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Packagetw.iii.ltc
Resource TypeCoverageEligibilityResponse
IdCoverageEligibilityResponse-ltc-coverageeligibilityresponse-cs100-example.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Generated Narrative: CoverageEligibilityResponse ltc-coverageeligibilityresponse-cs100-example

status: Active

purpose: Coverage benefits

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

created: 2025-10-05 10:00:00+0800

requestor: Organization 某某長照管理中心

request: CoverageEligibilityRequest: status = active; purpose = benefits; created = 2025-10-05 09:00:00+0800

outcome: Processing Complete

insurer: Organization 某某長照管理中心

insurance

coverage: Coverage: status = active

item

category: 照顧及專業服務

benefit

type: 總額度

allowed: NT$15,460.00 (TWD)

benefit

type: 補助額度

allowed: NT$12,987.00 (TWD)

benefit

type: 部分負擔

allowed: NT$2,473.00 (TWD)


Source1

{
  "resourceType": "CoverageEligibilityResponse",
  "id": "ltc-coverageeligibilityresponse-cs100-example",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTC-CoverageEligibilityResponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "purpose": [
    "benefits"
  ],
  "patient": {
    "reference": "Patient/ltc-patient-cs100-example"
  },
  "created": "2025-10-05T10:00:00+08:00",
  "requestor": {
    "reference": "Organization/ltc-organization-cs100-example"
  },
  "request": {
    "reference": "CoverageEligibilityRequest/ltc-coverageeligibilityrequest-cs100-example"
  },
  "outcome": "complete",
  "insurer": {
    "reference": "Organization/ltc-organization-cs100-example"
  },
  "insurance": [
    {
      "coverage": {
        "reference": "Coverage/ltc-coverage-cs100-example"
      },
      "item": [
        {
          "category": {
            "coding": [
              {
                "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group",
                "code": "care-pro"
              }
            ]
          },
          "benefit": [
            {
              "type": {
                "coding": [
                  {
                    "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type",
                    "code": "total"
                  }
                ]
              },
              "allowedMoney": {
                "value": 15460,
                "currency": "TWD"
              }
            },
            {
              "type": {
                "coding": [
                  {
                    "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type",
                    "code": "subsidy"
                  }
                ]
              },
              "allowedMoney": {
                "value": 12987,
                "currency": "TWD"
              }
            },
            {
              "type": {
                "coding": [
                  {
                    "system": "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type",
                    "code": "copay"
                  }
                ]
              },
              "allowedMoney": {
                "value": 2473,
                "currency": "TWD"
              }
            }
          ]
        }
      ]
    }
  ]
}