長照 SDK－照顧計畫（不含輔具） - 臺灣長期照顧實作指引(TW LTC IG) v1.1.0

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: 長照 SDK－照顧計畫（不含輔具）

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

此 Profile 說明本 IG 如何進一步定義 FHIR 的 CarePlan Resource，以呈現長照 SDK 回傳之照顧計畫，包含服務項目代碼、金額、數量及頻率等資料。

Usages:

Derived from this Profile: 長照 SDK－照顧計畫（CS100）
Use this Profile: 長照 SDK－回傳包（4合1）
Refer to this Profile: 個案總查詢（CS100 對應版）Case Summary
Examples for this Profile: CarePlan/ltc-careplan-cs100-example and CarePlan/ltc-careplan-sdk-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.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan		0..*	TWCoreCarePlan	特定照護目標下為一位患者或一群患者識別的活動、干預和結果計畫
CarePlan.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
CarePlan.text	This element must be supported.	0..1	Narrative	CarePlan Resource 之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
CarePlan.text.status	This element must be supported.	1..1	code	generated \| additional Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): 敘述狀態的受限值集。
CarePlan.text.div	This element must be supported. C	1..1	xhtml	有限的 xhtml 內容 Constraints: txt-1, txt-2
CarePlan.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	照護計畫目前的狀態 Binding: RequestStatus (required): 指出計畫是否正在實施、代表未來意圖或是現在的歷史記錄。
CarePlan.intent	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	照護計畫的意圖 Binding: CarePlanIntent (required): 表示與照護計畫相關的權威性/意向性程度的代碼 Required Pattern: plan (extensions allowed)
CarePlan.Slices for category	This element must be supported. This element is included in summaries.	1..*	CodeableConcept	照護計畫的類型 Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:AssessPlan	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	評估計畫 Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: `{ "coding" : [ { "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw", "code" : "assess-plan" } ] }`
CarePlan.subject	This element must be supported. This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	照護計畫的對象
CarePlan.period	This element must be supported. This element is included in summaries.	0..1	Period	Time period plan covers
CarePlan.activity	This element must be supported. C	1..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
CarePlan.activity.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.detail	This element must be supported. C	1..1	BackboneElement	In-line definition of activity
CarePlan.activity.detail.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
CarePlan.activity.detail.Slices for extension.extension:unitPrice		0..1	Money	單價 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice
CarePlan.activity.detail.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.detail.code	This element must be supported.	1..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
CarePlan.activity.detail.status	This element is a modifier element.	1..1	code	not-started \| scheduled \| in-progress \| on-hold \| completed \| cancelled \| stopped \| unknown \| entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
CarePlan.activity.detail.doNotPerform	This element is a modifier element.	0..1	boolean	If true, activity is prohibiting action
CarePlan.activity.detail.Slices for scheduled[x]		0..1		When activity is to occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
CarePlan.activity.detail.Slices for scheduled[x].scheduledTiming			Timing
CarePlan.activity.detail.Slices for scheduled[x].scheduledString			string
CarePlan.activity.detail.Slices for scheduled[x].scheduled[x]:scheduledTiming		0..1	Timing	When activity is to occur
CarePlan.activity.detail.Slices for product[x]		0..1		What is to be administered/supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
CarePlan.activity.detail.Slices for product[x].productCodeableConcept			CodeableConcept
CarePlan.activity.detail.Slices for product[x].productReference			Reference(Medication \| Substance)
CarePlan.activity.detail.Slices for product[x].product[x]:productReference		0..1	Reference(TW Core Medication \| Substance)	物料/主題/產品資訊要參照的資源
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.text.status	Base	required	臺灣衛福部資訊處Narrative狀態值集	📦0.3.0	臺灣核心實作指引 v1.0
CarePlan.status	Base	required	RequestStatus	📦4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📦4.0.1	FHIR Std.
CarePlan.category	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:AssessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.activity.detail.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	`detail.empty() or reference.empty()`
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	CarePlan	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	CarePlan	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	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	CarePlan	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()`
txt-1	error	CarePlan.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	CarePlan.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

This structure is derived from TWCoreCarePlan

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan			TWCoreCarePlan
CarePlan.intent		1..1	code	照護計畫的意圖 Required Pattern: plan (extensions allowed)
CarePlan.subject		1..1	Reference(長期照顧－住民基本資料)	照護計畫的對象
CarePlan.period	This element must be supported.	0..1	Period	Time period plan covers
CarePlan.activity	This element must be supported.	1..*	BackboneElement	Action to occur as part of plan
CarePlan.activity.detail	This element must be supported.	1..1	BackboneElement	In-line definition of activity
CarePlan.activity.detail.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
CarePlan.activity.detail.Slices for extension.extension:unitPrice		0..1	Money	單價 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice
CarePlan.activity.detail.code	This element must be supported.	1..1	CodeableConcept	Detail type of activity
CarePlan.activity.detail.Slices for scheduled[x]		0..1		When activity is to occur Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
CarePlan.activity.detail.Slices for scheduled[x].scheduledTiming			Timing
CarePlan.activity.detail.Slices for scheduled[x].scheduledString			string
CarePlan.activity.detail.Slices for scheduled[x].scheduled[x]:scheduledTiming		0..1	Timing	When activity is to occur
Documentation for this format

Description & Constraints Filter:

CarePlan 0..* TWCoreCarePlan 特定照護目標下為一位患者或一群患者識別的活動、干預和結果計畫

CarePlan.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 CarePlan 紀錄，通常又稱為邏輯性 ID。

CarePlan.meta This element is included in summaries. 0..1 Meta 此 CarePlan Resource 的 metadata

CarePlan.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則

language

0..1

code

用以表述 CarePlan 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 Bindings

Purpose

AllLanguages

Max Binding

Example Value: zh-TW

CarePlan.text This element must be supported. 0..1 Narrative CarePlan Resource 之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

CarePlan.text.id 0..1 string Unique id for inter-element referencing

CarePlan.text.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

CarePlan.text.status This element must be supported. 1..1 code generated | additional
Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): 敘述狀態的受限值集。

CarePlan.text.div This element must be supported. C 1..1 xhtml 有限的 xhtml 內容
Constraints: txt-1, txt-2

CarePlan.contained 0..* Resource Contained, inline Resources

CarePlan.extension 0..* Extension Additional content defined by implementations

CarePlan.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

CarePlan.identifier This element is included in summaries. 0..* Identifier External Ids for this plan

CarePlan.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) Instantiates FHIR protocol or definition

CarePlan.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition

CarePlan.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan) 履行或延伸的照護計畫

CarePlan.replaces This element is included in summaries. 0..* Reference(TW Core CarePlan) 被此計畫取代的照護計畫

CarePlan.partOf This element is included in summaries. 0..* Reference(TW Core CarePlan) 作為父照護計畫的一部分

CarePlan.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 照護計畫目前的狀態
Binding: RequestStatus (required): 指出計畫是否正在實施、代表未來意圖或是現在的歷史記錄。

CarePlan.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 照護計畫的意圖
Binding: CarePlanIntent (required): 表示與照護計畫相關的權威性/意向性程度的代碼
Required Pattern: plan (extensions allowed)

CarePlan.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept 照護計畫的類型
Slice: Unordered, Open by pattern:$this
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:AssessPlan

1..1

CodeableConcept

評估計畫
Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.

Required Pattern:

{
  "coding" : [
    {
      "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw",
      "code" : "assess-plan"
    }
  ]
}

CarePlan.title This element is included in summaries. 0..1 string Human-friendly name for the care plan

CarePlan.description This element is included in summaries. 0..1 string Summary of nature of plan

CarePlan.subject This element must be supported. This element is included in summaries. 1..1 Reference(長期照顧－住民基本資料) 照護計畫的對象

CarePlan.encounter This element is included in summaries. 0..1 Reference(TW Core Encounter) 與此照護計畫相關的就醫事件

CarePlan.period This element must be supported. This element is included in summaries. 0..1 Period Time period plan covers

CarePlan.created This element is included in summaries. 0..1 dateTime Date record was first recorded

CarePlan.careTeam 0..* Reference(TW Core CareTeam) 執行照護工作的團隊

CarePlan.addresses This element is included in summaries. 0..* Reference(TW Core Condition) 本計畫處理的健康問題

CarePlan.supportingInfo 0..* Reference(Resource) Information considered as part of plan

CarePlan.goal 0..* Reference(Goal) Desired outcome of plan

CarePlan.activity This element must be supported. C 1..* BackboneElement Action to occur as part of plan
Constraints: cpl-3

CarePlan.activity.id 0..1 string Unique id for inter-element referencing

CarePlan.activity.extension 0..* Extension Additional content defined by implementations

CarePlan.activity.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

CarePlan.activity.outcomeCodeableConcept 0..* CodeableConcept Results of the activity
Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.

CarePlan.activity.outcomeReference 0..* Reference(Resource) Appointment, Encounter, Procedure, etc.

CarePlan.activity.progress 0..* Annotation Comments about the activity status/progress

CarePlan.activity.detail This element must be supported. C 1..1 BackboneElement In-line definition of activity

CarePlan.activity.detail.id 0..1 string Unique id for inter-element referencing

CarePlan.activity.detail.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

CarePlan.activity.detail.Slices for extension.extension:unitPrice 0..1 Money 單價
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice

CarePlan.activity.detail.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

CarePlan.activity.detail.instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) Instantiates FHIR protocol or definition

CarePlan.activity.detail.instantiatesUri 0..* uri Instantiates external protocol or definition

CarePlan.activity.detail.code This element must be supported. 1..1 CodeableConcept Detail type of activity
Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.

CarePlan.activity.detail.reasonCode 0..* CodeableConcept Why activity should be done or why activity was prohibited
Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.

CarePlan.activity.detail.reasonReference 0..* Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) 為何需要此行動

CarePlan.activity.detail.goal 0..* Reference(Goal) Goals this activity relates to

CarePlan.activity.detail.statusReason 0..1 CodeableConcept Reason for current status

CarePlan.activity.detail.doNotPerform This element is a modifier element. 0..1 boolean If true, activity is prohibiting action

CarePlan.activity.detail.Slices for scheduled[x] 0..1 When activity is to occur
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view

CarePlan.activity.detail.Slices for scheduled[x].scheduledTiming Timing

CarePlan.activity.detail.Slices for scheduled[x].scheduledString string

CarePlan.activity.detail.Slices for scheduled[x].scheduled[x]:scheduledTiming 0..1 Timing When activity is to occur

CarePlan.activity.detail.location 0..1 Reference(TW Core Location) 行動發生的地點

CarePlan.activity.detail.Slices for product[x] 0..1 What is to be administered/supplied
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.

CarePlan.activity.detail.Slices for product[x].productCodeableConcept CodeableConcept

CarePlan.activity.detail.Slices for product[x].productReference Reference(Medication | Substance)

CarePlan.activity.detail.Slices for product[x].product[x]:productReference 0..1 Reference(TW Core Medication | Substance) 物料/主題/產品資訊要參照的資源

CarePlan.activity.detail.dailyAmount C 0..1 SimpleQuantity(4.0.1) How to consume/day?
Constraints: sqty-1

CarePlan.activity.detail.quantity C 0..1 SimpleQuantity(4.0.1) How much to administer/supply/consume
Constraints: sqty-1

CarePlan.activity.detail.description 0..1 string Extra info describing activity to perform

CarePlan.note 0..* Annotation Comments about the plan

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
CarePlan.text.status	Base	required	臺灣衛福部資訊處Narrative狀態值集	📦0.3.0	臺灣核心實作指引 v1.0
CarePlan.status	Base	required	RequestStatus	📦4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📦4.0.1	FHIR Std.
CarePlan.category	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:AssessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.activity.outcomeCodeableConcept	Base	example	Care Plan Activity Outcome	📍4.0.1	FHIR Std.
CarePlan.activity.detail.kind	Base	required	Care Plan Activity Kind	📍4.0.1	FHIR Std.
CarePlan.activity.detail.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.reasonCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
CarePlan.activity.detail.status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	`detail.empty() or reference.empty()`
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	CarePlan	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	CarePlan	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	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	CarePlan	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()`
sqty-1	error	CarePlan.activity.detail.dailyAmount, CarePlan.activity.detail.quantity	The comparator is not used on a SimpleQuantity	`comparator.empty()`
txt-1	error	CarePlan.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	CarePlan.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

This structure is derived from TWCoreCarePlan

Summary

Mandatory: 3 elements
Must-Support: 4 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)

Extensions

This structure refers to these extensions:

http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of CarePlan.activity.detail.scheduled[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan		0..*	TWCoreCarePlan	特定照護目標下為一位患者或一群患者識別的活動、干預和結果計畫
CarePlan.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
CarePlan.text	This element must be supported.	0..1	Narrative	CarePlan Resource 之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
CarePlan.text.status	This element must be supported.	1..1	code	generated \| additional Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): 敘述狀態的受限值集。
CarePlan.text.div	This element must be supported. C	1..1	xhtml	有限的 xhtml 內容 Constraints: txt-1, txt-2
CarePlan.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	照護計畫目前的狀態 Binding: RequestStatus (required): 指出計畫是否正在實施、代表未來意圖或是現在的歷史記錄。
CarePlan.intent	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	照護計畫的意圖 Binding: CarePlanIntent (required): 表示與照護計畫相關的權威性/意向性程度的代碼 Required Pattern: plan (extensions allowed)
CarePlan.Slices for category	This element must be supported. This element is included in summaries.	1..*	CodeableConcept	照護計畫的類型 Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:AssessPlan	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	評估計畫 Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: `{ "coding" : [ { "system" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw", "code" : "assess-plan" } ] }`
CarePlan.subject	This element must be supported. This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	照護計畫的對象
CarePlan.period	This element must be supported. This element is included in summaries.	0..1	Period	Time period plan covers
CarePlan.activity	This element must be supported. C	1..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
CarePlan.activity.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.detail	This element must be supported. C	1..1	BackboneElement	In-line definition of activity
CarePlan.activity.detail.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
CarePlan.activity.detail.Slices for extension.extension:unitPrice		0..1	Money	單價 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice
CarePlan.activity.detail.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.detail.code	This element must be supported.	1..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
CarePlan.activity.detail.status	This element is a modifier element.	1..1	code	not-started \| scheduled \| in-progress \| on-hold \| completed \| cancelled \| stopped \| unknown \| entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
CarePlan.activity.detail.doNotPerform	This element is a modifier element.	0..1	boolean	If true, activity is prohibiting action
CarePlan.activity.detail.Slices for scheduled[x]		0..1		When activity is to occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
CarePlan.activity.detail.Slices for scheduled[x].scheduledTiming			Timing
CarePlan.activity.detail.Slices for scheduled[x].scheduledString			string
CarePlan.activity.detail.Slices for scheduled[x].scheduled[x]:scheduledTiming		0..1	Timing	When activity is to occur
CarePlan.activity.detail.Slices for product[x]		0..1		What is to be administered/supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
CarePlan.activity.detail.Slices for product[x].productCodeableConcept			CodeableConcept
CarePlan.activity.detail.Slices for product[x].productReference			Reference(Medication \| Substance)
CarePlan.activity.detail.Slices for product[x].product[x]:productReference		0..1	Reference(TW Core Medication \| Substance)	物料/主題/產品資訊要參照的資源
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
CarePlan.text.status	Base	required	臺灣衛福部資訊處Narrative狀態值集	📦0.3.0	臺灣核心實作指引 v1.0
CarePlan.status	Base	required	RequestStatus	📦4.0.1	FHIR Std.
CarePlan.intent	Base	required	Care Plan Intent	📦4.0.1	FHIR Std.
CarePlan.category	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.category:AssessPlan	Base	example	Care Plan Category	📍4.0.1	FHIR Std.
CarePlan.activity.detail.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
CarePlan.activity.detail.status	Base	required	CarePlanActivityStatus	📍4.0.1	FHIR Std.
CarePlan.activity.detail.product[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cpl-3	error	CarePlan.activity	Provide a reference or detail, not both	`detail.empty() or reference.empty()`
dom-2	error	CarePlan	If the resource is contained in another resource, it SHALL NOT contain nested Resources	`contained.contained.empty()`
dom-3	error	CarePlan	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	CarePlan	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	CarePlan	If a resource is contained in another resource, it SHALL NOT have a security label	`contained.meta.security.empty()`
dom-6	best practice	CarePlan	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()`
txt-1	error	CarePlan.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	CarePlan.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

Differential View

This structure is derived from TWCoreCarePlan

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
CarePlan			TWCoreCarePlan
CarePlan.intent		1..1	code	照護計畫的意圖 Required Pattern: plan (extensions allowed)
CarePlan.subject		1..1	Reference(長期照顧－住民基本資料)	照護計畫的對象
CarePlan.period	This element must be supported.	0..1	Period	Time period plan covers
CarePlan.activity	This element must be supported.	1..*	BackboneElement	Action to occur as part of plan
CarePlan.activity.detail	This element must be supported.	1..1	BackboneElement	In-line definition of activity
CarePlan.activity.detail.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
CarePlan.activity.detail.Slices for extension.extension:unitPrice		0..1	Money	單價 URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-UnitPrice
CarePlan.activity.detail.code	This element must be supported.	1..1	CodeableConcept	Detail type of activity
CarePlan.activity.detail.Slices for scheduled[x]		0..1		When activity is to occur Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
CarePlan.activity.detail.Slices for scheduled[x].scheduledTiming			Timing
CarePlan.activity.detail.Slices for scheduled[x].scheduledString			string
CarePlan.activity.detail.Slices for scheduled[x].scheduled[x]:scheduledTiming		0..1	Timing	When activity is to occur
Documentation for this format

Snapshot View