臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0

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 1.1.0 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: 在宅急症-照護團隊

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/HAHCareTeam Version: 1.1.0
Draft as of 2026-10-30 Computable Name: HAHCareTeam

記錄主責及共照人員、機構、角色與參與期間。團隊成員包含人員與共照機構。

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: doco
CareTeam 0..* TWCoreCareTeam 在健康照護過程中提供服務的照護團隊
CareTeam.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CareTeam.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CareTeam.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): 代表照護團隊狀態的代碼;應填入所綁定值集中的其中一個代碼。
CareTeam.subject This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症-個案) 照護團隊所照護的對象是誰?
CareTeam.encounter This element is included in summaries. 0..1 Reference(在宅急症-整段照護) 與此 CareTeam 相關的就醫事件
CareTeam.participant This element must be supported. C 1..* BackboneElement 照護團隊中的成員
Constraints: ctm-1
CareTeam.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CareTeam.participant.role This element must be supported. This element is included in summaries. 1..1 CodeableConcept 照護團隊成員的角色
Binding: ParticipantRoles (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
CareTeam.participant.member This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-關係人 | 長期照顧-機構) 團隊成員是誰
CareTeam.participant.period This element must be supported. 0..1 Period Time period of participant
CareTeam.managingOrganization This element is included in summaries. 0..* Reference(長期照顧-機構) 照護團隊所屬的組織

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📍4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Participant Roles 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam 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 CareTeam 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 CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam 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 TWCoreCareTeam

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CareTeam 0..* TWCoreCareTeam 在健康照護過程中提供服務的照護團隊
CareTeam.status 1..1 code proposed | active | suspended | inactive | entered-in-error
CareTeam.subject 1..1 Reference(在宅急症-個案) 照護團隊所照護的對象是誰?
CareTeam.encounter 0..1 Reference(在宅急症-整段照護) 與此 CareTeam 相關的就醫事件
CareTeam.participant.member 1..1 Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-關係人 | 長期照顧-機構) 團隊成員是誰
CareTeam.participant.period This element must be supported. 0..1 Period Time period of participant
CareTeam.managingOrganization 0..* Reference(長期照顧-機構) 照護團隊所屬的組織

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
CareTeam 0..* TWCoreCareTeam 在健康照護過程中提供服務的照護團隊
CareTeam.id This element is included in summaries. 0..1 id 不重複的 ID 用以識別儲存在特定 FHIR Server 中的 CareTeam 紀錄,通常又稱為邏輯性 ID。
CareTeam.meta This element is included in summaries. 0..1 Meta 此 CareTeam Resource 的 metadata
CareTeam.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CareTeam.language 0..1 code 用以表述 CareTeam Resource 內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用 CommonLanguages 代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding
CareTeam.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
CareTeam.contained 0..* Resource Contained, inline Resources
CareTeam.extension 0..* Extension Additional content defined by implementations
CareTeam.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CareTeam.identifier This element is included in summaries. 0..* Identifier External Ids for this team
CareTeam.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): 代表照護團隊狀態的代碼;應填入所綁定值集中的其中一個代碼。
CareTeam.category This element is included in summaries. 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.
CareTeam.name This element is included in summaries. 0..1 string Name of the team, such as crisis assessment team
CareTeam.subject This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症-個案) 照護團隊所照護的對象是誰?
CareTeam.encounter This element is included in summaries. 0..1 Reference(在宅急症-整段照護) 與此 CareTeam 相關的就醫事件
CareTeam.period This element is included in summaries. 0..1 Period Time period team covers
CareTeam.participant This element must be supported. C 1..* BackboneElement 照護團隊中的成員
Constraints: ctm-1
CareTeam.participant.id 0..1 string Unique id for inter-element referencing
CareTeam.participant.extension 0..* Extension Additional content defined by implementations
CareTeam.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CareTeam.participant.role This element must be supported. This element is included in summaries. 1..1 CodeableConcept 照護團隊成員的角色
Binding: ParticipantRoles (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
CareTeam.participant.member This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-關係人 | 長期照顧-機構) 團隊成員是誰
CareTeam.participant.onBehalfOf This element is included in summaries. 0..1 Reference(TW Core Organization) 組織成員代表誰
CareTeam.participant.period This element must be supported. 0..1 Period Time period of participant
CareTeam.reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
CareTeam.reasonReference 0..* Reference(TW Core Condition) 為何需要此照護團隊
CareTeam.managingOrganization This element is included in summaries. 0..* Reference(長期照顧-機構) 照護團隊所屬的組織
CareTeam.telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
CareTeam.note 0..* Annotation Comments made about the CareTeam

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.language Base preferred Common Languages 📦4.0.1 FHIR Std.
CareTeam.status Base required CareTeamStatus 📍4.0.1 FHIR Std.
CareTeam.category Base example Care Team category 📍4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Participant Roles 📦4.0.1 FHIR Std.
CareTeam.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam 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 CareTeam 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 CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam 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: doco
CareTeam 0..* TWCoreCareTeam 在健康照護過程中提供服務的照護團隊
CareTeam.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CareTeam.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CareTeam.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): 代表照護團隊狀態的代碼;應填入所綁定值集中的其中一個代碼。
CareTeam.subject This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症-個案) 照護團隊所照護的對象是誰?
CareTeam.encounter This element is included in summaries. 0..1 Reference(在宅急症-整段照護) 與此 CareTeam 相關的就醫事件
CareTeam.participant This element must be supported. C 1..* BackboneElement 照護團隊中的成員
Constraints: ctm-1
CareTeam.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CareTeam.participant.role This element must be supported. This element is included in summaries. 1..1 CodeableConcept 照護團隊成員的角色
Binding: ParticipantRoles (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
CareTeam.participant.member This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-關係人 | 長期照顧-機構) 團隊成員是誰
CareTeam.participant.period This element must be supported. 0..1 Period Time period of participant
CareTeam.managingOrganization This element is included in summaries. 0..* Reference(長期照顧-機構) 照護團隊所屬的組織

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📍4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Participant Roles 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam 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 CareTeam 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 CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam 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 TWCoreCareTeam

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CareTeam 0..* TWCoreCareTeam 在健康照護過程中提供服務的照護團隊
CareTeam.status 1..1 code proposed | active | suspended | inactive | entered-in-error
CareTeam.subject 1..1 Reference(在宅急症-個案) 照護團隊所照護的對象是誰?
CareTeam.encounter 0..1 Reference(在宅急症-整段照護) 與此 CareTeam 相關的就醫事件
CareTeam.participant
CareTeam.participant.member 1..1 Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-關係人 | 長期照顧-機構) 團隊成員是誰
CareTeam.participant.period This element must be supported. 0..1 Period Time period of participant
CareTeam.managingOrganization 0..* Reference(長期照顧-機構) 照護團隊所屬的組織

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CareTeam 0..* TWCoreCareTeam 在健康照護過程中提供服務的照護團隊
CareTeam.id This element is included in summaries. 0..1 id 不重複的 ID 用以識別儲存在特定 FHIR Server 中的 CareTeam 紀錄,通常又稱為邏輯性 ID。
CareTeam.meta This element is included in summaries. 0..1 Meta 此 CareTeam Resource 的 metadata
CareTeam.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CareTeam.language 0..1 code 用以表述 CareTeam Resource 內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用 CommonLanguages 代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Additional BindingsPurpose
AllLanguages Max Binding
CareTeam.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
CareTeam.contained 0..* Resource Contained, inline Resources
CareTeam.extension 0..* Extension Additional content defined by implementations
CareTeam.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CareTeam.identifier This element is included in summaries. 0..* Identifier External Ids for this team
CareTeam.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): 代表照護團隊狀態的代碼;應填入所綁定值集中的其中一個代碼。
CareTeam.category This element is included in summaries. 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.
CareTeam.name This element is included in summaries. 0..1 string Name of the team, such as crisis assessment team
CareTeam.subject This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症-個案) 照護團隊所照護的對象是誰?
CareTeam.encounter This element is included in summaries. 0..1 Reference(在宅急症-整段照護) 與此 CareTeam 相關的就醫事件
CareTeam.period This element is included in summaries. 0..1 Period Time period team covers
CareTeam.participant This element must be supported. C 1..* BackboneElement 照護團隊中的成員
Constraints: ctm-1
CareTeam.participant.id 0..1 string Unique id for inter-element referencing
CareTeam.participant.extension 0..* Extension Additional content defined by implementations
CareTeam.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CareTeam.participant.role This element must be supported. This element is included in summaries. 1..1 CodeableConcept 照護團隊成員的角色
Binding: ParticipantRoles (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。
CareTeam.participant.member This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧-照顧服務提供者 | 長期照顧-服務人員角色 | 長期照顧-關係人 | 長期照顧-機構) 團隊成員是誰
CareTeam.participant.onBehalfOf This element is included in summaries. 0..1 Reference(TW Core Organization) 組織成員代表誰
CareTeam.participant.period This element must be supported. 0..1 Period Time period of participant
CareTeam.reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
CareTeam.reasonReference 0..* Reference(TW Core Condition) 為何需要此照護團隊
CareTeam.managingOrganization This element is included in summaries. 0..* Reference(長期照顧-機構) 照護團隊所屬的組織
CareTeam.telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
CareTeam.note 0..* Annotation Comments made about the CareTeam

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.language Base preferred Common Languages 📦4.0.1 FHIR Std.
CareTeam.status Base required CareTeamStatus 📍4.0.1 FHIR Std.
CareTeam.category Base example Care Team category 📍4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Participant Roles 📦4.0.1 FHIR Std.
CareTeam.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam 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 CareTeam 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 CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam 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