Expenditures for Prescriptions Dispensed at Contracted Pharmacies

1. Generally one prescription per visit from the same medical institution on the same day in the same department. 2. Includes information of the medical institution and expenses for the prescription issued.

1. 原則上釋出一次處方箋(同一醫療機構同一天同一科別一筆資料)一筆資料。 2. 包含釋出處方箋當次之醫療機構及費用等相關資料。

1. When counting visits, supplementary-report data should not be double-counted. 2. When computing fees, supplementary-report data should be combined. 3. The file format and data descriptions in this manual reference the NHI 'Medical Fee Point Reporting Format and Instructions for Contracted Facilities (outpatient, inpatient, delivery)' on the NHIA website. Note: This center's databases are de-identified; directly identifying fields such as name and address are removed, and fields such as ID number, facility code, insurer-unit code, tax ID, birth date, visit date, and admission date are masked; data may only be used on-site and only approved aggregate results exported, ensuring individuals cannot be re-identified.

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. For longer hospital stays (usually over one month), inpatient data is reported monthly, so computing a single admission requires grouping the split-billed records. 2. Supplementary-report data must be handled carefully: when computing fees it should be combined; but when computing utilization (visits or patient-days), a whole-record supplement should be counted, while a partial-fee supplement should not be double-counted. 3. The file format and data descriptions in this manual reference the NHI 'Medical Fee Point Reporting Format and Instructions for Contracted Facilities (outpatient, inpatient, delivery)' on the NHIA website. 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, ensuring individuals cannot be re-identified.

1. 身分證字號(ID)、醫師身份證字號(PRSN_ID)、藥師身份證字號(DRUG_PRSN_ID) 及調劑醫療機構代碼(HOSP_ID)、原處方醫療機構代號(ORIG_HOSP_ID)經加密 處理。 2. 本檔的唯一鍵值為：ORIG_HOSP_ID＋FUNC_DATE＋PRSN_ID＋ID，此為與門 診明細檔(H_NHI_OPDTE)對照之鍵值。 3. 本檔與藥局醫令檔(H_NHI_DRUGO)對照的鍵值為：FEE_YM＋APPL_TYPE＋ APPL_DATE＋CASE_TYPE＋ SEQ_NO＋HOSP_ID。 4. 門診明細檔(H_NHI_OPDTE)中的醫療機構代號(HOSP_ID)等同於藥局明細檔 (H_NHI_ DRUGE)中的原處方醫療機構代號(ORIG_HOSP_ID)。 5. 個人歸戶及個人資料對照的鍵值：ID。 6. 醫療機構為藥局之歸戶及資料對照的鍵值：HOSP_ID。 7. 醫療機構為醫院之歸戶及資料對照的鍵值：ORIG_HOSP_ID。

• 2025/06/24 初版 · first edition
• 2026/01/27 修訂 · revised