Ambulatory Care Expenditures by Visits
全民健保處方及治療明細檔 – 門急診
1. Generally one claim per visit (same hospital, same day, same department). 2. Content includes patient's disease, hospital, and related cost information for the current visit.
1. 原則上一次就醫(同一醫院同一天同一科別一筆資料)一筆資料。 2. 內容包含病人當次就醫之疾病、醫院及費用等相關資料。
1. For records where the infertility period was not controlled, future reporting will check that the infertility period does not exceed the treated wife's age. 2. Newborn-related information of 0 means there is no newborn data. 3. After the Assisted Reproduction Data Reporting and Management Regulations took effect in ROC year 96 (2007), coding was revised for linkage with other databases; pre-2007 old data was also converted to the new coding, but some codes may produce garbled or unknown values due to format or gaps in the new coding. 4. Further reference: HPA Assisted Reproduction Data Reporting and Management Regulations. Note: This center's databases are de-identified (fields masked as above); data may only be used on-site and only approved aggregate results exported.
1. 計算人次時,補報資料不應重覆計算。 2. 計算費用時,補報資料應合併。 3. 本手冊所列之檔案格式及資料描述係參考「全民健康保險醫事服務機構(門診、住 院及交付機構)醫療費用點數申報格式及填表說明」,路徑:衛生福利部中央健康 保險署首頁∕醫事機構∕醫療費用支付∕醫療費用申報規定∕醫療費用 XML 申 報格式∕全民健康保險醫事服務機構(門診、住院及交付機構)醫療費用點數申報 格式及填表說明。 ※本中心資料庫業經去識別化處理,刪除姓名、地址等可直接識別欄位,如有身分 證字號、院所代碼、投保單位代號、統一編號、出生日期、就醫日期、入院日期 等欄位均經屏蔽處理,且相關資料僅能於本部設置之獨立作業區內使用,並攜出 經審核通過之統計結果,以確保資料應用及其揭露方式已無從識別特定當事人。
1. Personal ID, physician ID, pharmacist ID, and medical institution code are encrypted. 2. The unique key value for comparison with the outpatient/ED medical order details file (H_NHI_OPDTO) is: FEE_YM+APPL_TYPE+HOSP_ID+APPL_DATE+CASE_TYPE+SEQ_NO. 3. Key value for personal account and personal information matching: ID. 4. Medical institution account and data matching key value: HOSP_ID.
1. 個人身分證字號、醫師身分證字號、藥師身分證字號及醫事機構代碼經加密處理。 2. 本檔與門急診醫令明細檔(H_NHI_OPDTO)比對之唯一鍵值為就醫代碼: FEE_YM+APPL_TYPE+HOSP_ID+APPL_DATE+CASE_TYPE+SEQ_NO。 3. 個人歸戶及個人資料比對的鍵值:ID。 4. 醫事機構歸戶與資料比對的鍵值:HOSP_ID。
- 2026/01/27 初版 · first edition
| # | Field name 名稱 | Code | Type | Len | Description 描述 | Codes | Since |
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