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 1.0.0 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: 1.0.0 | |||
| Draft as of 2026-03-01 | 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:
- Examples for this Profile: Communication/ltc-communication-servicea-example
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   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 | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. |
 category |
0..* | CodeableConcept | Message category Binding: 長照 SDK－服務活動 (preferred) | |
 topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: 長照 SDK－服務項目（計畫） (preferred) | |
| 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 | 📦1.0.0 | This IG |
| Communication.topic | Base | preferred | 長照 SDK－服務項目（計畫） | 📦1.0.0 | 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| 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 | |
 category |
0..* | CodeableConcept | Message category Binding: 長照 SDK－服務活動 (preferred) | |
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: 長照 SDK－服務項目（計畫） (preferred) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.category | Base | preferred | 長照 SDK－服務活動 | 📦1.0.0 | This IG |
| Communication.topic | Base | preferred | 長照 SDK－服務項目（計畫） | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
 basedOn |
Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf |
Σ | 0..* | Reference(Resource) | Part of this action | ||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category |
0..* | CodeableConcept | Message category Binding: 長照 SDK－服務活動 (preferred) | |||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject |
Σ | 0..1 | Reference(Patient | Group) | Focus of message | ||||
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: 長照 SDK－服務項目（計畫） (preferred) | |||||
| about |
0..* | Reference(Resource) | Resources that pertain to this communication | |||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| sent |
0..1 | dateTime | When sent | |||||
| received |
0..1 | dateTime | When received | |||||
| recipient |
0..* | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) | Message recipient | |||||
| sender |
0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) | Message sender | |||||
| reasonCode |
Σ | 0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
| payload |
0..* | BackboneElement | Message payload | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
  content[x] |
1..1 | Message part content | ||||||
 contentString |
string | |||||||
| contentAttachment |
Attachment | |||||||
| contentReference |
Reference(Resource) | |||||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| 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 | 📦1.0.0 | This IG |
| Communication.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.0 |
| Communication.topic | Base | preferred | 長照 SDK－服務項目（計畫） | 📦1.0.0 | 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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| 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 | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. |
| category |
0..* | CodeableConcept | Message category Binding: 長照 SDK－服務活動 (preferred) | |
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: 長照 SDK－服務項目（計畫） (preferred) | |
| 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 | 📦1.0.0 | This IG |
| Communication.topic | Base | preferred | 長照 SDK－服務項目（計畫） | 📦1.0.0 | 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| 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 | |
| category |
0..* | CodeableConcept | Message category Binding: 長照 SDK－服務活動 (preferred) | |
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: 長照 SDK－服務項目（計畫） (preferred) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.category | Base | preferred | 長照 SDK－服務活動 | 📦1.0.0 | This IG |
| Communication.topic | Base | preferred | 長照 SDK－服務項目（計畫） | 📦1.0.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication | A record of information transmitted from a sender to a receiver | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| 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 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf |
Σ | 0..* | Reference(Resource) | Part of this action | ||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category |
0..* | CodeableConcept | Message category Binding: 長照 SDK－服務活動 (preferred) | |||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject |
Σ | 0..1 | Reference(Patient | Group) | Focus of message | ||||
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: 長照 SDK－服務項目（計畫） (preferred) | |||||
| about |
0..* | Reference(Resource) | Resources that pertain to this communication | |||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| sent |
0..1 | dateTime | When sent | |||||
| received |
0..1 | dateTime | When received | |||||
| recipient |
0..* | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) | Message recipient | |||||
| sender |
0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService) | Message sender | |||||
| reasonCode |
Σ | 0..* | CodeableConcept | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Why was communication done? | ||||
| payload |
0..* | BackboneElement | Message payload | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| content[x] |
1..1 | Message part content | ||||||
| contentString |
string | |||||||
| contentAttachment |
Attachment | |||||||
| contentReference |
Reference(Resource) | |||||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| 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 | 📦1.0.0 | This IG |
| Communication.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.0 |
| Communication.topic | Base | preferred | 長照 SDK－服務項目（計畫） | 📦1.0.0 | 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
Other representations of profile: CSV, Excel, Schematron