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
| Official URL: https://claim.cgh.org.tw/iclaim/StructureDefinition/ClaimFormModel | Version: 1.0.0 | |||
| Active as of 2024-07-23 | Computable Name: ClaimFormModel | |||
理賠申請書(ClaimForm)之資料模型
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ClaimFormModel |
0..* | Base | 理賠申請書(ClaimForm)之資料模型 Instances of this logical model are not marked to be the target of a Reference | |
  caseNo |
0..1 | Identifier(5.1.0) | 案件編號 | |
| admissionNumber |
1..1 | Identifier(5.1.0) | 住院號／就醫號 | |
 patient |
1..1 | BackboneElement | 病人的基本資料 | |
  @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| occupation |
0..1 | CodeableConcept | 職業 | |
| identifier |
1..1 | Identifier(5.1.0) | 身分證字號 | |
| patientNo |
1..1 | Identifier(5.1.0) | 病歷號碼 | |
| name |
1..1 | HumanName | 姓名 | |
| gender |
1..1 | CodeableConcept | 性別 | |
| birthDate |
1..1 | dateTime | 出生日期 | |
 address |
0..1 | Address | 居住地址 | |
| organization |
1..1 | BackboneElement | 醫事機構 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier |
1..1 | Identifier(5.1.0) | 醫事機構代碼 | |
| certificateOfDiagnosis |
0..* | BackboneElement | 診斷證明書 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| patientSource |
1..1 | CodeableConcept | 病人來源 | |
| particularDiagnosis |
0..1 | CodeableConcept | 特殊診斷類別 | |
| department |
1..1 | string | 應診科別 | |
| departmentCode |
1..1 | CodeableConcept | 應診科別代碼 | |
| firstExaminationDate |
1..1 | dateTime | 應診日期（始） | |
| endExaminationDate |
1..1 | dateTime | 應診日期（末） | |
| examinationDay |
0..1 | Duration | 應診天數 | |
| identifier |
1..1 | Identifier(5.1.0) | 診斷證明書序號 | |
| diagnosis |
1..* | string | 診斷（病名） | |
| diagnosisCode |
1..* | CodeableConcept | 病名代碼 | |
| recordedDate |
1..1 | dateTime | 診斷證明書日期 | |
| primaryPhysician |
1..1 | HumanName | 主治醫師 | |
| primaryPhysicianNo |
0..1 | Identifier(5.1.0) | 醫師證號 | |
| medicalSummary |
1..1 | markdown | 醫療摘要 | |
| responsiblePhysician |
0..1 | HumanName | 負責醫師（院長） | |
| invoice |
0..* | BackboneElement | 收據正本及費用明細表 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| chargeItem |
0..* | CodeableConcept | 費用項目 | |
| medicalIdentity |
0..1 | CodeableConcept | 就醫身分 | |
| invoiceDate |
1..1 | date | 收據日期 | |
| selfPayAmount |
0..1 | Money | 自付金額 | |
| discount |
0..1 | Money | 減免 | |
| nationalHealthInsuranePoint |
0..1 | Money | 健保點數 | |
| invoiceAmount |
0..1 | Money | 收據金額 | |
 laboratoryReport |
0..* | BackboneElement | 相關檢驗/檢查報告 | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| laboratoryReportName |
1..1 | CodeableConcept | 檢驗報告名稱 | |
| laboratoryReportNo |
1..1 | Identifier(5.1.0) | 收件編號(檢驗單號) | |
| laboratoryItemName |
1..* | CodeableConcept | 檢驗項目名稱 | |
| samplingDate |
1..1 | dateTime | 採檢日期 | |
| reportDate |
1..1 | instant | 報告日期 | |
| medicalTechnologist |
1..1 | HumanName | 醫檢師 | |
| reporter |
1..1 | HumanName | 報告者 | |
| laboratoryValue |
1..* | BackboneElement | 檢測值 | |
| unit |
0..1 | string | 單位 | |
| hL |
0..1 | CodeableConcept | H/L | |
| note |
0..1 | markdown | 註記 | |
| bodySite |
0..1 | CodeableConcept | 檢驗部位 | |
| referenceRange |
1..* | BackboneElement | 參考值 | |
| recordedPhysician |
1..1 | HumanName | 開單醫師 | |
| recordedDepartment |
1..1 | CodeableConcept | 開單科別 | |
| Documentation for this format | ||||
This structure is derived from Base
Differential View
This structure is derived from Base
Key Elements View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ClaimFormModel |
0..* | Base | 理賠申請書(ClaimForm)之資料模型 Instances of this logical model are not marked to be the target of a Reference | |
| caseNo |
0..1 | Identifier(5.1.0) | 案件編號 | |
| admissionNumber |
1..1 | Identifier(5.1.0) | 住院號／就醫號 | |
| patient |
1..1 | BackboneElement | 病人的基本資料 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| occupation |
0..1 | CodeableConcept | 職業 | |
| identifier |
1..1 | Identifier(5.1.0) | 身分證字號 | |
| patientNo |
1..1 | Identifier(5.1.0) | 病歷號碼 | |
| name |
1..1 | HumanName | 姓名 | |
| gender |
1..1 | CodeableConcept | 性別 | |
| birthDate |
1..1 | dateTime | 出生日期 | |
| address |
0..1 | Address | 居住地址 | |
| organization |
1..1 | BackboneElement | 醫事機構 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier |
1..1 | Identifier(5.1.0) | 醫事機構代碼 | |
| certificateOfDiagnosis |
0..* | BackboneElement | 診斷證明書 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| patientSource |
1..1 | CodeableConcept | 病人來源 | |
| particularDiagnosis |
0..1 | CodeableConcept | 特殊診斷類別 | |
| department |
1..1 | string | 應診科別 | |
| departmentCode |
1..1 | CodeableConcept | 應診科別代碼 | |
| firstExaminationDate |
1..1 | dateTime | 應診日期（始） | |
| endExaminationDate |
1..1 | dateTime | 應診日期（末） | |
| examinationDay |
0..1 | Duration | 應診天數 | |
| identifier |
1..1 | Identifier(5.1.0) | 診斷證明書序號 | |
| diagnosis |
1..* | string | 診斷（病名） | |
| diagnosisCode |
1..* | CodeableConcept | 病名代碼 | |
| recordedDate |
1..1 | dateTime | 診斷證明書日期 | |
| primaryPhysician |
1..1 | HumanName | 主治醫師 | |
| primaryPhysicianNo |
0..1 | Identifier(5.1.0) | 醫師證號 | |
| medicalSummary |
1..1 | markdown | 醫療摘要 | |
| responsiblePhysician |
0..1 | HumanName | 負責醫師（院長） | |
| invoice |
0..* | BackboneElement | 收據正本及費用明細表 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| chargeItem |
0..* | CodeableConcept | 費用項目 | |
| medicalIdentity |
0..1 | CodeableConcept | 就醫身分 | |
| invoiceDate |
1..1 | date | 收據日期 | |
| selfPayAmount |
0..1 | Money | 自付金額 | |
| discount |
0..1 | Money | 減免 | |
| nationalHealthInsuranePoint |
0..1 | Money | 健保點數 | |
| invoiceAmount |
0..1 | Money | 收據金額 | |
| laboratoryReport |
0..* | BackboneElement | 相關檢驗/檢查報告 | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| laboratoryReportName |
1..1 | CodeableConcept | 檢驗報告名稱 | |
| laboratoryReportNo |
1..1 | Identifier(5.1.0) | 收件編號(檢驗單號) | |
| laboratoryItemName |
1..* | CodeableConcept | 檢驗項目名稱 | |
| samplingDate |
1..1 | dateTime | 採檢日期 | |
| reportDate |
1..1 | instant | 報告日期 | |
| medicalTechnologist |
1..1 | HumanName | 醫檢師 | |
| reporter |
1..1 | HumanName | 報告者 | |
| laboratoryValue |
1..* | BackboneElement | 檢測值 | |
| unit |
0..1 | string | 單位 | |
| hL |
0..1 | CodeableConcept | H/L | |
| note |
0..1 | markdown | 註記 | |
| bodySite |
0..1 | CodeableConcept | 檢驗部位 | |
| referenceRange |
1..* | BackboneElement | 參考值 | |
| recordedPhysician |
1..1 | HumanName | 開單醫師 | |
| recordedDepartment |
1..1 | CodeableConcept | 開單科別 | |
| Documentation for this format | ||||
This structure is derived from Base