臺灣健保癌症用藥事前審查實作指引, 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 1.0.9 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: 放射治療-Procedure TWPAS

此放射治療-Procedure TWPAS Profile說明本IG如何進一步定義FHIR的Procedure Resource以呈現癌藥事前審查中治療資訊之放射治療

Usages:

• Use this Profile: 事前審查-Bundle TWPAS
• Refer to this Profile: 事前審查-Claim TWPAS
• Examples for this Profile: Procedure/pro-min
• CapabilityStatements using this Profile: 臺灣癌藥事前審查-用戶端(TWPAS Client) and 臺灣癌藥事前審查-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
Procedure		0..*	Procedure	An action that is being or was performed on a patient
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	放射治療狀態 Binding: EventStatus (required): A code specifying the state of the procedure.
code	Σ	0..1	CodeableConcept	放射治療項目。ICD-10-PCS。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (preferred): 最新參考代碼清單請參考此檔案。
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:ICD10PCS2023Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	Who the procedure was performed on
performed[x]	SΣ	1..1	dateTime	放射治療日期，YYYY-MM-DD。
usedReference	S	1..1	Reference(放射治療總劑量-Substance TWPAS)	放射治療總劑量，整個放射治療療程之劑量。
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	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG

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 Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure
meta		1..1	Meta	Metadata about the resource
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
status		1..1	code	放射治療狀態
code		0..1	CodeableConcept	放射治療項目。ICD-10-PCS。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (preferred): 最新參考代碼清單請參考此檔案。
Slices for coding		1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:ICD10PCS2023Radiotherapy	S	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy	S	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	S	1..1	code	Symbol in syntax defined by the system
subject		1..1	Reference(病人資訊-Patient TWPAS)	Who the procedure was performed on
performed[x]	S	1..1	dateTime	放射治療日期，YYYY-MM-DD。
usedReference	S	1..1	Reference(放射治療總劑量-Substance TWPAS)	放射治療總劑量，整個放射治療療程之劑量。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	放射治療狀態 Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	放射治療項目。ICD-10-PCS。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (preferred): 最新參考代碼清單請參考此檔案。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:ICD10PCS2023Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICD10PCS2014Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	SΣ	1..1	dateTime	放射治療日期，YYYY-MM-DD。
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference	S	1..1	Reference(放射治療總劑量-Substance TWPAS)	放射治療總劑量，整個放射治療療程之劑量。
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Procedure.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Procedure.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Procedure.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Procedure.statusReason	Base	example	Procedure Not Performed Reason (SNOMED-CT)	📍4.0.1	FHIR Std.
Procedure.category	Base	example	Procedure Category Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.performer.​function	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
Procedure.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
Procedure.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Procedure.outcome	Base	example	Procedure Outcome Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.complication	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
Procedure.followUp	Base	example	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	example	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 Procedure

Summary

Mandatory: 4 elements(5 nested mandatory elements)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 放射治療總劑量-Substance TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.code.coding (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	放射治療狀態 Binding: EventStatus (required): A code specifying the state of the procedure.
code	Σ	0..1	CodeableConcept	放射治療項目。ICD-10-PCS。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (preferred): 最新參考代碼清單請參考此檔案。
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:ICD10PCS2023Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	Who the procedure was performed on
performed[x]	SΣ	1..1	dateTime	放射治療日期，YYYY-MM-DD。
usedReference	S	1..1	Reference(放射治療總劑量-Substance TWPAS)	放射治療總劑量，整個放射治療療程之劑量。
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	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG

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 Procedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			Procedure
meta		1..1	Meta	Metadata about the resource
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
status		1..1	code	放射治療狀態
code		0..1	CodeableConcept	放射治療項目。ICD-10-PCS。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (preferred): 最新參考代碼清單請參考此檔案。
Slices for coding		1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:ICD10PCS2023Radiotherapy	S	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
code	S	1..1	code	Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy	S	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
system	S	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
code	S	1..1	code	Symbol in syntax defined by the system
subject		1..1	Reference(病人資訊-Patient TWPAS)	Who the procedure was performed on
performed[x]	S	1..1	dateTime	放射治療日期，YYYY-MM-DD。
usedReference	S	1..1	Reference(放射治療總劑量-Substance TWPAS)	放射治療總劑量，整個放射治療療程之劑量。
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Procedure-twpas
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!Σ	1..1	code	放射治療狀態 Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	Σ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
code	Σ	0..1	CodeableConcept	放射治療項目。ICD-10-PCS。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (preferred): 最新參考代碼清單請參考此檔案。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:ICD10PCS2023Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ICD10PCS2014Radiotherapy	SΣ	0..1	Coding	Code defined by a terminology system Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集 (extensible): 最新參考代碼清單請參考此檔案。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	SΣ	1..1	dateTime	放射治療日期，YYYY-MM-DD。
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference	S	1..1	Reference(放射治療總劑量-Substance TWPAS)	放射治療總劑量，整個放射治療療程之劑量。
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Procedure.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Procedure.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Procedure.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Procedure.statusReason	Base	example	Procedure Not Performed Reason (SNOMED-CT)	📍4.0.1	FHIR Std.
Procedure.category	Base	example	Procedure Category Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-放射治療項目值集	📦1.0.9	This IG
Procedure.performer.​function	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
Procedure.reasonCode	Base	example	Procedure Reason Codes	📍4.0.1	FHIR Std.
Procedure.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Procedure.outcome	Base	example	Procedure Outcome Codes (SNOMED CT)	📍4.0.1	FHIR Std.
Procedure.complication	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
Procedure.followUp	Base	example	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	example	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 Procedure

Summary

Mandatory: 4 elements(5 nested mandatory elements)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 放射治療總劑量-Substance TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.code.coding (Closed)

Other representations of profile: CSV, Excel, Schematron