臺灣健保事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 文件參照-DocumentReference TWPAS

此文件參照-DocumentReference TWPAS Profile說明本IG如何進一步定義臺灣核心-文件參照(TW Core DocumentReference) Profile以呈現事前審查之治療計畫文件及基因報告

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS, 癌藥事前審查-Claim TWPAS, 基因資訊-Observation Diagnostic TWPAS, 檢驗檢查-Observation Laboratory Result TWPAS... Show 2 more, 病人狀態評估-Observation Patient Assessment TWPAS and 照光治療-Procedure Phototherapy TWPAS
• Examples for this Profile: DocumentReference/doc-careplan-min, DocumentReference/doc-gene-min, DocumentReference/doc-medicalRecord-min, DocumentReference/doc-patientAssessment-min... Show 2 more, DocumentReference/doc-phototherapy-min and DocumentReference/doc-test-min
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

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
DocumentReference	C	0..*	TWCoreDocumentReference	文件的參照 Constraints: report-title
DocumentReference.meta	Σ This element is included in summaries.	1..1	Meta	此DocumentReference Resource的metadata
DocumentReference.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
DocumentReference.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
DocumentReference.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.masterIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	主版本的識別碼
DocumentReference.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
DocumentReference.type	S This element must be supported.	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (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。
DocumentReference.category	S This element must be supported.	1..1	CodeableConceptTW	文件的類別 Binding: NHI-健保事前審查-文件類型值集 (required)
DocumentReference.category.coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
DocumentReference.category.coding.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	專門術語系統（terminology system）的識別
DocumentReference.category.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
DocumentReference.category.coding.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
DocumentReference.category.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
DocumentReference.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	文件描述的對象是誰/是什麼？
DocumentReference.date	S This element must be supported. Σ This element is included in summaries.	0..1	instant	文件參照的創建時間是何時？
DocumentReference.author	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
DocumentReference.content	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	被參照的文件
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	S This element must be supported. Σ This element is included in summaries. C	1..1	Attachment	存取文件的位置 Constraints: UploadContent
DocumentReference.content.attachment.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
DocumentReference.content.attachment.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	基因報告／治療計畫文件／檢驗(查)附件／病歷資料／病人狀態評估報告／照光治療紀錄。（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
DocumentReference.content.attachment.title	S This element must be supported. Σ This element is included in summaries.	0..1	string	基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱／病人狀態評估報告名稱／照光治療紀錄名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	extensible	LOINC Code Document Type值集	📦2.77	臺灣核心實作指引 v0.3
DocumentReference.category	Base	required	NHI-健保事前審查-文件類型值集	📦1.2.8	This IG
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	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()
report-title	error	DocumentReference	若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」	((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))

This structure is derived from TWCoreDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	TWCoreDocumentReference	文件的參照 Constraints: report-title
DocumentReference.meta		1..1	Meta	此DocumentReference Resource的metadata
DocumentReference.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
DocumentReference.status		1..1	code	current | superseded | entered-in-error Required Pattern: current
DocumentReference.category		1..1	CodeableConceptTW	文件的類別 Binding: NHI-健保事前審查-文件類型值集 (required)
DocumentReference.category.coding		1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
DocumentReference.category.coding.code		1..1	code	系統定義的語法之符號
DocumentReference.subject		1..1	Reference(病人資訊-Patient TWPAS)	文件描述的對象是誰/是什麼？
DocumentReference.content
DocumentReference.content.attachment	S This element must be supported. C	1..1	Attachment	存取文件的位置 Constraints: UploadContent
DocumentReference.content.attachment.contentType	S This element must be supported.	1..1	code	報告結果-MIMEType Required Pattern: application/pdf
DocumentReference.content.attachment.url	S This element must be supported.	1..1	url	基因報告／治療計畫文件／檢驗(查)附件／病歷資料／病人狀態評估報告／照光治療紀錄。（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
DocumentReference.content.attachment.title	S This element must be supported.	0..1	string	基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱／病人狀態評估報告名稱／照光治療紀錄名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.category	Base	required	NHI-健保事前審查-文件類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
report-title	error	DocumentReference	若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」	((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	TWCoreDocumentReference	文件的參照 Constraints: report-title
DocumentReference.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DocumentReference紀錄，通常又稱為邏輯性ID。
DocumentReference.meta	Σ This element is included in summaries.	1..1	Meta	此DocumentReference Resource的metadata
DocumentReference.meta.id		0..1	string	Unique id for inter-element referencing
DocumentReference.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
DocumentReference.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
DocumentReference.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
DocumentReference.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
DocumentReference.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DocumentReference.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
DocumentReference.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
DocumentReference.language		0..1	code	用以表述DocumentReference 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
DocumentReference.text		0..1	Narrative	DocumentReference 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
DocumentReference.contained		0..*	Resource	Contained, inline Resources
DocumentReference.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.masterIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	主版本的識別碼
DocumentReference.identifier	Σ This element is included in summaries.	0..*	Identifier	文件的其他的識別碼
DocumentReference.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
DocumentReference.docStatus	Σ This element is included in summaries.	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): 基礎文件的狀態；應填入所綁定值集中的其中一個代碼。
DocumentReference.type	S This element must be supported.	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (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。
DocumentReference.category	S This element must be supported.	1..1	CodeableConceptTW	文件的類別 Binding: NHI-健保事前審查-文件類型值集 (required)
DocumentReference.category.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
DocumentReference.category.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
DocumentReference.category.coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
DocumentReference.category.coding.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
DocumentReference.category.coding.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
DocumentReference.category.coding.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	專門術語系統（terminology system）的識別
DocumentReference.category.coding.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
DocumentReference.category.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
DocumentReference.category.coding.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
DocumentReference.category.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
DocumentReference.category.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
DocumentReference.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	文件描述的對象是誰/是什麼？
DocumentReference.date	S This element must be supported. Σ This element is included in summaries.	0..1	instant	文件參照的創建時間是何時？
DocumentReference.author	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
DocumentReference.authenticator		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰/什麼對文件進行了認證
DocumentReference.custodian		0..1	Reference(TW Core Organization)	維護此文件的機構
DocumentReference.relatesTo	Σ This element is included in summaries.	0..*	BackboneElement	與其他文件的關係
DocumentReference.relatesTo.id		0..1	string	Unique id for inter-element referencing
DocumentReference.relatesTo.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code	Σ This element is included in summaries.	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 文件之間的關係類型；應填入所綁定值集中的其中一個代碼。
DocumentReference.relatesTo.target	Σ This element is included in summaries.	1..1	Reference(TW Core DocumentReference)	存在此關係的目標文件
DocumentReference.description	Σ This element is included in summaries.	0..1	string	人可讀的描述。
DocumentReference.securityLabel		0..*	CodeableConceptTW	文件的安全標籤(security-tags) Binding: All Security Labels (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。
DocumentReference.content	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	被參照的文件
DocumentReference.content.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	S This element must be supported. Σ This element is included in summaries. C	1..1	Attachment	存取文件的位置 Constraints: UploadContent
DocumentReference.content.attachment.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.attachment.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.content.attachment.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
DocumentReference.content.attachment.language	Σ This element is included in summaries.	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
DocumentReference.content.attachment.data		0..1	base64Binary	Data inline, base64ed
DocumentReference.content.attachment.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	基因報告／治療計畫文件／檢驗(查)附件／病歷資料／病人狀態評估報告／照光治療紀錄。（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
DocumentReference.content.attachment.size	Σ This element is included in summaries.	0..1	unsignedInt	Number of bytes of content (if url provided)
DocumentReference.content.attachment.hash	Σ This element is included in summaries.	0..1	base64Binary	Hash of the data (sha-1, base64ed)
DocumentReference.content.attachment.title	S This element must be supported. Σ This element is included in summaries.	0..1	string	基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱／病人狀態評估報告名稱／照光治療紀錄名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。 Example General: Official Corporate Logo
DocumentReference.content.attachment.creation	Σ This element is included in summaries.	0..1	dateTime	Date attachment was first created
DocumentReference.content.format	Σ This element is included in summaries.	0..1	Coding	文件的格式/內容規則。 Binding: DocumentReferenceFormatCodeSet (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。
DocumentReference.context	Σ This element is included in summaries.	0..1	BackboneElement	文件的臨床背景
DocumentReference.context.id		0..1	string	Unique id for inter-element referencing
DocumentReference.context.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.context.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.context.encounter		0..*	Reference(TW Core Encounter | EpisodeOfCare)	文件內容的臨床背景
DocumentReference.context.event		0..*	CodeableConceptTW	正在記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
DocumentReference.context.period	Σ This element is included in summaries.	0..1	Period	被記錄的服務時間
DocumentReference.context.facilityType		0..1	CodeableConcept	病人接受治療的機構類型 Binding: FacilityTypeCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
DocumentReference.context.practiceSetting		0..1	CodeableConceptTW	內容創建的額外細節(例如：臨床專業) Binding: PracticeSettingCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
DocumentReference.context.sourcePatientInfo		0..1	Reference(TW Core Patient)	來源的病人人口統計資料
DocumentReference.context.related		0..*	Reference(Resource)	相關的識別碼或resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DocumentReference.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
DocumentReference.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.docStatus	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	extensible	LOINC Code Document Type值集	📦2.77	臺灣核心實作指引 v0.3
DocumentReference.category	Base	required	NHI-健保事前審查-文件類型值集	📦1.2.8	This IG
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	DocumentReference Format Code Set	📦4.0.1	FHIR Std.
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.4
DocumentReference.context.​facilityType	Base	example	Facility Type Code Value Set	📦4.0.1	FHIR Std.
DocumentReference.context.​practiceSetting	Base	example	Practice Setting Code Value Set	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	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()
report-title	error	DocumentReference	若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」	((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))

This structure is derived from TWCoreDocumentReference

Summary

Mandatory: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	TWCoreDocumentReference	文件的參照 Constraints: report-title
DocumentReference.meta	Σ This element is included in summaries.	1..1	Meta	此DocumentReference Resource的metadata
DocumentReference.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
DocumentReference.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
DocumentReference.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.masterIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	主版本的識別碼
DocumentReference.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
DocumentReference.type	S This element must be supported.	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (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。
DocumentReference.category	S This element must be supported.	1..1	CodeableConceptTW	文件的類別 Binding: NHI-健保事前審查-文件類型值集 (required)
DocumentReference.category.coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
DocumentReference.category.coding.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	專門術語系統（terminology system）的識別
DocumentReference.category.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
DocumentReference.category.coding.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
DocumentReference.category.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
DocumentReference.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	文件描述的對象是誰/是什麼？
DocumentReference.date	S This element must be supported. Σ This element is included in summaries.	0..1	instant	文件參照的創建時間是何時？
DocumentReference.author	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
DocumentReference.content	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	被參照的文件
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	S This element must be supported. Σ This element is included in summaries. C	1..1	Attachment	存取文件的位置 Constraints: UploadContent
DocumentReference.content.attachment.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
DocumentReference.content.attachment.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	基因報告／治療計畫文件／檢驗(查)附件／病歷資料／病人狀態評估報告／照光治療紀錄。（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
DocumentReference.content.attachment.title	S This element must be supported. Σ This element is included in summaries.	0..1	string	基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱／病人狀態評估報告名稱／照光治療紀錄名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	extensible	LOINC Code Document Type值集	📦2.77	臺灣核心實作指引 v0.3
DocumentReference.category	Base	required	NHI-健保事前審查-文件類型值集	📦1.2.8	This IG
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	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()
report-title	error	DocumentReference	若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」	((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))

Differential View

This structure is derived from TWCoreDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	TWCoreDocumentReference	文件的參照 Constraints: report-title
DocumentReference.meta		1..1	Meta	此DocumentReference Resource的metadata
DocumentReference.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
DocumentReference.status		1..1	code	current | superseded | entered-in-error Required Pattern: current
DocumentReference.category		1..1	CodeableConceptTW	文件的類別 Binding: NHI-健保事前審查-文件類型值集 (required)
DocumentReference.category.coding		1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
DocumentReference.category.coding.code		1..1	code	系統定義的語法之符號
DocumentReference.subject		1..1	Reference(病人資訊-Patient TWPAS)	文件描述的對象是誰/是什麼？
DocumentReference.content
DocumentReference.content.attachment	S This element must be supported. C	1..1	Attachment	存取文件的位置 Constraints: UploadContent
DocumentReference.content.attachment.contentType	S This element must be supported.	1..1	code	報告結果-MIMEType Required Pattern: application/pdf
DocumentReference.content.attachment.url	S This element must be supported.	1..1	url	基因報告／治療計畫文件／檢驗(查)附件／病歷資料／病人狀態評估報告／照光治療紀錄。（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
DocumentReference.content.attachment.title	S This element must be supported.	0..1	string	基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱／病人狀態評估報告名稱／照光治療紀錄名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.category	Base	required	NHI-健保事前審查-文件類型值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
report-title	error	DocumentReference	若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」	((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	TWCoreDocumentReference	文件的參照 Constraints: report-title
DocumentReference.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DocumentReference紀錄，通常又稱為邏輯性ID。
DocumentReference.meta	Σ This element is included in summaries.	1..1	Meta	此DocumentReference Resource的metadata
DocumentReference.meta.id		0..1	string	Unique id for inter-element referencing
DocumentReference.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
DocumentReference.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
DocumentReference.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
DocumentReference.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas
DocumentReference.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DocumentReference.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
DocumentReference.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
DocumentReference.language		0..1	code	用以表述DocumentReference 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
DocumentReference.text		0..1	Narrative	DocumentReference 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
DocumentReference.contained		0..*	Resource	Contained, inline Resources
DocumentReference.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.masterIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	主版本的識別碼
DocumentReference.identifier	Σ This element is included in summaries.	0..*	Identifier	文件的其他的識別碼
DocumentReference.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
DocumentReference.docStatus	Σ This element is included in summaries.	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): 基礎文件的狀態；應填入所綁定值集中的其中一個代碼。
DocumentReference.type	S This element must be supported.	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (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。
DocumentReference.category	S This element must be supported.	1..1	CodeableConceptTW	文件的類別 Binding: NHI-健保事前審查-文件類型值集 (required)
DocumentReference.category.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
DocumentReference.category.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
DocumentReference.category.coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
DocumentReference.category.coding.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
DocumentReference.category.coding.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
DocumentReference.category.coding.system	S This element must be supported. Σ This element is included in summaries.	0..1	uri	專門術語系統（terminology system）的識別
DocumentReference.category.coding.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
DocumentReference.category.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	系統定義的語法之符號
DocumentReference.category.coding.display	S This element must be supported. Σ This element is included in summaries.	0..1	string	由系統定義的表示法
DocumentReference.category.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
DocumentReference.category.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
DocumentReference.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	文件描述的對象是誰/是什麼？
DocumentReference.date	S This element must be supported. Σ This element is included in summaries.	0..1	instant	文件參照的創建時間是何時？
DocumentReference.author	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
DocumentReference.authenticator		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰/什麼對文件進行了認證
DocumentReference.custodian		0..1	Reference(TW Core Organization)	維護此文件的機構
DocumentReference.relatesTo	Σ This element is included in summaries.	0..*	BackboneElement	與其他文件的關係
DocumentReference.relatesTo.id		0..1	string	Unique id for inter-element referencing
DocumentReference.relatesTo.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code	Σ This element is included in summaries.	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 文件之間的關係類型；應填入所綁定值集中的其中一個代碼。
DocumentReference.relatesTo.target	Σ This element is included in summaries.	1..1	Reference(TW Core DocumentReference)	存在此關係的目標文件
DocumentReference.description	Σ This element is included in summaries.	0..1	string	人可讀的描述。
DocumentReference.securityLabel		0..*	CodeableConceptTW	文件的安全標籤(security-tags) Binding: All Security Labels (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。
DocumentReference.content	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	被參照的文件
DocumentReference.content.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	S This element must be supported. Σ This element is included in summaries. C	1..1	Attachment	存取文件的位置 Constraints: UploadContent
DocumentReference.content.attachment.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.attachment.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.content.attachment.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
DocumentReference.content.attachment.language	Σ This element is included in summaries.	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
DocumentReference.content.attachment.data		0..1	base64Binary	Data inline, base64ed
DocumentReference.content.attachment.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	基因報告／治療計畫文件／檢驗(查)附件／病歷資料／病人狀態評估報告／照光治療紀錄。（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
DocumentReference.content.attachment.size	Σ This element is included in summaries.	0..1	unsignedInt	Number of bytes of content (if url provided)
DocumentReference.content.attachment.hash	Σ This element is included in summaries.	0..1	base64Binary	Hash of the data (sha-1, base64ed)
DocumentReference.content.attachment.title	S This element must be supported. Σ This element is included in summaries.	0..1	string	基因報告名稱／治療計畫文件名稱／檢驗(查)附件名稱／病歷資料名稱／病人狀態評估報告名稱／照光治療紀錄名稱。若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」。 Example General: Official Corporate Logo
DocumentReference.content.attachment.creation	Σ This element is included in summaries.	0..1	dateTime	Date attachment was first created
DocumentReference.content.format	Σ This element is included in summaries.	0..1	Coding	文件的格式/內容規則。 Binding: DocumentReferenceFormatCodeSet (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。
DocumentReference.context	Σ This element is included in summaries.	0..1	BackboneElement	文件的臨床背景
DocumentReference.context.id		0..1	string	Unique id for inter-element referencing
DocumentReference.context.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.context.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.context.encounter		0..*	Reference(TW Core Encounter | EpisodeOfCare)	文件內容的臨床背景
DocumentReference.context.event		0..*	CodeableConceptTW	正在記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
DocumentReference.context.period	Σ This element is included in summaries.	0..1	Period	被記錄的服務時間
DocumentReference.context.facilityType		0..1	CodeableConcept	病人接受治療的機構類型 Binding: FacilityTypeCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
DocumentReference.context.practiceSetting		0..1	CodeableConceptTW	內容創建的額外細節(例如：臨床專業) Binding: PracticeSettingCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
DocumentReference.context.sourcePatientInfo		0..1	Reference(TW Core Patient)	來源的病人人口統計資料
DocumentReference.context.related		0..*	Reference(Resource)	相關的識別碼或resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DocumentReference.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
DocumentReference.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.docStatus	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	extensible	LOINC Code Document Type值集	📦2.77	臺灣核心實作指引 v0.3
DocumentReference.category	Base	required	NHI-健保事前審查-文件類型值集	📦1.2.8	This IG
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	DocumentReference Format Code Set	📦4.0.1	FHIR Std.
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.4
DocumentReference.context.​facilityType	Base	example	Facility Type Code Value Set	📦4.0.1	FHIR Std.
DocumentReference.context.​practiceSetting	Base	example	Practice Setting Code Value Set	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	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()
report-title	error	DocumentReference	若category為「治療計畫文件(#careplan)」，請擇一填寫：「免疫檢查點抑制劑治療計畫／CAR-T多團隊會議紀錄／造血幹細胞移植計畫書」	((category.coding.exists(code='careplan')) implies (content.attachment.title = '免疫檢查點抑制劑治療計畫' or content.attachment.title = 'CAR-T多團隊會議紀錄' or content.attachment.title = '造血幹細胞移植計畫書'))

This structure is derived from TWCoreDocumentReference

Summary

Mandatory: 7 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Other representations of profile: CSV, Excel, Schematron