醫療保險理賠實作指引
1.0.0 - CI Build
醫療保險理賠實作指引
1.0.0 - CI Build
醫療保險理賠實作指引 - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "Bundle-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/bundle-iclaim"
]
},
"identifier" : {
"system" : "https://www.cgh.org.tw",
"value" : "A0001"
},
"type" : "document",
"timestamp" : "2023-08-21T14:30:00+01:00",
"entry" : [
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Composition/Composition-C1",
"resource" : {
"resourceType" : "Composition",
"id" : "Composition-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/composition-iclaim"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>Composition</b></h3><p><b>文件識別碼</b>：A0001 (https://www.cgh.org.tw)</p><p><b>文件狀態</b>：Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/valueset-composition-status.html\">CompositionStatus</a>#final)</span></p><p><b>文件種類</b>：Charge ticket or encounter form <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC</a>#64291-8)</span></p><p><b>文件創建日期</b>：2023-08-21T14:30:00+08:00</p><p><b>文件創建單位</b>：<a href=\"Organization-Organization-min.html\">Organization/Organization-min</a> \"國泰醫療財團法人國泰綜合醫院\"</p><p><b>病人</b>：<a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>section.entry[iClaim]</b>：<a href=\"Claim-Claim-C1.html\">Claim/Claim-C1</a></p><p><b>section.entry[condition]</b>：<a href=\"Condition-Condition-C1.html\">Condition/Condition-C1</a></p><p><b>section.entry[diagnosticReport]</b>：<a href=\"DiagnosticReport-DiagnosticReport-C1.html\">DiagnosticReport/DiagnosticReport-C1</a></p><p><b>section.entry[encounter]</b>：<a href=\"Encounter-Encounter-C1.html\">Encounter/Encounter-C1</a></p><p><b>section.entry[coverage]</b>：<a href=\"Coverage-Coverage-C1.html\">Coverage/Coverage-C1</a></p><p><b>section.entry[payor]</b>：<a href=\"Organization-Organization-cathay.html\">Organization/Organization-cathay</a></p><p><b>section.entry[practitioner]</b>：<a href=\"Practitioner-Practitioner-Chen.html\">Practitioner/Practitioner-Chen</a></p><p><b>section.entry[practitioner]</b>：<a href=\"Practitioner-Practitioner-Ciou.html\">Practitioner/Practitioner-Ciou</a></p><p><b>section.entry[practitioner]</b>：<a href=\"Practitioner-Practitioner-Wang1.html\">Practitioner/Practitioner-Wang1</a></p><p><b>section.entry[observation]</b>：<a href=\"Observation-Observation-C1.html\">Observation/Observation-C1</a></p></div>"
},
"identifier" : {
"system" : "https://www.cgh.org.tw",
"value" : "A0001"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64291-8"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-C1"
},
"date" : "2023-08-21T14:30:00+08:00",
"author" : [
{
🔗 "reference" : "Organization/Organization-min"
}
],
"title" : "理賠用收據-診斷證明-檢驗紀錄",
"section" : [
{
"title" : "理賠用收據-診斷證明-檢驗紀錄",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "64291-8"
}
]
},
"entry" : [
{
🔗 "reference" : "Claim/Claim-C1"
},
{
🔗 "reference" : "Coverage/Coverage-C1"
},
{
🔗 "reference" : "Organization/Organization-cathay"
},
{
🔗 "reference" : "Condition/Condition-C1"
},
{
🔗 "reference" : "DiagnosticReport/DiagnosticReport-C1"
},
{
🔗 "reference" : "Encounter/Encounter-C1"
},
{
🔗 "reference" : "Practitioner/Practitioner-Chen"
},
{
🔗 "reference" : "Practitioner/Practitioner-Ciou"
},
{
🔗 "reference" : "Practitioner/Practitioner-Wang1"
},
{
🔗 "reference" : "Observation/Observation-C1"
}
]
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Claim/Claim-C1",
"resource" : {
"resourceType" : "Claim",
"id" : "Claim-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/claim-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>理賠申請書編號</b>：A0001 (https://www.cgh.org.tw)</p><p><b>理賠申請書狀態</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/codesystem-fm-status.html\">Financial Resource Status Codes</a>#active)</span></p><p><b>理賠申請書類別</b>: Institutional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#institutional)</span></p><p><b>理賠申請書用途</b>: Claim <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/codesystem-claim-use.html\">Use</a>#claim)</span></p><p><b>病人</b>： <a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>理賠申請書日期</b>: 2023-08-07</p><p><b>醫院</b>： <a href=\"Organization-Organization-min.html\">Organization/Organization-min</a> \"國泰醫療財團法人國泰綜合醫院\"</p><p><b>處理優先順序</b>: Immediate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#stat)</span></p><p><b>診斷證明書</b>：</p><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>順序</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><a href=\"Condition-Condition-C1.html\">Condition/Condition-C1</a></td></tr></table><p><b>保險</b>：</p><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>順序</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"Coverage-Coverage-C1.html\">Coverage/Coverage-C1</a></td></tr></table><blockquote><p><b>收據</b>：</p><p><b>費用序號</b>: 1</p><p><b>自付金額（base price）/減免（discount）</b>: 自付金額 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/R4/codesystem-invoice-priceComponentType.html\">InvoicePriceComponentType</a>#base)</span></p><p><b>費用項目</b>: 掛號費 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-cathay-chargeitemcode-values.html\">費用項目-健保</a>#REGISTRATION)</span></p><p><b>就醫身分</b>: 自費 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-coverage-selfpay.html\">Coverage SelfPay Codes</a>#pay)</span></p><p><b>收據日期</b>: 2023-08-07</p><p><b>自付金額</b>：150</p><p><b>費用序號</b>: 2</p><p><b>費用項目</b>: 掛號費 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"CodeSystem-cathay-chargeitemcode-values.html\">費用項目-健保</a>#REGISTRATION)</span></p><p><b>就醫身分</b>: 健保 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"https://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#PUBLICPOL)</span></p><p><b>收據日期</b>: 2023-08-07</p><p><b>健保點數</b>：580</p><p><b>總費用</b>：150</p></blockquote></div>"
},
"identifier" : [
{
"system" : "https://www.cgh.org.tw",
"value" : "A0001"
}
],
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/claim-type",
"code" : "institutional"
}
]
},
"use" : "claim",
"patient" : {
🔗 "reference" : "Patient/Patient-C1"
},
"created" : "2023-08-07",
"provider" : {
🔗 "reference" : "Organization/Organization-min"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/processpriority",
"code" : "stat"
}
]
},
"diagnosis" : [
{
"sequence" : 1,
"diagnosisReference" : {
🔗 "reference" : "Condition/Condition-C1"
}
}
],
"insurance" : [
{
"sequence" : 1,
"focal" : true,
"coverage" : {
🔗 "reference" : "Coverage/Coverage-C1"
}
}
],
"item" : [
{
"sequence" : 1,
"category" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/invoice-priceComponentType",
"code" : "base"
}
]
},
"productOrService" : {
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-chargeitemcode-values",
"code" : "REGISTRATION"
}
]
},
"modifier" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
"code" : "pay"
}
]
}
],
"servicedDate" : "2023-08-07",
"net" : {
"value" : 150
}
},
{
"sequence" : 2,
"productOrService" : {
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-chargeitemcode-values",
"code" : "REGISTRATION"
}
]
},
"modifier" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PUBLICPOL"
}
]
}
],
"servicedDate" : "2023-08-07",
"net" : {
"value" : 580
}
}
],
"total" : {
"value" : 150
}
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Patient/Patient-C1",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/patient-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>病人基本資料</b></h3><blockquote><p><b>識別碼型別</b>：National Person Identifier <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#NNxxx <b>[extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix\">Identifier Suffix</a>]：</b>TWN）</span><br/><b>身分證字號（official）</b>C251401029 （http://www.moi.gov.tw）</p></blockquote><blockquote><p><b>識別碼型別</b>：Medical record number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：ADCM9487 （https://www.cgh.org.tw）</p></blockquote><p><b>姓名（official）</b>：郝美麗</p><p><b>性別</b>：Female <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a>#female)</span></p><p><b>出生日期</b>：1990-04-22</p><p><b>職業[extension: <a href=\"StructureDefinition-cathay-occupation.html\">Occupation</a>]</b>：內勤人員 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-lia-roc-occupation-values.html\">Occupation</a>#00010010)</span></p><p><b>聯絡地址</b>：台北市北投區明德路365號<br/><b>\u3000縣/市（district）</b>：台北市<br/><b>\u3000鄉/鎮/市/區（city）</b>：北投區<br/><b>\u3000路/街（line）</b>：明德路<br/><b>\u3000號（number）</b>[extension: <a href=\"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number\">tw-number</a>]：365號<br/><b>\u3000國家（country）</b>：臺灣<br/></p></div>"
},
"extension" : [
{
"url" : "https://claim.cgh.org.tw/iclaim/StructureDefinition/cathay-occupation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/lia-roc-occupation-values",
"code" : "00010010"
}
]
}
}
],
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NNxxx",
"_code" : {
"extension" : [
{
"extension" : [
{
"url" : "suffix",
"valueString" : "TWN"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/iso3166-1-3"
}
],
"url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/identifier-suffix"
}
]
}
}
]
},
"system" : "http://www.moi.gov.tw",
"value" : "C251401029"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "https://www.cgh.org.tw",
"value" : "ADCM9487"
}
],
"name" : [
{
"use" : "usual",
"text" : "郝美麗"
}
],
"gender" : "female",
"birthDate" : "1990-04-22",
"address" : [
{
"extension" : [
{
"url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/tw-number",
"valueString" : "365號"
}
],
"text" : "台北市北投區明德路365號",
"line" : [
"明德路"
],
"city" : "北投區",
"district" : "台北市",
"country" : "TW"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Organization/Organization-min",
"resource" : {
"resourceType" : "Organization",
"id" : "Organization-min",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫事機構基本資料</b></h3><p><b>機構名稱</b>：國泰醫療財團法人國泰綜合醫院</p><p><b>識別碼型別</b>：Provider number<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">IdentifierType</a>#PRN）</span><br/><b>機構代碼（official）</b>：1101020018 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>：Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#prov)</span></p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PRN"
}
]
},
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw",
"value" : "1101020018"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov"
}
]
}
],
"name" : "國泰醫療財團法人國泰綜合醫院"
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Coverage/Coverage-C1",
"resource" : {
"resourceType" : "Coverage",
"id" : "Coverage-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/coverage-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>status</b>: active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://hl7.org/fhir/R4/codesystem-fm-status.html\">FinancialResourceStatusCodes</a>#active ）</span></p><p><b>beneficiary</b>： <a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>payor</b>： <a href=\"Organization-Organization-cathay.html\">Organization/Organization-cathay</a> \"國泰人壽保險股份有限公司\"</p></div>"
},
"status" : "active",
"beneficiary" : {
🔗 "reference" : "Patient/Patient-C1"
},
"payor" : [
{
🔗 "reference" : "Organization/Organization-cathay"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Organization/Organization-cathay",
"resource" : {
"resourceType" : "Organization",
"id" : "Organization-cathay",
"meta" : {
"profile" : [
🔗 "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-co-twcore"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>公司行號基本資料</b></h3><p><b>機構名稱</b>：國泰人壽保險股份有限公司</p><p><b>識別碼型別</b>：Unified Business number<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203\">臺灣識別碼類型</a>#UBN）</span><br/><b>公司或企業統一編號（official）</b>：03374707 (https://gcis.nat.gov.tw)</p><p><b>機構種類</b>：Non-Healthcare Business or Corporation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#bus)</span></p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/v2-0203",
"code" : "UBN"
}
]
},
"system" : "https://gcis.nat.gov.tw",
"value" : "03374707"
}
],
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "bus"
}
]
}
],
"name" : "國泰人壽保險股份有限公司"
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Condition/Condition-C1",
"resource" : {
"resourceType" : "Condition",
"id" : "Condition-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/condition-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>病情、問題或診斷資料</b></h3><p><b>病情、問題或診斷識別碼</b>：1080108642</p><p><b>臨床狀態</b>：Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-condition-clinical.html\">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>病情、問題或診斷類別</b>：Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/valueset-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>病情、問題或診斷識別</b>：手其他部位扭傷及拉傷 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem-icd-9-cm-2001-tw.html\">NHIICD9CM</a>#842.19)</span></p><p><b>病人</b>：<a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>就醫（Encounter）紀錄</b>：<a href=\"Encounter-Encounter-C1.html\">Encounter/Encounter-C1</a></p><p><b>記錄日期</b>：2023-08-07</p><p><b>主治醫師</b>：<a href=\"PractitionerRole-PractitionerRole-pri.html\">PractitionerRole/PractitionerRole-pri</a> \"陳健骨\"</p><p><b>負責醫師（院長）</b>：<a href=\"PractitionerRole-PractitionerRole-res.html\">PractitionerRole/PractitionerRole-res</a> \"邱榮一\"</p><p><b>診斷報告</b>：<a href=\"DiagnosticReport-DiagnosticReport-C1.html\">DiagnosticReport/DiagnosticReport-C1</a></p><p><b>醫療摘要</b>：手扭傷後,關節局部腫脹,關節彎曲受限,伸不直或彎曲不了</p></div>"
},
"identifier" : [
{
"value" : "1080108642"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "remission"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-9-cm-2001-tw",
"code" : "842.19",
"display" : "手其他部位扭傷及拉傷"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-C1"
},
"encounter" : {
🔗 "reference" : "Encounter/Encounter-C1"
},
"recordedDate" : "2023-08-07",
"recorder" : {
🔗 "reference" : "PractitionerRole/PractitionerRole-pri"
},
"asserter" : {
🔗 "reference" : "PractitionerRole/PractitionerRole-res"
},
"stage" : [
{
"assessment" : [
{
🔗 "reference" : "DiagnosticReport/DiagnosticReport-C1"
}
]
}
],
"note" : [
{
"text" : "手扭傷後,關節局部腫脹,關節彎曲受限,伸不直或彎曲不了"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/DiagnosticReport/DiagnosticReport-C1",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "DiagnosticReport-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/diagnosticreport-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>診斷報告</b></h3><p><b>診斷狀態</b>：Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html\">DiagnosticReportStatus</a>#final)</span></p><p><b>診斷報告名稱</b>：Surgery of the hand Outpatient Progress note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://loinc.org/\">LOINC實驗室檢驗檢查報告名稱</a>#100537-0)</span></p><p><b>病人</b>：<a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>診斷結果</b>：<a href=\"Observation-Observation-C1.html\">Observation/Observation-C1</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "100537-0"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-C1"
},
"result" : [
{
🔗 "reference" : "Observation/Observation-C1"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Observation/Observation-C1",
"resource" : {
"resourceType" : "Observation",
"id" : "Observation-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/observation-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>檢驗檢查資料</b></h3><p><b>收件編號(檢驗單號)</b>：096H004 （https://www.cgh.org.tw）</p><p><b>狀態</b>：final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html\">ObservationStatus</a>#final)</span></p><p><b>檢驗類型</b>：Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>檢驗項目名稱</b>：CD3+CD4+ (T4 helper) cells/100 cells in Blood mononuclear cells <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://loinc.org\">LOINC實驗室檢驗檢查值集</a>#100856-4)</span></p><p><b>病人</b>： <a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>採檢日期</b>：2023-08-07</p><p><b>報告日期</b>：2023-08-07 17:00:14+08:00</p><p><b>醫檢師</b>： <a href=\"PractitionerRole-PractitionerRole-tech.html\">PractitionerRole/PractitionerRole-tech</a> \"王大郎\"</p><p><b>報告者</b>： <a href=\"PractitionerRole-PractitionerRole-rep.html\">PractitionerRole/PractitionerRole-rep</a> \"陳健骨\"</p><p><b>檢驗部位</b>：Right wrist <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://browser.ihtsdotools.org/?perspective=full&conceptId1=9736006\">SNOMED CT Body Structures</a>#9736006)</span></p><p><b>檢驗值</b>：4000 /uL</p><p><b>H/L</b>：Off scale low <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/v3/ObservationInterpretation/cs.html\">v3 Code System ObservationInterpretation</a>#<)</span></p><p><b>參考範圍</b>：</p><table class=\"grid\"><tr><td><b>參考最低值</b></td><td><b>參考最高值</b></td></tr><tr><td>4500</td><td>10000</td></tr></table><p><b>檢驗結果說明</b>：無</p></div>"
},
"identifier" : [
{
"system" : "https://www.cgh.org.tw",
"value" : "096H004"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "100856-4",
"display" : "CD3+CD4+ (T4 helper) cells/100 cells in Blood mononuclear cells"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-C1"
},
"effectiveDateTime" : "2023-08-07",
"issued" : "2023-08-07T17:00:14+08:00",
"performer" : [
{
🔗 "reference" : "PractitionerRole/PractitionerRole-tech"
},
{
🔗 "reference" : "PractitionerRole/PractitionerRole-rep"
}
],
"valueQuantity" : {
"value" : 4000,
"unit" : "/uL",
"system" : "http://unitsofmeasure.org"
},
"interpretation" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code" : "<"
}
]
}
],
"note" : [
{
"text" : "無"
}
],
"bodySite" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "9736006"
}
]
},
"referenceRange" : [
{
"low" : {
"value" : 4500
},
"high" : {
"value" : 10000
}
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Practitioner/Practitioner-Chen",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Practitioner-Chen",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitioner-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>健康照護服務提供人員基本資料</b></h3><p><b>識別碼型別</b>：Medical License number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MD）</span><br/><b>員工編號（official）</b>：031932 （https://www.cgh.org.tw）</p><p><b>姓名（official）</b>：陳健骨</p></div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MD"
}
]
},
"system" : "https://www.cgh.org.tw",
"value" : "031932"
}
],
"name" : [
{
"use" : "official",
"text" : "陳健骨"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Practitioner/Practitioner-Ciou",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Practitioner-Ciou",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitioner-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>健康照護服務提供人員基本資料</b></h3><p><b>姓名（official）</b>：邱榮一</p></div>"
},
"name" : [
{
"use" : "official",
"text" : "邱榮一"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Practitioner/Practitioner-Wang1",
"resource" : {
"resourceType" : "Practitioner",
"id" : "Practitioner-Wang1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitioner-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>健康照護服務提供人員基本資料</b></h3><p><b>姓名（official）</b>：王大郎</p></div>"
},
"name" : [
{
"use" : "official",
"text" : "王大郎"
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/PractitionerRole/PractitionerRole-pri",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-pri",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitionerrole-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫師角色基本資料</b></h3><p><b>健康照護服務提供者</b>：<a href=\"Practitioner-Practitioner-Chen.html\">Practitioner/Practitioner-Chen</a> \"陳健骨\"</p><p><b>角色</b>：主治醫師(Attending physician (occupation)) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://snomed.info/sct\">SNOMED CT</a>#405279007）</span></p></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/Practitioner-Chen",
"display" : "陳健骨"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "405279007",
"display" : "Attending physician (occupation)"
}
]
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/PractitionerRole/PractitionerRole-res",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-res",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitionerrole-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫師角色基本資料</b></h3><p><b>健康照護服務提供者</b>：<a href=\"Practitioner-Practitioner-Ciou.html\">Practitioner/Practitioner-Ciou</a> \"邱榮一\"</p><p><b>角色</b>：負責醫師（院長） <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"CodeSystem-cathay-particulardiagnosis-values.html\">醫事人員類別</a>#responsiblePhysician）</span></p></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/Practitioner-Ciou",
"display" : "邱榮一"
},
"code" : [
{
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-healthprofessional-values",
"code" : "responsiblePhysician"
}
]
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/PractitionerRole/PractitionerRole-tech",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-tech",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitionerrole-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫師角色基本資料</b></h3><p><b>健康照護服務提供者</b>：<a href=\"Practitioner-Practitioner-Wang1.html\">Practitioner/Practitioner-Wang1</a> \"王大郎\"</p><p><b>角色</b>：醫檢師(Medical technician) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://snomed.info/sct\">SNOMED CT</a>#307988006）</span></p></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/Practitioner-Wang1",
"display" : "王大郎"
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "307988006",
"display" : "Medical technician"
}
]
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/PractitionerRole/PractitionerRole-rep",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-rep",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitionerrole-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫師角色基本資料</b></h3><p><b>健康照護服務提供者</b>：<a href=\"Practitioner-Practitioner-Chen.html\">Practitioner/Practitioner-Chen</a> \"陳健骨\"</p><p><b>角色</b>：報告者 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"CodeSystem-cathay-particulardiagnosis-values.html\">醫事人員類別</a>#reporter</span></p></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/Practitioner-Chen",
"display" : "陳健骨"
},
"code" : [
{
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-healthprofessional-values",
"code" : "reporter"
}
]
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/PractitionerRole/PractitionerRole-rec",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRole-rec",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/practitionerrole-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>醫師角色基本資料</b></h3><p><b>健康照護服務提供者</b>：<a href=\"Practitioner-Practitioner-Wang1.html\">Practitioner/Practitioner-Wang1</a> \"王大郎\"</p><p><b>角色</b>：開單醫師 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"CodeSystem-cathay-particulardiagnosis-values.html\">醫事人員類別</a>#recordedPhysician</span></p></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/Practitioner-Wang1",
"display" : "王大郎"
},
"code" : [
{
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/cathay-healthprofessional-values",
"code" : "recordedPhysician"
}
]
}
]
}
},
{
"fullUrl" : "https://claim.cgh.org.tw/iclaim/Encounter/Encounter-C1",
"resource" : {
"resourceType" : "Encounter",
"id" : "Encounter-C1",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/encounter-iclaim"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3><b>就醫資料</b></h3><p><b>識別碼</b>：1286481 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://www.cgh.org.tw\">國泰醫療財團法人國泰綜合醫院</a>)</span></p><p><b>就醫現況</b>：finished <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-encounter-status.html\">EncounterStatus</a>#finished)</span></p><p><b>病人來源</b>：ambulatory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html\">ActEncounterCode</a>#AMB)</span></p><p><b>應診科別</b>：骨科 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-department-values.html\">Department</a>#06)</span></p><p><b>病人</b>：<a href=\"Patient-Patient-C1.html\">Patient/Patient-C1</a> \"郝美麗\"</p><p><b>開單醫師</b>：<a href=\"PractitionerRole-PractitionerRole-rec.html\">PractitionerRole/PractitionerRole-rec</a> \"王大郎\"</p><p><b>就醫的開始和結束時間</b>：2023-08-07 17:00:14-0500 --> 2023-08-07 18:00:14-0500</p><p><b>就醫天數</b>：1天 <span style=\"background: LightGoldenRodYellow\">(Details: UCUM code d = 'd')</span></p><p><b>就醫身分</b>: 自費 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-coverage-selfpay.html\">Coverage SelfPay Codes</a>#pay)</span></p></div>"
},
"extension" : [
{
"url" : "https://claim.cgh.org.tw/iclaim/StructureDefinition/cathay-medicalidentity",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
"code" : "pay"
}
]
}
}
],
"identifier" : [
{
"system" : "https://www.cgh.org.tw",
"value" : "1286481"
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB"
},
"serviceType" : {
"coding" : [
{
"system" : "https://claim.cgh.org.tw/iclaim/CodeSystem/nhi-department-values",
"code" : "06",
"display" : "骨科"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-C1"
},
"participant" : [
{
"individual" : {
🔗 "reference" : "PractitionerRole/PractitionerRole-rec"
}
}
],
"period" : {
"start" : "2023-08-07T17:00:14-05:00",
"end" : "2023-08-07T18:00:14-05:00"
},
"length" : {
"value" : 1,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
}
]
}