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" : "Claim",
"id" : "Claim-C4",
"meta" : {
"profile" : [
🔗 "https://claim.cgh.org.tw/iclaim/StructureDefinition/claim-iclaim"
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>理賠申請書編號</b>:A0004 (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> \"玳健康\"</p><p><b>理賠申請書日期</b>: 2023-08-15</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-C4.html\">Condition/Condition-C4</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-C3.html\">Coverage/Coverage-C3</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>: 2023-08-15</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>: 2023-08-15</p><p><b>健保點數</b>:580</p><p><b>總費用</b>:150</p></blockquote></div>"
},
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"patient" : {
🔗 "reference" : "Patient/Patient-C3"
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"created" : "2023-08-15",
"provider" : {
🔗 "reference" : "Organization/Organization-min"
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"priority" : {
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"diagnosis" : [
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"diagnosisReference" : {
🔗 "reference" : "Condition/Condition-C4"
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"insurance" : [
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🔗 "reference" : "Coverage/Coverage-C3"
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"productOrService" : {
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"modifier" : [
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"servicedDate" : "2023-08-15",
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"productOrService" : {
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