臺灣中醫實作指引
0.1.0 - ci-build

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

Resource Profile: 關懷計畫(CarePlan TWCM)

Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm Version: 0.1.0
Draft as of 2026-08-31 Computable Name: CarePlanTWCM

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:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... replaces Σ 0..* Reference(關懷計畫(CarePlan TWCM)) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(關懷計畫(CarePlan TWCM)) Part of referenced CarePlan
... status ?!SΣ 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
... intent ?!SΣ 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
... Slices for category SΣ 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.
.... category:AssessPlan SΣ 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 SΣ 1..1 Reference(病人資料(Patient TWCM)) Who the care plan is for
... encounter SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Encounter created as part of
... author Σ 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
... 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
... note S 1..1 Annotation [應填入門診病摘之醫師囑咐Doctor Advise]

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan TWCoreCarePlan
... basedOn 0..* Reference(關懷計畫(CarePlan TWCM)) Fulfills CarePlan
... replaces 0..* Reference(關懷計畫(CarePlan TWCM)) CarePlan replaced by this CarePlan
... partOf 0..* Reference(關懷計畫(CarePlan TWCM)) Part of referenced CarePlan
... intent 1..1 code proposal | plan | order | option
Required Pattern: proposal
... subject 1..1 Reference(病人資料(Patient TWCM)) Who the care plan is for
... encounter S 0..1 Reference(就醫事件(Encounter TWCM)) Encounter created as part of
... 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
... 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
... activity
.... reference 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail
..... reasonReference 0..* Reference(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM)) Why activity is needed
..... 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?
... note S 1..1 Annotation [應填入門診病摘之醫師囑咐Doctor Advise]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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 SC 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(關懷計畫(CarePlan TWCM)) Fulfills CarePlan
... replaces Σ 0..* Reference(關懷計畫(CarePlan TWCM)) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(關懷計畫(CarePlan TWCM)) Part of referenced CarePlan
... status ?!SΣ 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
... intent ?!SΣ 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
... Slices for category SΣ 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.
.... category:AssessPlan SΣ 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 SΣ 1..1 Reference(病人資料(Patient TWCM)) Who the care plan is for
... encounter SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Encounter created as part of
... period Σ 0..1 Period Time period plan covers
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 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
... 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
... careTeam 0..* Reference(TW Core CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(TW Core Condition) Health issues this plan addresses
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 0..* BackboneElement Action to occur as part of plan
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 C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail C 0..1 BackboneElement In-line definition of activity
..... 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(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM)) 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(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?
..... 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 1..1 Annotation [應填入門診病摘之醫師囑咐Doctor Advise]

doco 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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 SC 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... replaces Σ 0..* Reference(關懷計畫(CarePlan TWCM)) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(關懷計畫(CarePlan TWCM)) Part of referenced CarePlan
... status ?!SΣ 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
... intent ?!SΣ 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
... Slices for category SΣ 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.
.... category:AssessPlan SΣ 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 SΣ 1..1 Reference(病人資料(Patient TWCM)) Who the care plan is for
... encounter SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Encounter created as part of
... author Σ 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
... 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
... note S 1..1 Annotation [應填入門診病摘之醫師囑咐Doctor Advise]

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CarePlan TWCoreCarePlan
... basedOn 0..* Reference(關懷計畫(CarePlan TWCM)) Fulfills CarePlan
... replaces 0..* Reference(關懷計畫(CarePlan TWCM)) CarePlan replaced by this CarePlan
... partOf 0..* Reference(關懷計畫(CarePlan TWCM)) Part of referenced CarePlan
... intent 1..1 code proposal | plan | order | option
Required Pattern: proposal
... subject 1..1 Reference(病人資料(Patient TWCM)) Who the care plan is for
... encounter S 0..1 Reference(就醫事件(Encounter TWCM)) Encounter created as part of
... 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
... 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
... activity
.... reference 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail
..... reasonReference 0..* Reference(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM)) Why activity is needed
..... 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?
... note S 1..1 Annotation [應填入門診病摘之醫師囑咐Doctor Advise]

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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 SC 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(關懷計畫(CarePlan TWCM)) Fulfills CarePlan
... replaces Σ 0..* Reference(關懷計畫(CarePlan TWCM)) CarePlan replaced by this CarePlan
... partOf Σ 0..* Reference(關懷計畫(CarePlan TWCM)) Part of referenced CarePlan
... status ?!SΣ 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
... intent ?!SΣ 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
... Slices for category SΣ 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.
.... category:AssessPlan SΣ 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 SΣ 1..1 Reference(病人資料(Patient TWCM)) Who the care plan is for
... encounter SΣ 0..1 Reference(就醫事件(Encounter TWCM)) Encounter created as part of
... period Σ 0..1 Period Time period plan covers
... created Σ 0..1 dateTime Date record was first recorded
... author Σ 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
... 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
... careTeam 0..* Reference(TW Core CareTeam) Who's involved in plan?
... addresses Σ 0..* Reference(TW Core Condition) Health issues this plan addresses
... supportingInfo 0..* Reference(Resource) Information considered as part of plan
... goal 0..* Reference(Goal) Desired outcome of plan
... activity C 0..* BackboneElement Action to occur as part of plan
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 C 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | VisionPrescription | RequestGroup) Activity details defined in specific resource
.... detail C 0..1 BackboneElement In-line definition of activity
..... 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(檢驗檢查(Observation TWCM) | 文件參照(DocumentReference TWCM)) 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(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?
..... 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 1..1 Annotation [應填入門診病摘之醫師囑咐Doctor Advise]

doco 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

 

Other representations of profile: CSV, Excel, Schematron