臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
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Resource Profile: 中醫-處置或手術(Procedure TWCM)

此中醫-處置或手術(Procedure TWCM)Profile說明本IG如何進一步定義臺灣核心-處置或手術（TW Core Procedure)Profile以呈現中醫門診單之處置或手術的詳細資料。

Usages:

• Use this Profile: 中醫-資料交換基本單位(Bundle TWCM)
• Refer to this Profile: 中醫-臨床文件架構(Composition TWCM), 就醫事件(Encounter TWCM), 檢驗檢查(Observation TWCM), 血壓(ObservationBloodPressure TWCM)... Show 17 more, 血型(ObservationBloodtype TWCM), 身高(ObservationBodyHeight TWCM), 體溫(ObservationBodyTemp TWCM), 體重(ObservationBodyWeight TWCM), 教育程度(ObservationEducationLevel TWCM), 脈搏(ObservationHeartRate TWCM), 問診(ObservationInquiry TWCM), 望診(ObservationInspection TWCM), 聞診(ObservationListeningSmelling TWCM), 重大傷病註記(ObservationMajorIllness TWCM), 職業(ObservationOccupation TWCM), 切診(ObservationPalpation TWCM), 病人脈象(ObservationPulseCondition TWCM), 個人史(ObservationSocialHistory TWCM), 生命徵象(ObservationVitalSigns TWCM), 中醫-處置或手術(Procedure TWCM) and 病人治則(ProcedureTherapeuticPrinciples TWCM)
• Examples for this Profile: Procedure/ProcedureTWCM-min, Procedure/ProcedureTWCM-minn and Procedure/ProcedureTWCM-pro
• CapabilityStatements using this Profile: 臺灣中醫實作指引-用戶端(TWCM Client) and 臺灣中醫實作指引-伺服端(TWCM 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..*	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.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	此Procedure是基於什麼而履行
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(中醫-處置或手術(Procedure TWCM) | 檢驗檢查(Observation TWCM) | 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	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: completed
Procedure.category	S This element must be supported.	1..1	CodeableConceptTW	處置/手術的分類。 Binding: SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集 (required)
Procedure.code	S This element must be supported.	1..1	CodeableConceptTW	處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)] Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Procedure.code.Slices for coding	S This element must be supported.	1..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:All Slices				Content/Rules for all slices
Procedure.code.Slices for coding.coding:All Slices.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
Procedure.code.Slices for coding.coding:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	[應填入門診病摘之處置健保碼]
Procedure.code.Slices for coding.coding:All Slices.display	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之處置說明]
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported.	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.	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.	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.	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.	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.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
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(病人資料(Patient TWCM))	處置/手術服務的對象
Procedure.encounter	Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.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？
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedString			string
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedRange			Range
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | 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(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | 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	執行處置/手術的人員
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(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core RelatedPerson | TW Core Implantable Device)	參照至健康照護服務提供者
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(醫事機構(Organization TWCM))	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.reasonReference	Σ This element is included in summaries.	0..*	Reference(檢驗檢查(Observation TWCM) | 中醫-處置或手術(Procedure TWCM) | 文件參照(DocumentReference TWCM))	執行此處置/手術的原因
Procedure.bodySite	S This element must be supported.	1..*	CodeableConceptTW	目標身體部位。 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.bodySite.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.bodySite.Slices for extension.extension:approach	S This element must be supported.	1..1	CodeableConcept	[應填入中醫門診單之針灸穴位/傷科手法/脫臼整復處理方法] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm Binding: 中醫針灸經絡穴位值集 (extensible)
Procedure.bodySite.Slices for extension.extension:description	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm
Procedure.bodySite.coding	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 針灸傷科脫臼整復部位值集 (required)
Procedure.bodySite.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
Procedure.report		0..*	Reference(文件參照(DocumentReference TWCM))	此處置/手術產生的任何報告
Procedure.usedReference		0..*	Reference(TW Core Implantable Device | Substance)	處置/手術中使用的項目／物品
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Procedure.category	Base	required	SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集	📦0.1.0	This IG
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 v0.3
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 v0.3
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 v0.3
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 v0.3
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.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Procedure.bodySite.coding	Base	required	針灸傷科脫臼整復部位值集	📦0.1.0	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from TWCoreProcedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			TWCoreProcedure
Procedure.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM))	此Procedure是基於什麼而履行
Procedure.partOf		0..*	Reference(中醫-處置或手術(Procedure TWCM) | 檢驗檢查(Observation TWCM) | MedicationAdministration)	參照事件的一部分
Procedure.status		1..1	code	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Required Pattern: completed
Procedure.category	S This element must be supported.	1..1	CodeableConceptTW	處置/手術的分類。 Binding: SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集 (required)
Procedure.code		1..1	CodeableConceptTW	處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)]
Procedure.code.coding		1..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.coding.code		1..1	code	[應填入門診病摘之處置健保碼]
Procedure.code.coding.display		1..1	string	[應填入門診病摘之處置說明]
Procedure.subject		1..1	Reference(病人資料(Patient TWCM))	處置/手術服務的對象
Procedure.encounter		0..1	Reference(就醫事件(Encounter TWCM))	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.recorder		0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄此處置/手術
Procedure.asserter		0..1	Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole)	聲稱有此處置/手術的人
Procedure.performer
Procedure.performer.actor		1..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core RelatedPerson | TW Core Implantable Device)	參照至健康照護服務提供者
Procedure.performer.onBehalfOf		0..1	Reference(醫事機構(Organization TWCM))	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.reasonReference		0..*	Reference(檢驗檢查(Observation TWCM) | 中醫-處置或手術(Procedure TWCM) | 文件參照(DocumentReference TWCM))	執行此處置/手術的原因
Procedure.bodySite		1..*	CodeableConceptTW	目標身體部位。
Procedure.bodySite.extension		1..*	Extension	Extension
Procedure.bodySite.Slices for extension				Content/Rules for all slices
Procedure.bodySite.Slices for extension.extension:approach	S This element must be supported.	1..1	CodeableConcept	[應填入中醫門診單之針灸穴位/傷科手法/脫臼整復處理方法] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm Binding: 中醫針灸經絡穴位值集 (extensible)
Procedure.bodySite.Slices for extension.extension:description	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm
Procedure.bodySite.coding		0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 針灸傷科脫臼整復部位值集 (required)
Procedure.bodySite.text		1..1	string	[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
Procedure.report		0..*	Reference(文件參照(DocumentReference TWCM))	此處置/手術產生的任何報告
Procedure.usedReference		0..*	Reference(TW Core Implantable Device | Substance)	處置/手術中使用的項目／物品
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.category	Base	required	SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集	📦0.1.0	This IG
Procedure.bodySite.coding	Base	required	針灸傷科脫臼整復部位值集	📦0.1.0	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(關懷計畫(CarePlan TWCM))	此Procedure是基於什麼而履行
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(中醫-處置或手術(Procedure TWCM) | 檢驗檢查(Observation TWCM) | 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	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: completed
Procedure.statusReason		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	S This element must be supported.	1..1	CodeableConceptTW	處置/手術的分類。 Binding: SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集 (required)
Procedure.code	S This element must be supported.	1..1	CodeableConceptTW	處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)] 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.	1..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:All Slices				Content/Rules for all slices
Procedure.code.Slices for coding.coding:All Slices.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Procedure.code.Slices for coding.coding:All Slices.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Procedure.code.Slices for coding.coding:All Slices.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
Procedure.code.Slices for coding.coding:All Slices.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Procedure.code.Slices for coding.coding:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	[應填入門診病摘之處置健保碼]
Procedure.code.Slices for coding.coding:All Slices.display	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之處置說明]
Procedure.code.Slices for coding.coding:All Slices.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported.	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.	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.	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.	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.	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.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
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(病人資料(Patient TWCM))	處置/手術服務的對象
Procedure.encounter	Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.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？
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedString			string
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedRange			Range
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | 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(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | 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	執行處置/手術的人員
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		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(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core RelatedPerson | TW Core Implantable Device)	參照至健康照護服務提供者
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(醫事機構(Organization TWCM))	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		0..*	CodeableConceptTW	處置/手術執行原因代碼 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(檢驗檢查(Observation TWCM) | 中醫-處置或手術(Procedure TWCM) | 文件參照(DocumentReference TWCM))	執行此處置/手術的原因
Procedure.bodySite	S This element must be supported.	1..*	CodeableConceptTW	目標身體部位。 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.bodySite.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Procedure.bodySite.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.bodySite.Slices for extension.extension:approach	S This element must be supported.	1..1	CodeableConcept	[應填入中醫門診單之針灸穴位/傷科手法/脫臼整復處理方法] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm Binding: 中醫針灸經絡穴位值集 (extensible)
Procedure.bodySite.Slices for extension.extension:description	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm
Procedure.bodySite.coding	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 針灸傷科脫臼整復部位值集 (required)
Procedure.bodySite.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
Procedure.outcome		0..1	CodeableConceptTW	處置/手術的結果。 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(文件參照(DocumentReference TWCM))	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		0..*	Annotation	關於此處置/手術的附加資訊
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(TW Core Implantable Device | 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	required	SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集	📦0.1.0	This IG
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 v0.3
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 v0.3
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 v0.3
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 v0.3
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.performer.​function	Base	extensible	Procedure Performer Role Codes	📦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.bodySite.coding	Base	required	針灸傷科脫臼整復部位值集	📦0.1.0	This IG
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

This structure is derived from TWCoreProcedure

Summary

Mandatory: 8 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm)
• 中醫-處置或手術(Procedure TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm)
• 檢驗檢查(Observation TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm)
• 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 醫事機構(Organization TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm)
• TW Core Implantable Device (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore)
• 文件參照(DocumentReference TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm)

Extensions

This structure refers to these extensions:

• https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm
• https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm

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.basedOn	Σ This element is included in summaries.	0..*	Reference(關懷計畫(CarePlan TWCM))	此Procedure是基於什麼而履行
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(中醫-處置或手術(Procedure TWCM) | 檢驗檢查(Observation TWCM) | 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	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: completed
Procedure.category	S This element must be supported.	1..1	CodeableConceptTW	處置/手術的分類。 Binding: SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集 (required)
Procedure.code	S This element must be supported.	1..1	CodeableConceptTW	處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)] Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
Procedure.code.Slices for coding	S This element must be supported.	1..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:All Slices				Content/Rules for all slices
Procedure.code.Slices for coding.coding:All Slices.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
Procedure.code.Slices for coding.coding:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	[應填入門診病摘之處置健保碼]
Procedure.code.Slices for coding.coding:All Slices.display	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之處置說明]
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported.	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.	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.	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.	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.	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.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
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(病人資料(Patient TWCM))	處置/手術服務的對象
Procedure.encounter	Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.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？
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedString			string
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedRange			Range
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | 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(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | 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	執行處置/手術的人員
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(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core RelatedPerson | TW Core Implantable Device)	參照至健康照護服務提供者
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(醫事機構(Organization TWCM))	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.reasonReference	Σ This element is included in summaries.	0..*	Reference(檢驗檢查(Observation TWCM) | 中醫-處置或手術(Procedure TWCM) | 文件參照(DocumentReference TWCM))	執行此處置/手術的原因
Procedure.bodySite	S This element must be supported.	1..*	CodeableConceptTW	目標身體部位。 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.bodySite.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.bodySite.Slices for extension.extension:approach	S This element must be supported.	1..1	CodeableConcept	[應填入中醫門診單之針灸穴位/傷科手法/脫臼整復處理方法] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm Binding: 中醫針灸經絡穴位值集 (extensible)
Procedure.bodySite.Slices for extension.extension:description	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm
Procedure.bodySite.coding	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 針灸傷科脫臼整復部位值集 (required)
Procedure.bodySite.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
Procedure.report		0..*	Reference(文件參照(DocumentReference TWCM))	此處置/手術產生的任何報告
Procedure.usedReference		0..*	Reference(TW Core Implantable Device | Substance)	處置/手術中使用的項目／物品
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Procedure.status	Base	required	EventStatus	📍4.0.1	FHIR Std.
Procedure.category	Base	required	SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集	📦0.1.0	This IG
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 v0.3
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 v0.3
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 v0.3
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 v0.3
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.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Procedure.bodySite.coding	Base	required	針灸傷科脫臼整復部位值集	📦0.1.0	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from TWCoreProcedure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Procedure			TWCoreProcedure
Procedure.basedOn		0..*	Reference(關懷計畫(CarePlan TWCM))	此Procedure是基於什麼而履行
Procedure.partOf		0..*	Reference(中醫-處置或手術(Procedure TWCM) | 檢驗檢查(Observation TWCM) | MedicationAdministration)	參照事件的一部分
Procedure.status		1..1	code	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Required Pattern: completed
Procedure.category	S This element must be supported.	1..1	CodeableConceptTW	處置/手術的分類。 Binding: SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集 (required)
Procedure.code		1..1	CodeableConceptTW	處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)]
Procedure.code.coding		1..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.coding.code		1..1	code	[應填入門診病摘之處置健保碼]
Procedure.code.coding.display		1..1	string	[應填入門診病摘之處置說明]
Procedure.subject		1..1	Reference(病人資料(Patient TWCM))	處置/手術服務的對象
Procedure.encounter		0..1	Reference(就醫事件(Encounter TWCM))	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.recorder		0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄此處置/手術
Procedure.asserter		0..1	Reference(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole)	聲稱有此處置/手術的人
Procedure.performer
Procedure.performer.actor		1..1	Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core RelatedPerson | TW Core Implantable Device)	參照至健康照護服務提供者
Procedure.performer.onBehalfOf		0..1	Reference(醫事機構(Organization TWCM))	此裝置（Device）或健康照護服務提供者所屬機構（Organization）
Procedure.reasonReference		0..*	Reference(檢驗檢查(Observation TWCM) | 中醫-處置或手術(Procedure TWCM) | 文件參照(DocumentReference TWCM))	執行此處置/手術的原因
Procedure.bodySite		1..*	CodeableConceptTW	目標身體部位。
Procedure.bodySite.extension		1..*	Extension	Extension
Procedure.bodySite.Slices for extension				Content/Rules for all slices
Procedure.bodySite.Slices for extension.extension:approach	S This element must be supported.	1..1	CodeableConcept	[應填入中醫門診單之針灸穴位/傷科手法/脫臼整復處理方法] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm Binding: 中醫針灸經絡穴位值集 (extensible)
Procedure.bodySite.Slices for extension.extension:description	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm
Procedure.bodySite.coding		0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 針灸傷科脫臼整復部位值集 (required)
Procedure.bodySite.text		1..1	string	[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
Procedure.report		0..*	Reference(文件參照(DocumentReference TWCM))	此處置/手術產生的任何報告
Procedure.usedReference		0..*	Reference(TW Core Implantable Device | Substance)	處置/手術中使用的項目／物品
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Procedure.category	Base	required	SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集	📦0.1.0	This IG
Procedure.bodySite.coding	Base	required	針灸傷科脫臼整復部位值集	📦0.1.0	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(關懷計畫(CarePlan TWCM))	此Procedure是基於什麼而履行
Procedure.partOf	Σ This element is included in summaries.	0..*	Reference(中醫-處置或手術(Procedure TWCM) | 檢驗檢查(Observation TWCM) | 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	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: completed
Procedure.statusReason		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	S This element must be supported.	1..1	CodeableConceptTW	處置/手術的分類。 Binding: SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集 (required)
Procedure.code	S This element must be supported.	1..1	CodeableConceptTW	處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)] 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.	1..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:All Slices				Content/Rules for all slices
Procedure.code.Slices for coding.coding:All Slices.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Procedure.code.Slices for coding.coding:All Slices.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Procedure.code.Slices for coding.coding:All Slices.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
Procedure.code.Slices for coding.coding:All Slices.version	Σ This element is included in summaries.	0..1	string	系統的版本—如果相關的話
Procedure.code.Slices for coding.coding:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	[應填入門診病摘之處置健保碼]
Procedure.code.Slices for coding.coding:All Slices.display	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之處置說明]
Procedure.code.Slices for coding.coding:All Slices.userSelected	Σ This element is included in summaries.	0..1	boolean	此編碼是否由使用者直接選擇？
Procedure.code.Slices for coding.coding:icd10-pcs-2023	S This element must be supported.	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.	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.	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.	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.	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.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
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(病人資料(Patient TWCM))	處置/手術服務的對象
Procedure.encounter	Σ This element is included in summaries.	0..1	Reference(就醫事件(Encounter TWCM))	就醫（Encounter）紀錄作為處置/手術的一部分
Procedure.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？
Procedure.performed[x].performedDateTime			dateTime S This target must be supported.
Procedure.performed[x].performedPeriod			Period
Procedure.performed[x].performedString			string
Procedure.performed[x].performedAge			Age
Procedure.performed[x].performedRange			Range
Procedure.recorder	Σ This element is included in summaries.	0..1	Reference(病人資料(Patient TWCM) | 健康照護服務提供人員資料(Practitioner TWCM) | 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(病人資料(Patient TWCM) | TW Core RelatedPerson | 健康照護服務提供人員資料(Practitioner TWCM) | 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	執行處置/手術的人員
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		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(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | 病人資料(Patient TWCM) | TW Core RelatedPerson | TW Core Implantable Device)	參照至健康照護服務提供者
Procedure.performer.onBehalfOf	S This element must be supported.	0..1	Reference(醫事機構(Organization TWCM))	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		0..*	CodeableConceptTW	處置/手術執行原因代碼 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(檢驗檢查(Observation TWCM) | 中醫-處置或手術(Procedure TWCM) | 文件參照(DocumentReference TWCM))	執行此處置/手術的原因
Procedure.bodySite	S This element must be supported.	1..*	CodeableConceptTW	目標身體部位。 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.bodySite.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
Procedure.bodySite.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Procedure.bodySite.Slices for extension.extension:approach	S This element must be supported.	1..1	CodeableConcept	[應填入中醫門診單之針灸穴位/傷科手法/脫臼整復處理方法] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm Binding: 中醫針灸經絡穴位值集 (extensible)
Procedure.bodySite.Slices for extension.extension:description	S This element must be supported.	0..1	CodeableConcept	[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明] URL: https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm
Procedure.bodySite.coding	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 針灸傷科脫臼整復部位值集 (required)
Procedure.bodySite.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
Procedure.outcome		0..1	CodeableConceptTW	處置/手術的結果。 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(文件參照(DocumentReference TWCM))	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		0..*	Annotation	關於此處置/手術的附加資訊
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(TW Core Implantable Device | 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	required	SNOMED CT + 衛福部中醫診所EMR單張-中醫處置分類值集	📦0.1.0	This IG
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 v0.3
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 v0.3
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 v0.3
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 v0.3
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.performer.​function	Base	extensible	Procedure Performer Role Codes	📦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.bodySite.coding	Base	required	針灸傷科脫臼整復部位值集	📦0.1.0	This IG
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

This structure is derived from TWCoreProcedure

Summary

Mandatory: 8 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 關懷計畫(CarePlan TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/careplan-twcm)
• 中醫-處置或手術(Procedure TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/procedure-twcm)
• 檢驗檢查(Observation TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/observation-twcm)
• 病人資料(Patient TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/patient-twcm)
• 就醫事件(Encounter TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/encounter-twcm)
• 健康照護服務提供人員資料(Practitioner TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/practitioner-twcm)
• TW Core PractitionerRole (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore)
• TW Core RelatedPerson (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/RelatedPerson-twcore)
• 醫事機構(Organization TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/organization-twcm)
• TW Core Implantable Device (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Device-twcore)
• 文件參照(DocumentReference TWCM) (https://www.nricm.edu.tw/twcm/StructureDefinition/documentreference-twcm)

Extensions

This structure refers to these extensions:

• https://www.nricm.edu.tw/twcm/StructureDefinition/approach-twcm
• https://www.nricm.edu.tw/twcm/StructureDefinition/description-twcm

Other representations of profile: CSV, Excel, Schematron