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 xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CarePlan/pasport-careplan-walking-exercise-example> a fhir:CarePlan ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "pasport-careplan-walking-exercise-example"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://ltc-ig.fhir.tw/StructureDefinition/PASportCarePlan" ;
fhir:index 0 ;
fhir:link <http://ltc-ig.fhir.tw/StructureDefinition/PASportCarePlan>
]
] ;
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 pasport-careplan-walking-exercise-example</b></p><a name=\"pasport-careplan-walking-exercise-example\"> </a><a name=\"hcpasport-careplan-walking-exercise-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-PASportCarePlan.html\">運動處方－運動計畫</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport PhysicalActivity}\">Physical Activity</span></p><p><b>description</b>: 依照運動處方設計步行運動計畫，每日步行30分鐘，目標達到每日8000步</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>goal</b>: <a href=\"Goal-pasport-goal-walking-steps-example.html\">Goal: identifier = http://ltc-ig.fhir.tw/goal-id#goal-walking-2024-001; lifecycleStatus = active; category = Physical Activity; description = ; start[x] = 2024-01-15; statusDate = 2024-01-15; note = 考慮患者目前體能狀況，設定循序漸進的步數目標，最終達到每日8000步</a></p><blockquote><p><b>activity</b></p><p><b>progress</b>: @2024-01-15 09:00:00+0800</p><blockquote><div><p>開始執行步行運動計畫，第一週目標每日5000步</p>\n</div></blockquote><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>In Progress</td><td>2024-01-15 --> 2024-04-15</td><td>每日早晨步行30分鐘，逐步增加步數目標。第一週5000步，第二週6000步，第三週7000步，第四週達到8000步目標。</td></tr></table></blockquote><p><b>note</b>: @2024-01-15</p><blockquote><div><p>患者配合度良好，體能狀況適合進行步行運動，建議循序漸進增加運動強度</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 "http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport" ] ;
fhir:Coding.code [ fhir:value "PhysicalActivity" ]
]
] ;
fhir:CarePlan.description [ fhir:value "依照運動處方設計步行運動計畫，每日步行30分鐘，目標達到每日8000步"] ;
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.goal [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Goal/pasport-goal-walking-steps-example> ;
fhir:Reference.reference [ fhir:value "Goal/pasport-goal-walking-steps-example" ]
] ;
fhir:CarePlan.activity [
fhir:index 0 ;
fhir:CarePlan.activity.progress [
fhir:index 0 ;
fhir:Annotation.time [ fhir:value "2024-01-15T09:00:00+08:00"^^xsd:dateTime ] ;
fhir:Annotation.text [ fhir:value "開始執行步行運動計畫，第一週目標每日5000步" ]
] ;
fhir:CarePlan.activity.detail [
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.description [ fhir:value "每日早晨步行30分鐘，逐步增加步數目標。第一週5000步，第二週6000步，第三週7000步，第四週達到8000步目標。" ]
]
] ;
fhir:CarePlan.note [
fhir:index 0 ;
fhir:Annotation.time [ fhir:value "2024-01-15"^^xsd:date ] ;
fhir:Annotation.text [ fhir:value "患者配合度良好，體能狀況適合進行步行運動，建議循序漸進增加運動強度" ]
] .
<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/Goal/pasport-goal-walking-steps-example> a fhir:Goal .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CarePlan/pasport-careplan-walking-exercise-example.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CarePlan/pasport-careplan-walking-exercise-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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