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－照顧計畫

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

此 Profile 說明本 IG 如何進一步定義 FHIR 的 CarePlan Resource，以呈現長期照顧情境中涉及之照顧計畫內容。

Usages:

- Derived from this Profile: 轉介單－服務種類
- Refer to this Profile: 長期照顧－照顧計畫
- Examples for this Profile: CarePlan/ltc-careplan-mobility-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
--- | --- | --- | --- | ---
CarePlan |  | 0..* | TWCoreCarePlan | Healthcare plan for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | S | 0..1 | Narrative | CarePlan 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
status | S | 1..1 | code | generated | additional Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): Constrained value set of narrative statuses.
div | S C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
reference | Σ C | 1..1 | string | 照顧計畫的來源。[應輸入 CarePlan Resource ID]
replaces | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
reference | Σ C | 1..1 | string | 照顧計畫的替代。[應輸入 CarePlan Resource ID]
partOf | S Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
reference | S Σ C | 1..1 | string | 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
status | ?!S Σ | 1..1 | code | 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | entered-in-error | unknown] Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option] Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan
Slices for category | S Σ | 1..* | CodeableConcept | 照顧計畫的分類。 Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:AssessPlan | S Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(長期照顧－住民基本資料) | 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
reference | S Σ C | 1..1 | string | 照顧計畫的適用主體。[應輸入 Patient Resource ID]
encounter | S Σ | 0..1 | Reference(TW Core Encounter) | 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
reference | S Σ C | 1..1 | string | 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
period | S Σ | 0..1 | Period | 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
start | S Σ C | 1..1 | dateTime | 照顧計畫的開始日期。[應填入日期或日期時間]
end | S Σ C | 0..1 | dateTime | 照顧計畫的結束日期。[應填入日期或日期時間]
author | S Σ | 0..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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
reference | S Σ C | 1..1 | string | 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
contributor | S | 0..* | 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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
reference | S Σ C | 1..1 | string | 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
addresses | S Σ | 0..* | Reference(長期照顧－病情、問題或診斷) | 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
reference | S Σ C | 1..1 | string | 照顧計畫對應的需求。[應輸入 Condition Resource ID]
supportingInfo | S | 0..* | Reference(Resource) | 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
goal | S | 0..* | Reference(長期照顧－照顧目標) | 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
reference | S Σ C | 1..1 | string | 照顧計畫的目標。[應輸入 Goal Resource ID]
activity | S C | 1..* | BackboneElement | 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。 Constraints: cpl-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reference | S C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | 照顧計畫的活動參考 Resource。
detail | S C | 0..1 | BackboneElement | 照顧計畫的活動詳細資訊，即這個照顧計畫的活動內容是什麼？這裡可以直接描述活動內容，或是針對 Reference 內容進行更進一步的描述。
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
Slices for product[x] |  | 0..1 |  | What is to be administered/supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept |  |  | CodeableConcept |
productReference |  |  | Reference(Medication | Substance) |
product[x]:productReference |  | 0..1 | Reference(TW Core Medication | Substance) | What is to be administered/supplied
note | S | 0..* | Annotation | 照顧計畫的附註。
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.text.status | Base | required | 臺灣衛福部資訊處Narrative狀態值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3
CarePlan.status | Base | required | RequestStatus | 📦4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📦4.0.1 | FHIR Std.
CarePlan.category | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.category:AssessPlan | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​product[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both | `detail.empty() or reference.empty()`
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | 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 | CarePlan | 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 | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | 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()`
txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes | `htmlChecks()`
txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content | `htmlChecks()`

This structure is derived from TWCoreCarePlan

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  |  | TWCoreCarePlan |
basedOn |  | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
reference |  | 1..1 | string | 照顧計畫的來源。[應輸入 CarePlan Resource ID]
replaces |  | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
reference |  | 1..1 | string | 照顧計畫的替代。[應輸入 CarePlan Resource ID]
partOf | S | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
reference | S | 1..1 | string | 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
status |  | 1..1 | code | 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | entered-in-error | unknown]
intent |  | 1..1 | code | 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option]
category |  | 1..* | CodeableConcept | 照顧計畫的分類。
subject |  | 1..1 | Reference(長期照顧－住民基本資料) | 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
reference | S | 1..1 | string | 照顧計畫的適用主體。[應輸入 Patient Resource ID]
encounter | S | 0..1 | Reference(TW Core Encounter) | 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
reference | S | 1..1 | string | 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
period | S | 0..1 | Period | 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
start | S | 1..1 | dateTime | 照顧計畫的開始日期。[應填入日期或日期時間]
end | S | 0..1 | dateTime | 照顧計畫的結束日期。[應填入日期或日期時間]
author | S | 0..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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
reference | S | 1..1 | string | 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
contributor | S | 0..* | 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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
reference | S | 1..1 | string | 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
addresses | S | 0..* | Reference(長期照顧－病情、問題或診斷) | 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
reference | S | 1..1 | string | 照顧計畫對應的需求。[應輸入 Condition Resource ID]
supportingInfo | S | 0..* | Reference(Resource) | 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
goal | S | 0..* | Reference(長期照顧－照顧目標) | 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
reference | S | 1..1 | string | 照顧計畫的目標。[應輸入 Goal Resource ID]
activity | S | 1..* | BackboneElement | 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。
reference | S | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | 照顧計畫的活動參考 Resource。
detail | S | 0..1 | BackboneElement | 照顧計畫的活動詳細資訊，即這個照顧計畫的活動內容是什麼？這裡可以直接描述活動內容，或是針對 Reference 內容進行更進一步的描述。
note | S | 0..* | Annotation | 照顧計畫的附註。
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | TWCoreCarePlan | Healthcare plan for 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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | S | 0..1 | Narrative | CarePlan 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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
status | S | 1..1 | code | generated | additional Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): Constrained value set of narrative statuses.
div | S C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2
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 plan
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
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 | Σ C | 1..1 | string | 照顧計畫的來源。[應輸入 CarePlan 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
replaces | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
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 | Σ C | 1..1 | string | 照顧計畫的替代。[應輸入 CarePlan 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
partOf | S Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
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 | S Σ C | 1..1 | string | 照顧計畫的緊急備用方案。[應輸入 CarePlan 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
status | ?!S Σ | 1..1 | code | 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | entered-in-error | unknown] Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option] Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan
Slices for category | S Σ | 1..* | CodeableConcept | 照顧計畫的分類。 Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:AssessPlan | S Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | S Σ | 1..1 | Reference(長期照顧－住民基本資料) | 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
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 | S Σ C | 1..1 | string | 照顧計畫的適用主體。[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 | S Σ | 0..1 | Reference(TW Core Encounter) | 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
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 | S Σ C | 1..1 | string | 照顧計畫對應的就診資訊。[應輸入 Encounter 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
period | S Σ | 0..1 | Period | 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | 照顧計畫的開始日期。[應填入日期或日期時間]
end | S Σ C | 0..1 | dateTime | 照顧計畫的結束日期。[應填入日期或日期時間]
created | Σ | 0..1 | dateTime | Date record was first recorded
author | S Σ | 0..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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
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 | S Σ C | 1..1 | string | 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam 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
contributor | S | 0..* | 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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
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 | S Σ C | 1..1 | string | 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam 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
careTeam |  | 0..* | Reference(TW Core CareTeam) | Who's involved in plan?
addresses | S Σ | 0..* | Reference(長期照顧－病情、問題或診斷) | 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
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 | S Σ C | 1..1 | string | 照顧計畫對應的需求。[應輸入 Condition 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
supportingInfo | S | 0..* | Reference(Resource) | 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
goal | S | 0..* | Reference(長期照顧－照顧目標) | 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
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 | S Σ C | 1..1 | string | 照顧計畫的目標。[應輸入 Goal 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
activity | S C | 1..* | BackboneElement | 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。 Constraints: cpl-3
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
outcomeCodeableConcept |  | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference |  | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
progress |  | 0..* | Annotation | Comments about the activity status/progress
reference | S C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | 照顧計畫的活動參考 Resource。
detail | S C | 0..1 | BackboneElement | 照顧計畫的活動詳細資訊，即這個照顧計畫的活動內容是什麼？這裡可以直接描述活動內容，或是針對 Reference 內容進行更進一步的描述。
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
kind |  | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical |  | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..* | uri | Instantiates external protocol or definition
code |  | 0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode |  | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference |  | 0..* | Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) | Why activity is needed
goal |  | 0..* | Reference(Goal) | Goals this activity relates to
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason |  | 0..1 | CodeableConcept | Reason for current status
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
scheduled[x] |  | 0..1 |  | When activity is to occur
scheduledTiming |  |  | Timing |
scheduledPeriod |  |  | Period |
scheduledString |  |  | string |
location |  | 0..1 | Reference(TW Core Location) | Where it should happen
performer |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core RelatedPerson | TW Core Patient | TW Core CareTeam | HealthcareService | TW Core Implantable Device) | Who will be responsible?
Slices for product[x] |  | 0..1 |  | What is to be administered/supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept |  |  | CodeableConcept |
productReference |  |  | Reference(Medication | Substance) |
product[x]:productReference |  | 0..1 | Reference(TW Core Medication | Substance) | What is to be administered/supplied
dailyAmount |  | 0..1 | SimpleQuantity | How to consume/day?
quantity |  | 0..1 | SimpleQuantity | How much to administer/supply/consume
description |  | 0..1 | string | Extra info describing activity to perform
note | S | 0..* | Annotation | 照顧計畫的附註。
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
CarePlan.text.status | Base | required | 臺灣衛福部資訊處Narrative狀態值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3
CarePlan.basedOn.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.replaces.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.partOf.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.status | Base | required | RequestStatus | 📦4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📦4.0.1 | FHIR Std.
CarePlan.category | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.category:AssessPlan | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.contributor.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.addresses.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.goal.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​reasonCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​product[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both | `detail.empty() or reference.empty()`
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | 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 | CarePlan | 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 | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | 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()`
txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes | `htmlChecks()`
txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content | `htmlChecks()`

This structure is derived from TWCoreCarePlan

Summary

Mandatory: 2 elements(9 nested mandatory elements)
Must-Support: 21 elements

Structures

This structure refers to these other structures:

- 長期照顧－照顧計畫 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCarePlan)
- 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
- 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
- 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)
- 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
- TW Core Organization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore)
- TW Core Organization Hospital Department (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore)
- 長期照顧－機構 (http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc)
- 長期照顧－照顧團隊 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCareTeam)
- 長期照顧－病情、問題或診斷 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCondition)
- 長期照顧－照顧目標 (http://ltc-ig.fhir.tw/StructureDefinition/LTCGoal)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | TWCoreCarePlan | Healthcare plan for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | S | 0..1 | Narrative | CarePlan 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
status | S | 1..1 | code | generated | additional Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): Constrained value set of narrative statuses.
div | S C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
reference | Σ C | 1..1 | string | 照顧計畫的來源。[應輸入 CarePlan Resource ID]
replaces | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
reference | Σ C | 1..1 | string | 照顧計畫的替代。[應輸入 CarePlan Resource ID]
partOf | S Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
reference | S Σ C | 1..1 | string | 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
status | ?!S Σ | 1..1 | code | 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | entered-in-error | unknown] Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option] Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan
Slices for category | S Σ | 1..* | CodeableConcept | 照顧計畫的分類。 Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:AssessPlan | S Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(長期照顧－住民基本資料) | 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
reference | S Σ C | 1..1 | string | 照顧計畫的適用主體。[應輸入 Patient Resource ID]
encounter | S Σ | 0..1 | Reference(TW Core Encounter) | 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
reference | S Σ C | 1..1 | string | 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
period | S Σ | 0..1 | Period | 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
start | S Σ C | 1..1 | dateTime | 照顧計畫的開始日期。[應填入日期或日期時間]
end | S Σ C | 0..1 | dateTime | 照顧計畫的結束日期。[應填入日期或日期時間]
author | S Σ | 0..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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
reference | S Σ C | 1..1 | string | 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
contributor | S | 0..* | 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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
reference | S Σ C | 1..1 | string | 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
addresses | S Σ | 0..* | Reference(長期照顧－病情、問題或診斷) | 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
reference | S Σ C | 1..1 | string | 照顧計畫對應的需求。[應輸入 Condition Resource ID]
supportingInfo | S | 0..* | Reference(Resource) | 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
goal | S | 0..* | Reference(長期照顧－照顧目標) | 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
reference | S Σ C | 1..1 | string | 照顧計畫的目標。[應輸入 Goal Resource ID]
activity | S C | 1..* | BackboneElement | 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。 Constraints: cpl-3
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reference | S C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | 照顧計畫的活動參考 Resource。
detail | S C | 0..1 | BackboneElement | 照顧計畫的活動詳細資訊，即這個照顧計畫的活動內容是什麼？這裡可以直接描述活動內容，或是針對 Reference 內容進行更進一步的描述。
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
Slices for product[x] |  | 0..1 |  | What is to be administered/supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept |  |  | CodeableConcept |
productReference |  |  | Reference(Medication | Substance) |
product[x]:productReference |  | 0..1 | Reference(TW Core Medication | Substance) | What is to be administered/supplied
note | S | 0..* | Annotation | 照顧計畫的附註。
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.text.status | Base | required | 臺灣衛福部資訊處Narrative狀態值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3
CarePlan.status | Base | required | RequestStatus | 📦4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📦4.0.1 | FHIR Std.
CarePlan.category | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.category:AssessPlan | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​product[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both | `detail.empty() or reference.empty()`
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | 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 | CarePlan | 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 | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | 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()`
txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes | `htmlChecks()`
txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content | `htmlChecks()`

Differential View

This structure is derived from TWCoreCarePlan

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  |  | TWCoreCarePlan |
basedOn |  | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
reference |  | 1..1 | string | 照顧計畫的來源。[應輸入 CarePlan Resource ID]
replaces |  | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
reference |  | 1..1 | string | 照顧計畫的替代。[應輸入 CarePlan Resource ID]
partOf | S | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
reference | S | 1..1 | string | 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
status |  | 1..1 | code | 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | entered-in-error | unknown]
intent |  | 1..1 | code | 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option]
category |  | 1..* | CodeableConcept | 照顧計畫的分類。
subject |  | 1..1 | Reference(長期照顧－住民基本資料) | 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
reference | S | 1..1 | string | 照顧計畫的適用主體。[應輸入 Patient Resource ID]
encounter | S | 0..1 | Reference(TW Core Encounter) | 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
reference | S | 1..1 | string | 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
period | S | 0..1 | Period | 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
start | S | 1..1 | dateTime | 照顧計畫的開始日期。[應填入日期或日期時間]
end | S | 0..1 | dateTime | 照顧計畫的結束日期。[應填入日期或日期時間]
author | S | 0..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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
reference | S | 1..1 | string | 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
contributor | S | 0..* | 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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
reference | S | 1..1 | string | 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
addresses | S | 0..* | Reference(長期照顧－病情、問題或診斷) | 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
reference | S | 1..1 | string | 照顧計畫對應的需求。[應輸入 Condition Resource ID]
supportingInfo | S | 0..* | Reference(Resource) | 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
goal | S | 0..* | Reference(長期照顧－照顧目標) | 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
reference | S | 1..1 | string | 照顧計畫的目標。[應輸入 Goal Resource ID]
activity | S | 1..* | BackboneElement | 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。
reference | S | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | 照顧計畫的活動參考 Resource。
detail | S | 0..1 | BackboneElement | 照顧計畫的活動詳細資訊，即這個照顧計畫的活動內容是什麼？這裡可以直接描述活動內容，或是針對 Reference 內容進行更進一步的描述。
note | S | 0..* | Annotation | 照顧計畫的附註。
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
CarePlan |  | 0..* | TWCoreCarePlan | Healthcare plan for 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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | S | 0..1 | Narrative | CarePlan 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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
status | S | 1..1 | code | generated | additional Binding: 臺灣衛福部資訊處Narrative狀態值集 (required): Constrained value set of narrative statuses.
div | S C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2
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 plan
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
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 | Σ C | 1..1 | string | 照顧計畫的來源。[應輸入 CarePlan 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
replaces | Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
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 | Σ C | 1..1 | string | 照顧計畫的替代。[應輸入 CarePlan 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
partOf | S Σ | 0..* | Reference(長期照顧－照顧計畫) | 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
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 | S Σ C | 1..1 | string | 照顧計畫的緊急備用方案。[應輸入 CarePlan 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
status | ?!S Σ | 1..1 | code | 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | entered-in-error | unknown] Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
intent | ?!S Σ | 1..1 | code | 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option] Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan
Slices for category | S Σ | 1..* | CodeableConcept | 照顧計畫的分類。 Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:AssessPlan | S Σ | 1..1 | CodeableConcept | Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assess-plan
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
title | Σ | 0..1 | string | Human-friendly name for the care plan
description | Σ | 0..1 | string | Summary of nature of plan
subject | S Σ | 1..1 | Reference(長期照顧－住民基本資料) | 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
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 | S Σ C | 1..1 | string | 照顧計畫的適用主體。[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 | S Σ | 0..1 | Reference(TW Core Encounter) | 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
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 | S Σ C | 1..1 | string | 照顧計畫對應的就診資訊。[應輸入 Encounter 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
period | S Σ | 0..1 | Period | 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | 照顧計畫的開始日期。[應填入日期或日期時間]
end | S Σ C | 0..1 | dateTime | 照顧計畫的結束日期。[應填入日期或日期時間]
created | Σ | 0..1 | dateTime | Date record was first recorded
author | S Σ | 0..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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
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 | S Σ C | 1..1 | string | 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam 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
contributor | S | 0..* | 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 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) | 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
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 | S Σ C | 1..1 | string | 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam 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
careTeam |  | 0..* | Reference(TW Core CareTeam) | Who's involved in plan?
addresses | S Σ | 0..* | Reference(長期照顧－病情、問題或診斷) | 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
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 | S Σ C | 1..1 | string | 照顧計畫對應的需求。[應輸入 Condition 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
supportingInfo | S | 0..* | Reference(Resource) | 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
goal | S | 0..* | Reference(長期照顧－照顧目標) | 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
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 | S Σ C | 1..1 | string | 照顧計畫的目標。[應輸入 Goal 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
activity | S C | 1..* | BackboneElement | 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。 Constraints: cpl-3
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
outcomeCodeableConcept |  | 0..* | CodeableConcept | Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
outcomeReference |  | 0..* | Reference(Resource) | Appointment, Encounter, Procedure, etc.
progress |  | 0..* | Annotation | Comments about the activity status/progress
reference | S C | 0..1 | Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) | 照顧計畫的活動參考 Resource。
detail | S C | 0..1 | BackboneElement | 照顧計畫的活動詳細資訊，即這個照顧計畫的活動內容是什麼？這裡可以直接描述活動內容，或是針對 Reference 內容進行更進一步的描述。
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
kind |  | 0..1 | code | Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical |  | 0..* | canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition) | Instantiates FHIR protocol or definition
instantiatesUri |  | 0..* | uri | Instantiates external protocol or definition
code |  | 0..1 | CodeableConcept | Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode |  | 0..* | CodeableConcept | Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference |  | 0..* | Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) | Why activity is needed
goal |  | 0..* | Reference(Goal) | Goals this activity relates to
status | ?! | 1..1 | code | not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason |  | 0..1 | CodeableConcept | Reason for current status
doNotPerform | ?! | 0..1 | boolean | If true, activity is prohibiting action
scheduled[x] |  | 0..1 |  | When activity is to occur
scheduledTiming |  |  | Timing |
scheduledPeriod |  |  | Period |
scheduledString |  |  | string |
location |  | 0..1 | Reference(TW Core Location) | Where it should happen
performer |  | 0..* | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core RelatedPerson | TW Core Patient | TW Core CareTeam | HealthcareService | TW Core Implantable Device) | Who will be responsible?
Slices for product[x] |  | 0..1 |  | What is to be administered/supplied Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A product supplied or administered as part of a care plan activity.
productCodeableConcept |  |  | CodeableConcept |
productReference |  |  | Reference(Medication | Substance) |
product[x]:productReference |  | 0..1 | Reference(TW Core Medication | Substance) | What is to be administered/supplied
dailyAmount |  | 0..1 | SimpleQuantity | How to consume/day?
quantity |  | 0..1 | SimpleQuantity | How much to administer/supply/consume
description |  | 0..1 | string | Extra info describing activity to perform
note | S | 0..* | Annotation | 照顧計畫的附註。
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
CarePlan.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
CarePlan.text.status | Base | required | 臺灣衛福部資訊處Narrative狀態值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3
CarePlan.basedOn.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.replaces.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.partOf.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.status | Base | required | RequestStatus | 📦4.0.1 | FHIR Std.
CarePlan.intent | Base | required | Care Plan Intent | 📦4.0.1 | FHIR Std.
CarePlan.category | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.category:AssessPlan | Base | example | Care Plan Category | 📦4.0.1 | FHIR Std.
CarePlan.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.contributor.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.addresses.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.goal.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
CarePlan.activity.outcomeCodeableConcept | Base | example | Care Plan Activity Outcome | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​kind | Base | required | Care Plan Activity Kind | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​code | Base | example | Procedure Codes (SNOMED CT) | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​reasonCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std.
CarePlan.activity.detail.​status | Base | required | CarePlanActivityStatus | 📍4.0.1 | FHIR Std.
CarePlan.activity.detail.​product[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
cpl-3 | error | CarePlan.activity | Provide a reference or detail, not both | `detail.empty() or reference.empty()`
dom-2 | error | CarePlan | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | CarePlan | 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 | CarePlan | 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 | CarePlan | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | CarePlan | 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()`
txt-1 | error | CarePlan.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes | `htmlChecks()`
txt-2 | error | CarePlan.text.div | The narrative SHALL have some non-whitespace content | `htmlChecks()`

This structure is derived from TWCoreCarePlan

Summary

Mandatory: 2 elements(9 nested mandatory elements)
Must-Support: 21 elements

Structures

This structure refers to these other structures:

- 長期照顧－照顧計畫 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCarePlan)
- 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
- 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
- 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)
- 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
- TW Core Organization (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore)
- TW Core Organization Hospital Department (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore)
- 長期照顧－機構 (http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc)
- 長期照顧－照顧團隊 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCareTeam)
- 長期照顧－病情、問題或診斷 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCondition)
- 長期照顧－照顧目標 (http://ltc-ig.fhir.tw/StructureDefinition/LTCGoal)

Other representations of profile: CSV, Excel, Schematron