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Packagetw.iii.ltc
Resource TypeClaimResponse
IdClaimResponse-ltc-claimresponse-export-example.json
FHIR VersionR4

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Narrative

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Generated Narrative: ClaimResponse ltc-claimresponse-export-example

長照 SDK－錯誤訊息: 跨月金額超出核定上限

長照 SDK－單位資訊（PIA/PIB/CENTER/MAN_*）

  • type: PIA
  • name: OOO居家長照機構
  • code: A10001

identifier: http://ltc-ig.fhir.tw/identifier/export/yyyymm-roc/11407

status: Active

type: Professional

use: Preauthorization

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

created: 2025-07-04

insurer: Organization 某某長照管理中心

outcome: Processing Complete

disposition: 審核通過

Source1

{
  "resourceType": "ClaimResponse",
  "id": "ltc-claimresponse-export-example",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTC-ClaimResponse-Export"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Error",
      "valueString": "跨月金額超出核定上限"
    },
    {
      "extension": [
        {
          "url": "type",
          "valueCodeableConcept": {
            "text": "PIA"
          }
        },
        {
          "url": "name",
          "valueString": "OOO居家長照機構"
        },
        {
          "url": "code",
          "valueString": "A10001"
        }
      ],
      "url": "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-Unit"
    }
  ],
  "identifier": [
    {
      "system": "http://ltc-ig.fhir.tw/identifier/export/yyyymm-roc",
      "value": "11407"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "professional"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/ltc-patient-cs100-example"
  },
  "created": "2025-07-04",
  "insurer": {
    "reference": "Organization/ltc-organization-cs100-example"
  },
  "outcome": "complete",
  "disposition": "審核通過"
}