臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0

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 1.0.0 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: 長期照顧－照顧團隊

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCCareTeam Version: 1.0.0
Active as of 2026-03-01 Computable Name: LTCCareTeam

此 Profile 說明本 IG 如何進一步定義 FHIR 的 CareTeam Resource，以呈現長期照顧情境中涉及之照顧團隊資訊。

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: Filtersdoco
.. CareTeam 0..* TWCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code 照顧團隊的狀態。[應填入 proposed / active / suspended / inactive / entered-in-error]
Binding: CareTeamStatus (required)
.... reference SΣC 1..1 string 照顧團隊的適用主體。[應輸入 Patient Resource ID]
... participant SC 1..* BackboneElement 照顧團隊的參與者，即這個照顧團隊是由哪些人參與的？
Constraints: ctm-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept 照顧團隊參與者的角色
Binding: ParticipantRoles (required)
.... member SΣ 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) 照顧團隊的成員
..... reference SΣC 1..1 string 照顧團隊的成員。[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from TWCoreCareTeam

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam TWCoreCareTeam
... status 1..1 code 照顧團隊的狀態。[應填入 proposed / active / suspended / inactive / entered-in-error]
Binding: CareTeamStatus (required)
... subject 1..1 Reference(長期照顧－住民基本資料) 照顧團隊的適用主體，即這個照顧團隊的適用對象是誰？
.... reference S 1..1 string 照顧團隊的適用主體。[應輸入 Patient Resource ID]
... participant 1..* BackboneElement 照顧團隊的參與者，即這個照顧團隊是由哪些人參與的？
.... role 1..1 CodeableConcept 照顧團隊參與者的角色
Binding: ParticipantRoles (required)
.... member 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) 照顧團隊的成員
..... reference S 1..1 string 照顧團隊的成員。[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base required Participant Roles 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* TWCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this team
... status ?!SΣ 1..1 code 照顧團隊的狀態。[應填入 proposed / active / suspended / inactive / entered-in-error]
Binding: CareTeamStatus (required)
... category Σ 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.
... name Σ 0..1 string Name of the team, such as crisis assessment team
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 照顧團隊的適用主體，即這個照顧團隊的適用對象是誰？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧團隊的適用主體。[應輸入 Patient Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(TW Core Encounter) Encounter created as part of
... period Σ 0..1 Period Time period team covers
... participant SC 1..* BackboneElement 照顧團隊的參與者，即這個照顧團隊是由哪些人參與的？
Constraints: ctm-1
.... 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
.... role SΣ 1..1 CodeableConcept 照顧團隊參與者的角色
Binding: ParticipantRoles (required)
.... member SΣ 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) 照顧團隊的成員
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string 照顧團隊的成員。[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... onBehalfOf Σ 0..1 Reference(TW Core Organization) Organization of the practitioner
.... period 0..1 Period Time period of participant
... reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
... reasonReference 0..* Reference(TW Core Condition) Why the care team exists
... managingOrganization Σ 0..* Reference(TW Core Organization) Organization responsible for the care team
... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
... note 0..* Annotation Comments made about the CareTeam

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* TWCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code 照顧團隊的狀態。[應填入 proposed / active / suspended / inactive / entered-in-error]
Binding: CareTeamStatus (required)
.... reference SΣC 1..1 string 照顧團隊的適用主體。[應輸入 Patient Resource ID]
... participant SC 1..* BackboneElement 照顧團隊的參與者，即這個照顧團隊是由哪些人參與的？
Constraints: ctm-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept 照顧團隊參與者的角色
Binding: ParticipantRoles (required)
.... member SΣ 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) 照顧團隊的成員
..... reference SΣC 1..1 string 照顧團隊的成員。[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from TWCoreCareTeam

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam TWCoreCareTeam
... status 1..1 code 照顧團隊的狀態。[應填入 proposed / active / suspended / inactive / entered-in-error]
Binding: CareTeamStatus (required)
... subject 1..1 Reference(長期照顧－住民基本資料) 照顧團隊的適用主體，即這個照顧團隊的適用對象是誰？
.... reference S 1..1 string 照顧團隊的適用主體。[應輸入 Patient Resource ID]
... participant 1..* BackboneElement 照顧團隊的參與者，即這個照顧團隊是由哪些人參與的？
.... role 1..1 CodeableConcept 照顧團隊參與者的角色
Binding: ParticipantRoles (required)
.... member 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) 照顧團隊的成員
..... reference S 1..1 string 照顧團隊的成員。[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]

doco Documentation for this format

Terminology Bindings (Differential)

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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* TWCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this team
... status ?!SΣ 1..1 code 照顧團隊的狀態。[應填入 proposed / active / suspended / inactive / entered-in-error]
Binding: CareTeamStatus (required)
... category Σ 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.
... name Σ 0..1 string Name of the team, such as crisis assessment team
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 照顧團隊的適用主體，即這個照顧團隊的適用對象是誰？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧團隊的適用主體。[應輸入 Patient Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 0..1 Reference(TW Core Encounter) Encounter created as part of
... period Σ 0..1 Period Time period team covers
... participant SC 1..* BackboneElement 照顧團隊的參與者，即這個照顧團隊是由哪些人參與的？
Constraints: ctm-1
.... 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
.... role SΣ 1..1 CodeableConcept 照顧團隊參與者的角色
Binding: ParticipantRoles (required)
.... member SΣ 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) 照顧團隊的成員
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string 照顧團隊的成員。[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... onBehalfOf Σ 0..1 Reference(TW Core Organization) Organization of the practitioner
.... period 0..1 Period Time period of participant
... reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
... reasonReference 0..* Reference(TW Core Condition) Why the care team exists
... managingOrganization Σ 0..* Reference(TW Core Organization) Organization responsible for the care team
... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
... note 0..* Annotation Comments made about the CareTeam

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron