臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions

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

Resource Profile: 關懷計畫(CarePlan TWCM)

此關懷計畫(CarePlan TWCM)Profile說明本IG如何進一步定義臺灣核心-照護計畫（TW Core CarePlan） Profile以呈現中醫門診單關懷計畫的詳細資料。

Usages:

• Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
• Refer to this Profile: 關懷計畫(CarePlan TWCM), 中醫-臨床文件架構(Composition TWCM), 中醫-藥品請求(MedicationRequest TWCM), 血壓(ObservationBloodPressure TWCM)... Show 18 more, 血型(ObservationBloodtype TWCM), 身高(ObservationBodyHeight TWCM), 體溫(ObservationBodyTemp TWCM), 體重(ObservationBodyWeight TWCM), 教育程度(ObservationEducationLevel TWCM), 脈搏(ObservationHeartRate TWCM), 問診(ObservationInquiry TWCM), 望診(ObservationInspection TWCM), 聞診(ObservationListeningSmelling TWCM), 重大傷病註記(ObservationMajorIllness TWCM), 職業(ObservationOccupation TWCM), 切診(ObservationPalpation TWCM), 病人脈象(ObservationPulseCondition TWCM), 個人史(ObservationSocialHistory TWCM), 生命徵象(ObservationVitalSigns TWCM), 中醫-處置或手術(Procedure TWCM), 病人治則(ProcedureTherapeuticPrinciples TWCM) and 服務請求(ServiceRequest TWCM)
• Examples for this Profile: CarePlan/CarePlanTWCM-min
• CapabilityStatements using this Profile: 臺灣中醫實作指引-用戶端(TWCM Client) and 臺灣中醫實作指引-伺服端(TWCM Server)

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
CarePlan.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
CarePlan.text	S This element must be supported.	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
CarePlan.text.status	S This element must be supported.	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.
CarePlan.text.div	S This element must be supported. C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
CarePlan.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Fulfills CarePlan
CarePlan.replaces	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	CarePlan replaced by this CarePlan
CarePlan.partOf	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Part of referenced CarePlan
CarePlan.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | 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. Required Pattern: completed
CarePlan.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal
CarePlan.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	Type of plan 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:AssessPlan	S This element must be supported. Σ This element is included in summaries.	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
CarePlan.Slices for category.category:AssessPlan.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
CarePlan.Slices for category.category:AssessPlan.coding.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.coding.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
CarePlan.Slices for category.category:AssessPlan.coding.version		0..1	string	Version of the system - if relevant
CarePlan.Slices for category.category:AssessPlan.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: assess-plan
CarePlan.Slices for category.category:AssessPlan.coding.display		0..1	string	Representation defined by the system
CarePlan.Slices for category.category:AssessPlan.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
CarePlan.Slices for category.category:AssessPlan.text		0..1	string	Plain text representation of the concept
CarePlan.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who the care plan is for
CarePlan.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Encounter created as part of
CarePlan.author	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who is the designated responsible party
CarePlan.contributor		0..*	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who provided the content of the care plan
CarePlan.note	S This element must be supported.	1..1	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
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.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from TWCoreCarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan			TWCoreCarePlan
CarePlan.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM))	Fulfills CarePlan
CarePlan.replaces		0..*	Reference(關懷計畫(CarePlan TWCM))	CarePlan replaced by this CarePlan
CarePlan.partOf		0..*	Reference(關懷計畫(CarePlan TWCM))	Part of referenced CarePlan
CarePlan.status		1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: completed
CarePlan.intent		1..1	code	proposal | plan | order | option Required Pattern: proposal
CarePlan.subject		1..1	Reference(病人資料(Patient TWCM))	Who the care plan is for
CarePlan.encounter	S This element must be supported.	0..1	Reference(就醫事件(Encounter TWCM))	Encounter created as part of
CarePlan.author		0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who is the designated responsible party
CarePlan.contributor		0..*	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who provided the content of the care plan
CarePlan.activity
CarePlan.activity.reference		0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup)	Activity details defined in specific resource
CarePlan.activity.detail
CarePlan.activity.detail.reasonReference		0..*	Reference(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM))	Why activity is needed
CarePlan.activity.detail.performer		0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core RelatedPerson | 病人資料(Patient TWCM) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
CarePlan.note	S This element must be supported.	1..1	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	TWCoreCarePlan	Healthcare plan for patient or group
CarePlan.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
CarePlan.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
CarePlan.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
CarePlan.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
CarePlan.text	S This element must be supported.	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
CarePlan.text.id		0..1	string	Unique id for inter-element referencing
CarePlan.text.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
CarePlan.text.status	S This element must be supported.	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.
CarePlan.text.div	S This element must be supported. C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
CarePlan.contained		0..*	Resource	Contained, inline Resources
CarePlan.extension		0..*	Extension	Additional content defined by implementations
CarePlan.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this plan
CarePlan.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
CarePlan.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
CarePlan.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Fulfills CarePlan
CarePlan.replaces	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	CarePlan replaced by this CarePlan
CarePlan.partOf	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Part of referenced CarePlan
CarePlan.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | 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. Required Pattern: completed
CarePlan.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal
CarePlan.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	Type of plan 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:AssessPlan	S This element must be supported. Σ This element is included in summaries.	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
CarePlan.Slices for category.category:AssessPlan.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
CarePlan.Slices for category.category:AssessPlan.coding.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.coding.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
CarePlan.Slices for category.category:AssessPlan.coding.version		0..1	string	Version of the system - if relevant
CarePlan.Slices for category.category:AssessPlan.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: assess-plan
CarePlan.Slices for category.category:AssessPlan.coding.display		0..1	string	Representation defined by the system
CarePlan.Slices for category.category:AssessPlan.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
CarePlan.Slices for category.category:AssessPlan.text		0..1	string	Plain text representation of the concept
CarePlan.title	Σ This element is included in summaries.	0..1	string	Human-friendly name for the care plan
CarePlan.description	Σ This element is included in summaries.	0..1	string	Summary of nature of plan
CarePlan.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who the care plan is for
CarePlan.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Encounter created as part of
CarePlan.period	Σ This element is included in summaries.	0..1	Period	Time period plan covers
CarePlan.created	Σ This element is included in summaries.	0..1	dateTime	Date record was first recorded
CarePlan.author	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who is the designated responsible party
CarePlan.contributor		0..*	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who provided the content of the care plan
CarePlan.careTeam		0..*	Reference(TW Core CareTeam)	Who's involved in plan?
CarePlan.addresses	Σ This element is included in summaries.	0..*	Reference(TW Core Condition)	Health issues this plan addresses
CarePlan.supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
CarePlan.goal		0..*	Reference(Goal)	Desired outcome of plan
CarePlan.activity	C	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
CarePlan.activity.id		0..1	string	Unique id for inter-element referencing
CarePlan.activity.extension		0..*	Extension	Additional content defined by implementations
CarePlan.activity.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
CarePlan.activity.outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
CarePlan.activity.progress		0..*	Annotation	Comments about the activity status/progress
CarePlan.activity.reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup)	Activity details defined in specific resource
CarePlan.activity.detail	C	0..1	BackboneElement	In-line definition of activity
CarePlan.activity.detail.id		0..1	string	Unique id for inter-element referencing
CarePlan.activity.detail.extension		0..*	Extension	Additional content defined by implementations
CarePlan.activity.detail.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.detail.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.
CarePlan.activity.detail.instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
CarePlan.activity.detail.instantiatesUri		0..*	uri	Instantiates external protocol or definition
CarePlan.activity.detail.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.
CarePlan.activity.detail.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.
CarePlan.activity.detail.reasonReference		0..*	Reference(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM))	Why activity is needed
CarePlan.activity.detail.goal		0..*	Reference(Goal)	Goals this activity relates to
CarePlan.activity.detail.status	?! This element is a modifier element.	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.
CarePlan.activity.detail.statusReason		0..1	CodeableConcept	Reason for current status
CarePlan.activity.detail.doNotPerform	?! This element is a modifier element.	0..1	boolean	If true, activity is prohibiting action
CarePlan.activity.detail.scheduled[x]		0..1		When activity is to occur
CarePlan.activity.detail.scheduled[x].scheduledTiming			Timing
CarePlan.activity.detail.scheduled[x].scheduledPeriod			Period
CarePlan.activity.detail.scheduled[x].scheduledString			string
CarePlan.activity.detail.location		0..1	Reference(TW Core Location)	Where it should happen
CarePlan.activity.detail.performer		0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core RelatedPerson | 病人資料(Patient TWCM) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
CarePlan.activity.detail.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.
CarePlan.activity.detail.Slices for product[x].productCodeableConcept			CodeableConcept
CarePlan.activity.detail.Slices for product[x].productReference			Reference(Medication | Substance)
CarePlan.activity.detail.Slices for product[x].product[x]:productReference		0..1	Reference(TW Core Medication | Substance)	What is to be administered/supplied
CarePlan.activity.detail.dailyAmount	C	0..1	SimpleQuantity	How to consume/day? Constraints: sqty-1
CarePlan.activity.detail.quantity	C	0..1	SimpleQuantity	How much to administer/supply/consume Constraints: sqty-1
CarePlan.activity.detail.description		0..1	string	Extra info describing activity to perform
CarePlan.note	S This element must be supported.	1..1	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
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.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.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

This structure is derived from TWCoreCarePlan

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm)
• 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core Implantable Device (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 醫事機構(Organization TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm)
• TW Core CareTeam (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore)
• 檢驗檢查(Observation TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm)
• 文件參照(DocumentReference TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan		0..*	TWCoreCarePlan	Healthcare plan for patient or group
CarePlan.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
CarePlan.text	S This element must be supported.	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
CarePlan.text.status	S This element must be supported.	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.
CarePlan.text.div	S This element must be supported. C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
CarePlan.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Fulfills CarePlan
CarePlan.replaces	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	CarePlan replaced by this CarePlan
CarePlan.partOf	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Part of referenced CarePlan
CarePlan.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | 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. Required Pattern: completed
CarePlan.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal
CarePlan.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	Type of plan 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:AssessPlan	S This element must be supported. Σ This element is included in summaries.	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
CarePlan.Slices for category.category:AssessPlan.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
CarePlan.Slices for category.category:AssessPlan.coding.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.coding.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
CarePlan.Slices for category.category:AssessPlan.coding.version		0..1	string	Version of the system - if relevant
CarePlan.Slices for category.category:AssessPlan.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: assess-plan
CarePlan.Slices for category.category:AssessPlan.coding.display		0..1	string	Representation defined by the system
CarePlan.Slices for category.category:AssessPlan.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
CarePlan.Slices for category.category:AssessPlan.text		0..1	string	Plain text representation of the concept
CarePlan.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who the care plan is for
CarePlan.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Encounter created as part of
CarePlan.author	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who is the designated responsible party
CarePlan.contributor		0..*	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who provided the content of the care plan
CarePlan.note	S This element must be supported.	1..1	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
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.

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from TWCoreCarePlan

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CarePlan			TWCoreCarePlan
CarePlan.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM))	Fulfills CarePlan
CarePlan.replaces		0..*	Reference(關懷計畫(CarePlan TWCM))	CarePlan replaced by this CarePlan
CarePlan.partOf		0..*	Reference(關懷計畫(CarePlan TWCM))	Part of referenced CarePlan
CarePlan.status		1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: completed
CarePlan.intent		1..1	code	proposal | plan | order | option Required Pattern: proposal
CarePlan.subject		1..1	Reference(病人資料(Patient TWCM))	Who the care plan is for
CarePlan.encounter	S This element must be supported.	0..1	Reference(就醫事件(Encounter TWCM))	Encounter created as part of
CarePlan.author		0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who is the designated responsible party
CarePlan.contributor		0..*	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who provided the content of the care plan
CarePlan.activity
CarePlan.activity.reference		0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup)	Activity details defined in specific resource
CarePlan.activity.detail
CarePlan.activity.detail.reasonReference		0..*	Reference(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM))	Why activity is needed
CarePlan.activity.detail.performer		0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core RelatedPerson | 病人資料(Patient TWCM) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
CarePlan.note	S This element must be supported.	1..1	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
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
CarePlan.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
CarePlan.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
CarePlan.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
CarePlan.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
CarePlan.text	S This element must be supported.	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
CarePlan.text.id		0..1	string	Unique id for inter-element referencing
CarePlan.text.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
CarePlan.text.status	S This element must be supported.	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.
CarePlan.text.div	S This element must be supported. C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
CarePlan.contained		0..*	Resource	Contained, inline Resources
CarePlan.extension		0..*	Extension	Additional content defined by implementations
CarePlan.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
CarePlan.identifier	Σ This element is included in summaries.	0..*	Identifier	External Ids for this plan
CarePlan.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)	Instantiates FHIR protocol or definition
CarePlan.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
CarePlan.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Fulfills CarePlan
CarePlan.replaces	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	CarePlan replaced by this CarePlan
CarePlan.partOf	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	Part of referenced CarePlan
CarePlan.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | active | on-hold | revoked | completed | 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. Required Pattern: completed
CarePlan.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal
CarePlan.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	Type of plan 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CarePlan.Slices for category.category:AssessPlan	S This element must be supported. Σ This element is included in summaries.	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
CarePlan.Slices for category.category:AssessPlan.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
CarePlan.Slices for category.category:AssessPlan.coding.id		0..1	string	Unique id for inter-element referencing
CarePlan.Slices for category.category:AssessPlan.coding.extension		0..*	Extension	Additional content defined by implementations
CarePlan.Slices for category.category:AssessPlan.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
CarePlan.Slices for category.category:AssessPlan.coding.version		0..1	string	Version of the system - if relevant
CarePlan.Slices for category.category:AssessPlan.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: assess-plan
CarePlan.Slices for category.category:AssessPlan.coding.display		0..1	string	Representation defined by the system
CarePlan.Slices for category.category:AssessPlan.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
CarePlan.Slices for category.category:AssessPlan.text		0..1	string	Plain text representation of the concept
CarePlan.title	Σ This element is included in summaries.	0..1	string	Human-friendly name for the care plan
CarePlan.description	Σ This element is included in summaries.	0..1	string	Summary of nature of plan
CarePlan.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資料(Patient TWCM))	Who the care plan is for
CarePlan.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	Encounter created as part of
CarePlan.period	Σ This element is included in summaries.	0..1	Period	Time period plan covers
CarePlan.created	Σ This element is included in summaries.	0..1	dateTime	Date record was first recorded
CarePlan.author	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who is the designated responsible party
CarePlan.contributor		0..*	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization TWCM) | TW Core CareTeam)	Who provided the content of the care plan
CarePlan.careTeam		0..*	Reference(TW Core CareTeam)	Who's involved in plan?
CarePlan.addresses	Σ This element is included in summaries.	0..*	Reference(TW Core Condition)	Health issues this plan addresses
CarePlan.supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
CarePlan.goal		0..*	Reference(Goal)	Desired outcome of plan
CarePlan.activity	C	0..*	BackboneElement	Action to occur as part of plan Constraints: cpl-3
CarePlan.activity.id		0..1	string	Unique id for inter-element referencing
CarePlan.activity.extension		0..*	Extension	Additional content defined by implementations
CarePlan.activity.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.outcomeCodeableConcept		0..*	CodeableConcept	Results of the activity Binding: CarePlanActivityOutcome (example): Identifies the results of the activity.
CarePlan.activity.outcomeReference		0..*	Reference(Resource)	Appointment, Encounter, Procedure, etc.
CarePlan.activity.progress		0..*	Annotation	Comments about the activity status/progress
CarePlan.activity.reference	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup)	Activity details defined in specific resource
CarePlan.activity.detail	C	0..1	BackboneElement	In-line definition of activity
CarePlan.activity.detail.id		0..1	string	Unique id for inter-element referencing
CarePlan.activity.detail.extension		0..*	Extension	Additional content defined by implementations
CarePlan.activity.detail.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
CarePlan.activity.detail.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.
CarePlan.activity.detail.instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
CarePlan.activity.detail.instantiatesUri		0..*	uri	Instantiates external protocol or definition
CarePlan.activity.detail.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.
CarePlan.activity.detail.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.
CarePlan.activity.detail.reasonReference		0..*	Reference(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM))	Why activity is needed
CarePlan.activity.detail.goal		0..*	Reference(Goal)	Goals this activity relates to
CarePlan.activity.detail.status	?! This element is a modifier element.	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.
CarePlan.activity.detail.statusReason		0..1	CodeableConcept	Reason for current status
CarePlan.activity.detail.doNotPerform	?! This element is a modifier element.	0..1	boolean	If true, activity is prohibiting action
CarePlan.activity.detail.scheduled[x]		0..1		When activity is to occur
CarePlan.activity.detail.scheduled[x].scheduledTiming			Timing
CarePlan.activity.detail.scheduled[x].scheduledPeriod			Period
CarePlan.activity.detail.scheduled[x].scheduledString			string
CarePlan.activity.detail.location		0..1	Reference(TW Core Location)	Where it should happen
CarePlan.activity.detail.performer		0..*	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core RelatedPerson | 病人資料(Patient TWCM) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
CarePlan.activity.detail.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.
CarePlan.activity.detail.Slices for product[x].productCodeableConcept			CodeableConcept
CarePlan.activity.detail.Slices for product[x].productReference			Reference(Medication | Substance)
CarePlan.activity.detail.Slices for product[x].product[x]:productReference		0..1	Reference(TW Core Medication | Substance)	What is to be administered/supplied
CarePlan.activity.detail.dailyAmount	C	0..1	SimpleQuantity	How to consume/day? Constraints: sqty-1
CarePlan.activity.detail.quantity	C	0..1	SimpleQuantity	How much to administer/supply/consume Constraints: sqty-1
CarePlan.activity.detail.description		0..1	string	Extra info describing activity to perform
CarePlan.note	S This element must be supported.	1..1	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
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.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.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

This structure is derived from TWCoreCarePlan

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm)
• 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core Implantable Device (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 醫事機構(Organization TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm)
• TW Core CareTeam (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore)
• 檢驗檢查(Observation TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm)
• 文件參照(DocumentReference TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm)

Other representations of profile: CSV, Excel, Schematron