FHIR IG analytics

Resources that use this resource

Resources that this resource uses

No resources found

Narrative

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

Source1

{
  "resourceType": "CodeSystem",
  "id": "cs-tw-ltc-feeaudit-adjudication",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-feeaudit-adjudication",
  "version": "1.0.0",
  "name": "CS_TW_LTC_FeeAuditAdjudication",
  "title": "支付審查－核定金額類別",
  "status": "active",
  "experimental": false,
  "date": "2026-07-29T07:47:19+00:00",
  "publisher": "經濟部產業發展署",
  "contact": [
    {
      "name": "經濟部產業發展署",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.ida.gov.tw/"
        }
      ]
    }
  ],
  "description": "此 CodeSystem 定義《衛生福利部 支付審核系統 API 規格說明書（照管平台）》「(查詢B)分案審核明細查詢」回覆明細中各項金額欄位之類別代碼，供 ClaimResponse.total.category 與 ClaimResponse.item.adjudication.category 使用。其中核定金額（approveFee）、核增金額（incInAcc）、核減金額（decInAcc）、政策鼓勵金額（aSvcFee）、分案暫付金額（tempPaymentFee）為長照支付審查特有、國際標準無對應者；申請核銷金額（submitted）、自付額（copayment）與單價（price）則與 HL7 標準代碼系統 http://terminology.hl7.org/CodeSystem/adjudication 之 submitted、copay、eligible 語意相近，本 CodeSystem 為保持同一組金額類別代碼之一致性而一併收錄，實作者於跨國情境交換時得改用該標準代碼。",
  "caseSensitive": true,
  "content": "complete",
  "count": 8,
  "concept": [
    {
      "code": "approveFee",
      "display": "核定金額"
    },
    {
      "code": "incInAcc",
      "display": "核增金額"
    },
    {
      "code": "decInAcc",
      "display": "核減金額"
    },
    {
      "code": "copayment",
      "display": "自付額",
      "definition": "個案就該筆服務所應自行負擔之金額（copayment）。語意等同 HL7 標準代碼 http://terminology.hl7.org/CodeSystem/adjudication#copay。"
    },
    {
      "code": "aSvcFee",
      "display": "政策鼓勵金額"
    },
    {
      "code": "tempPaymentFee",
      "display": "分案暫付金額"
    },
    {
      "code": "price",
      "display": "單價"
    },
    {
      "code": "submitted",
      "display": "申請核銷金額",
      "definition": "服務單位就本分案所申請核銷之總金額（amount）。語意等同 HL7 標準代碼 http://terminology.hl7.org/CodeSystem/adjudication#submitted。"
    }
  ]
}