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

## Implementation Guide Tw Iii Ltc

官方網址: http://ltc-ig.fhir.tw/ImplementationGuide/tw.iii.ltc | 版本:1.0.0
NPM package name: tw.iii.ltc | Computable Name: TaiwanLongTermCareImplementationGuide

- XML
- JSON

#### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (tw.iii.ltc.r4) and R4B (tw.iii.ltc.r4b) are available.

#### IG Dependencies

This IG Contains the following dependencies on other IGs.

IG | Package | FHIR | Comment
--- | --- | --- | ---
臺灣長期照顧實作指引(TW LTC IG) | tw.iii.ltc#1.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
臺灣核心實作指引(TW Core IG) | tw.gov.mohw.twcore#0.3.2 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.1.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.1.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
fhir.dicom | fhir.dicom#2022.4.20221006 | R4 |
Structured Data Capture | hl7.fhir.uv.sdc#3.0.0 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#0.9.0 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.uv.sdc#3.0.0 The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. This includes two components: * Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains. *Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package tw.gov.mohw.twcore#0.3.2 臺灣核心實作指引(TW Core IG) (built Thu, Dec 12, 2024 12:41+0800+08:00)

Package hl7.fhir.uv.tools.r4#0.9.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Dec 16, 2025 23:18+1100+11:00)

#### Global Profiles

There are no Global profiles defined

#### Copyrights

This publication includes IP covered under the following statements.

- The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  - Unified Code for Units of Measure (UCUM): Goal/pasport-goal-walking-steps-example, MedicationAdministration/ltc-medication-administration-metformin-example... Show 34 more, Observation/ltc-observation-blood-pressure-example, Observation/pasport-observation-basal-metabolic-rate-example, Observation/pasport-observation-blood-pressure-example, Observation/pasport-observation-bmi-example, Observation/pasport-observation-body-bone-mass-example, Observation/pasport-observation-body-fat-mass-example, Observation/pasport-observation-body-fat-percentage-example, Observation/pasport-observation-body-temperature-example, Observation/pasport-observation-cell-mass-example, Observation/pasport-observation-extracellular-water-example, Observation/pasport-observation-fat-free-mass-example, Observation/pasport-observation-gait-cycle-example, Observation/pasport-observation-gait-type-example, Observation/pasport-observation-glucose-example, Observation/pasport-observation-heart-rate-example, Observation/pasport-observation-heart-rate-variability-example, Observation/pasport-observation-height-example, Observation/pasport-observation-intracellular-water-example, Observation/pasport-observation-mean-heart-rate-example, Observation/pasport-observation-mineral-example, Observation/pasport-observation-obesity-degree-example, Observation/pasport-observation-peripheral-oxygen-saturation-example, Observation/pasport-observation-protein-example, Observation/pasport-observation-respiratory-rate-example, Observation/pasport-observation-resting-heart-rate-example, Observation/pasport-observation-skeletal-muscle-mass-example, Observation/pasport-observation-skeletal-muscle-mass-index-example, Observation/pasport-observation-soft-lean-mass-example, Observation/pasport-observation-total-body-water-example, Observation/pasport-observation-treadmill-example, Observation/pasport-observation-visceral-fat-area-example, Observation/pasport-observation-waist-example, Observation/pasport-observation-weight-example and Observation/pasport-observation-weight-training-example
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-payload-example... Show 42 more, Bundle/ltc-bundle-referral-example, CDR, Composition/ltc-bundle-cs100-example, Composition/ltc-composition-cms-example, Composition/ltc-composition-referral-example, Condition/pasport-condition-medical-history-example, FallHistoryResultVSTWLTC, Goal/pasport-goal-walking-steps-example, LTCCompositionCS100, LTCObservationAssessmentBase, LTCObservationAssessmentCS100, LTCObservationAssessmentPayload, LTCObservationFallingHistory, MMSE, MMSE_TotalScore, Observation/ltc-observation-assessment-cs100-example, Observation/ltc-observation-assessment-sdk-example, Observation/ltc-observation-blood-pressure-example, Observation/ltc-observation-falling-history-example, Observation/ltc-observation-vital-signs-panel-example, Observation/pasport-observation-blood-pressure-example, Observation/pasport-observation-bmi-example, Observation/pasport-observation-body-bone-mass-example, Observation/pasport-observation-body-fat-mass-example, Observation/pasport-observation-body-fat-percentage-example, Observation/pasport-observation-body-temperature-example, Observation/pasport-observation-fat-free-mass-example, Observation/pasport-observation-glucose-example, Observation/pasport-observation-heart-rate-example, Observation/pasport-observation-heart-rate-variability-example, Observation/pasport-observation-height-example, Observation/pasport-observation-mean-heart-rate-example, Observation/pasport-observation-peripheral-oxygen-saturation-example, Observation/pasport-observation-respiratory-rate-example, Observation/pasport-observation-resting-heart-rate-example, Observation/pasport-observation-total-body-water-example, Observation/pasport-observation-treadmill-example, Observation/pasport-observation-visceral-fat-area-example, Observation/pasport-observation-waist-example, Observation/pasport-observation-weight-example, Observation/pasport-observation-weight-training-example and PASportObservationRestingHeartRate
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): AA12, Bundle/ltc-bundle-cms-example... Show 76 more, Bundle/ltc-bundle-referral-example, CarePlan/ltc-careplan-mobility-example, Condition/ltc-condition-crush-stage2-example, Condition/ltc-condition-diabetes-example, Condition/ltc-condition-disability-type-limb-example, Condition/ltc-condition-example, Condition/ltc-condition-need-assistance-example, Condition/pasport-condition-exercise-history-example, Condition/pasport-condition-medical-history-example, ConditionSeverityVSTWLTC, Encounter/ltc-encounter-example, ExerciseHistoryVSSport, GaitTypeVSSport, Goal/ltc-goal-mobility-improvement-example, GoalDescriptionVSTWLTC, LTCCareTeam, LTCConditionDisabilityType, LTCGoal, LTCMedicationAdministration, MedicationAdministration/ltc-medication-administration-metformin-example, Observation/ltc-observation-falling-history-example, Observation/pasport-observation-basal-metabolic-rate-example, Observation/pasport-observation-blood-pressure-example, Observation/pasport-observation-body-fat-percentage-example, Observation/pasport-observation-gait-cycle-example, Observation/pasport-observation-gait-type-example, Observation/pasport-observation-heart-rate-example, Observation/pasport-observation-height-example, Observation/pasport-observation-skeletal-muscle-mass-example, Observation/pasport-observation-treadmill-example, Observation/pasport-observation-weight-example, PASportConditionExerciseHistory, PASportObservationBasalMetabolicRate, PASportObservationBodyAge, PASportObservationBodyBoneMass, PASportObservationBodyFatMass, PASportObservationBodyFatPercentage, PASportObservationBodyTemperature, PASportObservationCellMass, PASportObservationExtracellularWater, PASportObservationExtracellularWaterRatio, PASportObservationFatFreeMass, PASportObservationGaitCycle, PASportObservationGaitType, PASportObservationGlucose, PASportObservationHeartRate, PASportObservationHeartRateVariability, PASportObservationHeight, PASportObservationIntracellularWater, PASportObservationMeanHeartRate, PASportObservationMineral, PASportObservationObesityDegree, PASportObservationPeripheralOxygenSaturation, PASportObservationProtein, PASportObservationRespiratoryRate, PASportObservationRestingHeartRate, PASportObservationSkeletalMuscleMass, PASportObservationSkeletalMuscleMassIndex, PASportObservationSoftLeanMass, PASportObservationTotalBodyWater, PASportObservationTreadmill, PASportObservationVisceralFatArea, PASportObservationVisceralFatIndex, PASportObservationWaist, PASportObservationWaistHipRate, PASportObservationWeight, PASportObservationWeightTraining, PASportServiceRequest, Practitioner/ltc-practitioner-nurse-example, PractitionerRole/ltc-practitioner-role-nurse-example, Procedure/ltc-procedure-bathing-example, QuestionnaireResponse/ltc-questionnaire-response-aa12-example, ServiceRequest/pasport-servicerequest-exercise-therapy-example, ServiceRequestPAVSSport, TreadmillTypeVSSport and 陳明慧照顧團隊
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - AdverseEventSeriousness: AdverseEvent/ltc-adverse-event-example
  - AdverseEventSeverity: AdverseEvent/ltc-adverse-event-example
  - Claim Type Codes: Claim/ltc-claim-export-dispatch-example, Claim/ltc-claim-export-example and ClaimResponse/ltc-claimresponse-export-example
  - Condition Category Codes: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-referral-example... Show 13 more, Condition/ltc-condition-caregiver-family-example, Condition/ltc-condition-caregiver-family-referral-example, Condition/ltc-condition-crush-none-example, Condition/ltc-condition-crush-stage2-example, Condition/ltc-condition-diabetes-example, Condition/ltc-condition-disability-example, Condition/ltc-condition-disability-referral-example, Condition/ltc-condition-disability-type-limb-example, Condition/ltc-condition-disability-type-limb-referral-example, Condition/ltc-condition-example, Condition/ltc-condition-need-assistance-example, Condition/ltc-condition-residence-not-alone-example and Condition/ltc-condition-tube-nasogastric-example
  - Condition Clinical Status Codes: AA12, Bundle/ltc-bundle-cms-example... Show 17 more, Bundle/ltc-bundle-referral-example, Condition/ltc-condition-caregiver-family-example, Condition/ltc-condition-caregiver-family-referral-example, Condition/ltc-condition-crush-none-example, Condition/ltc-condition-crush-stage2-example, Condition/ltc-condition-diabetes-example, Condition/ltc-condition-disability-example, Condition/ltc-condition-disability-referral-example, Condition/ltc-condition-disability-type-limb-example, Condition/ltc-condition-disability-type-limb-referral-example, Condition/ltc-condition-example, Condition/ltc-condition-need-assistance-example, Condition/ltc-condition-residence-not-alone-example, Condition/ltc-condition-tube-nasogastric-example, Condition/pasport-condition-exercise-history-example, Condition/pasport-condition-medical-history-example and QuestionnaireResponse/ltc-questionnaire-response-aa12-example
  - ConditionVerificationStatus: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-referral-example... Show 15 more, Condition/ltc-condition-caregiver-family-example, Condition/ltc-condition-caregiver-family-referral-example, Condition/ltc-condition-crush-none-example, Condition/ltc-condition-crush-stage2-example, Condition/ltc-condition-diabetes-example, Condition/ltc-condition-disability-example, Condition/ltc-condition-disability-referral-example, Condition/ltc-condition-disability-type-limb-example, Condition/ltc-condition-disability-type-limb-referral-example, Condition/ltc-condition-example, Condition/ltc-condition-need-assistance-example, Condition/ltc-condition-residence-not-alone-example, Condition/ltc-condition-tube-nasogastric-example, Condition/pasport-condition-exercise-history-example and Condition/pasport-condition-medical-history-example
  - Contact entity type: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-referral-example, 台北市立聯合醫院 and 新北市私立安康老人長期照顧中心（養護型）
  - Observation Category Codes: LTCObservationFallingHistory, Observation/ltc-observation-blood-pressure-example... Show 39 more, Observation/ltc-observation-falling-history-example, Observation/ltc-observation-vital-signs-panel-example, Observation/pasport-observation-basal-metabolic-rate-example, Observation/pasport-observation-blood-pressure-example, Observation/pasport-observation-bmi-example, Observation/pasport-observation-body-age-example, Observation/pasport-observation-body-bone-mass-example, Observation/pasport-observation-body-fat-mass-example, Observation/pasport-observation-body-fat-percentage-example, Observation/pasport-observation-body-temperature-example, Observation/pasport-observation-cell-mass-example, Observation/pasport-observation-extracellular-water-example, Observation/pasport-observation-extracellular-water-ratio-example, Observation/pasport-observation-fat-free-mass-example, Observation/pasport-observation-gait-cycle-example, Observation/pasport-observation-gait-type-example, Observation/pasport-observation-glucose-example, Observation/pasport-observation-heart-rate-example, Observation/pasport-observation-heart-rate-variability-example, Observation/pasport-observation-height-example, Observation/pasport-observation-intracellular-water-example, Observation/pasport-observation-mean-heart-rate-example, Observation/pasport-observation-mineral-example, Observation/pasport-observation-obesity-degree-example, Observation/pasport-observation-peripheral-oxygen-saturation-example, Observation/pasport-observation-protein-example, Observation/pasport-observation-respiratory-rate-example, Observation/pasport-observation-resting-heart-rate-example, Observation/pasport-observation-skeletal-muscle-mass-example, Observation/pasport-observation-skeletal-muscle-mass-index-example, Observation/pasport-observation-soft-lean-mass-example, Observation/pasport-observation-total-body-water-example, Observation/pasport-observation-treadmill-example, Observation/pasport-observation-visceral-fat-area-example, Observation/pasport-observation-visceral-fat-index-example, Observation/pasport-observation-waist-example, Observation/pasport-observation-waist-hip-rate-example, Observation/pasport-observation-weight-example and Observation/pasport-observation-weight-training-example
  - Organization type: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-payload-example... Show 4 more, Bundle/ltc-bundle-referral-example, OOO長期照顧管理中心, 台北市立聯合醫院 and 新北市私立安康老人長期照顧中心（養護型）
  - Process Priority Codes: Claim/ltc-claim-export-dispatch-example and Claim/ltc-claim-export-example
  - contactRole2: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-payload-example... Show 10 more, Bundle/ltc-bundle-referral-example, LTCQuestionnaireCaregiver, LTCRelatedPerson, Patient/ltc-patient-chen-ming-hui, Patient/ltc-patient-cms-chen-ming-hui-example, Patient/ltc-patient-cms-example, Patient/ltc-patient-referral-chen-ming-hui-example, Patient/ltc-patient-referral-example, Patient/ltc-patient-sdk-example and RelationshipTypeVSTWLTC
  - identifierType: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-payload-example... Show 10 more, Bundle/ltc-bundle-referral-example, Patient/ltc-patient-chen-ming-hui, Patient/ltc-patient-cms-chen-ming-hui-example, Patient/ltc-patient-cms-example, Patient/ltc-patient-referral-chen-ming-hui-example, Patient/ltc-patient-referral-example, Patient/ltc-patient-sdk-example, Practitioner/ltc-practitioner-example, Practitioner/ltc-practitioner-nurse-example and 新北市私立安康老人長期照顧中心（養護型）
  - degreeLicenseCertificate: Practitioner/ltc-practitioner-physician-aa12-example
  - ActCode: Bundle/ltc-bundle-referral-example and Encounter/ltc-encounter-example
  - MaritalStatus: Bundle/ltc-bundle-cms-example, Patient/ltc-patient-cms-chen-ming-hui-example, Patient/ltc-patient-cms-example and Patient/ltc-patient-referral-example
  - ObservationInterpretation: Observation/pasport-observation-blood-pressure-example, Observation/pasport-observation-bmi-example, Observation/pasport-observation-body-fat-percentage-example and Observation/pasport-observation-skeletal-muscle-mass-example
  - RoleCode: Bundle/ltc-bundle-cms-example, Bundle/ltc-bundle-referral-example... Show 6 more, LTCQuestionnaireCaregiver, LTCRelatedPerson, RelatedPerson/ltc-related-person-primary-caregiver-example, RelatedPerson/ltc-related-person-primary-caregiver-referral-example, RelationshipTypeVSTWLTC and 新北市私立安康老人長期照顧中心（養護型）
- 衛生福利部資訊處
  Show Usage
  - 臺灣衛福部資訊處照護計畫類別: Bundle/ltc-bundle-payload-example, Bundle/ltc-bundle-referral-example... Show 9 more, CarePlan/ltc-careplan-cs100-example, CarePlan/ltc-careplan-cs100-standalone-example, CarePlan/ltc-careplan-mobility-example, CarePlan/ltc-careplan-referral-home-service-example, CarePlan/ltc-careplan-sdk-example, LTCCarePlan, LTCCarePlanCS100, LTCCarePlanPayload and LTCCarePlanReferral
  - 臺灣衛福部資訊處類型代碼: LTCObservationFallingHistory