Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
identifier	S	0..*	Identifier	External Identifiers for this procedure
value	S	0..1	string	醫令序。[TOTFA.p13]
status	S	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed
category	S	0..1	CodeableConcept	Classification of the procedure
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[TOTFA.p3]
display	S	1..1	string	[醫令類別]
text		0..1	string	[醫令類別]
code	S	0..1	CodeableConcept	Identification of the procedure
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[TOTFA.p4]
display	S	1..1	string	[藥品(項目)代號]
text		0..1	string	[藥品(項目)代號]
subject	S	1..1	Reference(Patient 門診住院-病患基本資料)	Who the procedure was performed on
reference	S	1..1	string	患者Resource Link
encounter	S	1..1	Reference(Encounter TOTFA-案件分類)	Encounter created as part of
reference	S	1..1	string	TOTFA案件分類Resource Link
performed[x]	S	0..1	Period	When the procedure was performed
start	S	0..1	dateTime	執行時間-起。[TOTFA.p14]
end	S	0..1	dateTime	執行時間-迄。[TOTFA.p15]
bodySite	S	0..*	CodeableConcept	Target body sites
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[TOTFA.p6]
display	S	1..1	string	[診療之部位]
text		0..1	string	[診療之部位]
note	S	0..*	Annotation	Additional information about the procedure
text	S	1..1	markdown	[TOTFA.p10,TOTFA.p2]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Identifiers for this procedure
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	0..1	string	醫令序。[TOTFA.p13] Example General: 123456
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[TOTFA.p3]
display	SΣ	1..1	string	[醫令類別]
text	Σ	0..1	string	[醫令類別]
code	SΣ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[TOTFA.p4]
display	SΣ	1..1	string	[藥品(項目)代號]
text	Σ	0..1	string	[藥品(項目)代號]
subject	SΣ	1..1	Reference(Patient 門診住院-病患基本資料)	Who the procedure was performed on
reference	SΣC	1..1	string	患者Resource Link
encounter	SΣ	1..1	Reference(Encounter TOTFA-案件分類)	Encounter created as part of
reference	SΣC	1..1	string	TOTFA案件分類Resource Link
performed[x]	SΣ	0..1	Period	When the procedure was performed
start	SΣC	0..1	dateTime	執行時間-起。[TOTFA.p14]
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15]
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[TOTFA.p6]
display	SΣ	1..1	string	[診療之部位]
text	Σ	0..1	string	[診療之部位]
note	S	0..*	Annotation	Additional information about the procedure
text	SΣ	1..1	markdown	[TOTFA.p10,TOTFA.p2]
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.identifier.use	required	IdentifierUse
Procedure.status	required	Fixed Value: completed
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	example	ProcedureCodes(SNOMEDCT)
Procedure.bodySite	example	SNOMEDCTBodyStructures

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()

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Identifiers for this procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	醫令序。[TOTFA.p13] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[TOTFA.p3]
display	SΣ	1..1	string	[醫令類別]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[醫令類別]
code	SΣ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[TOTFA.p4]
display	SΣ	1..1	string	[藥品(項目)代號]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[藥品(項目)代號]
subject	SΣ	1..1	Reference(Patient 門診住院-病患基本資料)	Who the procedure was performed on
id		0..1	string	Unique id for inter-element referencing
extension		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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	1..1	Reference(Encounter TOTFA-案件分類)	Encounter created as part of
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	TOTFA案件分類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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performed[x]	SΣ	0..1	Period	When the procedure was performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	執行時間-起。[TOTFA.p14]
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15]
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[TOTFA.p6]
display	SΣ	1..1	string	[診療之部位]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[診療之部位]
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Additional information about the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	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	[TOTFA.p10,TOTFA.p2]
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier.use	required	IdentifierUse
Procedure.identifier.type	extensible	Identifier Type Codes
Procedure.status	required	Fixed Value: completed
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	example	ProcedureCodes(SNOMEDCT)
Procedure.subject.type	extensible	ResourceType
Procedure.encounter.type	extensible	ResourceType
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 3 elements (9 nested mandatory elements)
Must-Support: 27 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• Patient 門診住院-病患基本資料 (https://standard-interoperability-lab.com/fhir/StructureDefinition/PatientTOTFAB)
• Encounter TOTFA-案件分類 (https://standard-interoperability-lab.com/fhir/StructureDefinition/EncounterTOTFAd1)

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
identifier	S	0..*	Identifier	External Identifiers for this procedure
value	S	0..1	string	醫令序。[TOTFA.p13]
status	S	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Fixed Value: completed
category	S	0..1	CodeableConcept	Classification of the procedure
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[TOTFA.p3]
display	S	1..1	string	[醫令類別]
text		0..1	string	[醫令類別]
code	S	0..1	CodeableConcept	Identification of the procedure
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[TOTFA.p4]
display	S	1..1	string	[藥品(項目)代號]
text		0..1	string	[藥品(項目)代號]
subject	S	1..1	Reference(Patient 門診住院-病患基本資料)	Who the procedure was performed on
reference	S	1..1	string	患者Resource Link
encounter	S	1..1	Reference(Encounter TOTFA-案件分類)	Encounter created as part of
reference	S	1..1	string	TOTFA案件分類Resource Link
performed[x]	S	0..1	Period	When the procedure was performed
start	S	0..1	dateTime	執行時間-起。[TOTFA.p14]
end	S	0..1	dateTime	執行時間-迄。[TOTFA.p15]
bodySite	S	0..*	CodeableConcept	Target body sites
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	健保資料網址
code	S	1..1	code	[TOTFA.p6]
display	S	1..1	string	[診療之部位]
text		0..1	string	[診療之部位]
note	S	0..*	Annotation	Additional information about the procedure
text	S	1..1	markdown	[TOTFA.p10,TOTFA.p2]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Identifiers for this procedure
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	0..1	string	醫令序。[TOTFA.p13] Example General: 123456
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[TOTFA.p3]
display	SΣ	1..1	string	[醫令類別]
text	Σ	0..1	string	[醫令類別]
code	SΣ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[TOTFA.p4]
display	SΣ	1..1	string	[藥品(項目)代號]
text	Σ	0..1	string	[藥品(項目)代號]
subject	SΣ	1..1	Reference(Patient 門診住院-病患基本資料)	Who the procedure was performed on
reference	SΣC	1..1	string	患者Resource Link
encounter	SΣ	1..1	Reference(Encounter TOTFA-案件分類)	Encounter created as part of
reference	SΣC	1..1	string	TOTFA案件分類Resource Link
performed[x]	SΣ	0..1	Period	When the procedure was performed
start	SΣC	0..1	dateTime	執行時間-起。[TOTFA.p14]
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15]
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	健保資料網址
code	SΣ	1..1	code	[TOTFA.p6]
display	SΣ	1..1	string	[診療之部位]
text	Σ	0..1	string	[診療之部位]
note	S	0..*	Annotation	Additional information about the procedure
text	SΣ	1..1	markdown	[TOTFA.p10,TOTFA.p2]
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.identifier.use	required	IdentifierUse
Procedure.status	required	Fixed Value: completed
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	example	ProcedureCodes(SNOMEDCT)
Procedure.bodySite	example	SNOMEDCTBodyStructures

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()

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Identifiers for this procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	醫令序。[TOTFA.p13] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	0..*	Reference(Procedure | Observation | MedicationAdministration)	Part of referenced event
status	?!SΣ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure. Fixed Value: completed
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	0..1	CodeableConcept	Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[TOTFA.p3]
display	SΣ	1..1	string	[醫令類別]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[醫令類別]
code	SΣ	0..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[TOTFA.p4]
display	SΣ	1..1	string	[藥品(項目)代號]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[藥品(項目)代號]
subject	SΣ	1..1	Reference(Patient 門診住院-病患基本資料)	Who the procedure was performed on
id		0..1	string	Unique id for inter-element referencing
extension		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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	1..1	Reference(Encounter TOTFA-案件分類)	Encounter created as part of
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	TOTFA案件分類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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performed[x]	SΣ	0..1	Period	When the procedure was performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	執行時間-起。[TOTFA.p14]
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15]
recorder	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner
onBehalfOf		0..1	Reference(Organization)	Organization the device or practitioner was acting for
location	Σ	0..1	Reference(Location)	Where the procedure happened
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	Σ	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed
bodySite	SΣ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	健保資料網址
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	[TOTFA.p6]
display	SΣ	1..1	string	[診療之部位]
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	[診療之部位]
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report		0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail		0..*	Reference(Condition)	A condition that is a result of the procedure
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note	S	0..*	Annotation	Additional information about the procedure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	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	[TOTFA.p10,TOTFA.p2]
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated		1..1	Reference(Device)	Device that was changed
usedReference		0..*	Reference(Device | Medication | Substance)	Items used during procedure
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Procedure.identifier.use	required	IdentifierUse
Procedure.identifier.type	extensible	Identifier Type Codes
Procedure.status	required	Fixed Value: completed
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT)
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT)
Procedure.code	example	ProcedureCodes(SNOMEDCT)
Procedure.subject.type	extensible	ResourceType
Procedure.encounter.type	extensible	ResourceType
Procedure.performer.function	example	ProcedurePerformerRoleCodes
Procedure.reasonCode	example	ProcedureReasonCodes
Procedure.bodySite	example	SNOMEDCTBodyStructures
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT)
Procedure.complication	example	Condition/Problem/DiagnosisCodes
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes
Procedure.usedCode	example	FHIRDeviceTypes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 3 elements (9 nested mandatory elements)
Must-Support: 27 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• Patient 門診住院-病患基本資料 (https://standard-interoperability-lab.com/fhir/StructureDefinition/PatientTOTFAB)
• Encounter TOTFA-案件分類 (https://standard-interoperability-lab.com/fhir/StructureDefinition/EncounterTOTFAd1)