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

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: 長期照顧－案件管理基礎

此 Profile 為所有長期照顧 EpisodeOfCare Profile 的共用基礎，定義案件管理之基本結構與共用欄位。

Usages:

• Derived from this Profile: 在宅急症－收案療程, 居家護理－收案歷程, 長照案件（CS100 專用版） and 長照 SDK－長照案件

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
EpisodeOfCare		0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	1..1	Period	Interval during responsibility is assumed
EpisodeOfCare.period.start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Starting time with inclusive boundary
EpisodeOfCare.period.end	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	End time with inclusive boundary, if not ongoing
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare			EpisodeOfCare
EpisodeOfCare.status	S This element must be supported.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error
EpisodeOfCare.patient	S This element must be supported.	1..1	Reference(長期照顧－住民基本資料)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	S This element must be supported.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported.	1..1	Period	Interval during responsibility is assumed
EpisodeOfCare.period.start	S This element must be supported.	1..1	dateTime	Starting time with inclusive boundary
EpisodeOfCare.period.end	S This element must be supported.	0..1	dateTime	End time with inclusive boundary, if not ongoing
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
EpisodeOfCare.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
EpisodeOfCare.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.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
EpisodeOfCare.contained		0..*	Resource	Contained, inline Resources
EpisodeOfCare.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.statusHistory.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
EpisodeOfCare.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.diagnosis.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.diagnosis.role	Σ This element is included in summaries.	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
EpisodeOfCare.diagnosis.rank	Σ This element is included in summaries.	0..1	positiveInt	Ranking of the diagnosis (for each role type)
EpisodeOfCare.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	1..1	Period	Interval during responsibility is assumed
EpisodeOfCare.period.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.period.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.period.start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Starting time with inclusive boundary
EpisodeOfCare.period.end	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	End time with inclusive boundary, if not ongoing
EpisodeOfCare.referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
EpisodeOfCare.careManager		0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
EpisodeOfCare.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

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

Summary

Mandatory: 3 elements
Must-Support: 6 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)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	1..1	Period	Interval during responsibility is assumed
EpisodeOfCare.period.start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Starting time with inclusive boundary
EpisodeOfCare.period.end	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	End time with inclusive boundary, if not ongoing
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.

Constraints

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare			EpisodeOfCare
EpisodeOfCare.status	S This element must be supported.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error
EpisodeOfCare.patient	S This element must be supported.	1..1	Reference(長期照顧－住民基本資料)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	S This element must be supported.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported.	1..1	Period	Interval during responsibility is assumed
EpisodeOfCare.period.start	S This element must be supported.	1..1	dateTime	Starting time with inclusive boundary
EpisodeOfCare.period.end	S This element must be supported.	0..1	dateTime	End time with inclusive boundary, if not ongoing
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
EpisodeOfCare.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
EpisodeOfCare.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.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
EpisodeOfCare.contained		0..*	Resource	Contained, inline Resources
EpisodeOfCare.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.statusHistory.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
EpisodeOfCare.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.diagnosis.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.diagnosis.role	Σ This element is included in summaries.	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
EpisodeOfCare.diagnosis.rank	Σ This element is included in summaries.	0..1	positiveInt	Ranking of the diagnosis (for each role type)
EpisodeOfCare.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	1..1	Period	Interval during responsibility is assumed
EpisodeOfCare.period.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.period.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.period.start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Starting time with inclusive boundary
EpisodeOfCare.period.end	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	End time with inclusive boundary, if not ongoing
EpisodeOfCare.referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
EpisodeOfCare.careManager		0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
EpisodeOfCare.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.

Constraints

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

Summary

Mandatory: 3 elements
Must-Support: 6 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)

Other representations of profile: CSV, Excel, Schematron