Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Substance		0..*	Substance	A homogeneous material with a definite composition
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	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
code	Σ	1..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
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	Σ	0..1	Ratio	Optional amount (concentration)
numerator	Σ	1..1	Quantity	Numerator value
value	SΣ	1..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
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」。 Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	放射治療總劑量單位 Binding: UCUM-健保事前審查-UCUM單位值集 (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。
Slices for substance[x]	Σ	1..1		因FHIR設計而需必填 Slice: Unordered, Open by type:$this 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。
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
substance[x]:substanceCodeableConcept	Σ	0..1	CodeableConcept	A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
Slices for coding	Σ	0..*	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 From the FHIR Standard
Substance.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Substance.ingredient.quantity.numerator.code	required	UCUMUnits(a valid code from UCUM) https://nhicore.nhi.gov.tw/pas/ValueSet/ucum-units From this IG
Substance.ingredient.substance[x]	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code From the FHIR Standard
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.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	Substance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Substance	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	Substance	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	Substance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Substance	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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Substance			Substance
code		1..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
ingredient	S	0..1	BackboneElement	Composition information about the substance
quantity
numerator		1..1	Quantity	Numerator value
value	S	1..1	decimal	放射治療總劑量
system		1..1	uri	放射治療總劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。 Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	放射治療總劑量單位 Binding: UCUM-健保事前審查-UCUM單位值集 (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。
Slices for substance[x]		1..1	CodeableConcept, Reference(Substance)	因FHIR設計而需必填 Slice: Unordered, Open by type:$this 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。
substance[x]:substanceCodeableConcept		0..1	CodeableConcept	A component of the substance
Slices for coding		0..*	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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Substance.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Substance.ingredient.quantity.numerator.code	required	UCUMUnits(a valid code from UCUM) https://nhicore.nhi.gov.tw/pas/ValueSet/ucum-units From this IG
Substance.ingredient.substance[x]	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.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
Substance		0..*	Substance	A homogeneous material with a definite composition
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	Unique identifier
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
category	Σ	0..*	CodeableConcept	What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
code	Σ	1..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
description	Σ	0..1	string	Textual description of the substance, comments
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
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
identifier	Σ	0..1	Identifier	Identifier of the package/container
expiry	Σ	0..1	dateTime	When no longer valid to use
quantity	Σ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
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
quantity	Σ	0..1	Ratio	Optional amount (concentration)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	1..1	Quantity	Numerator value
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
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」。 Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	放射治療總劑量單位 Binding: UCUM-健保事前審查-UCUM單位值集 (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。
denominator	Σ	0..1	Quantity	Denominator value
Slices for substance[x]	Σ	1..1		因FHIR設計而需必填 Slice: Unordered, Open by type:$this 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。
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
substance[x]:substanceCodeableConcept	Σ	0..1	CodeableConcept	A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
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	0..*	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 From the FHIR Standard
Substance.category	extensible	SubstanceCategoryCodes http://hl7.org/fhir/ValueSet/substance-category From the FHIR Standard
Substance.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Substance.ingredient.quantity.numerator.code	required	UCUMUnits(a valid code from UCUM) https://nhicore.nhi.gov.tw/pas/ValueSet/ucum-units From this IG
Substance.ingredient.substance[x]	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code From the FHIR Standard
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.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	Substance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Substance	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	Substance	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	Substance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Substance	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()

Summary

Mandatory: 1 element(12 nested mandatory elements)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Substance.code.coding (Closed)
• The element 1 is sliced based on the value of Substance.ingredient.substance[x]
• The element 1 is sliced based on the value of Substance.ingredient.substance[x].coding (Closed)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Substance		0..*	Substance	A homogeneous material with a definite composition
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	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
code	Σ	1..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
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	Σ	0..1	Ratio	Optional amount (concentration)
numerator	Σ	1..1	Quantity	Numerator value
value	SΣ	1..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
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」。 Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	放射治療總劑量單位 Binding: UCUM-健保事前審查-UCUM單位值集 (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。
Slices for substance[x]	Σ	1..1		因FHIR設計而需必填 Slice: Unordered, Open by type:$this 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。
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
substance[x]:substanceCodeableConcept	Σ	0..1	CodeableConcept	A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
Slices for coding	Σ	0..*	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 From the FHIR Standard
Substance.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Substance.ingredient.quantity.numerator.code	required	UCUMUnits(a valid code from UCUM) https://nhicore.nhi.gov.tw/pas/ValueSet/ucum-units From this IG
Substance.ingredient.substance[x]	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code From the FHIR Standard
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.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	Substance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Substance	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	Substance	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	Substance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Substance	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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Substance			Substance
code		1..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
ingredient	S	0..1	BackboneElement	Composition information about the substance
quantity
numerator		1..1	Quantity	Numerator value
value	S	1..1	decimal	放射治療總劑量
system		1..1	uri	放射治療總劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。 Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	放射治療總劑量單位 Binding: UCUM-健保事前審查-UCUM單位值集 (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。
Slices for substance[x]		1..1	CodeableConcept, Reference(Substance)	因FHIR設計而需必填 Slice: Unordered, Open by type:$this 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。
substance[x]:substanceCodeableConcept		0..1	CodeableConcept	A component of the substance
Slices for coding		0..*	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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Substance.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Substance.ingredient.quantity.numerator.code	required	UCUMUnits(a valid code from UCUM) https://nhicore.nhi.gov.tw/pas/ValueSet/ucum-units From this IG
Substance.ingredient.substance[x]	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.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
Substance		0..*	Substance	A homogeneous material with a definite composition
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	Unique identifier
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
category	Σ	0..*	CodeableConcept	What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
code	Σ	1..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
description	Σ	0..1	string	Textual description of the substance, comments
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
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
identifier	Σ	0..1	Identifier	Identifier of the package/container
expiry	Σ	0..1	dateTime	When no longer valid to use
quantity	Σ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
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
quantity	Σ	0..1	Ratio	Optional amount (concentration)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	1..1	Quantity	Numerator value
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
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」。 Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	放射治療總劑量單位 Binding: UCUM-健保事前審查-UCUM單位值集 (required): 放射治療總劑量單位的代碼範圍請參考Common UCUM units。
denominator	Σ	0..1	Quantity	Denominator value
Slices for substance[x]	Σ	1..1		因FHIR設計而需必填 Slice: Unordered, Open by type:$this 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。
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
substance[x]:substanceCodeableConcept	Σ	0..1	CodeableConcept	A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
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	0..*	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 From the FHIR Standard
Substance.category	extensible	SubstanceCategoryCodes http://hl7.org/fhir/ValueSet/substance-category From the FHIR Standard
Substance.code	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.code.coding:ICD10PCS2014Radiotherapy	extensible	ICD10PCSRadiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy From this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Substance.ingredient.quantity.numerator.code	required	UCUMUnits(a valid code from UCUM) https://nhicore.nhi.gov.tw/pas/ValueSet/ucum-units From this IG
Substance.ingredient.substance[x]	preferred	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code From the FHIR Standard
Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy	extensible	ICD10PCS2023Radiotherapy https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy From this IG
Substance.ingredient.substance[x]:substanceCodeableConcept.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	Substance	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Substance	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	Substance	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	Substance	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Substance	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()

Summary

Mandatory: 1 element(12 nested mandatory elements)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Substance.code.coding (Closed)
• The element 1 is sliced based on the value of Substance.ingredient.substance[x]
• The element 1 is sliced based on the value of Substance.ingredient.substance[x].coding (Closed)