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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CarePlan/ltc-careplan-mobility-example> a fhir:CarePlan ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "ltc-careplan-mobility-example"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/LTCCarePlan" ;
fhir:index 0 ;
fhir:link <http://ltc-ig.fhir.tw/StructureDefinition/LTCCarePlan>
]
] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan ltc-careplan-mobility-example</b></p><a name=\"ltc-careplan-mobility-example\"> </a><a name=\"hcltc-careplan-mobility-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-LTCCarePlan.html\">長期照顧－照顧計畫</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-chen-ming-hui.html\">陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))</a></p><p><b>period</b>: 2024-01-15 --> 2024-04-15</p><p><b>author</b>: <a href=\"PractitionerRole-ltc-practitioner-role-nurse-example.html\">PractitionerRole Registered nurse</a></p><p><b>contributor</b>: <a href=\"RelatedPerson-ltc-related-person-primary-caregiver-example.html\">RelatedPerson 陳志強</a></p><p><b>goal</b>: <a href=\"Goal-ltc-goal-mobility-improvement-example.html\">Goal: lifecycleStatus = active; description = Advancing mobility; start[x] = 2024-01-15; note = 住民目前需要部分協助才能行走，期望透過復健訓練達到獨立行走的目標</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 229070002}\">Stretching exercises</span></td><td>In Progress</td><td>2024-01-15 --> 2024-04-15</td><td><a href=\"PractitionerRole-ltc-practitioner-role-nurse-example.html\">PractitionerRole Registered nurse</a></td><td>進行每日助行器行走訓練，每次30分鐘，每日2次</td></tr></table></blockquote><p><b>note</b>: @2024-01-15</p><blockquote><div><p>住民配合度良好，預期能達成獨立行走的目標</p>\n</div></blockquote></div>"
] ;
fhir:CarePlan.status [ fhir:value "active"] ;
fhir:CarePlan.intent [ fhir:value "plan"] ;
fhir:CarePlan.category [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw" ] ;
fhir:Coding.code [ fhir:value "assess-plan" ]
]
] ;
fhir:CarePlan.subject [
fhir:link <http://hl7.org/fhir/Patient/ltc-patient-chen-ming-hui> ;
fhir:Reference.reference [ fhir:value "Patient/ltc-patient-chen-ming-hui" ]
] ;
fhir:CarePlan.period [
fhir:Period.start [ fhir:value "2024-01-15"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2024-04-15"^^xsd:date ]
] ;
fhir:CarePlan.author [
fhir:link <http://hl7.org/fhir/PractitionerRole/ltc-practitioner-role-nurse-example> ;
fhir:Reference.reference [ fhir:value "PractitionerRole/ltc-practitioner-role-nurse-example" ]
] ;
fhir:CarePlan.contributor [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/RelatedPerson/ltc-related-person-primary-caregiver-example> ;
fhir:Reference.reference [ fhir:value "RelatedPerson/ltc-related-person-primary-caregiver-example" ]
] ;
fhir:CarePlan.goal [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Goal/ltc-goal-mobility-improvement-example> ;
fhir:Reference.reference [ fhir:value "Goal/ltc-goal-mobility-improvement-example" ]
] ;
fhir:CarePlan.activity [
fhir:index 0 ;
fhir:CarePlan.activity.detail [
fhir:CarePlan.activity.detail.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
a sct:229070002 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "229070002" ] ;
fhir:Coding.display [ fhir:value "Stretching exercises" ]
]
] ;
fhir:CarePlan.activity.detail.status [ fhir:value "in-progress" ] ;
fhir:CarePlan.activity.detail.scheduledPeriod [
fhir:Period.start [ fhir:value "2024-01-15"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2024-04-15"^^xsd:date ]
] ;
fhir:CarePlan.activity.detail.performer [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/PractitionerRole/ltc-practitioner-role-nurse-example> ;
fhir:Reference.reference [ fhir:value "PractitionerRole/ltc-practitioner-role-nurse-example" ]
] ;
fhir:CarePlan.activity.detail.description [ fhir:value "進行每日助行器行走訓練，每次30分鐘，每日2次" ]
]
] ;
fhir:CarePlan.note [
fhir:index 0 ;
fhir:Annotation.time [ fhir:value "2024-01-15"^^xsd:date ] ;
fhir:Annotation.text [ fhir:value "住民配合度良好，預期能達成獨立行走的目標" ]
] .
<http://hl7.org/fhir/Patient/ltc-patient-chen-ming-hui> a fhir:Patient .
<http://hl7.org/fhir/PractitionerRole/ltc-practitioner-role-nurse-example> a fhir:PractitionerRole .
<http://hl7.org/fhir/RelatedPerson/ltc-related-person-primary-caregiver-example> a fhir:RelatedPerson .
<http://hl7.org/fhir/Goal/ltc-goal-mobility-improvement-example> a fhir:Goal .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CarePlan/ltc-careplan-mobility-example.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CarePlan/ltc-careplan-mobility-example.ttl> .
IG © 2024+ 經濟部產業發展署. Package tw.iii.ltc#1.0.0 based on FHIR 4.0.1. Generated 2026-07-29
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