臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

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Resource Profile: 長期照顧－照護活動

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Procedure Resource，以呈現長照機構住民的照護活動紀錄。

Usages:

• Derived from this Profile: 在宅急症－處置紀錄
• Examples for this Profile: Procedure/ltc-procedure-bathing-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
Procedure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	照護活動狀態。[應填入：preparation / in-progress / not-done / on-hold / stopped / completed / entered-in-error / unknown] Binding: EventStatus (required)
Procedure.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	照護活動項目 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Procedure.code.Slices for coding	S This element must be supported. Σ This element is included in summaries.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2014	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:medical-service-payment	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:sct-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:loinc-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
Procedure.code.Slices for coding.coding:ltcServiceItem	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	臺灣長照服務項目代碼（AA..GA 系列） Binding: 臺灣長照服務項目 (required)
Procedure.code.Slices for coding.coding:ltcServiceItem.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed)
Procedure.code.Slices for coding.coding:ltcServiceItem.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Procedure.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	接受照護活動的住民
Procedure.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	接受照護活動的住民。[應輸入 Patient Resource ID]
Procedure.Slices for performed[x]	S This element must be supported. Σ This element is included in summaries.	0..1		此處置/手術何時執行的？ Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Procedure.Slices for performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.Slices for performed[x].performedPeriod			Period
Procedure.Slices for performed[x].performedString			string
Procedure.Slices for performed[x].performedAge			Age
Procedure.Slices for performed[x].performedRange			Range
Procedure.Slices for performed[x].performed[x]:performedDateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime S This type must be supported.	照護活動執行的日期時間
Procedure.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人
Procedure.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	執行照護活動的人員
Procedure.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人)	參照至健康照護服務提供者
Procedure.performer.actor.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	執行照護活動的人員。[應輸入 Practitioner / PractitionerRole / RelatedPerson Resource ID]
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	執行照護活動的原因 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	照護活動涉及的身體部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.outcome	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConceptTW	照護活動的結果 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.note	S This element must be supported.	0..*	Annotation	照護活動的附註
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📦4.0.1	FHIR Std.
Procedure.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.code.coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2014	Base	required	臺灣健保署2014年中文版ICD-10-PCS值集	📦2017-07-19	臺灣核心實作指引 v1.0
Procedure.code.coding:medical-service-payment	Base	required	臺灣健保署醫療服務給付項目-處置或手術值集	📦2024-05-27	臺灣核心實作指引 v1.0
Procedure.code.coding:sct-procedures	Base	required	Procedure Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.code.coding:loinc-procedures	Base	required	LOINC Codes	📦4.0.1	FHIR Std.
Procedure.code.coding:ltcServiceItem	Base	required	臺灣長照服務項目	📦1.1.0	This IG
Procedure.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
Procedure.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Procedure.outcome	Base	extensible	Procedure Outcome Codes (SNOMED CT)	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from TWCoreProcedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
Procedure.status		1..1	code	照護活動狀態。[應填入：preparation / in-progress / not-done / on-hold / stopped / completed / entered-in-error / unknown] Binding: EventStatus (required)
Procedure.code		1..1	CodeableConceptTW	照護活動項目
Procedure.code.coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Procedure.code.Slices for coding				Content/Rules for all slices
Procedure.code.Slices for coding.coding:ltcServiceItem	S This element must be supported.	0..1	Coding	臺灣長照服務項目代碼（AA..GA 系列） Binding: 臺灣長照服務項目 (required)
Procedure.code.Slices for coding.coding:ltcServiceItem.system		1..1	uri	Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed)
Procedure.code.Slices for coding.coding:ltcServiceItem.code		1..1	code	Symbol in syntax defined by the system
Procedure.subject		1..1	Reference(長期照顧－住民基本資料)	接受照護活動的住民
Procedure.subject.reference	S This element must be supported.	1..1	string	接受照護活動的住民。[應輸入 Patient Resource ID]
Procedure.Slices for performed[x]		0..1	dateTime, Period, string, Age, Range	此處置/手術何時執行的？ Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Procedure.Slices for performed[x].performed[x]:performedDateTime	S This element must be supported.	0..1	dateTime S This type must be supported.	照護活動執行的日期時間
Procedure.performer		0..*	BackboneElement	執行照護活動的人員
Procedure.performer.actor		1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人)	參照至健康照護服務提供者
Procedure.performer.actor.reference	S This element must be supported.	1..1	string	執行照護活動的人員。[應輸入 Practitioner / PractitionerRole / RelatedPerson Resource ID]
Procedure.reasonCode	S This element must be supported.	0..*	CodeableConceptTW	執行照護活動的原因
Procedure.bodySite		0..*	CodeableConceptTW	照護活動涉及的身體部位
Procedure.outcome	S This element must be supported.	0..1	CodeableConceptTW	照護活動的結果
Procedure.note	S This element must be supported.	0..*	Annotation	照護活動的附註
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📦4.0.1	FHIR Std.
Procedure.code.coding:ltcServiceItem	Base	required	臺灣長照服務項目	📦1.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
Procedure.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄，通常又稱為邏輯性ID。
Procedure.meta	Σ This element is included in summaries.	0..1	Meta	此Procedure Resource的metadata
Procedure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Procedure.language		0..1	code	用以表述Procedure Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Procedure.text		0..1	Narrative	Procedure Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Procedure.contained		0..*	Resource	Contained, inline Resources
Procedure.extension		0..*	Extension	Additional content defined by implementations
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.identifier	Σ This element is included in summaries.	0..*	Identifier	此處置/手術的外部識別碼
Procedure.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	實例化FHIR計畫書（protocol）或定義
Procedure.instantiatesUri	Σ This element is included in summaries.	0..*	uri	實例化外部計畫書（protocol）或定義
Procedure.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | TW Core ServiceRequest)	此Procedure是基於什麼而履行
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration)	參照事件的一部分
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	照護活動狀態。[應填入：preparation / in-progress / not-done / on-hold / stopped / completed / entered-in-error / unknown] Binding: EventStatus (required)
Procedure.statusReason	Σ This element is included in summaries.	0..1	CodeableConceptTW	當前狀態的原因。 Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.category	Σ This element is included in summaries.	0..1	CodeableConceptTW	處置/手術的分類。 Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	照護活動項目 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Procedure.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Procedure.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Procedure.code.Slices for coding	S This element must be supported. Σ This element is included in summaries.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2014	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:medical-service-payment	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:sct-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:loinc-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
Procedure.code.Slices for coding.coding:ltcServiceItem	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	臺灣長照服務項目代碼（AA..GA 系列） Binding: 臺灣長照服務項目 (required)
Procedure.code.Slices for coding.coding:ltcServiceItem.id		0..1	string	Unique id for inter-element referencing
Procedure.code.Slices for coding.coding:ltcServiceItem.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.code.Slices for coding.coding:ltcServiceItem.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed)
Procedure.code.Slices for coding.coding:ltcServiceItem.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Procedure.code.Slices for coding.coding:ltcServiceItem.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Procedure.code.Slices for coding.coding:ltcServiceItem.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Procedure.code.Slices for coding.coding:ltcServiceItem.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Procedure.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	接受照護活動的住民
Procedure.subject.id		0..1	string	Unique id for inter-element referencing
Procedure.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	接受照護活動的住民。[應輸入 Patient Resource ID]
Procedure.subject.type	Σ This element is included in summaries.	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).
Procedure.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Procedure.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.Slices for performed[x]	S This element must be supported. Σ This element is included in summaries.	0..1		此處置/手術何時執行的？ Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Procedure.Slices for performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.Slices for performed[x].performedPeriod			Period
Procedure.Slices for performed[x].performedString			string
Procedure.Slices for performed[x].performedAge			Age
Procedure.Slices for performed[x].performedRange			Range
Procedure.Slices for performed[x].performed[x]:performedDateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime S This type must be supported.	照護活動執行的日期時間
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄此處置/手術
Procedure.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人
Procedure.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	執行照護活動的人員
Procedure.performer.id		0..1	string	Unique id for inter-element referencing
Procedure.performer.extension		0..*	Extension	Additional content defined by implementations
Procedure.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.function	Σ This element is included in summaries.	0..1	CodeableConceptTW	執行的型別 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人)	參照至健康照護服務提供者
Procedure.performer.actor.id		0..1	string	Unique id for inter-element referencing
Procedure.performer.actor.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.performer.actor.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	執行照護活動的人員。[應輸入 Practitioner / PractitionerRole / RelatedPerson Resource ID]
Procedure.performer.actor.type	Σ This element is included in summaries.	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).
Procedure.performer.actor.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performer.actor.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.location	Σ This element is included in summaries.	0..1	Reference(TW Core Location)	處置/手術發生的地點（Location）？
Procedure.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	執行照護活動的原因 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.reasonReference	Σ This element is included in summaries.	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference)	執行此處置/手術的原因
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	照護活動涉及的身體部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.outcome	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConceptTW	照護活動的結果 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.report		0..*	Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition)	此處置/手術產生的任何報告
Procedure.complication		0..*	CodeableConceptTW	處置/手術後的併發症 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.complicationDetail		0..*	Reference(TW Core Condition)	處置/手術後發生的病情、問題或診斷
Procedure.followUp		0..*	CodeableConceptTW	追蹤說明。 Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.note	S This element must be supported.	0..*	Annotation	照護活動的附註
Procedure.focalDevice		0..*	BackboneElement	處理、植入的或移除的裝置
Procedure.focalDevice.id		0..1	string	Unique id for inter-element referencing
Procedure.focalDevice.extension		0..*	Extension	Additional content defined by implementations
Procedure.focalDevice.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action		0..1	CodeableConceptTW	改變裝置的種類 Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Procedure.focalDevice.manipulated		1..1	Reference(Device)	被改變的裝置
Procedure.usedReference		0..*	Reference(Device | TW Core Medication | Substance)	處置/手術中使用的項目／物品
Procedure.usedCode		0..*	CodeableConceptTW	處置/手術中使用的項目之代碼 Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Procedure.status	Base	required	EventStatus	📦4.0.1	FHIR Std.
Procedure.statusReason	Base	extensible	Procedure Not Performed Reason (SNOMED-CT)	📦4.0.1	FHIR Std.
Procedure.category	Base	extensible	Procedure Category Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.code.coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2014	Base	required	臺灣健保署2014年中文版ICD-10-PCS值集	📦2017-07-19	臺灣核心實作指引 v1.0
Procedure.code.coding:medical-service-payment	Base	required	臺灣健保署醫療服務給付項目-處置或手術值集	📦2024-05-27	臺灣核心實作指引 v1.0
Procedure.code.coding:sct-procedures	Base	required	Procedure Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.code.coding:loinc-procedures	Base	required	LOINC Codes	📦4.0.1	FHIR Std.
Procedure.code.coding:ltcServiceItem	Base	required	臺灣長照服務項目	📦1.1.0	This IG
Procedure.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.performer.​function	Base	extensible	Procedure Performer Role Codes	📦4.0.1	FHIR Std.
Procedure.performer.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
Procedure.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Procedure.outcome	Base	extensible	Procedure Outcome Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.complication	Base	extensible	Condition/Problem/Diagnosis Codes	📦4.0.1	FHIR Std.
Procedure.followUp	Base	extensible	Procedure Follow up Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.focalDevice.​action	Base	preferred	Procedure Device Action Codes	📦4.0.1	FHIR Std.
Procedure.usedCode	Base	extensible	FHIR Device Types	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from TWCoreProcedure

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
• 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
• 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performed[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
Procedure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	照護活動狀態。[應填入：preparation / in-progress / not-done / on-hold / stopped / completed / entered-in-error / unknown] Binding: EventStatus (required)
Procedure.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	照護活動項目 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Procedure.code.Slices for coding	S This element must be supported. Σ This element is included in summaries.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2014	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:medical-service-payment	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:sct-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:loinc-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
Procedure.code.Slices for coding.coding:ltcServiceItem	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	臺灣長照服務項目代碼（AA..GA 系列） Binding: 臺灣長照服務項目 (required)
Procedure.code.Slices for coding.coding:ltcServiceItem.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed)
Procedure.code.Slices for coding.coding:ltcServiceItem.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Procedure.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	接受照護活動的住民
Procedure.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	接受照護活動的住民。[應輸入 Patient Resource ID]
Procedure.Slices for performed[x]	S This element must be supported. Σ This element is included in summaries.	0..1		此處置/手術何時執行的？ Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Procedure.Slices for performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.Slices for performed[x].performedPeriod			Period
Procedure.Slices for performed[x].performedString			string
Procedure.Slices for performed[x].performedAge			Age
Procedure.Slices for performed[x].performedRange			Range
Procedure.Slices for performed[x].performed[x]:performedDateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime S This type must be supported.	照護活動執行的日期時間
Procedure.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人
Procedure.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	執行照護活動的人員
Procedure.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人)	參照至健康照護服務提供者
Procedure.performer.actor.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	執行照護活動的人員。[應輸入 Practitioner / PractitionerRole / RelatedPerson Resource ID]
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	執行照護活動的原因 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	照護活動涉及的身體部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.outcome	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConceptTW	照護活動的結果 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.note	S This element must be supported.	0..*	Annotation	照護活動的附註
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📦4.0.1	FHIR Std.
Procedure.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.code.coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2014	Base	required	臺灣健保署2014年中文版ICD-10-PCS值集	📦2017-07-19	臺灣核心實作指引 v1.0
Procedure.code.coding:medical-service-payment	Base	required	臺灣健保署醫療服務給付項目-處置或手術值集	📦2024-05-27	臺灣核心實作指引 v1.0
Procedure.code.coding:sct-procedures	Base	required	Procedure Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.code.coding:loinc-procedures	Base	required	LOINC Codes	📦4.0.1	FHIR Std.
Procedure.code.coding:ltcServiceItem	Base	required	臺灣長照服務項目	📦1.1.0	This IG
Procedure.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
Procedure.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Procedure.outcome	Base	extensible	Procedure Outcome Codes (SNOMED CT)	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from TWCoreProcedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
Procedure.status		1..1	code	照護活動狀態。[應填入：preparation / in-progress / not-done / on-hold / stopped / completed / entered-in-error / unknown] Binding: EventStatus (required)
Procedure.code		1..1	CodeableConceptTW	照護活動項目
Procedure.code.coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Procedure.code.Slices for coding				Content/Rules for all slices
Procedure.code.Slices for coding.coding:ltcServiceItem	S This element must be supported.	0..1	Coding	臺灣長照服務項目代碼（AA..GA 系列） Binding: 臺灣長照服務項目 (required)
Procedure.code.Slices for coding.coding:ltcServiceItem.system		1..1	uri	Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed)
Procedure.code.Slices for coding.coding:ltcServiceItem.code		1..1	code	Symbol in syntax defined by the system
Procedure.subject		1..1	Reference(長期照顧－住民基本資料)	接受照護活動的住民
Procedure.subject.reference	S This element must be supported.	1..1	string	接受照護活動的住民。[應輸入 Patient Resource ID]
Procedure.Slices for performed[x]		0..1	dateTime, Period, string, Age, Range	此處置/手術何時執行的？ Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Procedure.Slices for performed[x].performed[x]:performedDateTime	S This element must be supported.	0..1	dateTime S This type must be supported.	照護活動執行的日期時間
Procedure.performer		0..*	BackboneElement	執行照護活動的人員
Procedure.performer.actor		1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人)	參照至健康照護服務提供者
Procedure.performer.actor.reference	S This element must be supported.	1..1	string	執行照護活動的人員。[應輸入 Practitioner / PractitionerRole / RelatedPerson Resource ID]
Procedure.reasonCode	S This element must be supported.	0..*	CodeableConceptTW	執行照護活動的原因
Procedure.bodySite		0..*	CodeableConceptTW	照護活動涉及的身體部位
Procedure.outcome	S This element must be supported.	0..1	CodeableConceptTW	照護活動的結果
Procedure.note	S This element must be supported.	0..*	Annotation	照護活動的附註
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📦4.0.1	FHIR Std.
Procedure.code.coding:ltcServiceItem	Base	required	臺灣長照服務項目	📦1.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
Procedure.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄，通常又稱為邏輯性ID。
Procedure.meta	Σ This element is included in summaries.	0..1	Meta	此Procedure Resource的metadata
Procedure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Procedure.language		0..1	code	用以表述Procedure Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
Procedure.text		0..1	Narrative	Procedure Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Procedure.contained		0..*	Resource	Contained, inline Resources
Procedure.extension		0..*	Extension	Additional content defined by implementations
Procedure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Procedure.identifier	Σ This element is included in summaries.	0..*	Identifier	此處置/手術的外部識別碼
Procedure.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	實例化FHIR計畫書（protocol）或定義
Procedure.instantiatesUri	Σ This element is included in summaries.	0..*	uri	實例化外部計畫書（protocol）或定義
Procedure.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | TW Core ServiceRequest)	此Procedure是基於什麼而履行
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration)	參照事件的一部分
Procedure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	照護活動狀態。[應填入：preparation / in-progress / not-done / on-hold / stopped / completed / entered-in-error / unknown] Binding: EventStatus (required)
Procedure.statusReason	Σ This element is included in summaries.	0..1	CodeableConceptTW	當前狀態的原因。 Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.category	Σ This element is included in summaries.	0..1	CodeableConceptTW	處置/手術的分類。 Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	照護活動項目 Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Procedure.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Procedure.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Procedure.code.Slices for coding	S This element must be supported. Σ This element is included in summaries.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2021	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:icd10-pcs-2014	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:medical-service-payment	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:sct-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
Procedure.code.Slices for coding.coding:loinc-procedures	S This element must be supported. Σ This element is included in summaries.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
Procedure.code.Slices for coding.coding:ltcServiceItem	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	臺灣長照服務項目代碼（AA..GA 系列） Binding: 臺灣長照服務項目 (required)
Procedure.code.Slices for coding.coding:ltcServiceItem.id		0..1	string	Unique id for inter-element referencing
Procedure.code.Slices for coding.coding:ltcServiceItem.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.code.Slices for coding.coding:ltcServiceItem.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed)
Procedure.code.Slices for coding.coding:ltcServiceItem.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Procedure.code.Slices for coding.coding:ltcServiceItem.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
Procedure.code.Slices for coding.coding:ltcServiceItem.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Procedure.code.Slices for coding.coding:ltcServiceItem.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Procedure.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
Procedure.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－住民基本資料)	接受照護活動的住民
Procedure.subject.id		0..1	string	Unique id for inter-element referencing
Procedure.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	接受照護活動的住民。[應輸入 Patient Resource ID]
Procedure.subject.type	Σ This element is included in summaries.	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).
Procedure.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Procedure.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.Slices for performed[x]	S This element must be supported. Σ This element is included in summaries.	0..1		此處置/手術何時執行的？ Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Procedure.Slices for performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.Slices for performed[x].performedPeriod			Period
Procedure.Slices for performed[x].performedString			string
Procedure.Slices for performed[x].performedAge			Age
Procedure.Slices for performed[x].performedRange			Range
Procedure.Slices for performed[x].performed[x]:performedDateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime S This type must be supported.	照護活動執行的日期時間
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄此處置/手術
Procedure.asserter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人
Procedure.performer	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	執行照護活動的人員
Procedure.performer.id		0..1	string	Unique id for inter-element referencing
Procedure.performer.extension		0..*	Extension	Additional content defined by implementations
Procedure.performer.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.performer.function	Σ This element is included in summaries.	0..1	CodeableConceptTW	執行的型別 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.performer.actor	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(長期照顧－照顧服務提供者 | 長期照顧－服務人員角色 | 長期照顧－關係人)	參照至健康照護服務提供者
Procedure.performer.actor.id		0..1	string	Unique id for inter-element referencing
Procedure.performer.actor.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Procedure.performer.actor.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	執行照護活動的人員。[應輸入 Practitioner / PractitionerRole / RelatedPerson Resource ID]
Procedure.performer.actor.type	Σ This element is included in summaries.	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).
Procedure.performer.actor.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Procedure.performer.actor.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.location	Σ This element is included in summaries.	0..1	Reference(TW Core Location)	處置/手術發生的地點（Location）？
Procedure.reasonCode	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	執行照護活動的原因 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.reasonReference	Σ This element is included in summaries.	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference)	執行此處置/手術的原因
Procedure.bodySite	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConceptTW	照護活動涉及的身體部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.outcome	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConceptTW	照護活動的結果 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.report		0..*	Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition)	此處置/手術產生的任何報告
Procedure.complication		0..*	CodeableConceptTW	處置/手術後的併發症 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.complicationDetail		0..*	Reference(TW Core Condition)	處置/手術後發生的病情、問題或診斷
Procedure.followUp		0..*	CodeableConceptTW	追蹤說明。 Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Procedure.note	S This element must be supported.	0..*	Annotation	照護活動的附註
Procedure.focalDevice		0..*	BackboneElement	處理、植入的或移除的裝置
Procedure.focalDevice.id		0..1	string	Unique id for inter-element referencing
Procedure.focalDevice.extension		0..*	Extension	Additional content defined by implementations
Procedure.focalDevice.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Procedure.focalDevice.action		0..1	CodeableConceptTW	改變裝置的種類 Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Procedure.focalDevice.manipulated		1..1	Reference(Device)	被改變的裝置
Procedure.usedReference		0..*	Reference(Device | TW Core Medication | Substance)	處置/手術中使用的項目／物品
Procedure.usedCode		0..*	CodeableConceptTW	處置/手術中使用的項目之代碼 Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Procedure.status	Base	required	EventStatus	📦4.0.1	FHIR Std.
Procedure.statusReason	Base	extensible	Procedure Not Performed Reason (SNOMED-CT)	📦4.0.1	FHIR Std.
Procedure.category	Base	extensible	Procedure Category Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.code	Base	example	Procedure Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.code.coding:icd10-pcs-2023	Base	required	臺灣健保署2023年中文版ICD-10-PCS值集	📦2024-11-18	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2021	Base	required	臺灣健保署2021年中文版ICD-10-PCS值集	📦2022-07-29	臺灣核心實作指引 v1.0
Procedure.code.coding:icd10-pcs-2014	Base	required	臺灣健保署2014年中文版ICD-10-PCS值集	📦2017-07-19	臺灣核心實作指引 v1.0
Procedure.code.coding:medical-service-payment	Base	required	臺灣健保署醫療服務給付項目-處置或手術值集	📦2024-05-27	臺灣核心實作指引 v1.0
Procedure.code.coding:sct-procedures	Base	required	Procedure Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.code.coding:loinc-procedures	Base	required	LOINC Codes	📦4.0.1	FHIR Std.
Procedure.code.coding:ltcServiceItem	Base	required	臺灣長照服務項目	📦1.1.0	This IG
Procedure.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.performer.​function	Base	extensible	Procedure Performer Role Codes	📦4.0.1	FHIR Std.
Procedure.performer.​actor.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Procedure.reasonCode	Base	extensible	Procedure Reason Codes	📦4.0.1	FHIR Std.
Procedure.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Procedure.outcome	Base	extensible	Procedure Outcome Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.complication	Base	extensible	Condition/Problem/Diagnosis Codes	📦4.0.1	FHIR Std.
Procedure.followUp	Base	extensible	Procedure Follow up Codes (SNOMED CT)	📦4.0.1	FHIR Std.
Procedure.focalDevice.​action	Base	preferred	Procedure Device Action Codes	📦4.0.1	FHIR Std.
Procedure.usedCode	Base	extensible	FHIR Device Types	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from TWCoreProcedure

Summary

Mandatory: 2 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
• 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
• 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.performed[x]

Other representations of profile: CSV, Excel, Schematron