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

## : 行動照顧計畫範例 - XML Representation

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    <CarePlan xmlns="http://hl7.org/fhir">
      <id value="ltc-careplan-mobility-example"/>
      <meta>
        <profile value="http://ltc-ig.fhir.tw/StructureDefinition/LTCCarePlan"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CarePlan ltc-careplan-mobility-example</b></p><a name="ltc-careplan-mobility-example"> </a><a name="hcltc-careplan-mobility-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-LTCCarePlan.html">長期照顧－照顧計畫</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:{https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw assess-plan}">Assessment and Plan of Treatment</span></p><p><b>subject</b>: <a href="Patient-ltc-patient-chen-ming-hui.html">陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))</a></p><p><b>period</b>: 2024-01-15 --&gt; 2024-04-15</p><p><b>author</b>: <a href="PractitionerRole-ltc-practitioner-role-nurse-example.html">PractitionerRole Registered nurse</a></p><p><b>contributor</b>: <a href="RelatedPerson-ltc-related-person-primary-caregiver-example.html">RelatedPerson 陳志強</a></p><p><b>goal</b>: <a href="Goal-ltc-goal-mobility-improvement-example.html">Goal: lifecycleStatus = active; description = Advancing mobility; start[x] = 2024-01-15; note = 住民目前需要部分協助才能行走，期望透過復健訓練達到獨立行走的目標</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Status</b></td><td><b>Scheduled[x]</b></td><td><b>Performer</b></td><td><b>Description</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 229070002}">Stretching exercises</span></td><td>In Progress</td><td>2024-01-15 --&gt; 2024-04-15</td><td><a href="PractitionerRole-ltc-practitioner-role-nurse-example.html">PractitionerRole Registered nurse</a></td><td>進行每日助行器行走訓練，每次30分鐘，每日2次</td></tr></table></blockquote><p><b>note</b>: @2024-01-15</p><blockquote><div><p>住民配合度良好，預期能達成獨立行走的目標</p>
    </div></blockquote></div>
      </text>
      <status value="active"/>
      <intent value="plan"/>
      <category>
        <coding>
          <system
                  value="https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw"/>
          <code value="assess-plan"/>
        </coding>
      </category>
      <subject>🔗
        <reference value="Patient/ltc-patient-chen-ming-hui"/>
      </subject>
      <period>
        <start value="2024-01-15"/>
        <end value="2024-04-15"/>
      </period>
      <author>🔗
        <reference value="PractitionerRole/ltc-practitioner-role-nurse-example"/>
      </author>
      <contributor>🔗
        <reference
                   value="RelatedPerson/ltc-related-person-primary-caregiver-example"/>
      </contributor>
      <goal>🔗
        <reference value="Goal/ltc-goal-mobility-improvement-example"/>
      </goal>
      <activity>
        <detail>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="229070002"/>
              <display value="Stretching exercises"/>
            </coding>
          </code>
          <status value="in-progress"/>
          <scheduledPeriod>
            <start value="2024-01-15"/>
            <end value="2024-04-15"/>
          </scheduledPeriod>
          <performer>🔗
            <reference
                       value="PractitionerRole/ltc-practitioner-role-nurse-example"/>
          </performer>
          <description value="進行每日助行器行走訓練，每次30分鐘，每日2次"/>
        </detail>
      </activity>
      <note>
        <time value="2024-01-15"/>
        <text value="住民配合度良好，預期能達成獨立行走的目標"/>
      </note>
    </CarePlan>