臺灣健保癌症用藥事前審查實作指引
1.0.8 - STU1.0.8

臺灣健保癌症用藥事前審查實作指引 - Downloaded Version 1.0.8 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: 1.0.8
Active as of 2025-09-26 | 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

Usages:

- Use this Profile: 事前審查-Bundle TWPAS
- Refer to this Profile: 放射治療-Procedure TWPAS
- Examples for this Profile: Substance/sub-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
--- | --- | --- | --- | ---
Substance |  | 0..* | Substance | A homogeneous material with a definite composition
meta | Σ | 1..1 | Meta | Metadata about the resource
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 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 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
ingredient | S Σ | 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 | S Σ | 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 | Σ C | 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 Σ | 1..1 | code | 放射治療總劑量單位 Binding: UCUMCodes (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 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy | S Σ | 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 Σ | 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 Σ | 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 | UCUMCodes(a valid code from UCUM) `http://hl7.org/fhir/ValueSet/ucum-units` From the FHIR Standard
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|4.0.1` 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() |

This structure is derived from Substance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Substance |  |  | Substance |
meta |  | 1..1 | Meta | Metadata about the resource
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
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: UCUMCodes (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 | UCUMCodes(a valid code from UCUM) `http://hl7.org/fhir/ValueSet/ucum-units` From the FHIR Standard
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 | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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(4.0.1) | Amount of substance in the package
ingredient | S Σ | 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 | S Σ | 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 | Σ C | 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 Σ | 1..1 | code | 放射治療總劑量單位 Binding: UCUMCodes (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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
Substance.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
Substance.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` 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|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 | UCUMCodes(a valid code from UCUM) `http://hl7.org/fhir/ValueSet/ucum-units` From the FHIR Standard
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|4.0.1` 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() |

This structure is derived from Substance

Summary

Mandatory: 3 elements(12 nested mandatory elements)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Substance |  | 0..* | Substance | A homogeneous material with a definite composition
meta | Σ | 1..1 | Meta | Metadata about the resource
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 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 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
ingredient | S Σ | 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 | S Σ | 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 | Σ C | 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 Σ | 1..1 | code | 放射治療總劑量單位 Binding: UCUMCodes (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 | S Σ | 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 Σ | 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 Σ | 1..1 | code | Symbol in syntax defined by the system
coding:ICD10PCS2014Radiotherapy | S Σ | 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 Σ | 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 Σ | 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 | UCUMCodes(a valid code from UCUM) `http://hl7.org/fhir/ValueSet/ucum-units` From the FHIR Standard
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|4.0.1` 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() |

Differential View

This structure is derived from Substance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Substance |  |  | Substance |
meta |  | 1..1 | Meta | Metadata about the resource
profile |  | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
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: UCUMCodes (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 | UCUMCodes(a valid code from UCUM) `http://hl7.org/fhir/ValueSet/ucum-units` From the FHIR Standard
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

Snapshot View

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 | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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(4.0.1) | Amount of substance in the package
ingredient | S Σ | 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 | S Σ | 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 | Σ C | 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 Σ | 1..1 | code | 放射治療總劑量單位 Binding: UCUMCodes (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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
Substance.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
Substance.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` 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|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 | UCUMCodes(a valid code from UCUM) `http://hl7.org/fhir/ValueSet/ucum-units` From the FHIR Standard
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|4.0.1` 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() |

This structure is derived from Substance

Summary

Mandatory: 3 elements(12 nested mandatory elements)
Must-Support: 15 elements

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron