This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: Procedure TOTFA、TOTFB-特定治療項目代號與手術(處置)代碼

此Profile用於描述門診醫療申報檔(TOTFA)與住院醫療申報檔案(TOTFB)中的特定治療項目代號與手術(處置)代碼。

Usage:

• Use this Resource Profile: Bundle TOTFA and Bundle TOTFB
• Refer to this Resource Profile: Composition TOTFA and Composition TOTFB
• Examples for this Resource Profile: Procedure/pro-TOTFA and Procedure/pro-TOTFB
• CapabilityStatements using this Resource Profile: 國家級人體生物資料庫整合平台共同資料模式-用戶端 and 國家級人體生物資料庫整合平台共同資料模式-伺服端

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
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children
statusReason	ΣN	0..1	CodeableConceptTW	當前狀態的原因。 Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
category	ΣN	0..1	CodeableConceptTW	處置/手術的分類。 Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
code	SΣN	1..1	CodeableConceptTW	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49] Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices				Content/Rules for all slices
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2014	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:medical-service-payment	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:sct-procedures	SΣN	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:loinc-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]。或可由此補充說明此代碼用途，例如：特定治療項目代號(一) ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	處置/手術服務的對象 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
encounter	SΣCN	1..1	Reference(Encounter TOTFA-案件分類 | Encounter TOTFB-案件分類)	就醫（Encounter）紀錄作為處置/手術的一部分 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
performed[x]	SΣN	0..1		此處置/手術何時執行的？ ele-1: All FHIR elements must have a @value or children
performedDateTime			dateTime
asserter	SΣCN	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
performer	SΣN	0..*	BackboneElement	執行處置/手術的人員 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	ΣN	0..1	CodeableConceptTW	執行的型別 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
actor	SΣCN	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device)	參照至健康照護服務提供者 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
onBehalfOf	SCN	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization） ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	ΣN	0..*	CodeableConceptTW	處置/手術執行原因代碼 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
bodySite	SΣN	0..*	CodeableConceptTW	目標身體部位。 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
outcome	ΣN	0..1	CodeableConceptTW	處置/手術的結果。 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
complication	N	0..*	CodeableConceptTW	處置/手術後的併發症 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
followUp	N	0..*	CodeableConceptTW	追蹤說明。 Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
note	SN	1..1	Annotation	可補充說明此資料用途。備註特定治療項目代碼或手術(處置)代碼 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children Example Example: 特定治療項目代號(一)
focalDevice	N	0..*	BackboneElement	處理、植入的或移除的裝置 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
action	N	0..1	CodeableConceptTW	改變裝置的種類 Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
manipulated	CN	1..1	Reference(Device)	被改變的裝置 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
usedCode	N	0..*	CodeableConceptTW	處置/手術中使用的項目之代碼 Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	extensible	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	extensible	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Procedure.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
Procedure.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Procedure.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Procedure.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Procedure.performer.function	extensible	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	extensible	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	extensible	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	extensible	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	extensible	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Procedure.subject, Procedure.encounter, Procedure.asserter, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.focalDevice.manipulated	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreProcedure

Name	Flags	Card.	Type	Description & Constraints
Procedure			TWCoreProcedure
code				特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]
text				特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]。或可由此補充說明此代碼用途，例如：特定治療項目代號(一)
subject			Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
reference	S	1..		患者Resource Link
encounter	S	1..	Reference(Encounter TOTFA-案件分類 | Encounter TOTFB-案件分類)
reference	S
note	S	1..1		可補充說明此資料用途。備註特定治療項目代碼或手術(處置)代碼
text	S			Example Example: 特定治療項目代號(一)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
id	Σ	0..1	string	不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄，通常又稱為邏輯性ID。
meta	ΣN	0..1	Meta	此Procedure Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Procedure Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text	N	0..1	Narrative	Procedure Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	0..*	Identifier	此處置/手術的外部識別碼
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	實例化FHIR計畫書（protocol）或定義
instantiatesUri	Σ	0..*	uri	實例化外部計畫書（protocol）或定義
basedOn	ΣCN	0..*	Reference(CarePlan | ServiceRequest)	此Procedure是基於什麼而履行 ref-1: SHALL have a contained resource if a local reference is provided
partOf	ΣCN	0..*	Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration)	參照事件的一部分 ref-1: SHALL have a contained resource if a local reference is provided
status	?!SΣ	1..1	code	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼
statusReason	ΣN	0..1	CodeableConceptTW	當前狀態的原因。 Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
category	ΣN	0..1	CodeableConceptTW	處置/手術的分類。 Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
code	SΣN	1..1	CodeableConceptTW	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49] Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2023	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2021	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2014	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:medical-service-payment	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:sct-procedures	SΣN	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:loinc-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]。或可由此補充說明此代碼用途，例如：特定治療項目代號(一)
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	處置/手術服務的對象 ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣCN	1..1	Reference(Encounter TOTFA-案件分類 | Encounter TOTFB-案件分類)	就醫（Encounter）紀錄作為處置/手術的一部分 ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performed[x]	SΣN	0..1		此處置/手術何時執行的？
performedDateTime			dateTime S
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	ΣCN	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄此處置/手術 ref-1: SHALL have a contained resource if a local reference is provided
asserter	SΣCN	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人 ref-1: SHALL have a contained resource if a local reference is provided
performer	SΣN	0..*	BackboneElement	執行處置/手術的人員
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	ΣN	0..1	CodeableConceptTW	執行的型別 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
actor	SΣCN	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device)	參照至健康照護服務提供者 ref-1: SHALL have a contained resource if a local reference is provided
onBehalfOf	SCN	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization） ref-1: SHALL have a contained resource if a local reference is provided
location	ΣCN	0..1	Reference(TW Core Location)	處置/手術發生的地點（Location）？ ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	ΣN	0..*	CodeableConceptTW	處置/手術執行原因代碼 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
reasonReference	ΣCN	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | DiagnosticReport | DocumentReference)	執行此處置/手術的原因 ref-1: SHALL have a contained resource if a local reference is provided
bodySite	SΣN	0..*	CodeableConceptTW	目標身體部位。 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
outcome	ΣN	0..1	CodeableConceptTW	處置/手術的結果。 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
report	CN	0..*	Reference(DiagnosticReport | DocumentReference | Composition)	此處置/手術產生的任何報告 ref-1: SHALL have a contained resource if a local reference is provided
complication	N	0..*	CodeableConceptTW	處置/手術後的併發症 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
complicationDetail	CN	0..*	Reference(TW Core Condition)	處置/手術後發生的病情、問題或診斷 ref-1: SHALL have a contained resource if a local reference is provided
followUp	N	0..*	CodeableConceptTW	追蹤說明。 Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
note	SN	1..1	Annotation	可補充說明此資料用途。備註特定治療項目代碼或手術(處置)代碼
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	ΣN	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown) Example Example: 特定治療項目代號(一)
focalDevice	N	0..*	BackboneElement	處理、植入的或移除的裝置
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action	N	0..1	CodeableConceptTW	改變裝置的種類 Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
manipulated	CN	1..1	Reference(Device)	被改變的裝置 ref-1: SHALL have a contained resource if a local reference is provided
usedReference	CN	0..*	Reference(Device | Medication | Substance)	處置/手術中使用的項目／物品 ref-1: SHALL have a contained resource if a local reference is provided
usedCode	N	0..*	CodeableConceptTW	處置/手術中使用的項目之代碼 Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	extensible	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	extensible	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Procedure.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
Procedure.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Procedure.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Procedure.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Procedure.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Procedure.performer.function	extensible	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	extensible	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	extensible	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	extensible	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	extensible	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Procedure.basedOn, Procedure.partOf, Procedure.subject, Procedure.encounter, Procedure.recorder, Procedure.asserter, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonReference, Procedure.report, Procedure.complicationDetail, Procedure.focalDevice.manipulated, Procedure.usedReference	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreProcedure

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM)
• Encounter TOTFA-案件分類 (https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterTOTFA)
• Encounter TOTFB-案件分類 (https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterTOTFB)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼 ele-1: All FHIR elements must have a @value or children
statusReason	ΣN	0..1	CodeableConceptTW	當前狀態的原因。 Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
category	ΣN	0..1	CodeableConceptTW	處置/手術的分類。 Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
code	SΣN	1..1	CodeableConceptTW	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49] Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices				Content/Rules for all slices
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2014	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:medical-service-payment	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:sct-procedures	SΣN	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:loinc-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]。或可由此補充說明此代碼用途，例如：特定治療項目代號(一) ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	處置/手術服務的對象 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
encounter	SΣCN	1..1	Reference(Encounter TOTFA-案件分類 | Encounter TOTFB-案件分類)	就醫（Encounter）紀錄作為處置/手術的一部分 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
performed[x]	SΣN	0..1		此處置/手術何時執行的？ ele-1: All FHIR elements must have a @value or children
performedDateTime			dateTime
asserter	SΣCN	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
performer	SΣN	0..*	BackboneElement	執行處置/手術的人員 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
function	ΣN	0..1	CodeableConceptTW	執行的型別 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
actor	SΣCN	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device)	參照至健康照護服務提供者 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
onBehalfOf	SCN	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization） ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	ΣN	0..*	CodeableConceptTW	處置/手術執行原因代碼 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
bodySite	SΣN	0..*	CodeableConceptTW	目標身體部位。 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
outcome	ΣN	0..1	CodeableConceptTW	處置/手術的結果。 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
complication	N	0..*	CodeableConceptTW	處置/手術後的併發症 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
followUp	N	0..*	CodeableConceptTW	追蹤說明。 Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
note	SN	1..1	Annotation	可補充說明此資料用途。備註特定治療項目代碼或手術(處置)代碼 ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children Example Example: 特定治療項目代號(一)
focalDevice	N	0..*	BackboneElement	處理、植入的或移除的裝置 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
action	N	0..1	CodeableConceptTW	改變裝置的種類 Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
manipulated	CN	1..1	Reference(Device)	被改變的裝置 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
usedCode	N	0..*	CodeableConceptTW	處置/手術中使用的項目之代碼 Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	extensible	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	extensible	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Procedure.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
Procedure.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Procedure.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Procedure.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Procedure.performer.function	extensible	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	extensible	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	extensible	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	extensible	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	extensible	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Procedure.subject, Procedure.encounter, Procedure.asserter, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.focalDevice.manipulated	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from TWCoreProcedure

Name	Flags	Card.	Type	Description & Constraints
Procedure			TWCoreProcedure
code				特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]
text				特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]。或可由此補充說明此代碼用途，例如：特定治療項目代號(一)
subject			Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
reference	S	1..		患者Resource Link
encounter	S	1..	Reference(Encounter TOTFA-案件分類 | Encounter TOTFB-案件分類)
reference	S
note	S	1..1		可補充說明此資料用途。備註特定治療項目代碼或手術(處置)代碼
text	S			Example Example: 特定治療項目代號(一)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	TWCoreProcedure	正在或曾經對病人執行的動作
id	Σ	0..1	string	不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄，通常又稱為邏輯性ID。
meta	ΣN	0..1	Meta	此Procedure Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Procedure Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text	N	0..1	Narrative	Procedure Resource之內容摘要以供人閱讀
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	0..*	Identifier	此處置/手術的外部識別碼
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	實例化FHIR計畫書（protocol）或定義
instantiatesUri	Σ	0..*	uri	實例化外部計畫書（protocol）或定義
basedOn	ΣCN	0..*	Reference(CarePlan | ServiceRequest)	此Procedure是基於什麼而履行 ref-1: SHALL have a contained resource if a local reference is provided
partOf	ΣCN	0..*	Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration)	參照事件的一部分 ref-1: SHALL have a contained resource if a local reference is provided
status	?!SΣ	1..1	code	preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼
statusReason	ΣN	0..1	CodeableConceptTW	當前狀態的原因。 Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
category	ΣN	0..1	CodeableConceptTW	處置/手術的分類。 Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
code	SΣN	1..1	CodeableConceptTW	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49] Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2023	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2023年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2021	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2021年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2014	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之2014年中文版ICD-10-PCS代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:medical-service-payment	SΣN	0..1	CodingTW	此為臺灣衛生福利部中央健康保險署（NHI）維護之醫療服務給付項目，主要針對申報使用，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:sct-procedures	SΣN	0..1	CodingTW	此為SNOMED CT處置/手術代碼，若機構已有購買相關授權，亦可使用。 Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:loinc-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	特定治療項目代碼或手術(處置)代碼。對應至TOTFA:[TOTFA.d4/TOTFA.d5/TOTFA.d6/TOTFA.d7/TOTFA.d24/TOTFA.d25/TOTFA.d26]。對應至TOTFB:[TOTFB.d45/TOTFB.d46/TOTFB.d47/TOTFB.d48/TOTFB.d49]。或可由此補充說明此代碼用途，例如：特定治療項目代號(一)
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	處置/手術服務的對象 ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣCN	1..1	Reference(Encounter TOTFA-案件分類 | Encounter TOTFB-案件分類)	就醫（Encounter）紀錄作為處置/手術的一部分 ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performed[x]	SΣN	0..1		此處置/手術何時執行的？
performedDateTime			dateTime S
performedPeriod			Period
performedString			string
performedAge			Age
performedRange			Range
recorder	ΣCN	0..1	Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson)	誰記錄此處置/手術 ref-1: SHALL have a contained resource if a local reference is provided
asserter	SΣCN	0..1	Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole)	聲稱有此處置/手術的人 ref-1: SHALL have a contained resource if a local reference is provided
performer	SΣN	0..*	BackboneElement	執行處置/手術的人員
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	ΣN	0..1	CodeableConceptTW	執行的型別 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
actor	SΣCN	1..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device)	參照至健康照護服務提供者 ref-1: SHALL have a contained resource if a local reference is provided
onBehalfOf	SCN	0..1	Reference(TW Core Organization)	此裝置（Device）或健康照護服務提供者所屬機構（Organization） ref-1: SHALL have a contained resource if a local reference is provided
location	ΣCN	0..1	Reference(TW Core Location)	處置/手術發生的地點（Location）？ ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	ΣN	0..*	CodeableConceptTW	處置/手術執行原因代碼 Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
reasonReference	ΣCN	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | DiagnosticReport | DocumentReference)	執行此處置/手術的原因 ref-1: SHALL have a contained resource if a local reference is provided
bodySite	SΣN	0..*	CodeableConceptTW	目標身體部位。 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
outcome	ΣN	0..1	CodeableConceptTW	處置/手術的結果。 Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
report	CN	0..*	Reference(DiagnosticReport | DocumentReference | Composition)	此處置/手術產生的任何報告 ref-1: SHALL have a contained resource if a local reference is provided
complication	N	0..*	CodeableConceptTW	處置/手術後的併發症 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
complicationDetail	CN	0..*	Reference(TW Core Condition)	處置/手術後發生的病情、問題或診斷 ref-1: SHALL have a contained resource if a local reference is provided
followUp	N	0..*	CodeableConceptTW	追蹤說明。 Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
note	SN	1..1	Annotation	可補充說明此資料用途。備註特定治療項目代碼或手術(處置)代碼
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	ΣN	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown) Example Example: 特定治療項目代號(一)
focalDevice	N	0..*	BackboneElement	處理、植入的或移除的裝置
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action	N	0..1	CodeableConceptTW	改變裝置的種類 Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
manipulated	CN	1..1	Reference(Device)	被改變的裝置 ref-1: SHALL have a contained resource if a local reference is provided
usedReference	CN	0..*	Reference(Device | Medication | Substance)	處置/手術中使用的項目／物品 ref-1: SHALL have a contained resource if a local reference is provided
usedCode	N	0..*	CodeableConceptTW	處置/手術中使用的項目之代碼 Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Procedure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	extensible	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	extensible	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
Procedure.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
Procedure.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
Procedure.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
Procedure.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Procedure.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Procedure.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Procedure.performer.function	extensible	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	extensible	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	extensible	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	extensible	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	extensible	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	extensible	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Procedure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Procedure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Procedure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Procedure	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	Procedure.basedOn, Procedure.partOf, Procedure.subject, Procedure.encounter, Procedure.recorder, Procedure.asserter, Procedure.performer.actor, Procedure.performer.onBehalfOf, Procedure.location, Procedure.reasonReference, Procedure.report, Procedure.complicationDetail, Procedure.focalDevice.manipulated, Procedure.usedReference	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreProcedure

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM)
• Encounter TOTFA-案件分類 (https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterTOTFA)
• Encounter TOTFB-案件分類 (https://www.ghd.tw/cdm-fhir/StructureDefinition/EncounterTOTFB)