臺灣健保癌症用藥事前審查實作指引
1.0.4 - release

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.4: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: 放射治療總劑量-Substance TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas Version: 1.0.4
Active as of 2025-05-28 Computable Name: SubstanceTWPAS

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

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Substance 0..* Substance A homogeneous material with a definite composition
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 0..1 code active | inactive | entered-in-error
Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.


ele-1: All FHIR elements must have a @value or children
.... Slices for coding Σ 1..1 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
ele-1: All FHIR elements must have a @value or children
..... coding:ICD10PCS2023Radiotherapy SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-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。


ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
..... coding:ICD10PCS2014Radiotherapy SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-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。


ele-1: All FHIR elements must have a @value or children
...... system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... ingredient SΣ 0..1 BackboneElement Composition information about the substance
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... quantity Σ 0..1 Ratio Optional amount (concentration)
ele-1: All FHIR elements must have a @value or children
..... numerator Σ 1..1 Quantity Numerator value
ele-1: All FHIR elements must have a @value or children
...... value SΣ 1..1 decimal 放射治療總劑量
ele-1: All FHIR elements must have a @value or children
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.


ele-1: All FHIR elements must have a @value or children
...... system ΣC 1..1 uri 放射治療總劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://unitsofmeasure.org
...... code SΣ 1..1 code 放射治療總劑量單位
Binding: Common UCUM units (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。


ele-1: All FHIR elements must have a @value or children
.... Slices for substance[x] Σ 1..1 因FHIR設計而需必填
Slice: Unordered, Open by type:$this
Binding: 健保事前審查-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。


ele-1: All FHIR elements must have a @value or children
..... substanceCodeableConcept CodeableConcept
..... substanceReference Reference(Substance)
..... substance[x]:substanceCodeableConcept Σ 0..1 CodeableConcept A component of the substance
Binding: SubstanceCode (example): Substance Ingredient codes.


ele-1: All FHIR elements must have a @value or children
...... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
ele-1: All FHIR elements must have a @value or children
....... coding:ICD10PCS2023Radiotherapy SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-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。


ele-1: All FHIR elements must have a @value or children
........ system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
....... coding:ICD10PCS2014Radiotherapy SΣ 0..1 Coding Code defined by a terminology system
Binding: 健保事前審查-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。


ele-1: All FHIR elements must have a @value or children
........ system SΣ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Substance.statusrequiredFHIRSubstanceStatus
http://hl7.org/fhir/ValueSet/substance-status|4.0.1
from the FHIR Standard
Substance.codepreferredICD10PCS2023Radiotherapy
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy
from this IG
Substance.code.coding:ICD10PCS2023RadiotherapyextensibleICD10PCS2023Radiotherapy
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy
from this IG
Substance.code.coding:ICD10PCS2014RadiotherapyextensibleICD10PCSRadiotherapy
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy
from this IG
Substance.ingredient.quantity.numerator.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Substance.ingredient.quantity.numerator.coderequiredCommon UCUM units
http://hl7.org/fhir/ValueSet/ucum-common
from the FHIR Standard
Substance.ingredient.substance[x]preferredICD10PCS2023Radiotherapy
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy
from this IG
Substance.ingredient.substance[x]:substanceCodeableConceptexampleSubstanceCode
http://hl7.org/fhir/ValueSet/substance-code
from the FHIR Standard
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023RadiotherapyextensibleICD10PCS2023Radiotherapy
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy
from this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2014RadiotherapyextensibleICD10PCSRadiotherapy
https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSubstanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSubstanceIf 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-4errorSubstanceIf 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-5errorSubstanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSubstanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron