This page is part of the 診所門診病摘實作指引 (v1.0.1: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: 關懷計畫(CarePlan ClinEMR)

此關懷計畫(CarePlan ClinEMR)Profile說明本IG如何進一步定義臺灣核心-照護計畫（TW Core CarePlan） Profile以呈現西醫/牙醫/中醫診所門診病摘關懷計畫的詳細資料。

Usage:

• Use this Resource Profile: 牙醫-資料交換基本單位(Bundle DCR), 西醫-資料交換基本單位(Bundle MCR) and 中醫-資料交換基本單位(Bundle TCMCR)
• Refer to this Resource Profile: 關懷計畫(CarePlan ClinEMR), 牙醫-臨床文件架構(Composition DCR), 西醫-臨床文件架構(Composition MCR), 中醫-臨床文件架構(Composition TCMCR)... Show 20 more, 藥品請求(MedicationRequest ClinEMR), 中醫-藥品請求(MedicationRequest TCMCR), 血壓(ObservationBloodPressureClinEMR ClinEMR), 血型(ObservationBloodtype ClinEMR), 身高(ObservationBodyHeight ClinEMR), 體溫(ObservationBodyTemp ClinEMR), 體重(ObservationBodyWeight ClinEMR), 教育程度(ObservationEducationLevel ClinEMR), 脈搏(ObservationHeartRate ClinEMR), 重大傷病註記(ObservationMajorIllness ClinEMR), 病人證型(ObservationManifestation TCMCR), 職業(ObservationOccupation ClinEMR), 病人脈象(ObservationPulseCondition TCMCR), 病人治則(ObservationTherapeuticDiscipline TCMCR), 病人舌象(ObservationTongueCondition TCMCR), 生命徵象(ObservationVitalSigns ClinEMR), 牙醫-處置或手術(Procedure DCR), 西醫-處置或手術(Procedure MCR), 中醫-處置或手術(Procedure TCMCR) and 服務請求(ServiceRequest ClinEMR)
• Examples for this Resource Profile: CarePlan/CarePlanDCR-min, CarePlan/CarePlanMCR-min and CarePlan/CarePlanTCMCR-min

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	TWCoreCarePlan	Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text	S	0..1	Narrative	CarePlan Resource之內容摘要以供人閱讀 ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
div	SC	1..1	xhtml	Limited xhtml content ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	Fulfills CarePlan ele-1: All FHIR elements must have a @value or children
replaces	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	CarePlan replaced by this CarePlan ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	Part of referenced CarePlan ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan ele-1: All FHIR elements must have a @value or children Required Pattern: proposal
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children 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(病人資料(Patient ClinEMR))	Who the care plan is for ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	Encounter created as part of ele-1: All FHIR elements must have a @value or children
author	Σ	0..1	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who is the designated responsible party ele-1: All FHIR elements must have a @value or children
contributor		0..*	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who provided the content of the care plan ele-1: All FHIR elements must have a @value or children
addresses	Σ	0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	Health issues this plan addresses ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.text.status	required	TWNarrativeStatus https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
CarePlan.intent	required	Pattern: proposal http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.category:AssessPlan	example	Pattern: assess-plan http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard

This structure is derived from TWCoreCarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan			TWCoreCarePlan
basedOn		0..*	Reference(關懷計畫(CarePlan ClinEMR))	Fulfills CarePlan
replaces		0..*	Reference(關懷計畫(CarePlan ClinEMR))	CarePlan replaced by this CarePlan
partOf		0..*	Reference(關懷計畫(CarePlan ClinEMR))	Part of referenced CarePlan
status		1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: completed
intent		1..1	code	proposal | plan | order | option Required Pattern: proposal
subject		1..1	Reference(病人資料(Patient ClinEMR))	Who the care plan is for
encounter	S	0..1	Reference(就醫事件(Encounter ClinEMR))	Encounter created as part of
author		0..1	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who provided the content of the care plan
addresses		0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	Health issues this plan addresses
activity
reference		0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | 藥品請求(MedicationRequest ClinEMR) | NutritionOrder | Task | 服務請求(ServiceRequest ClinEMR) | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail
reasonReference		0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR))	Why activity is needed
performer		0..*	Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core RelatedPerson | 病人資料(Patient ClinEMR) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
Slices for product[x]				Content/Rules for all slices
product[x]:productReference		0..1	Reference(藥品(Medication ClinEMR) | Substance)	What is to be administered/supplied
note	S	0..*	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	TWCoreCarePlan	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose 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(關懷計畫(CarePlan ClinEMR))	Fulfills CarePlan
replaces	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	Part of referenced CarePlan
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Required Pattern: completed
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:AssessPlan	SΣ	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assess-plan
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
title	Σ	0..1	string	Human-friendly name for the care plan
description	Σ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(病人資料(Patient ClinEMR))	Who the care plan is for
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	Encounter created as part of
period	Σ	0..1	Period	Time period plan covers
created	Σ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who provided the content of the care plan
careTeam		0..*	Reference(TW Core CareTeam)	Who's involved in plan?
addresses	Σ	0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal		0..*	Reference(Goal)	Desired outcome of plan
activity	C	0..*	BackboneElement	Action to occur as part of plan 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	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | 藥品請求(MedicationRequest ClinEMR) | NutritionOrder | Task | 服務請求(ServiceRequest ClinEMR) | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code		0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference		0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR))	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(TW Core Location)	Where it should happen
performer		0..*	Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core RelatedPerson | 病人資料(Patient ClinEMR) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
Slices for product[x]		0..1	Reference()	What is to be administered/supplied Slice: Unordered, Closed by type:$this
product[x]:productReference		0..1	Reference(藥品(Medication ClinEMR) | 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	[應填入門診病摘之醫師囑咐Doctor Advise]
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.text.status	required	TWNarrativeStatus https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
CarePlan.intent	required	Pattern: proposal http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.category:AssessPlan	example	Pattern: assess-plan http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard

This structure is derived from TWCoreCarePlan

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/careplan-clinemr)
• 病人資料(Patient ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr)
• 就醫事件(Encounter ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr)
• 健康照護服務提供人員資料(Practitioner ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core Implantable Device (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 醫事機構(Organization ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr)
• TW Core CareTeam (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore)
• 病情、問題或診斷(ConditionDiagnosis ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr)
• 藥品請求(MedicationRequest ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/medicationrequest-clinemr)
• 服務請求(ServiceRequest ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr)
• 檢驗檢查(Observation ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr)
• 診斷報告(DiagnosticReport ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/diagnosticreport-clinemr)
• 文件參照(DocumentReference ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr)
• 藥品(Medication ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/medication-clinemr)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	TWCoreCarePlan	Healthcare plan for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
text	S	0..1	Narrative	CarePlan Resource之內容摘要以供人閱讀 ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
div	SC	1..1	xhtml	Limited xhtml content ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	Fulfills CarePlan ele-1: All FHIR elements must have a @value or children
replaces	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	CarePlan replaced by this CarePlan ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	Part of referenced CarePlan ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. ele-1: All FHIR elements must have a @value or children Required Pattern: completed
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan ele-1: All FHIR elements must have a @value or children Required Pattern: proposal
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children 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(病人資料(Patient ClinEMR))	Who the care plan is for ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	Encounter created as part of ele-1: All FHIR elements must have a @value or children
author	Σ	0..1	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who is the designated responsible party ele-1: All FHIR elements must have a @value or children
contributor		0..*	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who provided the content of the care plan ele-1: All FHIR elements must have a @value or children
addresses	Σ	0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	Health issues this plan addresses ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.text.status	required	TWNarrativeStatus https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
CarePlan.intent	required	Pattern: proposal http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.category:AssessPlan	example	Pattern: assess-plan http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard

Differential View

This structure is derived from TWCoreCarePlan

Name	Flags	Card.	Type	Description & Constraints
CarePlan			TWCoreCarePlan
basedOn		0..*	Reference(關懷計畫(CarePlan ClinEMR))	Fulfills CarePlan
replaces		0..*	Reference(關懷計畫(CarePlan ClinEMR))	CarePlan replaced by this CarePlan
partOf		0..*	Reference(關懷計畫(CarePlan ClinEMR))	Part of referenced CarePlan
status		1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: completed
intent		1..1	code	proposal | plan | order | option Required Pattern: proposal
subject		1..1	Reference(病人資料(Patient ClinEMR))	Who the care plan is for
encounter	S	0..1	Reference(就醫事件(Encounter ClinEMR))	Encounter created as part of
author		0..1	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who provided the content of the care plan
addresses		0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	Health issues this plan addresses
activity
reference		0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | 藥品請求(MedicationRequest ClinEMR) | NutritionOrder | Task | 服務請求(ServiceRequest ClinEMR) | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail
reasonReference		0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR))	Why activity is needed
performer		0..*	Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core RelatedPerson | 病人資料(Patient ClinEMR) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
Slices for product[x]				Content/Rules for all slices
product[x]:productReference		0..1	Reference(藥品(Medication ClinEMR) | Substance)	What is to be administered/supplied
note	S	0..*	Annotation	[應填入門診病摘之醫師囑咐Doctor Advise]
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CarePlan		0..*	TWCoreCarePlan	Healthcare plan for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose 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(關懷計畫(CarePlan ClinEMR))	Fulfills CarePlan
replaces	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	CarePlan replaced by this CarePlan
partOf	Σ	0..*	Reference(關懷計畫(CarePlan ClinEMR))	Part of referenced CarePlan
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. Required Pattern: completed
intent	?!SΣ	1..1	code	proposal | plan | order | option Binding: CarePlanIntent (required): Codes indicating the degree of authority/intentionality associated with a care plan Required Pattern: proposal
Slices for category	SΣ	1..*	CodeableConcept	Type of plan Slice: Unordered, Open by pattern:$this Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc.
category:AssessPlan	SΣ	1..1	CodeableConcept	Type of plan Binding: CarePlanCategory (example): Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assess-plan
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
title	Σ	0..1	string	Human-friendly name for the care plan
description	Σ	0..1	string	Summary of nature of plan
subject	SΣ	1..1	Reference(病人資料(Patient ClinEMR))	Who the care plan is for
encounter	SΣ	0..1	Reference(就醫事件(Encounter ClinEMR))	Encounter created as part of
period	Σ	0..1	Period	Time period plan covers
created	Σ	0..1	dateTime	Date record was first recorded
author	Σ	0..1	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who is the designated responsible party
contributor		0..*	Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | TW Core Implantable Device | TW Core RelatedPerson | 醫事機構(Organization ClinEMR) | TW Core CareTeam)	Who provided the content of the care plan
careTeam		0..*	Reference(TW Core CareTeam)	Who's involved in plan?
addresses	Σ	0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))	Health issues this plan addresses
supportingInfo		0..*	Reference(Resource)	Information considered as part of plan
goal		0..*	Reference(Goal)	Desired outcome of plan
activity	C	0..*	BackboneElement	Action to occur as part of plan 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	C	0..1	Reference(Appointment | CommunicationRequest | DeviceRequest | 藥品請求(MedicationRequest ClinEMR) | NutritionOrder | Task | 服務請求(ServiceRequest ClinEMR) | VisionPrescription | RequestGroup)	Activity details defined in specific resource
detail	C	0..1	BackboneElement	In-line definition of activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
kind		0..1	code	Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription Binding: CarePlanActivityKind (required): Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.
instantiatesCanonical		0..*	canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)	Instantiates FHIR protocol or definition
instantiatesUri		0..*	uri	Instantiates external protocol or definition
code		0..1	CodeableConcept	Detail type of activity Binding: ProcedureCodes(SNOMEDCT) (example): Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.
reasonCode		0..*	CodeableConcept	Why activity should be done or why activity was prohibited Binding: SNOMEDCTClinicalFindings (example): Identifies why a care plan activity is needed. Can include any health condition codes as well as such concepts as "general wellness", prophylaxis, surgical preparation, etc.
reasonReference		0..*	Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR))	Why activity is needed
goal		0..*	Reference(Goal)	Goals this activity relates to
status	?!	1..1	code	not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error Binding: CarePlanActivityStatus (required): Codes that reflect the current state of a care plan activity within its overall life cycle.
statusReason		0..1	CodeableConcept	Reason for current status
doNotPerform	?!	0..1	boolean	If true, activity is prohibiting action
scheduled[x]		0..1		When activity is to occur
scheduledTiming			Timing
scheduledPeriod			Period
scheduledString			string
location		0..1	Reference(TW Core Location)	Where it should happen
performer		0..*	Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core RelatedPerson | 病人資料(Patient ClinEMR) | TW Core CareTeam | HealthcareService | TW Core Implantable Device)	Who will be responsible?
Slices for product[x]		0..1	Reference()	What is to be administered/supplied Slice: Unordered, Closed by type:$this
product[x]:productReference		0..1	Reference(藥品(Medication ClinEMR) | 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	[應填入門診病摘之醫師囑咐Doctor Advise]
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
CarePlan.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CarePlan.text.status	required	TWNarrativeStatus https://twcore.mohw.gov.tw/ig/twcore/ValueSet/narrative-status
CarePlan.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status from the FHIR Standard
CarePlan.intent	required	Pattern: proposal http://hl7.org/fhir/ValueSet/care-plan-intent from the FHIR Standard
CarePlan.category	example	CarePlanCategory http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.category:AssessPlan	example	Pattern: assess-plan http://hl7.org/fhir/ValueSet/care-plan-category from the FHIR Standard
CarePlan.activity.outcomeCodeableConcept	example	CarePlanActivityOutcome http://hl7.org/fhir/ValueSet/care-plan-activity-outcome from the FHIR Standard
CarePlan.activity.detail.kind	required	CarePlanActivityKind http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 from the FHIR Standard
CarePlan.activity.detail.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
CarePlan.activity.detail.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
CarePlan.activity.detail.status	required	CarePlanActivityStatus http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 from the FHIR Standard

This structure is derived from TWCoreCarePlan

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/careplan-clinemr)
• 病人資料(Patient ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr)
• 就醫事件(Encounter ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr)
• 健康照護服務提供人員資料(Practitioner ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core Implantable Device (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 醫事機構(Organization ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr)
• TW Core CareTeam (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore)
• 病情、問題或診斷(ConditionDiagnosis ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr)
• 藥品請求(MedicationRequest ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/medicationrequest-clinemr)
• 服務請求(ServiceRequest ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr)
• 檢驗檢查(Observation ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr)
• 診斷報告(DiagnosticReport ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/diagnosticreport-clinemr)
• 文件參照(DocumentReference ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr)
• 藥品(Medication ClinEMR) (https://fhir.cohesiondata.com/clinemr/StructureDefinition/medication-clinemr)

Other representations of profile: CSV, Excel, Schematron