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 1.1.0 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: 1.1.0 | |||
| Active as of 2026-10-30 | 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:
- Refer to this Profile: 個案總查詢（CS100 對應版）Case Summary
- Examples for this Profile: AdverseEvent/ltc-adverse-event-example, AdverseEvent/ltc-adverse-event-incident-example and AdverseEvent/ltc-adverseevent-cs100-example
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  AdverseEvent |
0..* | AdverseEvent | 異常事件警報的資訊 | |
  implicitRules |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:notifMethod |
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 |
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 |
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 |
0..1 | Identifier | 異常事件警報的唯一識別碼 | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official (extensions allowed) | |
| system |
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 |
1..1 | string | 異常事件警報的唯一識別碼值 Example General: 123456 | |
| actuality |
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 |
0..1 | CodeableConcept | 異常事件類型 Binding: 長照 SDK－異常紀錄－異常類別 (extensible) | |
| coding |
0..* | Coding | Code defined by a terminology system | |
| text |
0..1 | string | 異常事件類型的描述 | |
 subject |
1..1 | Reference(長期照顧－住民基本資料) | 發生異常事件的個案 | |
| reference |
C | 1..1 | string | 個案的參考 |
| date |
1..1 | dateTime | 異常事件實際發生的日期時間 | |
| detected |
0..1 | dateTime | 異常事件被偵測到的日期時間 | |
| recordedDate |
1..1 | dateTime | 異常事件被記錄的日期時間 | |
| resultingCondition |
0..* | Reference(Condition) | 異常事件導致的結果狀況 | |
| reference |
C | 1..1 | string | 結果狀況的參考 [應填入 Condition Resource ID] |
| location |
0..1 | Reference(長期照顧－個案位置監測) | 異常事件發生的位置 | |
| reference |
C | 1..1 | string | 位置的參考 [應填入 Location Resource ID] |
| seriousness |
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 |
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 |
0..1 | CodeableConcept | 異常事件的處理結果 Binding: AdverseEventOutcome (required): TODO (and should this be required?). | |
| recorder |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 記錄異常事件的人員 | |
| contributor |
0..* | Reference(Practitioner | PractitionerRole | Device) | 涉及此異常事件的人員或設備 | |
| 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 | 📦1.1.0 | 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent | 異常事件警報的資訊 | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:notifMethod |
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 |
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 |
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 |
0..1 | Identifier | 異常事件警報的唯一識別碼 | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: official (extensions allowed) | |
| system |
1..1 | uri | 異常事件警報識別碼的系統識別符 | |
| value |
1..1 | string | 異常事件警報的唯一識別碼值 | |
| actuality |
1..1 | code | 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential) | |
| event |
0..1 | CodeableConcept | 異常事件類型 Binding: 長照 SDK－異常紀錄－異常類別 (extensible) | |
| coding |
0..* | Coding | Code defined by a terminology system | |
| text |
0..1 | string | 異常事件類型的描述 | |
| subject |
1..1 | Reference(長期照顧－住民基本資料) | 發生異常事件的個案 | |
| reference |
1..1 | string | 個案的參考 | |
| date |
1..1 | dateTime | 異常事件實際發生的日期時間 | |
| detected |
0..1 | dateTime | 異常事件被偵測到的日期時間 | |
| recordedDate |
1..1 | dateTime | 異常事件被記錄的日期時間 | |
| resultingCondition |
0..* | Reference(Condition) | 異常事件導致的結果狀況 | |
| reference |
1..1 | string | 結果狀況的參考 [應填入 Condition Resource ID] | |
| location |
0..1 | Reference(長期照顧－個案位置監測) | 異常事件發生的位置 | |
| reference |
1..1 | string | 位置的參考 [應填入 Location Resource ID] | |
| seriousness |
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 |
0..1 | CodeableConcept | 異常事件本身的嚴重程度（輕微、中度、重度） | |
| outcome |
0..1 | CodeableConcept | 異常事件的處理結果 | |
| recorder |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 記錄異常事件的人員 | |
| contributor |
0..* | Reference(Practitioner | PractitionerRole | Device) | 涉及此異常事件的人員或設備 | |
| 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 | 📦1.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent | 異常事件警報的資訊 | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:notifMethod |
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 |
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 |
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 |
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 |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official (extensions allowed) | |||||
| type |
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 |
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 |
1..1 | string | 異常事件警報的唯一識別碼值 Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| actuality |
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 |
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 |
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 |
0..* | Coding | Code defined by a terminology system | |||||
| text |
0..1 | string | 異常事件類型的描述 | |||||
| subject |
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 |
C | 1..1 | string | 個案的參考 | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||
| date |
1..1 | dateTime | 異常事件實際發生的日期時間 | |||||
| detected |
0..1 | dateTime | 異常事件被偵測到的日期時間 | |||||
| recordedDate |
1..1 | dateTime | 異常事件被記錄的日期時間 | |||||
| resultingCondition |
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 |
C | 1..1 | string | 結果狀況的參考 [應填入 Condition Resource ID] | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| location |
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 |
C | 1..1 | string | 位置的參考 [應填入 Location Resource ID] | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| seriousness |
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 |
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 |
0..1 | CodeableConcept | 異常事件的處理結果 Binding: AdverseEventOutcome (required): TODO (and should this be required?). | |||||
| recorder |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 記錄異常事件的人員 | |||||
| contributor |
0..* | Reference(Practitioner | PractitionerRole | Device) | 涉及此異常事件的人員或設備 | |||||
| suspectEntity |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| instance |
1..1 | Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) | Refers to the specific entity that caused the adverse event | |||||
 causality |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| assessment |
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 |
0..1 | string | AdverseEvent.suspectEntity.causalityProductRelatedness | |||||
| author |
0..1 | Reference(Practitioner | PractitionerRole) | AdverseEvent.suspectEntity.causalityAuthor | |||||
| method |
0..1 | CodeableConcept | ProbabilityScale | Bayesian | Checklist Binding: AdverseEventCausalityMethod (example): TODO. | |||||
| subjectMedicalHistory |
0..* | Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) | AdverseEvent.subjectMedicalHistory | |||||
| referenceDocument |
0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument | |||||
| study |
0..* | Reference(ResearchStudy) | AdverseEvent.study | |||||
| 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 | 📦1.1.0 | 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()
|
This structure is derived from AdverseEvent
Summary
Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 25 elements
Structures
This structure refers to these other structures:
- 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
- 長期照顧－個案位置監測 (http://ltc-ig.fhir.tw/StructureDefinition/Location-twltc)
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent | 異常事件警報的資訊 | |
| implicitRules |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:notifMethod |
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 |
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 |
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 |
0..1 | Identifier | 異常事件警報的唯一識別碼 | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official (extensions allowed) | |
| system |
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 |
1..1 | string | 異常事件警報的唯一識別碼值 Example General: 123456 | |
| actuality |
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 |
0..1 | CodeableConcept | 異常事件類型 Binding: 長照 SDK－異常紀錄－異常類別 (extensible) | |
| coding |
0..* | Coding | Code defined by a terminology system | |
| text |
0..1 | string | 異常事件類型的描述 | |
| subject |
1..1 | Reference(長期照顧－住民基本資料) | 發生異常事件的個案 | |
| reference |
C | 1..1 | string | 個案的參考 |
| date |
1..1 | dateTime | 異常事件實際發生的日期時間 | |
| detected |
0..1 | dateTime | 異常事件被偵測到的日期時間 | |
| recordedDate |
1..1 | dateTime | 異常事件被記錄的日期時間 | |
| resultingCondition |
0..* | Reference(Condition) | 異常事件導致的結果狀況 | |
| reference |
C | 1..1 | string | 結果狀況的參考 [應填入 Condition Resource ID] |
| location |
0..1 | Reference(長期照顧－個案位置監測) | 異常事件發生的位置 | |
| reference |
C | 1..1 | string | 位置的參考 [應填入 Location Resource ID] |
| seriousness |
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 |
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 |
0..1 | CodeableConcept | 異常事件的處理結果 Binding: AdverseEventOutcome (required): TODO (and should this be required?). | |
| recorder |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 記錄異常事件的人員 | |
| contributor |
0..* | Reference(Practitioner | PractitionerRole | Device) | 涉及此異常事件的人員或設備 | |
| 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 | 📦1.1.0 | 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent | 異常事件警報的資訊 | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:notifMethod |
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 |
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 |
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 |
0..1 | Identifier | 異常事件警報的唯一識別碼 | |
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: official (extensions allowed) | |
| system |
1..1 | uri | 異常事件警報識別碼的系統識別符 | |
| value |
1..1 | string | 異常事件警報的唯一識別碼值 | |
| actuality |
1..1 | code | 異常事件的實際性 (實際的異常：actual / 潛在的異常：potential) | |
| event |
0..1 | CodeableConcept | 異常事件類型 Binding: 長照 SDK－異常紀錄－異常類別 (extensible) | |
| coding |
0..* | Coding | Code defined by a terminology system | |
| text |
0..1 | string | 異常事件類型的描述 | |
| subject |
1..1 | Reference(長期照顧－住民基本資料) | 發生異常事件的個案 | |
| reference |
1..1 | string | 個案的參考 | |
| date |
1..1 | dateTime | 異常事件實際發生的日期時間 | |
| detected |
0..1 | dateTime | 異常事件被偵測到的日期時間 | |
| recordedDate |
1..1 | dateTime | 異常事件被記錄的日期時間 | |
| resultingCondition |
0..* | Reference(Condition) | 異常事件導致的結果狀況 | |
| reference |
1..1 | string | 結果狀況的參考 [應填入 Condition Resource ID] | |
| location |
0..1 | Reference(長期照顧－個案位置監測) | 異常事件發生的位置 | |
| reference |
1..1 | string | 位置的參考 [應填入 Location Resource ID] | |
| seriousness |
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 |
0..1 | CodeableConcept | 異常事件本身的嚴重程度（輕微、中度、重度） | |
| outcome |
0..1 | CodeableConcept | 異常事件的處理結果 | |
| recorder |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 記錄異常事件的人員 | |
| contributor |
0..* | Reference(Practitioner | PractitionerRole | Device) | 涉及此異常事件的人員或設備 | |
| 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 | 📦1.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| AdverseEvent |
0..* | AdverseEvent | 異常事件警報的資訊 | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:notifMethod |
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 |
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 |
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 |
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 |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official (extensions allowed) | |||||
| type |
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 |
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 |
1..1 | string | 異常事件警報的唯一識別碼值 Example General: 123456 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| actuality |
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 |
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 |
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 |
0..* | Coding | Code defined by a terminology system | |||||
| text |
0..1 | string | 異常事件類型的描述 | |||||
| subject |
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 |
C | 1..1 | string | 個案的參考 | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of | |||||
| date |
1..1 | dateTime | 異常事件實際發生的日期時間 | |||||
| detected |
0..1 | dateTime | 異常事件被偵測到的日期時間 | |||||
| recordedDate |
1..1 | dateTime | 異常事件被記錄的日期時間 | |||||
| resultingCondition |
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 |
C | 1..1 | string | 結果狀況的參考 [應填入 Condition Resource ID] | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| location |
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 |
C | 1..1 | string | 位置的參考 [應填入 Location Resource ID] | ||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| seriousness |
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 |
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 |
0..1 | CodeableConcept | 異常事件的處理結果 Binding: AdverseEventOutcome (required): TODO (and should this be required?). | |||||
| recorder |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | 記錄異常事件的人員 | |||||
| contributor |
0..* | Reference(Practitioner | PractitionerRole | Device) | 涉及此異常事件的人員或設備 | |||||
| suspectEntity |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| instance |
1..1 | Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) | Refers to the specific entity that caused the adverse event | |||||
| causality |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| assessment |
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 |
0..1 | string | AdverseEvent.suspectEntity.causalityProductRelatedness | |||||
| author |
0..1 | Reference(Practitioner | PractitionerRole) | AdverseEvent.suspectEntity.causalityAuthor | |||||
| method |
0..1 | CodeableConcept | ProbabilityScale | Bayesian | Checklist Binding: AdverseEventCausalityMethod (example): TODO. | |||||
| subjectMedicalHistory |
0..* | Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference) | AdverseEvent.subjectMedicalHistory | |||||
| referenceDocument |
0..* | Reference(DocumentReference) | AdverseEvent.referenceDocument | |||||
| study |
0..* | Reference(ResearchStudy) | AdverseEvent.study | |||||
| 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 | 📦1.1.0 | 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()
|
This structure is derived from AdverseEvent
Summary
Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 25 elements
Structures
This structure refers to these other structures:
- 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
- 長期照顧－個案位置監測 (http://ltc-ig.fhir.tw/StructureDefinition/Location-twltc)
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron