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

Resource Profile: 長期照顧－異常事件警報

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/AdverseEvent-twltc Version: 1.0.0
Active as of 2026-03-01 Computable Name: LTCAdverseEvent

此 Profile 說明本 IG 如何進一步定義 FHIR 的 AdverseEvent Resource，以呈現長照個案異常事件的資料，包括事件類型、嚴重程度、發生時間、位置、通報方式、多段文字描述與關聯案件等資訊。同時適用於失智照顧及 SDK 異常服務通報場景。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 異常事件警報的資訊
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:notifMethod S 0..* CodeableConcept 通報方式（如電話、機構通報等）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod
Binding: 長照 SDK－異常紀錄－通報方式 (required)
.... extension:description S 0..* (Complex) 多段文字描述（事件描述、過程、處理、建議）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description
.... extension:about S 0..* Reference(EpisodeOfCare | CarePlan) 關聯的案件（EpisodeOfCare）或照顧計畫（CarePlan）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Required Pattern: official
.... system SΣ 1..1 uri 異常事件警報識別碼的系統識別符
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 異常事件警報的唯一識別碼值
Example General: 123456
... actuality ?!SΣ 1..1 code 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential)
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
... event SΣ 0..1 CodeableConcept 異常事件類型
Binding: 長照 SDK－異常紀錄－異常類別 (extensible)
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string 異常事件類型的描述
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 發生異常事件的個案
.... reference SΣC 1..1 string 個案的參考
... date SΣ 1..1 dateTime 異常事件實際發生的日期時間
... detected SΣ 0..1 dateTime 異常事件被偵測到的日期時間
... recordedDate SΣ 1..1 dateTime 異常事件被記錄的日期時間
... resultingCondition SΣ 0..* Reference(Condition) 異常事件導致的結果狀況
.... reference SΣC 1..1 string 結果狀況的參考 [應填入 Condition Resource ID]
... location SΣ 0..1 Reference(長期照顧－個案位置監測) 異常事件發生的位置
.... reference SΣC 1..1 string 位置的參考 [應填入 Location Resource ID]
... seriousness SΣ 0..1 CodeableConcept 異常事件的臨床嚴重程度，指臨床上會對患者造成生命威脅或導致患者長期失能的風險程度
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
... severity SΣ 0..1 CodeableConcept 異常事件本身的嚴重程度（輕微、中度、重度）
Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.
... outcome SΣ 0..1 CodeableConcept 異常事件的處理結果
Binding: AdverseEventOutcome (required): TODO (and should this be required?).
... recorder SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) 記錄異常事件的人員
... contributor SΣ 0..* Reference(Practitioner | PractitionerRole | Device) 涉及此異常事件的人員或設備

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.event Base extensible 長照 SDK－異常紀錄－異常類別 📦1.0.0 This IG
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.
AdverseEvent.severity Base required AdverseEventSeverity 📍4.0.1 FHIR Std.
AdverseEvent.outcome Base required AdverseEventOutcome 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error AdverseEvent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AdverseEvent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AdverseEvent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AdverseEvent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 異常事件警報的資訊
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:notifMethod S 0..* CodeableConcept 通報方式（如電話、機構通報等）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod
Binding: 長照 SDK－異常紀錄－通報方式 (required)
.... extension:description S 0..* (Complex) 多段文字描述（事件描述、過程、處理、建議）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description
.... extension:about S 0..* Reference(EpisodeOfCare | CarePlan) 關聯的案件（EpisodeOfCare）或照顧計畫（CarePlan）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About
... identifier S 0..1 Identifier 異常事件警報的唯一識別碼
.... use S 0..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
.... system S 1..1 uri 異常事件警報識別碼的系統識別符
.... value S 1..1 string 異常事件警報的唯一識別碼值
... actuality S 1..1 code 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential)
.... coding S 0..* Coding Code defined by a terminology system
.... text S 0..1 string 異常事件類型的描述
... subject S 1..1 Reference(長期照顧－住民基本資料) 發生異常事件的個案
.... reference S 1..1 string 個案的參考
... date S 1..1 dateTime 異常事件實際發生的日期時間
... detected S 0..1 dateTime 異常事件被偵測到的日期時間
... recordedDate S 1..1 dateTime 異常事件被記錄的日期時間
... resultingCondition S 0..* Reference(Condition) 異常事件導致的結果狀況
.... reference S 1..1 string 結果狀況的參考 [應填入 Condition Resource ID]
... location S 0..1 Reference(長期照顧－個案位置監測) 異常事件發生的位置
.... reference S 1..1 string 位置的參考 [應填入 Location Resource ID]
... seriousness S 0..1 CodeableConcept 異常事件的臨床嚴重程度，指臨床上會對患者造成生命威脅或導致患者長期失能的風險程度
... severity S 0..1 CodeableConcept 異常事件本身的嚴重程度（輕微、中度、重度）
... outcome S 0..1 CodeableConcept 異常事件的處理結果
... recorder S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) 記錄異常事件的人員
... contributor S 0..* Reference(Practitioner | PractitionerRole | Device) 涉及此異常事件的人員或設備

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AdverseEvent.event Base extensible 長照 SDK－異常紀錄－異常類別 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 異常事件警報的資訊
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:notifMethod S 0..* CodeableConcept 通報方式（如電話、機構通報等）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod
Binding: 長照 SDK－異常紀錄－通報方式 (required)
.... extension:description S 0..* (Complex) 多段文字描述（事件描述、過程、處理、建議）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description
.... extension:about S 0..* Reference(EpisodeOfCare | CarePlan) 關聯的案件（EpisodeOfCare）或照顧計畫（CarePlan）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier 異常事件警報的唯一識別碼
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Required Pattern: official
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri 異常事件警報識別碼的系統識別符
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 異常事件警報的唯一識別碼值
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... actuality ?!SΣ 1..1 code 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential)
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
... category Σ 0..* CodeableConcept product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment
Binding: AdverseEventCategory (extensible): Overall categorization of the event, e.g. product-related or situational.
... event SΣ 0..1 CodeableConcept 異常事件類型
Binding: 長照 SDK－異常紀錄－異常類別 (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string 異常事件類型的描述
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 發生異常事件的個案
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 個案的參考
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... date SΣ 1..1 dateTime 異常事件實際發生的日期時間
... detected SΣ 0..1 dateTime 異常事件被偵測到的日期時間
... recordedDate SΣ 1..1 dateTime 異常事件被記錄的日期時間
... resultingCondition SΣ 0..* Reference(Condition) 異常事件導致的結果狀況
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 結果狀況的參考 [應填入 Condition Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... location SΣ 0..1 Reference(長期照顧－個案位置監測) 異常事件發生的位置
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 位置的參考 [應填入 Location Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... seriousness SΣ 0..1 CodeableConcept 異常事件的臨床嚴重程度，指臨床上會對患者造成生命威脅或導致患者長期失能的風險程度
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
... severity SΣ 0..1 CodeableConcept 異常事件本身的嚴重程度（輕微、中度、重度）
Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.
... outcome SΣ 0..1 CodeableConcept 異常事件的處理結果
Binding: AdverseEventOutcome (required): TODO (and should this be required?).
... recorder SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) 記錄異常事件的人員
... contributor SΣ 0..* Reference(Practitioner | PractitionerRole | Device) 涉及此異常事件的人員或設備
... suspectEntity Σ 0..* BackboneElement The suspected agent causing the adverse event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance Σ 1..1 Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) Refers to the specific entity that caused the adverse event
.... causality Σ 0..* BackboneElement Information on the possible cause of the event
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment Σ 0..1 CodeableConcept Assessment of if the entity caused the event
Binding: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event.
..... productRelatedness Σ 0..1 string AdverseEvent.suspectEntity.causalityProductRelatedness
..... author Σ 0..1 Reference(Practitioner | PractitionerRole) AdverseEvent.suspectEntity.causalityAuthor
..... method Σ 0..1 CodeableConcept ProbabilityScale | Bayesian | Checklist
Binding: AdverseEventCausalityMethod (example): TODO.
... subjectMedicalHistory Σ 0..* Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) AdverseEvent.subjectMedicalHistory
... referenceDocument Σ 0..* Reference(DocumentReference) AdverseEvent.referenceDocument
... study Σ 0..* Reference(ResearchStudy) AdverseEvent.study

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AdverseEvent.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
AdverseEvent.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.category Base extensible AdverseEventCategory 📍4.0.1 FHIR Std.
AdverseEvent.event Base extensible 長照 SDK－異常紀錄－異常類別 📦1.0.0 This IG
AdverseEvent.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AdverseEvent.resultingCondition.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AdverseEvent.location.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.
AdverseEvent.severity Base required AdverseEventSeverity 📍4.0.1 FHIR Std.
AdverseEvent.outcome Base required AdverseEventOutcome 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.assessment Base example AdverseEventCausalityAssessment 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.method Base example AdverseEventCausalityMethod 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error AdverseEvent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AdverseEvent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AdverseEvent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 異常事件警報的資訊
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:notifMethod S 0..* CodeableConcept 通報方式（如電話、機構通報等）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod
Binding: 長照 SDK－異常紀錄－通報方式 (required)
.... extension:description S 0..* (Complex) 多段文字描述（事件描述、過程、處理、建議）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description
.... extension:about S 0..* Reference(EpisodeOfCare | CarePlan) 關聯的案件（EpisodeOfCare）或照顧計畫（CarePlan）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Required Pattern: official
.... system SΣ 1..1 uri 異常事件警報識別碼的系統識別符
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 異常事件警報的唯一識別碼值
Example General: 123456
... actuality ?!SΣ 1..1 code 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential)
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
... event SΣ 0..1 CodeableConcept 異常事件類型
Binding: 長照 SDK－異常紀錄－異常類別 (extensible)
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string 異常事件類型的描述
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 發生異常事件的個案
.... reference SΣC 1..1 string 個案的參考
... date SΣ 1..1 dateTime 異常事件實際發生的日期時間
... detected SΣ 0..1 dateTime 異常事件被偵測到的日期時間
... recordedDate SΣ 1..1 dateTime 異常事件被記錄的日期時間
... resultingCondition SΣ 0..* Reference(Condition) 異常事件導致的結果狀況
.... reference SΣC 1..1 string 結果狀況的參考 [應填入 Condition Resource ID]
... location SΣ 0..1 Reference(長期照顧－個案位置監測) 異常事件發生的位置
.... reference SΣC 1..1 string 位置的參考 [應填入 Location Resource ID]
... seriousness SΣ 0..1 CodeableConcept 異常事件的臨床嚴重程度，指臨床上會對患者造成生命威脅或導致患者長期失能的風險程度
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
... severity SΣ 0..1 CodeableConcept 異常事件本身的嚴重程度（輕微、中度、重度）
Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.
... outcome SΣ 0..1 CodeableConcept 異常事件的處理結果
Binding: AdverseEventOutcome (required): TODO (and should this be required?).
... recorder SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) 記錄異常事件的人員
... contributor SΣ 0..* Reference(Practitioner | PractitionerRole | Device) 涉及此異常事件的人員或設備

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.event Base extensible 長照 SDK－異常紀錄－異常類別 📦1.0.0 This IG
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.
AdverseEvent.severity Base required AdverseEventSeverity 📍4.0.1 FHIR Std.
AdverseEvent.outcome Base required AdverseEventOutcome 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error AdverseEvent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AdverseEvent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AdverseEvent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from AdverseEvent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 異常事件警報的資訊
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:notifMethod S 0..* CodeableConcept 通報方式（如電話、機構通報等）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod
Binding: 長照 SDK－異常紀錄－通報方式 (required)
.... extension:description S 0..* (Complex) 多段文字描述（事件描述、過程、處理、建議）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description
.... extension:about S 0..* Reference(EpisodeOfCare | CarePlan) 關聯的案件（EpisodeOfCare）或照顧計畫（CarePlan）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About
... identifier S 0..1 Identifier 異常事件警報的唯一識別碼
.... use S 0..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
.... system S 1..1 uri 異常事件警報識別碼的系統識別符
.... value S 1..1 string 異常事件警報的唯一識別碼值
... actuality S 1..1 code 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential)
.... coding S 0..* Coding Code defined by a terminology system
.... text S 0..1 string 異常事件類型的描述
... subject S 1..1 Reference(長期照顧－住民基本資料) 發生異常事件的個案
.... reference S 1..1 string 個案的參考
... date S 1..1 dateTime 異常事件實際發生的日期時間
... detected S 0..1 dateTime 異常事件被偵測到的日期時間
... recordedDate S 1..1 dateTime 異常事件被記錄的日期時間
... resultingCondition S 0..* Reference(Condition) 異常事件導致的結果狀況
.... reference S 1..1 string 結果狀況的參考 [應填入 Condition Resource ID]
... location S 0..1 Reference(長期照顧－個案位置監測) 異常事件發生的位置
.... reference S 1..1 string 位置的參考 [應填入 Location Resource ID]
... seriousness S 0..1 CodeableConcept 異常事件的臨床嚴重程度，指臨床上會對患者造成生命威脅或導致患者長期失能的風險程度
... severity S 0..1 CodeableConcept 異常事件本身的嚴重程度（輕微、中度、重度）
... outcome S 0..1 CodeableConcept 異常事件的處理結果
... recorder S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) 記錄異常事件的人員
... contributor S 0..* Reference(Practitioner | PractitionerRole | Device) 涉及此異常事件的人員或設備

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
AdverseEvent.event Base extensible 長照 SDK－異常紀錄－異常類別 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. AdverseEvent 0..* AdverseEvent 異常事件警報的資訊
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:notifMethod S 0..* CodeableConcept 通報方式（如電話、機構通報等）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-NotifMethod
Binding: 長照 SDK－異常紀錄－通報方式 (required)
.... extension:description S 0..* (Complex) 多段文字描述（事件描述、過程、處理、建議）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-Description
.... extension:about S 0..* Reference(EpisodeOfCare | CarePlan) 關聯的案件（EpisodeOfCare）或照顧計畫（CarePlan）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-AdverseEvent-About
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier 異常事件警報的唯一識別碼
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Required Pattern: official
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri 異常事件警報識別碼的系統識別符
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string 異常事件警報的唯一識別碼值
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... actuality ?!SΣ 1..1 code 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential)
Binding: AdverseEventActuality (required): Overall nature of the adverse event, e.g. real or potential.
... category Σ 0..* CodeableConcept product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment
Binding: AdverseEventCategory (extensible): Overall categorization of the event, e.g. product-related or situational.
... event SΣ 0..1 CodeableConcept 異常事件類型
Binding: 長照 SDK－異常紀錄－異常類別 (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string 異常事件類型的描述
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 發生異常事件的個案
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 個案的參考
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... date SΣ 1..1 dateTime 異常事件實際發生的日期時間
... detected SΣ 0..1 dateTime 異常事件被偵測到的日期時間
... recordedDate SΣ 1..1 dateTime 異常事件被記錄的日期時間
... resultingCondition SΣ 0..* Reference(Condition) 異常事件導致的結果狀況
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 結果狀況的參考 [應填入 Condition Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... location SΣ 0..1 Reference(長期照顧－個案位置監測) 異常事件發生的位置
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 位置的參考 [應填入 Location Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... seriousness SΣ 0..1 CodeableConcept 異常事件的臨床嚴重程度，指臨床上會對患者造成生命威脅或導致患者長期失能的風險程度
Binding: AdverseEventSeriousness (example): Overall seriousness of this event for the patient.
... severity SΣ 0..1 CodeableConcept 異常事件本身的嚴重程度（輕微、中度、重度）
Binding: AdverseEventSeverity (required): The severity of the adverse event itself, in direct relation to the subject.
... outcome SΣ 0..1 CodeableConcept 異常事件的處理結果
Binding: AdverseEventOutcome (required): TODO (and should this be required?).
... recorder SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) 記錄異常事件的人員
... contributor SΣ 0..* Reference(Practitioner | PractitionerRole | Device) 涉及此異常事件的人員或設備
... suspectEntity Σ 0..* BackboneElement The suspected agent causing the adverse event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... instance Σ 1..1 Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) Refers to the specific entity that caused the adverse event
.... causality Σ 0..* BackboneElement Information on the possible cause of the event
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... assessment Σ 0..1 CodeableConcept Assessment of if the entity caused the event
Binding: AdverseEventCausalityAssessment (example): Codes for the assessment of whether the entity caused the event.
..... productRelatedness Σ 0..1 string AdverseEvent.suspectEntity.causalityProductRelatedness
..... author Σ 0..1 Reference(Practitioner | PractitionerRole) AdverseEvent.suspectEntity.causalityAuthor
..... method Σ 0..1 CodeableConcept ProbabilityScale | Bayesian | Checklist
Binding: AdverseEventCausalityMethod (example): TODO.
... subjectMedicalHistory Σ 0..* Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) AdverseEvent.subjectMedicalHistory
... referenceDocument Σ 0..* Reference(DocumentReference) AdverseEvent.referenceDocument
... study Σ 0..* Reference(ResearchStudy) AdverseEvent.study

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
AdverseEvent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
AdverseEvent.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
AdverseEvent.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
AdverseEvent.actuality Base required AdverseEventActuality 📍4.0.1 FHIR Std.
AdverseEvent.category Base extensible AdverseEventCategory 📍4.0.1 FHIR Std.
AdverseEvent.event Base extensible 長照 SDK－異常紀錄－異常類別 📦1.0.0 This IG
AdverseEvent.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AdverseEvent.resultingCondition.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AdverseEvent.location.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
AdverseEvent.seriousness Base example AdverseEventSeriousness 📍4.0.1 FHIR Std.
AdverseEvent.severity Base required AdverseEventSeverity 📍4.0.1 FHIR Std.
AdverseEvent.outcome Base required AdverseEventOutcome 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.assessment Base example AdverseEventCausalityAssessment 📍4.0.1 FHIR Std.
AdverseEvent.suspectEntity.​causality.method Base example AdverseEventCausalityMethod 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error AdverseEvent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error AdverseEvent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error AdverseEvent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice AdverseEvent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron