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: 居家護理－共照紀錄

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

記錄共照人員提供的照護紀錄。沿用既有服務活動 Communication，新增收案與來源表單關聯。

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 2..* 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
.... extension:episode S 1..1 Reference(居家護理－收案歷程) 居家護理－收案關聯
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
.... extension:sourceForm S 1..1 Reference(QuestionnaireResponse) 居家護理－來源表單
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (3.0.0) (extensible)
... subject SΣ 1..1 Reference(居家護理－個案) Focus of message
... sent S 1..1 dateTime When sent
... sender S 1..1 Reference(Practitioner | PractitionerRole) Message sender
... payload S 1..1 BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 string 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.medium Base extensible ParticipationMode 📍3.0.0 THO v7.4

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
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:episode S 1..1 Reference(居家護理－收案歷程) 居家護理－收案關聯
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
.... extension:sourceForm S 1..1 Reference(QuestionnaireResponse) 居家護理－來源表單
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (3.0.0) (extensible)
... sent S 1..1 dateTime When sent
... sender S 1..1 Reference(Practitioner | PractitionerRole) Message sender
... payload S 1..1 BackboneElement Message payload
.... content[x] 1..1 string Message part content

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.medium Base extensible ParticipationMode 📍3.0.0 THO v7.4
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 2..* 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
.... extension:episode S 1..1 Reference(居家護理－收案歷程) 居家護理－收案關聯
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
.... extension:sourceForm S 1..1 Reference(QuestionnaireResponse) 居家護理－來源表單
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
... 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(Resource) 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 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
... 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 (3.0.0) (extensible)
... subject SΣ 1..1 Reference(居家護理－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 Σ 0..1 Reference(Encounter) Encounter created as part of
... sent S 1..1 dateTime When sent
... received 0..1 dateTime When received
... recipient 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Message recipient
... sender S 1..1 Reference(Practitioner | PractitionerRole) 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..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
.... content[x] 1..1 string 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 preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base extensible 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()

This structure is derived from LTCCommunicationServiceA

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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 2..* 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
.... extension:episode S 1..1 Reference(居家護理－收案歷程) 居家護理－收案關聯
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
.... extension:sourceForm S 1..1 Reference(QuestionnaireResponse) 居家護理－來源表單
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (3.0.0) (extensible)
... subject SΣ 1..1 Reference(居家護理－個案) Focus of message
... sent S 1..1 dateTime When sent
... sender S 1..1 Reference(Practitioner | PractitionerRole) Message sender
... payload S 1..1 BackboneElement Message payload
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] 1..1 string 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.medium Base extensible ParticipationMode 📍3.0.0 THO v7.4

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
... extension 2..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:episode S 1..1 Reference(居家護理－收案歷程) 居家護理－收案關聯
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
.... extension:sourceForm S 1..1 Reference(QuestionnaireResponse) 居家護理－來源表單
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
... medium 0..* CodeableConcept A channel of communication
Binding: ParticipationMode (3.0.0) (extensible)
... sent S 1..1 dateTime When sent
... sender S 1..1 Reference(Practitioner | PractitionerRole) Message sender
... payload S 1..1 BackboneElement Message payload
.... content[x] 1..1 string Message part content

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Communication.medium Base extensible ParticipationMode 📍3.0.0 THO v7.4

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 2..* 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
.... extension:episode S 1..1 Reference(居家護理－收案歷程) 居家護理－收案關聯
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
.... extension:sourceForm S 1..1 Reference(QuestionnaireResponse) 居家護理－來源表單
URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
... 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(Resource) 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 0..* CodeableConcept Message category
Binding: 長照 SDK－服務活動 (preferred)
... 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 (3.0.0) (extensible)
... subject SΣ 1..1 Reference(居家護理－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 Σ 0..1 Reference(Encounter) Encounter created as part of
... sent S 1..1 dateTime When sent
... received 0..1 dateTime When received
... recipient 0..* Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService) Message recipient
... sender S 1..1 Reference(Practitioner | PractitionerRole) 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..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
.... content[x] 1..1 string 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 preferred 長照 SDK－服務活動 📦1.1.0 This IG
Communication.priority Base required Request priority 📍4.0.1 FHIR Std.
Communication.medium Base extensible 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()

This structure is derived from LTCCommunicationServiceA

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron