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－看護狀況

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

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Condition Resource，以呈現長期照顧情境中住民的看護狀況資料。

Usages:

- Use this Profile: 照顧管理評估量表文件打包 and 長期照顧管理中心個案服務初篩表/轉介單文件打包
- Refer to this Profile: 照顧管理評估量表文件架構 and 長期照護管理中心個案服務初篩表/轉介單文件架構
- Examples for this Profile: Condition/ltc-condition-caregiver-family-example and Condition/ltc-condition-caregiver-family-referral-example
- CapabilityStatements using this Profile: 臺灣長期照顧實作指引 - 用戶端能力聲明 and 臺灣長期照顧實作指引 - 伺服端能力聲明

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
--- | --- | --- | --- | ---
Condition | C | 0..* | TWCoreCondition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity | S | 0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code | S | 1..1 | CodeableConceptTW | 看護狀況 Binding: 看護狀況值集 (required)
Slices for coding | S | 1..1 | CodingTW | 看護狀況代碼 Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/ReferralConditionCaregiverCS-TWLTC
code | S Σ | 1..1 | code | 個案是否有看護？
display | S Σ | 0..1 | string | 由系統定義的表示法
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text | S Σ | 0..1 | string | 概念的文字表示法
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 1..1 | Reference(TW Core Patient | Group) | 誰有此病情、問題或診斷？
onset[x] | S Σ | 0..1 |  | 估計的或實際的日期、日期—時間或年齡。
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | S C | 0..1 |  | 何時解決/緩解
abatementDateTime |  |  | dateTime S |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
asserter | S Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 聲稱有此病情、問題或診斷的人
note | S | 0..1 | Annotation | 看護狀況與類別備註，應填寫本國籍人力工時（小時/天）及外國籍人數
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | 看護狀況值集 | 📦1.0.0 | This IG
Condition.code.coding:icd10-cm-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021 | Base | required | 臺灣健保署2021年中文版ICD-10-CM值集 | 📦2022-07-29 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001 | Base | required | 臺灣健保署2001年中文版ICD-9-CM值集 | 📦2023-05-09 | 臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem | Base | required | Absent or Unknown Problems - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct | Base | required | SNOMED CT診斷代碼值集 | 📦2022-07-31 | 臺灣核心實作指引 v0.3
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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 TWCoreCondition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  |  | TWCoreCondition |
code |  | 1..1 | CodeableConceptTW | 看護狀況 Binding: 看護狀況值集 (required)
coding |  | 1..1 | CodingTW | 看護狀況代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/ReferralConditionCaregiverCS-TWLTC
code |  | 1..1 | code | 個案是否有看護？
note |  | 0..1 | Annotation | 看護狀況與類別備註，應填寫本國籍人力工時（小時/天）及外國籍人數
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.code | Base | required | 看護狀況值集 | 📦1.0.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | TWCoreCondition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
meta | Σ | 0..1 | Meta | 此Condition Resource的metadata
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
language |  | 0..1 | code | 用以表述Condition 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
text |  | 0..1 | Narrative | Condition 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
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 | 此病情、問題或診斷的外部識別碼
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity | S | 0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code | S | 1..1 | CodeableConceptTW | 看護狀況 Binding: 看護狀況值集 (required)
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding | S | 1..1 | CodingTW | 看護狀況代碼 Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/ReferralConditionCaregiverCS-TWLTC
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 個案是否有看護？
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text | S Σ | 0..1 | string | 概念的文字表示法
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 1..1 | Reference(TW Core Patient | Group) | 誰有此病情、問題或診斷？
encounter | Σ | 0..1 | Reference(TW Core Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
onset[x] | S Σ | 0..1 |  | 估計的或實際的日期、日期—時間或年齡。
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | S C | 0..1 |  | 何時解決/緩解
abatementDateTime |  |  | dateTime S |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | 記錄的日期
recorder | Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄此病情、問題或診斷
asserter | S Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 聲稱有此病情、問題或診斷的人
stage | C | 0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-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
summary |  | 0..1 | CodeableConceptTW | 簡單的摘要（特定疾病）。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼（例如：癌症分期）。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
assessment | C | 0..* | Reference(ClinicalImpression | TW Core DiagnosticReport | TW Core Observation Laboratory Result | TW Core Observation Vital Signs) | 正式的評估記錄
type |  | 0..1 | CodeableConceptTW | 分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼（如臨床或病理）；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
evidence | C | 0..* | BackboneElement | 支持的證據 Constraints: con-2
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
code |  | 0..* | CodeableConceptTW | 表現／症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
detail | Σ C | 0..* | Reference(Resource) | 在其他地方找到的支持資訊
note | S | 0..1 | Annotation | 看護狀況與類別備註，應填寫本國籍人力工時（小時/天）及外國籍人數
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | 看護狀況值集 | 📦1.0.0 | This IG
Condition.code.coding:icd10-cm-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021 | Base | required | 臺灣健保署2021年中文版ICD-10-CM值集 | 📦2022-07-29 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001 | Base | required | 臺灣健保署2001年中文版ICD-9-CM值集 | 📦2023-05-09 | 臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem | Base | required | Absent or Unknown Problems - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct | Base | required | SNOMED CT診斷代碼值集 | 📦2022-07-31 | 臺灣核心實作指引 v0.3
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | extensible | Condition Stage | 📦4.0.1 | FHIR Std.
Condition.stage.type | Base | extensible | Condition Stage Type | 📦4.0.1 | FHIR Std.
Condition.evidence.code | Base | extensible | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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 TWCoreCondition

Summary

Mandatory: 4 elements

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | TWCoreCondition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity | S | 0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code | S | 1..1 | CodeableConceptTW | 看護狀況 Binding: 看護狀況值集 (required)
Slices for coding | S | 1..1 | CodingTW | 看護狀況代碼 Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/ReferralConditionCaregiverCS-TWLTC
code | S Σ | 1..1 | code | 個案是否有看護？
display | S Σ | 0..1 | string | 由系統定義的表示法
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text | S Σ | 0..1 | string | 概念的文字表示法
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 1..1 | Reference(TW Core Patient | Group) | 誰有此病情、問題或診斷？
onset[x] | S Σ | 0..1 |  | 估計的或實際的日期、日期—時間或年齡。
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | S C | 0..1 |  | 何時解決/緩解
abatementDateTime |  |  | dateTime S |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
asserter | S Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 聲稱有此病情、問題或診斷的人
note | S | 0..1 | Annotation | 看護狀況與類別備註，應填寫本國籍人力工時（小時/天）及外國籍人數
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | 看護狀況值集 | 📦1.0.0 | This IG
Condition.code.coding:icd10-cm-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021 | Base | required | 臺灣健保署2021年中文版ICD-10-CM值集 | 📦2022-07-29 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001 | Base | required | 臺灣健保署2001年中文版ICD-9-CM值集 | 📦2023-05-09 | 臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem | Base | required | Absent or Unknown Problems - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct | Base | required | SNOMED CT診斷代碼值集 | 📦2022-07-31 | 臺灣核心實作指引 v0.3
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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 TWCoreCondition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  |  | TWCoreCondition |
code |  | 1..1 | CodeableConceptTW | 看護狀況 Binding: 看護狀況值集 (required)
coding |  | 1..1 | CodingTW | 看護狀況代碼
system |  | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/ReferralConditionCaregiverCS-TWLTC
code |  | 1..1 | code | 個案是否有看護？
note |  | 0..1 | Annotation | 看護狀況與類別備註，應填寫本國籍人力工時（小時/天）及外國籍人數
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.code | Base | required | 看護狀況值集 | 📦1.0.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | TWCoreCondition | 有關病情、問題或診斷的詳細資訊 Constraints: con-3, con-4, con-5
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的Condition紀錄，通常又稱為邏輯性ID。
meta | Σ | 0..1 | Meta | 此Condition Resource的metadata
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則
language |  | 0..1 | code | 用以表述Condition 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
text |  | 0..1 | Narrative | Condition 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
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 | 此病情、問題或診斷的外部識別碼
clinicalStatus | S | 1..1 | CodeableConceptTW | active | recurrence | relapse | inactive | remission | resolved ，病情、問題或診斷的臨床狀態。 Binding: ConditionClinicalStatusCodes (required): 應填入所綁定值集中的其中一個代碼。
verificationStatus | S | 0..1 | CodeableConceptTW | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error ，支持或拒絕病情、問題或診斷的臨床狀態的驗證狀態。 Binding: ConditionVerificationStatus (required): 應填入所綁定值集中的其中一個代碼。
category | S | 1..1 | CodeableConceptTW | problem-list-item | encounter-diagnosis ，指定病情、問題或診斷的類別。 Binding: ConditionCategoryCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
severity | S | 0..1 | CodeableConceptTW | 病情、問題或診斷的主觀嚴重程度 Binding: Condition/DiagnosisSeverity (extensible): 臨床醫生對病情、問題或診斷嚴重程度的主觀評價；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
code | S | 1..1 | CodeableConceptTW | 看護狀況 Binding: 看護狀況值集 (required)
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding | S | 1..1 | CodingTW | 看護狀況代碼 Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/ReferralConditionCaregiverCS-TWLTC
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 1..1 | code | 個案是否有看護？
display | S Σ | 0..1 | string | 由系統定義的表示法
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
coding:icd10-cm-2023 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-CM值集 (required)
coding:icd10-cm-2021 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd10-cm-2014 | S | 0..1 | CodingTW | 此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-CM代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-CM值集 (required): 病情、問題或診斷的識別；應填入所綁定值集中的其中一個代碼。
coding:icd9-cm-2001 | S | 0..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2001年中文版ICD-9-CM值集 (required)
coding:absentOrUnknownProblem | S | 0..1 | CodingTW | 不存在的問題或未知問題的代碼 Binding: Absent or Unknown Problems - IPS (required): 應填入所綁定值集中的其中一個代碼。
coding:sct | S | 0..1 | CodingTW | 此為SNOMED CT診斷代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMED CT診斷代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text | S Σ | 0..1 | string | 概念的文字表示法
bodySite | S | 0..* | CodeableConceptTW | 如果相關請填寫解剖位置 Binding: SNOMEDCTBodyStructures (extensible): 描述解剖位置的代碼。可包括側面；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject | S Σ | 1..1 | Reference(TW Core Patient | Group) | 誰有此病情、問題或診斷？
encounter | Σ | 0..1 | Reference(TW Core Encounter) | 作為病情、問題或診斷紀錄的一部分的就醫（Encounter）紀錄
onset[x] | S Σ | 0..1 |  | 估計的或實際的日期、日期—時間或年齡。
onsetDateTime |  |  | dateTime S |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] | S C | 0..1 |  | 何時解決/緩解
abatementDateTime |  |  | dateTime S |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | 記錄的日期
recorder | Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 誰記錄此病情、問題或診斷
asserter | S Σ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Patient | TW Core RelatedPerson) | 聲稱有此病情、問題或診斷的人
stage | C | 0..* | BackboneElement | 分期（stage）／分級（grade），通常是正式的評估。 Constraints: con-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
summary |  | 0..1 | CodeableConceptTW | 簡單的摘要（特定疾病）。 Binding: ConditionStage (extensible): 描述病情、問題或診斷分期的代碼（例如：癌症分期）。應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
assessment | C | 0..* | Reference(ClinicalImpression | TW Core DiagnosticReport | TW Core Observation Laboratory Result | TW Core Observation Vital Signs) | 正式的評估記錄
type |  | 0..1 | CodeableConceptTW | 分期的種類 Binding: ConditionStageType (extensible): 病情、問題或診斷分期種類的代碼（如臨床或病理）；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
evidence | C | 0..* | BackboneElement | 支持的證據 Constraints: con-2
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
code |  | 0..* | CodeableConceptTW | 表現／症狀 Binding: ManifestationAndSymptomCodes (extensible): 病情、問題或診斷的表現或症狀之代碼；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
detail | Σ C | 0..* | Reference(Resource) | 在其他地方找到的支持資訊
note | S | 0..1 | Annotation | 看護狀況與類別備註，應填寫本國籍人力工時（小時/天）及外國籍人數
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📦4.0.1 | FHIR Std.
Condition.severity | Base | extensible | Condition/Diagnosis Severity | 📦4.0.1 | FHIR Std.
Condition.code | Base | required | 看護狀況值集 | 📦1.0.0 | This IG
Condition.code.coding:icd10-cm-2023 | Base | required | 臺灣健保署2023年中文版ICD-10-CM值集 | 📦2024-11-18 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2021 | Base | required | 臺灣健保署2021年中文版ICD-10-CM值集 | 📦2022-07-29 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd10-cm-2014 | Base | required | 臺灣健保署2014年中文版ICD-10-CM值集 | 📦2017-07-19 | 臺灣核心實作指引 v0.3
Condition.code.coding:icd9-cm-2001 | Base | required | 臺灣健保署2001年中文版ICD-9-CM值集 | 📦2023-05-09 | 臺灣核心實作指引 v0.3
Condition.code.coding:absentOrUnknownProblem | Base | required | Absent or Unknown Problems - IPS | 📦1.1.0 | International Patient Summary Implementation Guide v1.1
Condition.code.coding:sct | Base | required | SNOMED CT診斷代碼值集 | 📦2022-07-31 | 臺灣核心實作指引 v0.3
Condition.bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Condition.stage.summary | Base | extensible | Condition Stage | 📦4.0.1 | FHIR Std.
Condition.stage.type | Base | extensible | Condition Stage Type | 📦4.0.1 | FHIR Std.
Condition.evidence.code | Base | extensible | Manifestation and Symptom Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | 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 TWCoreCondition

Summary

Mandatory: 4 elements

Other representations of profile: CSV, Excel, Schematron