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Packagetw.iii.ltc
Resource TypeCarePlan
IdCarePlan-hn-careplan-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

陳明慧的居家護理照護計畫:降低跌倒風險。原措施為每日檢查走道障礙物,已停止並改採個別移位協助措施。照護者應依護理人員指導執行。


Source1

{
  "resourceType": "CarePlan",
  "id": "hn-careplan-example",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/HNCarePlan"
    ]
  },
  "text": {
    "status": "additional",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode",
      "valueReference": {
        "reference": "EpisodeOfCare/hn-episode-example"
      }
    },
    {
      "url": "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm",
      "valueReference": {
        "reference": "QuestionnaireResponse/hn-targets-example"
      }
    },
    {
      "url": "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm",
      "valueReference": {
        "reference": "QuestionnaireResponse/hn-measures-example"
      }
    }
  ],
  "status": "active",
  "intent": "plan",
  "category": [
    {
      "coding": [
        {
          "system": "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/careplan-category-tw",
          "code": "assess-plan"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/hn-patient-example"
  },
  "period": {
    "start": "2025-12-08"
  },
  "author": {
    "reference": "Practitioner/hn-nurse-example"
  },
  "supportingInfo": [
    {
      "reference": "QuestionnaireResponse/hn-casesummary-example"
    }
  ],
  "goal": [
    {
      "reference": "Goal/hn-goal-example"
    }
  ],
  "activity": [
    {
      "extension": [
        {
          "extension": [
            {
              "url": "date",
              "valueDate": "2025-12-09"
            },
            {
              "url": "reason",
              "valueString": "改採個別移位協助措施"
            },
            {
              "url": "nurse",
              "valueReference": {
                "reference": "Practitioner/hn-nurse-example"
              }
            }
          ],
          "url": "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMeasureStop"
        }
      ],
      "outcomeReference": [
        {
          "reference": "QuestionnaireResponse/hn-evaluations-example"
        }
      ],
      "detail": {
        "goal": [
          {
            "reference": "Goal/hn-goal-example"
          }
        ],
        "status": "stopped",
        "scheduledPeriod": {
          "start": "2025-12-08"
        },
        "description": "每日檢查走道障礙物"
      }
    }
  ]
}