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: 長照 SDK－服務活動紀錄（SERVICE_A）

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

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Communication Resource，以呈現長照服務活動紀錄，包含電訪、家訪等過程資料。

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
Communication 0..* Communication A record of information transmitted from a sender to a receiver
Communication.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
Communication.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
Communication.Slices for extension.extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
Communication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Communication.status This element is a modifier element. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
Communication.category 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
Communication.topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.category Base preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Communication 0..* Communication A record of information transmitted from a sender to a receiver
Communication.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
Communication.Slices for extension.extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
Communication.category 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
Communication.topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.category Base preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Communication 0..* Communication A record of information transmitted from a sender to a receiver
Communication.id This element is included in summaries. 0..1 id Logical id of this artifact
Communication.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Communication.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
Communication.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Communication.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
Communication.contained 0..* Resource Contained, inline Resources
Communication.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
Communication.Slices for extension.extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
Communication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Communication.identifier This element is included in summaries. 0..* Identifier Unique identifier
Communication.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
Communication.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Communication.basedOn This element is included in summaries. 0..* Reference(Resource) Request fulfilled by this communication
Communication.partOf This element is included in summaries. 0..* Reference(Resource) Part of this action
Communication.inResponseTo 0..* Reference(Communication) Reply to
Communication.status This element is a modifier element. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
Communication.statusReason This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
Communication.category 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
Communication.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
Communication.medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
Communication.subject This element is included in summaries. 0..1 Reference(Patient | Group) Focus of message
Communication.topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)
Communication.about 0..* Reference(Resource) Resources that pertain to this communication
Communication.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Communication.sent 0..1 dateTime When sent
Communication.received 0..1 dateTime When received
Communication.recipient 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Message recipient
Communication.sender 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Message sender
Communication.reasonCode This element is included in summaries. 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
Communication.reasonReference This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
Communication.payload 0..* BackboneElement Message payload
Communication.payload.id 0..1 string Unique id for inter-element referencing
Communication.payload.extension 0..* Extension Additional content defined by implementations
Communication.payload.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Communication.payload.content[x] 1..1 Message part content
Communication.payload.content[x].contentString string
Communication.payload.content[x].contentAttachment Attachment
Communication.payload.content[x].contentReference Reference(Resource)
Communication.note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.statusReason Base example CommunicationNotDoneReason 📍4.0.1 FHIR Std.
Communication.category Base preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base example ParticipationMode 📦3.0.0 THO v7.5
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG
Communication.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

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

Summary

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Communication 0..* Communication A record of information transmitted from a sender to a receiver
Communication.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
Communication.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
Communication.Slices for extension.extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
Communication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Communication.status This element is a modifier element. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
Communication.category 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
Communication.topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.category Base preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Communication 0..* Communication A record of information transmitted from a sender to a receiver
Communication.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
Communication.Slices for extension.extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
Communication.category 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
Communication.topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.category Base preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Communication 0..* Communication A record of information transmitted from a sender to a receiver
Communication.id This element is included in summaries. 0..1 id Logical id of this artifact
Communication.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Communication.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
Communication.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Communication.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
Communication.contained 0..* Resource Contained, inline Resources
Communication.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
Communication.Slices for extension.extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
Communication.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Communication.identifier This element is included in summaries. 0..* Identifier Unique identifier
Communication.instantiatesCanonical This element is included in summaries. 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
Communication.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
Communication.basedOn This element is included in summaries. 0..* Reference(Resource) Request fulfilled by this communication
Communication.partOf This element is included in summaries. 0..* Reference(Resource) Part of this action
Communication.inResponseTo 0..* Reference(Communication) Reply to
Communication.status This element is a modifier element. This element is included in summaries. 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
Communication.statusReason This element is included in summaries. 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
Communication.category 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
Communication.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
Communication.medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
Communication.subject This element is included in summaries. 0..1 Reference(Patient | Group) Focus of message
Communication.topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)
Communication.about 0..* Reference(Resource) Resources that pertain to this communication
Communication.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
Communication.sent 0..1 dateTime When sent
Communication.received 0..1 dateTime When received
Communication.recipient 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Message recipient
Communication.sender 0..1 Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) Message sender
Communication.reasonCode This element is included in summaries. 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
Communication.reasonReference This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
Communication.payload 0..* BackboneElement Message payload
Communication.payload.id 0..1 string Unique id for inter-element referencing
Communication.payload.extension 0..* Extension Additional content defined by implementations
Communication.payload.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Communication.payload.content[x] 1..1 Message part content
Communication.payload.content[x].contentString string
Communication.payload.content[x].contentAttachment Attachment
Communication.payload.content[x].contentReference Reference(Resource)
Communication.note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.statusReason Base example CommunicationNotDoneReason 📍4.0.1 FHIR Std.
Communication.category Base preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base example ParticipationMode 📦3.0.0 THO v7.5
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG
Communication.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

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

Summary

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron