臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0

臺灣長期照顧實作指引(TW LTC IG) - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: 在宅急症－照會與交班

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/HAHCommunication Version: 1.1.0
Draft as of 2026-09-29 Computable Name: HAHCommunication

沿用服務活動紀錄，交換照會回覆、交班與衛教內容。

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
.. Communication 0..* LTCCommunicationServiceA A record of information transmitted from a sender to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... category S 1..* CodeableConcept Message category
Binding: 在宅急症－溝通類型值集 (required)
... subject SΣ 1..1 Reference(在宅急症－個案) Focus of message
... encounter SΣ 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
... sent S 1..1 dateTime When sent
... recipient S 1..* Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－照護團隊) Message recipient
... sender S 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人) Message sender
... payload S 1..* BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for content[x] 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentReference 0..1 Reference(在宅急症－照護附件) Message part content

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.category Base required 在宅急症－溝通類型值集 📦1.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Communication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Communication 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 Communication 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 Communication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Communication 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()

This structure is derived from LTCCommunicationServiceA

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* LTCCommunicationServiceA A record of information transmitted from a sender to a receiver
... basedOn 0..* Reference(在宅急症－服務請求 | 在宅急症－照護計畫) Request fulfilled by this communication
... category S 1..* CodeableConcept Message category
Binding: 在宅急症－溝通類型值集 (required)
... subject S 1..1 Reference(在宅急症－個案) Focus of message
... sent S 1..1 dateTime When sent
... recipient S 1..* Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－照護團隊) Message recipient
... sender S 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人) Message sender
... payload S 1..* BackboneElement Message payload
.... Slices for content[x] 1..1 string, Attachment, Reference(Resource) Message part content
Slice: Unordered, Open by type:$this
..... content[x]:contentReference 0..1 Reference(在宅急症－照護附件) Message part content

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.category Base required 在宅急症－溝通類型值集 📦1.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* LTCCommunicationServiceA A record of information transmitted from a sender to a receiver
... 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 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(在宅急症－服務請求 | 在宅急症－照護計畫) Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) Part of this action
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
... category S 1..* CodeableConcept Message category
Binding: 在宅急症－溝通類型值集 (required)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(在宅急症－個案) Focus of message
... topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)
... about 0..* Reference(Resource) Resources that pertain to this communication
... encounter SΣ 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
... sent S 1..1 dateTime When sent
... received 0..1 dateTime When received
... recipient S 1..* Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－照護團隊) Message recipient
... sender S 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人) Message sender
... reasonCode Σ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
... payload S 1..* BackboneElement Message payload
.... 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
.... Slices for content[x] 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentReference 0..1 Reference(在宅急症－照護附件) Message part content
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.statusReason Base example CommunicationNotDoneReason 📍4.0.1 FHIR Std.
Communication.category Base required 在宅急症－溝通類型值集 📦1.1.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base example ParticipationMode 📦3.0.0 THO v7.4
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG
Communication.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Communication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Communication 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 Communication 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 Communication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Communication 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* LTCCommunicationServiceA A record of information transmitted from a sender to a receiver
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... category S 1..* CodeableConcept Message category
Binding: 在宅急症－溝通類型值集 (required)
... subject SΣ 1..1 Reference(在宅急症－個案) Focus of message
... encounter SΣ 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
... sent S 1..1 dateTime When sent
... recipient S 1..* Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－照護團隊) Message recipient
... sender S 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人) Message sender
... payload S 1..* BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for content[x] 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentReference 0..1 Reference(在宅急症－照護附件) Message part content

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.category Base required 在宅急症－溝通類型值集 📦1.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Communication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Communication 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 Communication 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 Communication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Communication 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()

Differential View

This structure is derived from LTCCommunicationServiceA

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* LTCCommunicationServiceA A record of information transmitted from a sender to a receiver
... basedOn 0..* Reference(在宅急症－服務請求 | 在宅急症－照護計畫) Request fulfilled by this communication
... category S 1..* CodeableConcept Message category
Binding: 在宅急症－溝通類型值集 (required)
... subject S 1..1 Reference(在宅急症－個案) Focus of message
... sent S 1..1 dateTime When sent
... recipient S 1..* Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－照護團隊) Message recipient
... sender S 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人) Message sender
... payload S 1..* BackboneElement Message payload
.... Slices for content[x] 1..1 string, Attachment, Reference(Resource) Message part content
Slice: Unordered, Open by type:$this
..... content[x]:contentReference 0..1 Reference(在宅急症－照護附件) Message part content

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.category Base required 在宅急症－溝通類型值集 📦1.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Communication 0..* LTCCommunicationServiceA A record of information transmitted from a sender to a receiver
... 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 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:caseNo 0..1 string 長照 SDK－案件編號（CASENO）
URL: http://ltc-ig.fhir.tw/StructureDefinition/Ext-TW-LTC-Export-CaseNo
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Unique identifier
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(在宅急症－服務請求 | 在宅急症－照護計畫) Request fulfilled by this communication
... partOf Σ 0..* Reference(Resource) Part of this action
... inResponseTo 0..* Reference(Communication) Reply to
... status ?!Σ 1..1 code preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): The status of the communication.
... statusReason Σ 0..1 CodeableConcept Reason for current status
Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen.
... category S 1..* CodeableConcept Message category
Binding: 在宅急症－溝通類型值集 (required)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication.
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc.
... subject SΣ 1..1 Reference(在宅急症－個案) Focus of message
... topic 0..1 CodeableConcept Description of the purpose/content
Binding: 臺灣長照服務項目 (preferred)
... about 0..* Reference(Resource) Resources that pertain to this communication
... encounter SΣ 1..1 Reference(在宅急症－就診基礎) Encounter created as part of
... sent S 1..1 dateTime When sent
... received 0..1 dateTime When received
... recipient S 1..* Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人 | 在宅急症－個案 | 在宅急症－照護團隊) Message recipient
... sender S 1..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－機構 | 長期照顧－關係人) Message sender
... reasonCode Σ 0..* CodeableConcept Indication for message
Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why was communication done?
... payload S 1..* BackboneElement Message payload
.... 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
.... Slices for content[x] 1..1 Message part content
Slice: Unordered, Open by type:$this
..... contentString string
..... contentAttachment Attachment
..... contentReference Reference(Resource)
..... content[x]:contentReference 0..1 Reference(在宅急症－照護附件) Message part content
... note 0..* Annotation Comments made about the communication

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Communication.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Communication.status Base required EventStatus 📍4.0.1 FHIR Std.
Communication.statusReason Base example CommunicationNotDoneReason 📍4.0.1 FHIR Std.
Communication.category Base required 在宅急症－溝通類型值集 📦1.1.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base example ParticipationMode 📦3.0.0 THO v7.4
Communication.topic Base preferred 臺灣長照服務項目 📦1.1.0 This IG
Communication.reasonCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Communication If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Communication 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 Communication 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 Communication If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Communication 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()

 

Other representations of profile: CSV, Excel, Schematron