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－臨床評估

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

記錄評估人員對病情的判斷、發現與摘要。

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
ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
ClinicalImpression.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
ClinicalImpression.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ClinicalImpression.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.subject This element is included in summaries. 1..1 Reference(在宅急症－個案) Patient or group assessed
ClinicalImpression.encounter This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
ClinicalImpression.effective[x] This element must be supported. This element is included in summaries. 1..1 Time of assessment
ClinicalImpression.effective[x].effectiveDateTime dateTime
ClinicalImpression.effective[x].effectivePeriod Period
ClinicalImpression.date This element must be supported. This element is included in summaries. 1..1 dateTime When the assessment was documented
ClinicalImpression.assessor 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) The clinician performing the assessment
ClinicalImpression.problem This element is included in summaries. 0..* Reference(在宅急症－診斷與照護問題) Relevant impressions of patient state
ClinicalImpression.summary This element must be supported. 1..1 string Summary of the assessment
ClinicalImpression.finding This element must be supported. 0..* BackboneElement Possible or likely findings and diagnoses
ClinicalImpression.finding.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ClinicalImpression.supportingInfo This element must be supported. 0..* Reference(Resource) Information supporting the clinical impression
ClinicalImpression.note 0..* Annotation 評估補充說明

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.status Base required Clinical Impression Status 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression 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 ClinicalImpression 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 ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ClinicalImpression 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 ClinicalImpression

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
ClinicalImpression.subject 1..1 Reference(在宅急症－個案) Patient or group assessed
ClinicalImpression.encounter This element must be supported. 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
ClinicalImpression.effective[x] This element must be supported. 1..1 dateTime, Period Time of assessment
ClinicalImpression.assessor This element must be supported. 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色) The clinician performing the assessment
ClinicalImpression.problem 0..* Reference(在宅急症－診斷與照護問題) Relevant impressions of patient state
ClinicalImpression.summary This element must be supported. 1..1 string Summary of the assessment
ClinicalImpression.finding This element must be supported. 0..* BackboneElement Possible or likely findings and diagnoses
ClinicalImpression.supportingInfo This element must be supported. 0..* Reference(Resource) Information supporting the clinical impression
ClinicalImpression.note 0..* Annotation 評估補充說明

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
ClinicalImpression.id This element is included in summaries. 0..1 id Logical id of this artifact
ClinicalImpression.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ClinicalImpression.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
ClinicalImpression.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ClinicalImpression.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
ClinicalImpression.contained 0..* Resource Contained, inline Resources
ClinicalImpression.extension 0..* Extension Additional content defined by implementations
ClinicalImpression.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ClinicalImpression.identifier This element is included in summaries. 0..* Identifier Business identifier
ClinicalImpression.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.statusReason 0..1 CodeableConcept Reason for current status
Binding Description: (example): Codes identifying the reason for the current state of a clinical impression.
ClinicalImpression.code This element is included in summaries. 0..1 CodeableConcept Kind of assessment performed
Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
ClinicalImpression.description This element is included in summaries. 0..1 string Why/how the assessment was performed
ClinicalImpression.subject This element is included in summaries. 1..1 Reference(在宅急症－個案) Patient or group assessed
ClinicalImpression.encounter This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
ClinicalImpression.effective[x] This element must be supported. This element is included in summaries. 1..1 Time of assessment
ClinicalImpression.effective[x].effectiveDateTime dateTime
ClinicalImpression.effective[x].effectivePeriod Period
ClinicalImpression.date This element must be supported. This element is included in summaries. 1..1 dateTime When the assessment was documented
ClinicalImpression.assessor 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) The clinician performing the assessment
ClinicalImpression.previous 0..1 Reference(ClinicalImpression) Reference to last assessment
ClinicalImpression.problem This element is included in summaries. 0..* Reference(在宅急症－診斷與照護問題) Relevant impressions of patient state
ClinicalImpression.investigation 0..* BackboneElement One or more sets of investigations (signs, symptoms, etc.)
ClinicalImpression.investigation.id 0..1 string Unique id for inter-element referencing
ClinicalImpression.investigation.extension 0..* Extension Additional content defined by implementations
ClinicalImpression.investigation.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ClinicalImpression.investigation.code 1..1 CodeableConcept A name/code for the set
Binding: InvestigationType (example): A name/code for a set of investigations.
ClinicalImpression.investigation.item 0..* Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) Record of a specific investigation
ClinicalImpression.protocol 0..* uri Clinical Protocol followed
ClinicalImpression.summary This element must be supported. 1..1 string Summary of the assessment
ClinicalImpression.finding This element must be supported. 0..* BackboneElement Possible or likely findings and diagnoses
ClinicalImpression.finding.id 0..1 string Unique id for inter-element referencing
ClinicalImpression.finding.extension 0..* Extension Additional content defined by implementations
ClinicalImpression.finding.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ClinicalImpression.finding.itemCodeableConcept 0..1 CodeableConcept What was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
ClinicalImpression.finding.itemReference 0..1 Reference(Condition | Observation | Media) What was found
ClinicalImpression.finding.basis 0..1 string Which investigations support finding
ClinicalImpression.prognosisCodeableConcept 0..* CodeableConcept Estimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
ClinicalImpression.prognosisReference 0..* Reference(RiskAssessment) RiskAssessment expressing likely outcome
ClinicalImpression.supportingInfo This element must be supported. 0..* Reference(Resource) Information supporting the clinical impression
ClinicalImpression.note 0..* Annotation 評估補充說明

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ClinicalImpression.status Base required Clinical Impression Status 📍4.0.1 FHIR Std.
ClinicalImpression.statusReason Base example Not State Unknown
ClinicalImpression.code Base example Not State Unknown
ClinicalImpression.investigation.​code Base example Investigation Type 📍4.0.1 FHIR Std.
ClinicalImpression.finding.​itemCodeableConcept Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
ClinicalImpression.prognosisCodeableConcept Base example Clinical Impression Prognosis 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression 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 ClinicalImpression 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 ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ClinicalImpression 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
ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
ClinicalImpression.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
ClinicalImpression.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ClinicalImpression.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.subject This element is included in summaries. 1..1 Reference(在宅急症－個案) Patient or group assessed
ClinicalImpression.encounter This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
ClinicalImpression.effective[x] This element must be supported. This element is included in summaries. 1..1 Time of assessment
ClinicalImpression.effective[x].effectiveDateTime dateTime
ClinicalImpression.effective[x].effectivePeriod Period
ClinicalImpression.date This element must be supported. This element is included in summaries. 1..1 dateTime When the assessment was documented
ClinicalImpression.assessor 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) The clinician performing the assessment
ClinicalImpression.problem This element is included in summaries. 0..* Reference(在宅急症－診斷與照護問題) Relevant impressions of patient state
ClinicalImpression.summary This element must be supported. 1..1 string Summary of the assessment
ClinicalImpression.finding This element must be supported. 0..* BackboneElement Possible or likely findings and diagnoses
ClinicalImpression.finding.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ClinicalImpression.supportingInfo This element must be supported. 0..* Reference(Resource) Information supporting the clinical impression
ClinicalImpression.note 0..* Annotation 評估補充說明

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.status Base required Clinical Impression Status 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression 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 ClinicalImpression 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 ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ClinicalImpression 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 ClinicalImpression

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
ClinicalImpression.subject 1..1 Reference(在宅急症－個案) Patient or group assessed
ClinicalImpression.encounter This element must be supported. 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
ClinicalImpression.effective[x] This element must be supported. 1..1 dateTime, Period Time of assessment
ClinicalImpression.date This element must be supported. 1..1 dateTime When the assessment was documented
ClinicalImpression.assessor This element must be supported. 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色) The clinician performing the assessment
ClinicalImpression.problem 0..* Reference(在宅急症－診斷與照護問題) Relevant impressions of patient state
ClinicalImpression.summary This element must be supported. 1..1 string Summary of the assessment
ClinicalImpression.finding This element must be supported. 0..* BackboneElement Possible or likely findings and diagnoses
ClinicalImpression.supportingInfo This element must be supported. 0..* Reference(Resource) Information supporting the clinical impression
ClinicalImpression.note 0..* Annotation 評估補充說明

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ClinicalImpression 0..* ClinicalImpression A clinical assessment performed when planning treatments and management strategies for a patient
ClinicalImpression.id This element is included in summaries. 0..1 id Logical id of this artifact
ClinicalImpression.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ClinicalImpression.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
ClinicalImpression.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ClinicalImpression.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
ClinicalImpression.contained 0..* Resource Contained, inline Resources
ClinicalImpression.extension 0..* Extension Additional content defined by implementations
ClinicalImpression.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ClinicalImpression.identifier This element is included in summaries. 0..* Identifier Business identifier
ClinicalImpression.status This element is a modifier element. This element is included in summaries. 1..1 code in-progress | completed | entered-in-error
Binding: ClinicalImpressionStatus (required): The workflow state of a clinical impression.
ClinicalImpression.statusReason 0..1 CodeableConcept Reason for current status
Binding Description: (example): Codes identifying the reason for the current state of a clinical impression.
ClinicalImpression.code This element is included in summaries. 0..1 CodeableConcept Kind of assessment performed
Binding Description: (example): Identifies categories of clinical impressions. This is a place-holder only. It may be removed.
ClinicalImpression.description This element is included in summaries. 0..1 string Why/how the assessment was performed
ClinicalImpression.subject This element is included in summaries. 1..1 Reference(在宅急症－個案) Patient or group assessed
ClinicalImpression.encounter This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
ClinicalImpression.effective[x] This element must be supported. This element is included in summaries. 1..1 Time of assessment
ClinicalImpression.effective[x].effectiveDateTime dateTime
ClinicalImpression.effective[x].effectivePeriod Period
ClinicalImpression.date This element must be supported. This element is included in summaries. 1..1 dateTime When the assessment was documented
ClinicalImpression.assessor 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) The clinician performing the assessment
ClinicalImpression.previous 0..1 Reference(ClinicalImpression) Reference to last assessment
ClinicalImpression.problem This element is included in summaries. 0..* Reference(在宅急症－診斷與照護問題) Relevant impressions of patient state
ClinicalImpression.investigation 0..* BackboneElement One or more sets of investigations (signs, symptoms, etc.)
ClinicalImpression.investigation.id 0..1 string Unique id for inter-element referencing
ClinicalImpression.investigation.extension 0..* Extension Additional content defined by implementations
ClinicalImpression.investigation.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ClinicalImpression.investigation.code 1..1 CodeableConcept A name/code for the set
Binding: InvestigationType (example): A name/code for a set of investigations.
ClinicalImpression.investigation.item 0..* Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media) Record of a specific investigation
ClinicalImpression.protocol 0..* uri Clinical Protocol followed
ClinicalImpression.summary This element must be supported. 1..1 string Summary of the assessment
ClinicalImpression.finding This element must be supported. 0..* BackboneElement Possible or likely findings and diagnoses
ClinicalImpression.finding.id 0..1 string Unique id for inter-element referencing
ClinicalImpression.finding.extension 0..* Extension Additional content defined by implementations
ClinicalImpression.finding.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
ClinicalImpression.finding.itemCodeableConcept 0..1 CodeableConcept What was found
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the Condition or diagnosis.
ClinicalImpression.finding.itemReference 0..1 Reference(Condition | Observation | Media) What was found
ClinicalImpression.finding.basis 0..1 string Which investigations support finding
ClinicalImpression.prognosisCodeableConcept 0..* CodeableConcept Estimate of likely outcome
Binding: ClinicalImpressionPrognosis (example): Prognosis or outlook findings.
ClinicalImpression.prognosisReference 0..* Reference(RiskAssessment) RiskAssessment expressing likely outcome
ClinicalImpression.supportingInfo This element must be supported. 0..* Reference(Resource) Information supporting the clinical impression
ClinicalImpression.note 0..* Annotation 評估補充說明

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ClinicalImpression.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ClinicalImpression.status Base required Clinical Impression Status 📍4.0.1 FHIR Std.
ClinicalImpression.statusReason Base example Not State Unknown
ClinicalImpression.code Base example Not State Unknown
ClinicalImpression.investigation.​code Base example Investigation Type 📍4.0.1 FHIR Std.
ClinicalImpression.finding.​itemCodeableConcept Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
ClinicalImpression.prognosisCodeableConcept Base example Clinical Impression Prognosis 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ClinicalImpression If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ClinicalImpression 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 ClinicalImpression 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 ClinicalImpression If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ClinicalImpression 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