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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ltc-bundle-payload-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-Bundle-Payload"/>
</meta>
<type value="collection"/>
<entry>
<fullUrl value="http://example.org/Patient/ltc-patient-sdk-example"/>
<resource>
<Patient>
<id value="ltc-patient-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_ltc-patient-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: Patient ltc-patient-sdk-example</b></p><a name="ltc-patient-sdk-example"> </a><a name="hcltc-patient-sdk-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-LTCPatient.html">長期照顧－住民基本資料</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 0912345678</li><li>台北市中山區中山北路100號(home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: Next-of-Kin">Next-of-Kin:</td><td colspan="3"><ul><li>王大明</li><li>ph: 0987654321</li></ul></td></tr></table></div>
</text>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PRN"/>
</coding>
</type>
<system value="https://example.org/mrn"/>
<value value="A0001"/>
</identifier>
<name>
<use value="usual"/>
<text value="王小明"/>
</name>
<telecom>
<system value="phone"/>
<value value="0912345678"/>
</telecom>
<gender value="male"/>
<birthDate value="1950-01-01"/>
<address>
<use value="home"/>
<text value="台北市中山區中山北路100號"/>
</address>
<contact>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
<display value="Next-of-Kin"/>
</coding>
</relationship>
<name>
<text value="王大明"/>
</name>
<telecom>
<system value="phone"/>
<value value="0987654321"/>
</telecom>
</contact>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/Organization/ltc-organization-sdk-example"/>
<resource>
<Organization>
<id value="ltc-organization-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ltc-organization-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: Organization ltc-organization-sdk-example</b></p><a name="ltc-organization-sdk-example"> </a><a name="hcltc-organization-sdk-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-Organization-twltc.html">長期照顧－機構</a></p></div><p><b>identifier</b>: <code>http://www.moi.gov.tw</code>/0131060099</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: OOO長期照顧管理中心</p></div>
</text>
<identifier>
<system value="http://www.moi.gov.tw"/>
<value value="0131060099"/>
</identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="OOO長期照顧管理中心"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/Practitioner/ltc-practitioner-sdk-example"/>
<resource>
<Practitioner>
<id value="ltc-practitioner-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_ltc-practitioner-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner ltc-practitioner-sdk-example</b></p><a name="ltc-practitioner-sdk-example"> </a><a name="hcltc-practitioner-sdk-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-LTCPractitioner.html">長期照顧－照顧服務提供者</a></p></div><p><b>identifier</b>: <code>http://example.org/fhir/NamingSystem/practitioner-id</code>/P001</p><p><b>name</b>: 李小華</p></div>
</text>
<identifier>
<system
value="http://example.org/fhir/NamingSystem/practitioner-id"/>
<value value="P001"/>
</identifier>
<name>
<text value="李小華"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/EpisodeOfCare/ltc-episodeofcare-sdk-example"/>
<resource>
<EpisodeOfCare>
<id value="ltc-episodeofcare-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-EpisodeOfCare-Payload"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="EpisodeOfCare_ltc-episodeofcare-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: EpisodeOfCare ltc-episodeofcare-sdk-example</b></p><a name="ltc-episodeofcare-sdk-example"> </a><a name="hcltc-episodeofcare-sdk-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-LTC-EpisodeOfCare-Payload.html">長照 SDK－長照案件</a></p></div><p><b>identifier</b>: <code>https://ltc-ig.fhir.tw/identifier/sdk/r1.1-case-serial</code>/123456789</p><p><b>status</b>: Active</p><p><b>patient</b>: <a href="Patient-ltc-patient-sdk-example.html">王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))</a></p><p><b>managingOrganization</b>: <a href="Organization-ltc-organization-sdk-example.html">Organization OOO長期照顧管理中心</a></p><p><b>period</b>: 2025-01-01 --> (ongoing)</p></div>
</text>
<identifier>
<system
value="https://ltc-ig.fhir.tw/identifier/sdk/r1.1-case-serial"/>
<value value="123456789"/>
</identifier>
<status value="active"/>
<patient>🔗
<reference value="Patient/ltc-patient-sdk-example"/>
</patient>
<managingOrganization>🔗
<reference value="Organization/ltc-organization-sdk-example"/>
</managingOrganization>
<period>
<start value="2025-01-01"/>
</period>
</EpisodeOfCare>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/Observation/ltc-observation-assessment-sdk-example"/>
<resource>
<Observation>
<id value="ltc-observation-assessment-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-Observation-Assessment-Payload"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_ltc-observation-assessment-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: Observation ltc-observation-assessment-sdk-example</b></p><a name="ltc-observation-assessment-sdk-example"> </a><a name="hcltc-observation-assessment-sdk-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-LTC-Observation-Assessment-Payload.html">長照 SDK－評估核定摘要</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 8357-6}">Blood pressure method</span></p><p><b>subject</b>: <a href="Patient-ltc-patient-sdk-example.html">王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))</a></p><p><b>effective</b>: 2025-01-01</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component welfare-identity}">長照福利身分</span></p><p><b>value</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-welfare-identity cat3}">第3類</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component cms-level}">CMS 等級</span></p><p><b>value</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-cmslevel 1a}">1a</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component assessment-type}">評估類型</span></p><p><b>value</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-type initial}">初評</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component plan-start}">計畫起始日</span></p><p><b>value</b>: 2025-01-01</p></blockquote></div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8357-6"/>
<display value="Blood pressure method"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/ltc-patient-sdk-example"/>
</subject>
<effectiveDateTime value="2025-01-01"/>
<component>
<code>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component"/>
<code value="welfare-identity"/>
<display value="長照福利身分"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-welfare-identity"/>
<code value="cat3"/>
<display value="第3類"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component"/>
<code value="cms-level"/>
<display value="CMS 等級"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-cmslevel"/>
<code value="1a"/>
<display value="1a"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component"/>
<code value="assessment-type"/>
<display value="評估類型"/>
</coding>
</code>
<valueCodeableConcept>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-type"/>
<code value="initial"/>
<display value="初評"/>
</coding>
</valueCodeableConcept>
</component>
<component>
<code>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-assessment-component"/>
<code value="plan-start"/>
<display value="計畫起始日"/>
</coding>
</code>
<valueDateTime value="2025-01-01"/>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/CoverageEligibilityResponse/ltc-coverageeligibilityresponse-sdk-example"/>
<resource>
<CoverageEligibilityResponse>
<id value="ltc-coverageeligibilityresponse-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-CoverageEligibilityResponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="CoverageEligibilityResponse_ltc-coverageeligibilityresponse-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: CoverageEligibilityResponse ltc-coverageeligibilityresponse-sdk-example</b></p><a name="ltc-coverageeligibilityresponse-sdk-example"> </a><a name="hcltc-coverageeligibilityresponse-sdk-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-LTC-CoverageEligibilityResponse.html">長照－核定額度（CoverageEligibilityResponse）</a></p></div><p><b>status</b>: Active</p><p><b>purpose</b>: Coverage benefits</p><p><b>patient</b>: <a href="Patient-ltc-patient-sdk-example.html">王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))</a></p><p><b>created</b>: 2025-08-04 17:02:19+0800</p><p><b>request</b>: <a href="CoverageEligibilityRequest-ltc-coverageeligibilityrequest-sdk-example.html">CoverageEligibilityRequest: status = active; purpose = benefits; created = 2025-08-04 17:00:00+0800</a></p><p><b>outcome</b>: Processing Complete</p><p><b>insurer</b>: <a href="Organization-ltc-organization-sdk-example.html">Organization OOO長期照顧管理中心</a></p><blockquote><p><b>insurance</b></p><p><b>coverage</b>: <a href="Coverage-ltc-coverage-sdk-example.html">Coverage: status = active</a></p><blockquote><p><b>item</b></p><p><b>category</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group care-pro}">照顧及專業服務</span></p><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type total}">總額度</span></p><p><b>allowed</b>: <span title="New Taiwan Dollar">NT$15,460.00</span> (TWD)</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type subsidy}">補助額度</span></p><p><b>allowed</b>: <span title="New Taiwan Dollar">NT$12,987.00</span> (TWD)</p></blockquote><blockquote><p><b>benefit</b></p><p><b>type</b>: <span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type copay}">部分負擔</span></p><p><b>allowed</b>: <span title="New Taiwan Dollar">NT$2,473.00</span> (TWD)</p></blockquote></blockquote></blockquote></div>
</text>
<status value="active"/>
<purpose value="benefits"/>
<patient>🔗
<reference value="Patient/ltc-patient-sdk-example"/>
</patient>
<created value="2025-08-04T17:02:19+08:00"/>
<request>🔗
<reference
value="CoverageEligibilityRequest/ltc-coverageeligibilityrequest-sdk-example"/>
</request>
<outcome value="complete"/>
<insurer>🔗
<reference value="Organization/ltc-organization-sdk-example"/>
</insurer>
<insurance>
<coverage>🔗
<reference value="Coverage/ltc-coverage-sdk-example"/>
</coverage>
<item>
<category>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-group"/>
<code value="care-pro"/>
<display value="照顧及專業服務"/>
</coding>
</category>
<benefit>
<type>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type"/>
<code value="total"/>
</coding>
</type>
<allowedMoney>
<value value="15460"/>
<currency value="TWD"/>
</allowedMoney>
</benefit>
<benefit>
<type>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type"/>
<code value="subsidy"/>
</coding>
</type>
<allowedMoney>
<value value="12987"/>
<currency value="TWD"/>
</allowedMoney>
</benefit>
<benefit>
<type>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-benefit-type"/>
<code value="copay"/>
</coding>
</type>
<allowedMoney>
<value value="2473"/>
<currency value="TWD"/>
</allowedMoney>
</benefit>
</item>
</insurance>
</CoverageEligibilityResponse>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/CarePlan/ltc-careplan-sdk-example"/>
<resource>
<CarePlan>
<id value="ltc-careplan-sdk-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTC-CarePlan-Payload"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="CarePlan_ltc-careplan-sdk-example"> </a><p class="res-header-id"><b>Generated Narrative: CarePlan ltc-careplan-sdk-example</b></p><a name="ltc-careplan-sdk-example"> </a><a name="hcltc-careplan-sdk-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-LTC-CarePlan-Payload.html">長照 SDK－照顧計畫（不含輔具）</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw assess-plan}">Assessment and Plan of Treatment</span></p><p><b>subject</b>: <a href="Patient-ltc-patient-sdk-example.html">王小明 Male, DoB: 1950-01-01 ( Provider number (use: official, ))</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td/><td><span title="Codes:{http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item AA01}">照顧計畫擬定與服務連結</span></td><td>Scheduled</td><td>每週 2 次（週二、週五）</td><td>19</td></tr></table></blockquote></div>
</text>
<status value="active"/>
<intent value="plan"/>
<category>
<coding>
<system
value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw"/>
<code value="assess-plan"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/ltc-patient-sdk-example"/>
</subject>
<activity>
<detail>
<extension
url="http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice">
<valueMoney>
<value value="195"/>
<currency value="TWD"/>
</valueMoney>
</extension>
<code>
<coding>
<system
value="http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item"/>
<code value="AA01"/>
<display value="照顧計畫擬定與服務連結"/>
</coding>
</code>
<status value="scheduled"/>
<scheduledString value="每週 2 次（週二、週五）"/>
<quantity>
<value value="19"/>
</quantity>
</detail>
</activity>
</CarePlan>
</resource>
</entry>
</Bundle>