# 放射/照光治療總劑量-Substance TWPAS - 臺灣健保事前審查實作指引 v1.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **放射/照光治療總劑量-Substance TWPAS**

## Resource Profile: 放射/照光治療總劑量-Substance TWPAS 

| | |
| :--- | :--- |
| *Official URL*:https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas | *Version*:1.1.0 |
| Active as of 2025-12-29 | *Computable Name*:SubstanceTWPAS |

 
此放射/照光治療總劑量-Substance TWPAS Profile說明本IG如何進一步定義FHIR的Substance Resource以呈現事前審查中治療資訊之「放射治療」及「照光治療」總劑量 

**Usages:**

* Use this Profile: [免疫製劑事前審查-Bundle Immunologic Aagent TWPAS](StructureDefinition-Bundle-immunologic-agent-twpas.md) and [癌藥事前審查-Bundle TWPAS](StructureDefinition-Bundle-twpas.md)
* Refer to this Profile: [放射/照光治療-Procedure TWPAS](StructureDefinition-Procedure-twpas.md)
* Examples for this Profile: [Substance/sub-min](Substance-sub-min.md)
* CapabilityStatements using this Profile: [臺灣事前審查-用戶端(TWPAS Client)](CapabilityStatement-CapabilityStatementTWPASClient.md) and [臺灣事前審查-伺服端(TWPAS Server)](CapabilityStatement-CapabilityStatementTWPASServer.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/tw.gov.mohw.nhi.pas|current/StructureDefinition/Substance-twpas)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-Substance-twpas.csv), [Excel](StructureDefinition-Substance-twpas.xlsx), [Schematron](StructureDefinition-Substance-twpas.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "Substance-twpas",
  "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas",
  "version" : "1.1.0",
  "name" : "SubstanceTWPAS",
  "title" : "放射/照光治療總劑量-Substance TWPAS",
  "status" : "active",
  "date" : "2025-12-29T22:41:30+08:00",
  "publisher" : "衛生福利部中央健康保險署",
  "contact" : [
    {
      "name" : "衛生福利部中央健康保險署",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nhi.gov.tw"
        }
      ]
    }
  ],
  "description" : "此放射/照光治療總劑量-Substance TWPAS Profile說明本IG如何進一步定義FHIR的Substance Resource以呈現事前審查中治療資訊之「放射治療」及「照光治療」總劑量",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "orim",
      "uri" : "http://hl7.org/orim",
      "name" : "Ontological RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Substance",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Substance",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Substance.meta",
        "path" : "Substance.meta",
        "min" : 1
      },
      {
        "id" : "Substance.meta.profile",
        "path" : "Substance.meta.profile",
        "min" : 1,
        "max" : "1",
        "patternCanonical" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Substance-twpas"
      },
      {
        "id" : "Substance.code",
        "path" : "Substance.code",
        "short" : "放射/照光治療項目。ICD-10-PCS。",
        "binding" : {
          "strength" : "preferred",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy"
        }
      },
      {
        "id" : "Substance.code.coding",
        "path" : "Substance.code.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "closed"
        },
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Substance.code.coding:ICD10PCS2023Radiotherapy",
        "path" : "Substance.code.coding",
        "sliceName" : "ICD10PCS2023Radiotherapy",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy"
        }
      },
      {
        "id" : "Substance.code.coding:ICD10PCS2023Radiotherapy.system",
        "path" : "Substance.code.coding.system",
        "min" : 1,
        "patternUri" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw",
        "mustSupport" : true
      },
      {
        "id" : "Substance.code.coding:ICD10PCS2023Radiotherapy.code",
        "path" : "Substance.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Substance.code.coding:ICD10PCS2014Radiotherapy",
        "path" : "Substance.code.coding",
        "sliceName" : "ICD10PCS2014Radiotherapy",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy"
        }
      },
      {
        "id" : "Substance.code.coding:ICD10PCS2014Radiotherapy.system",
        "path" : "Substance.code.coding.system",
        "min" : 1,
        "patternUri" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw",
        "mustSupport" : true
      },
      {
        "id" : "Substance.code.coding:ICD10PCS2014Radiotherapy.code",
        "path" : "Substance.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Substance.ingredient",
        "path" : "Substance.ingredient",
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Substance.ingredient.quantity.numerator",
        "path" : "Substance.ingredient.quantity.numerator",
        "min" : 1
      },
      {
        "id" : "Substance.ingredient.quantity.numerator.value",
        "path" : "Substance.ingredient.quantity.numerator.value",
        "short" : "放射/照光治療總劑量",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Substance.ingredient.quantity.numerator.system",
        "path" : "Substance.ingredient.quantity.numerator.system",
        "short" : "放射/照光治療總劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。",
        "min" : 1,
        "patternUri" : "http://unitsofmeasure.org"
      },
      {
        "id" : "Substance.ingredient.quantity.numerator.code",
        "path" : "Substance.ingredient.quantity.numerator.code",
        "short" : "放射/照光治療總劑量單位",
        "min" : 1,
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "description" : "放射/照光治療總劑量單位的代碼範圍請參考[Common UCUM units](https://hl7.org/fhir/R4/valueset-ucum-common.html)。",
          "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units"
        }
      },
      {
        "id" : "Substance.ingredient.substance[x]",
        "path" : "Substance.ingredient.substance[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "short" : "因FHIR設計而需必填",
        "binding" : {
          "strength" : "preferred",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy"
        }
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept",
        "path" : "Substance.ingredient.substance[x]",
        "sliceName" : "substanceCodeableConcept",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding",
        "path" : "Substance.ingredient.substance[x].coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "closed"
        }
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy",
        "path" : "Substance.ingredient.substance[x].coding",
        "sliceName" : "ICD10PCS2023Radiotherapy",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2023-radiotherapy"
        }
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy.system",
        "path" : "Substance.ingredient.substance[x].coding.system",
        "min" : 1,
        "patternUri" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw",
        "mustSupport" : true
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2023Radiotherapy.code",
        "path" : "Substance.ingredient.substance[x].coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2014Radiotherapy",
        "path" : "Substance.ingredient.substance[x].coding",
        "sliceName" : "ICD10PCS2014Radiotherapy",
        "min" : 0,
        "max" : "1",
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/icd-10-pcs-2014-radiotherapy"
        }
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2014Radiotherapy.system",
        "path" : "Substance.ingredient.substance[x].coding.system",
        "min" : 1,
        "patternUri" : "https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw",
        "mustSupport" : true
      },
      {
        "id" : "Substance.ingredient.substance[x]:substanceCodeableConcept.coding:ICD10PCS2014Radiotherapy.code",
        "path" : "Substance.ingredient.substance[x].coding.code",
        "min" : 1,
        "mustSupport" : true
      }
    ]
  }
}

```
