臺灣長期照顧實作指引 (Taiwan Long-Term Care Implementation Guide)
0.2.0 - ci-build+trial-use

臺灣長期照顧實作指引 (Taiwan Long-Term Care Implementation Guide) - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: 轉介單－服務種類

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCCarePlanReferral Version: 0.2.0
Active as of 2024-10-23 Computable Name: LTCCarePlanReferral

此 Profile 說明本 IG 如何進一步定義 FHIR 的 CarePlan Resource，以呈現轉診單中欲申請之服務種類。

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from LTCCarePlan

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan LTCCarePlan
... activity
.... detail 1..1 BackboneElement 服務種類
..... code S 1..1 CodeableConcept 服務種類代碼
Binding: 轉介單申請服務種類值集 (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.activity.detail.coderequiredReferralCarePlanVSTWLTC (a valid code from 轉介單申請服務種類代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralCarePlanVS-TWLTC
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* LTCCarePlan 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
.... 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
txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
txt-2: The narrative SHALL have some non-whitespace content
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... reference SΣC 1..1 string 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
... status ?!SΣ 1..1 code 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | 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.

... intent ?!SΣ 1..1 code 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option]
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan

... 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
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: assess-plan
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
.... reference SΣC 1..1 string 照顧計畫的適用主體。[應輸入 Patient Resource ID]
... encounter SΣ 0..1 Reference(TW Core Encounter) 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
.... reference SΣC 1..1 string 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
... period SΣ 0..1 Period 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
.... start SΣC 1..1 dateTime 照顧計畫的開始日期。[應填入日期或日期時間]
.... end SΣC 0..1 dateTime 照顧計畫的結束日期。[應填入日期或日期時間]
... author SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
.... reference SΣC 1..1 string 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
... contributor S 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
.... reference SΣC 1..1 string 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
... addresses SΣ 0..* Reference(長期照顧－病情、問題或診斷) 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
.... reference SΣC 1..1 string 照顧計畫對應的需求。[應輸入 Condition Resource ID]
... supportingInfo S 0..* Reference(Resource) 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
... goal S 0..* Reference(長期照顧－照顧目標) 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
.... reference SΣC 1..1 string 照顧計畫的目標。[應輸入 Goal Resource ID]
... activity SC 1..* BackboneElement 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。
cpl-3: Provide a reference or detail, not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference SC 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) 照顧計畫的活動參考 Resource。
.... detail SC 1..1 BackboneElement 服務種類
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept 服務種類代碼
Binding: 轉介單申請服務種類值集 (required)
..... 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.

..... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
..... 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
... note S 0..* Annotation 照顧計畫的附註。

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.text.statusrequiredTWNarrativeStatus
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent
from the FHIR Standard
CarePlan.categoryexampleCarePlanCategory
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.category:AssessPlanexamplePattern: assess-plan
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.activity.detail.coderequiredReferralCarePlanVSTWLTC (a valid code from 轉介單申請服務種類代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralCarePlanVS-TWLTC
from this IG
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
txt-1errorCarePlan.text.divThe narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
: htmlChecks()
txt-2errorCarePlan.text.divThe narrative SHALL have some non-whitespace content
: htmlChecks()
NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* LTCCarePlan 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
.... 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
txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
txt-2: The narrative SHALL have some non-whitespace content
... 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(長期照顧－照顧計畫) 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string 照顧計畫的來源。[應輸入 CarePlan Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... replaces Σ 0..* Reference(長期照顧－照顧計畫) 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string 照顧計畫的替代。[應輸入 CarePlan Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... partOf SΣ 0..* Reference(長期照顧－照顧計畫) 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... status ?!SΣ 1..1 code 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | 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.

... intent ?!SΣ 1..1 code 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option]
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan

... 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(長期照顧－住民基本資料) 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的適用主體。[應輸入 Patient Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(TW Core Encounter) 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... period SΣ 0..1 Period 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 1..1 dateTime 照顧計畫的開始日期。[應填入日期或日期時間]
.... end SΣC 0..1 dateTime 照顧計畫的結束日期。[應填入日期或日期時間]
... created Σ 0..1 dateTime Date record was first recorded
... author SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... contributor S 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... careTeam 0..* Reference(TW Core CareTeam) Who's involved in plan?
... addresses SΣ 0..* Reference(長期照顧－病情、問題或診斷) 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫對應的需求。[應輸入 Condition Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... supportingInfo S 0..* Reference(Resource) 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
... goal S 0..* Reference(長期照顧－照顧目標) 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的目標。[應輸入 Goal Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... activity SC 1..* BackboneElement 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。
cpl-3: Provide a reference or detail, not both
.... 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 SC 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) 照顧計畫的活動參考 Resource。
.... detail SC 1..1 BackboneElement 服務種類
..... 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 S 1..1 CodeableConcept 服務種類代碼
Binding: 轉介單申請服務種類值集 (required)
..... 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(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core RelatedPerson | TW Core Patient | 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 0..* Annotation 照顧計畫的附註。

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CarePlan.text.statusrequiredTWNarrativeStatus
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.basedOn.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.replaces.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.partOf.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent
from the FHIR Standard
CarePlan.categoryexampleCarePlanCategory
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.category:AssessPlanexamplePattern: assess-plan
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.author.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.contributor.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.addresses.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.goal.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.activity.outcomeCodeableConceptexampleCarePlanActivityOutcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome
from the FHIR Standard
CarePlan.activity.detail.kindrequiredCarePlanActivityKind
http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1
from the FHIR Standard
CarePlan.activity.detail.coderequiredReferralCarePlanVSTWLTC (a valid code from 轉介單申請服務種類代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralCarePlanVS-TWLTC
from this IG
CarePlan.activity.detail.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
txt-1errorCarePlan.text.divThe narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
: htmlChecks()
txt-2errorCarePlan.text.divThe narrative SHALL have some non-whitespace content
: htmlChecks()

This structure is derived from LTCCarePlan

Summary

Mandatory: 2 elements
Must-Support: 1 element

Differential View

This structure is derived from LTCCarePlan

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan LTCCarePlan
... activity
.... detail 1..1 BackboneElement 服務種類
..... code S 1..1 CodeableConcept 服務種類代碼
Binding: 轉介單申請服務種類值集 (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CarePlan.activity.detail.coderequiredReferralCarePlanVSTWLTC (a valid code from 轉介單申請服務種類代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralCarePlanVS-TWLTC
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* LTCCarePlan 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
.... 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
txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
txt-2: The narrative SHALL have some non-whitespace content
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... reference SΣC 1..1 string 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
... status ?!SΣ 1..1 code 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | 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.

... intent ?!SΣ 1..1 code 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option]
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan

... 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
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: assess-plan
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
.... reference SΣC 1..1 string 照顧計畫的適用主體。[應輸入 Patient Resource ID]
... encounter SΣ 0..1 Reference(TW Core Encounter) 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
.... reference SΣC 1..1 string 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
... period SΣ 0..1 Period 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
.... start SΣC 1..1 dateTime 照顧計畫的開始日期。[應填入日期或日期時間]
.... end SΣC 0..1 dateTime 照顧計畫的結束日期。[應填入日期或日期時間]
... author SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
.... reference SΣC 1..1 string 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
... contributor S 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
.... reference SΣC 1..1 string 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
... addresses SΣ 0..* Reference(長期照顧－病情、問題或診斷) 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
.... reference SΣC 1..1 string 照顧計畫對應的需求。[應輸入 Condition Resource ID]
... supportingInfo S 0..* Reference(Resource) 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
... goal S 0..* Reference(長期照顧－照顧目標) 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
.... reference SΣC 1..1 string 照顧計畫的目標。[應輸入 Goal Resource ID]
... activity SC 1..* BackboneElement 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。
cpl-3: Provide a reference or detail, not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... reference SC 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) 照顧計畫的活動參考 Resource。
.... detail SC 1..1 BackboneElement 服務種類
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept 服務種類代碼
Binding: 轉介單申請服務種類值集 (required)
..... 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.

..... doNotPerform ?! 0..1 boolean If true, activity is prohibiting action
..... 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
... note S 0..* Annotation 照顧計畫的附註。

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.text.statusrequiredTWNarrativeStatus
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent
from the FHIR Standard
CarePlan.categoryexampleCarePlanCategory
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.category:AssessPlanexamplePattern: assess-plan
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.activity.detail.coderequiredReferralCarePlanVSTWLTC (a valid code from 轉介單申請服務種類代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralCarePlanVS-TWLTC
from this IG
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
txt-1errorCarePlan.text.divThe narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
: htmlChecks()
txt-2errorCarePlan.text.divThe narrative SHALL have some non-whitespace content
: htmlChecks()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CarePlan 0..* LTCCarePlan 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
.... 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
txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
txt-2: The narrative SHALL have some non-whitespace content
... 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(長期照顧－照顧計畫) 照顧計畫的來源，即這項照顧計畫是基於哪個照顧計畫？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string 照顧計畫的來源。[應輸入 CarePlan Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... replaces Σ 0..* Reference(長期照顧－照顧計畫) 照顧計畫的替代，即這項照顧計畫已經被哪個照顧計畫替代？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string 照顧計畫的替代。[應輸入 CarePlan Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... partOf SΣ 0..* Reference(長期照顧－照顧計畫) 照顧計畫的緊急備用方案，即這項照顧計畫使用哪個緊急備用方案？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的緊急備用方案。[應輸入 CarePlan Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... status ?!SΣ 1..1 code 照顧計畫的狀態。[應填入以下字串之一：active | on-hold | completed | cancelled | 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.

... intent ?!SΣ 1..1 code 照顧計畫的意圖。[應填入以下字串之一：proposal | plan | order | option]
Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan

... 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(長期照顧－住民基本資料) 照顧計畫的適用主體，即這個照顧計畫的適用對象是誰？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的適用主體。[應輸入 Patient Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(TW Core Encounter) 照顧計畫對應的就診資訊，即這個照顧計畫是哪個就診資訊的一部分？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫對應的就診資訊。[應輸入 Encounter Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... period SΣ 0..1 Period 照顧計畫的有效期間，即這個照顧計畫的有效期間是多久？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 1..1 dateTime 照顧計畫的開始日期。[應填入日期或日期時間]
.... end SΣC 0..1 dateTime 照顧計畫的結束日期。[應填入日期或日期時間]
... created Σ 0..1 dateTime Date record was first recorded
... author SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的提出者，即這個照顧計畫是由誰提出或計畫的？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的提出者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... contributor S 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色 | TW Core Organization | TW Core Organization Hospital Department | 長期照顧－機構 | 長期照顧－照顧團隊) 照顧計畫的參與者，即這個照顧計畫是由誰來參與的？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的參與者。[應輸入 Practitioner / RelatedPerson / PractitionerRole / Organization / CareTeam Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... careTeam 0..* Reference(TW Core CareTeam) Who's involved in plan?
... addresses SΣ 0..* Reference(長期照顧－病情、問題或診斷) 照顧計畫對應的需求，即這個照顧計畫是針對哪些問題或需求而設計的？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫對應的需求。[應輸入 Condition Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... supportingInfo S 0..* Reference(Resource) 照顧計畫的輔助資訊，即這個照顧計畫應該考量到哪些資訊？
... goal S 0..* Reference(長期照顧－照顧目標) 照顧計畫的目標，即這個照顧計畫預期達成哪些目標？
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string 照顧計畫的目標。[應輸入 Goal Resource ID]
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... activity SC 1..* BackboneElement 照顧計畫的活動，即這個照顧計畫包含哪些活動？這裡可以使用 Reference 或是純文字來表述。
cpl-3: Provide a reference or detail, not both
.... 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 SC 0..1 Reference(Appointment | CommunicationRequest | DeviceRequest | TW Core MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) 照顧計畫的活動參考 Resource。
.... detail SC 1..1 BackboneElement 服務種類
..... 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 S 1..1 CodeableConcept 服務種類代碼
Binding: 轉介單申請服務種類值集 (required)
..... 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(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) 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(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core RelatedPerson | TW Core Patient | 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 0..* Annotation 照顧計畫的附註。

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
CarePlan.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CarePlan.text.statusrequiredTWNarrativeStatus
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.basedOn.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.replaces.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.partOf.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status
from the FHIR Standard
CarePlan.intentrequiredCarePlanIntent
http://hl7.org/fhir/ValueSet/care-plan-intent
from the FHIR Standard
CarePlan.categoryexampleCarePlanCategory
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.category:AssessPlanexamplePattern: assess-plan
http://hl7.org/fhir/ValueSet/care-plan-category
from the FHIR Standard
CarePlan.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.author.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.contributor.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.addresses.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.goal.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CarePlan.activity.outcomeCodeableConceptexampleCarePlanActivityOutcome
http://hl7.org/fhir/ValueSet/care-plan-activity-outcome
from the FHIR Standard
CarePlan.activity.detail.kindrequiredCarePlanActivityKind
http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1
from the FHIR Standard
CarePlan.activity.detail.coderequiredReferralCarePlanVSTWLTC (a valid code from 轉介單申請服務種類代碼)
http://ltc-ig.fhir.tw/ValueSet/ReferralCarePlanVS-TWLTC
from this IG
CarePlan.activity.detail.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
CarePlan.activity.detail.statusrequiredCarePlanActivityStatus
http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1
from the FHIR Standard
CarePlan.activity.detail.product[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cpl-3errorCarePlan.activityProvide a reference or detail, not both
: detail.empty() or reference.empty()
dom-2errorCarePlanIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCarePlanIf 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-4errorCarePlanIf 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-5errorCarePlanIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCarePlanA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
txt-1errorCarePlan.text.divThe narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
: htmlChecks()
txt-2errorCarePlan.text.divThe narrative SHALL have some non-whitespace content
: htmlChecks()

This structure is derived from LTCCarePlan

Summary

Mandatory: 2 elements
Must-Support: 1 element

 

Other representations of profile: CSV, Excel, Schematron