醫療保險理賠實作指引
0.1.3 - CI Build

This page is part of the 醫療保險理賠實作指引 (v0.1.3: Releases Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle-C3


Composition

文件識別碼:A0003 (https://www.vghtpe.gov.tw/)

文件狀態:Final (CompositionStatus#final)

文件種類:Charge ticket or encounter form ( LOINC#64291-8)

文件創建日期:2023-08-21T14:30:00+08:00

文件創建單位Organization/Organization-min "臺北榮民總醫院"

病人Patient/Patient-C3 "玳健康"

section.entry[iClaim]Claim/Claim-C3

section.entry[coverage]Coverage/Coverage-C3

section.entry[payor]Organization/Organization-cathay


理賠用收據-診斷證明-檢驗紀錄


Additional Document Content


2. https://claim.cgh.org.tw/iclaim/Claim/Claim-C3 (Claim/Claim-C3)

理賠申請書編號:A0003 (https://www.vghtpe.gov.tw/)

理賠申請書狀態: Active (Financial Resource Status Codes#active)

理賠申請書類別: Institutional (Claim Type Codes#institutional)

理賠申請書用途: Claim (Use#claim)

病人Patient/Patient-C3 "康美女"

理賠申請書日期: 2023-08-12

醫院Organization/Organization-min "臺北榮民總醫院"

處理優先順序: Immediate (Process Priority Codes#stat)

保險

-順序FocalCoverage
*1trueCoverage/Coverage-C3


3. https://claim.cgh.org.tw/iclaim/Patient/Patient-C3 (Patient/Patient-C3)

病人基本資料

識別碼型別:National Person Identifier Identifier Type Codes#NNxxx [extension: Identifier Suffix]:TWN)
身分證字號(official)P137786694 (http://www.moi.gov.tw/)

識別碼型別:Medical record number Identifier Type Codes#MR)
病歷號(official):ADCM9527 (https://www.vghtpe.gov.tw/)

姓名(official):玳健康

性別:Male ( AdministrativeGender#male)

出生日期:2002-02-22

職業[extension: Occupation]:內勤人員 ( Occupation#00010010)

聯絡地址:台北市北投區明德路365號
 縣/市(district):台北市
 鄉/鎮/市/區(city):北投區
 路/街(line):明德路
 號(number)[extension: tw-number]:365號
 國家(country):臺灣


4. https://claim.cgh.org.tw/iclaim/Organization/Organization-min (Organization/Organization-min)

醫事機構基本資料

機構名稱:臺北榮民總醫院

識別碼型別:Provider numberIdentifierType#PRN)
機構代碼(official):0601160016 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)

機構種類:Healthcare Provider ( OrganizationType#prov)


5. https://claim.cgh.org.tw/iclaim/Coverage/Coverage-C3 (Coverage/Coverage-C3)

status: active FinancialResourceStatusCodes#active )

beneficiaryPatient/Patient-C3 "玳健康"

payorOrganization/Organization-cathay "國泰人壽保險股份有限公司"


6. https://claim.cgh.org.tw/iclaim/Organization/Organization-cathay (Organization/Organization-cathay)

公司行號基本資料

機構名稱:國泰人壽保險股份有限公司

識別碼型別:Unified Business number臺灣識別碼類型#UBN)
公司或企業統一編號(official):03374707 (https://gcis.nat.gov.tw)

機構種類:Non-Healthcare Business or Corporation ( OrganizationType#bus)