臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0

臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

: 長期照顧異常事件範例－SDK 異常服務通報（跌倒） - JSON Representation

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{
  "resourceType" : "AdverseEvent",
  "id" : "ltc-adverse-event-incident-example",
  "meta" : {
    "profile" : [
      🔗 "http://ltc-ig.fhir.tw/StructureDefinition/AdverseEvent-twltc"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AdverseEvent ltc-adverse-event-incident-example</b></p><a name=\"ltc-adverse-event-incident-example\"> </a><a name=\"hcltc-adverse-event-incident-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-AdverseEvent-twltc.html\">長期照顧－異常事件警報</a></p></div><p><b>長期照顧－異常事件通報方式</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-notifmethod phone}\">電話</span></p><blockquote><p><b>長期照顧－異常事件文字描述</b></p><ul><li>textType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-texttype desc}\">事件描述</span></li><li>text: 10:20 於浴室滑倒，家屬協助起身。</li></ul></blockquote><blockquote><p><b>長期照顧－異常事件文字描述</b></p><ul><li>textType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-texttype postprocess}\">事件發生後處理過程詳述</span></li><li>text: 檢查擦傷，無明顯腫脹；已冰敷觀察中。</li></ul></blockquote><blockquote><p><b>長期照顧－異常事件文字描述</b></p><ul><li>textType: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-texttype advice}\">檢討及改善建議</span></li><li>text: 建議持續觀察 48 小時，必要時就醫。已通知個管與居服單位追蹤。</li></ul></blockquote><p><b>長期照顧－異常事件關聯案件</b>: <a href=\"EpisodeOfCare-ltc-episodeofcare-cs100-example.html\">EpisodeOfCare: identifier = https://ltc-ig.fhir.tw/identifier/cs100/case-id#CASE-00001; status = active; period = 2025-10-01 --&gt; (ongoing)</a></p><p><b>identifier</b>: <code>http://ltc-ig.fhir.tw/adverse-event</code>/AE-SDK-2025-001\u00a0(use:\u00a0official,\u00a0)</p><p><b>actuality</b>: Adverse Event</p><p><b>event</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-category careacc}\">照顧意外事件</span></p><p><b>subject</b>: <a href=\"Patient-ltc-patient-cs100-example.html\">王小明 (no stated gender), DoB Unknown ( https://example.org/mrn#A0001)</a></p><p><b>date</b>: 2025-10-01 10:20:00+0800</p><p><b>recordedDate</b>: 2025-10-01 10:35:00+0800</p><p><b>location</b>: <a href=\"Location-ltc-location-example.html\">Location 新北市私立安康老人長期照顧中心（養護型）</a></p><p><b>contributor</b>: <a href=\"Practitioner-ltc-practitioner-cs100-example.html\">Practitioner 張個管</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-notifmethod",
            "code" : "phone",
            "display" : "電話"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "textType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-texttype",
                "code" : "desc",
                "display" : "事件描述"
              }
            ]
          }
        },
        {
          "url" : "text",
          "valueString" : "10:20 於浴室滑倒，家屬協助起身。"
        }
      ],
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description"
    },
    {
      "extension" : [
        {
          "url" : "textType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-texttype",
                "code" : "postprocess",
                "display" : "事件發生後處理過程詳述"
              }
            ]
          }
        },
        {
          "url" : "text",
          "valueString" : "檢查擦傷，無明顯腫脹；已冰敷觀察中。"
        }
      ],
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description"
    },
    {
      "extension" : [
        {
          "url" : "textType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-texttype",
                "code" : "advice",
                "display" : "檢討及改善建議"
              }
            ]
          }
        },
        {
          "url" : "text",
          "valueString" : "建議持續觀察 48 小時，必要時就醫。已通知個管與居服單位追蹤。"
        }
      ],
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description"
    },
    {
      "url" : "http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About",
      "valueReference" : {
        🔗 "reference" : "EpisodeOfCare/ltc-episodeofcare-cs100-example"
      }
    }
  ],
  "identifier" : {
    "use" : "official",
    "system" : "http://ltc-ig.fhir.tw/adverse-event",
    "value" : "AE-SDK-2025-001"
  },
  "actuality" : "actual",
  "event" : {
    "coding" : [
      {
        "system" : "http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-incident-category",
        "code" : "careacc",
        "display" : "照顧意外事件"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/ltc-patient-cs100-example"
  },
  "date" : "2025-10-01T10:20:00+08:00",
  "recordedDate" : "2025-10-01T10:35:00+08:00",
  "location" : {
    🔗 "reference" : "Location/ltc-location-example"
  },
  "contributor" : [
    {
      🔗 "reference" : "Practitioner/ltc-practitioner-cs100-example"
    }
  ]
}