轉位能力，達到在他人口頭提示下可自行完成床邊坐站轉位。"
    },
    {
      "sequence": 3,
      "category": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
            "code": "svccContentTarget",
            "display": "專業服務指導對象"
          }
        ]
      },
      "valueString": "長照需要者本人及其主要家庭照顧者（配偶）。"
    },
    {
      "sequence": 4,
      "category": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
            "code": "svccContent",
            "display": "專業服務服務內容"
          }
        ]
      },
      "valueString": "執行下肢肌力訓練與床邊坐站轉位訓練共 40 分鐘，並實地指導家庭照顧者正確之轉位協助技巧、輔具（助行器）使用方式及居家環境安全注意事項。"
    },
    {
      "sequence": 5,
      "category": {
        "coding": [
          {
            "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-supporting-info",
            "code": "svccSuggest",
            "display": "專業服務指導建議摘要"
          }
        ]
      },
      "valueString": "建議家庭照顧者每日協助長照需要者進行坐站訓練 2 次、每次 10 下，並於床邊加裝安全扶手；下次訪視時再評估轉位獨立程度並調整訓練強度。"
    },
    {
      "sequence": 6,
      "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
    }
  ],
  "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": "CA03",
            "display": "ADLs復能照護--居家"
          }
        ]
      },
      "servicedPeriod": {
        "start": "2025-07-15T14:00:00+08:00",
        "end": "2025-07-15T15:00:00+08:00"
      },
      "quantity": {
        "value": 1
      }
    }
  ]
}