醫療保險理賠實作指引
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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

: Claim-C3 - XML Representation

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<Claim xmlns="http://hl7.org/fhir">
  <id value="Claim-C3"/>
  <meta>
    <profile
             value="https://claim.cgh.org.tw/iclaim/StructureDefinition/claim-iclaim"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>理賠申請書編號</b>：A0003 (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-C3.html">Patient/Patient-C3</a> "康美女"</p><p><b>理賠申請書日期</b>: 2023-08-12</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>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-C3.html">Coverage/Coverage-C3</a></td></tr></table></div>
  </text>
  <identifier>
    <system value="https://www.cgh.org.tw"/>
    <value value="A0003"/>
  </identifier>
  <status value="active"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <code value="institutional"/>
    </coding>
  </type>
  <use value="claim"/>
  <patient>🔗 
    <reference value="Patient/Patient-C3"/>
  </patient>
  <created value="2023-08-12"/>
  <provider>🔗 
    <reference value="Organization/Organization-min"/>
  </provider>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/processpriority"/>
      <code value="stat"/>
    </coding>
  </priority>
  <insurance>
    <sequence value="1"/>
    <focal value="true"/>
    <coverage>🔗 
      <reference value="Coverage/Coverage-C3"/>
    </coverage>
  </insurance>
</Claim>