This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.6: STU1.0.6) 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

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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
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	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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
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	Conformance	ValueSet	URI
Procedure.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From 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	0..1	Meta	Metadata about the resource
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	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 2 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
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	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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
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	Conformance	ValueSet	URI
Procedure.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From 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	0..1	Meta	Metadata about the resource
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	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 From the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason From the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category From the FHIR Standard
Procedure.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Procedure.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason From the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome From the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup From the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action From the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 2 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