This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v0.2.0: Releases) 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: 放射治療總劑量-Substance TWPAS

此放射治療總劑量-Substance TWPAS Profile說明本IG如何進一步定義FHIR的Substance Resource以呈現癌藥事前審查中治療資訊之放射治療總劑量

Usage:

• Use this Resource Profile: 事前審查-Bundle TWPAS
• Refer to this Resource Profile: 放射治療-Procedure TWPAS
• Examples for this Resource Profile: Substance/sub-min

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Substance

Name	Flags	Card.	Type	Description & Constraints
Substance			Substance
code		1..1	CodeableConcept	放射治療項目，伽傌射線、高能量X光、質子治療、碘-123、鎝-99m、碘-131、銦-111等。ICD-PCS。 Binding: 臺灣健保署2021年中文版ICD 10 PCS-放射治療項目值集 (required)
ingredient	S	0..1	BackboneElement	Composition information about the substance
quantity
numerator
value	S	0..1	decimal	放射治療總劑量
unit	S	0..1	string	放射治療總劑量單位
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Substance.code	required	ICD10PCSRadiotherapy https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-radiotherapy from this IG

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
code	Σ	1..1	CodeableConcept	放射治療項目，伽傌射線、高能量X光、質子治療、碘-123、鎝-99m、碘-131、銦-111等。ICD-PCS。 Binding: 臺灣健保署2021年中文版ICD 10 PCS-放射治療項目值集 (required)
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	Σ	0..1	Ratio	Optional amount (concentration)
numerator	Σ	0..1	Quantity	Numerator value
value	SΣ	0..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	放射治療總劑量單位
substance[x]	Σ	1..1		A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.code	required	ICD10PCSRadiotherapy https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-radiotherapy from this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Substance.ingredient.substance[x]	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
category	Σ	0..*	CodeableConcept	What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
code	Σ	1..1	CodeableConcept	放射治療項目，伽傌射線、高能量X光、質子治療、碘-123、鎝-99m、碘-131、銦-111等。ICD-PCS。 Binding: 臺灣健保署2021年中文版ICD 10 PCS-放射治療項目值集 (required)
description	Σ	0..1	string	Textual description of the substance, comments
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..1	Identifier	Identifier of the package/container
expiry	Σ	0..1	dateTime	When no longer valid to use
quantity	Σ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	Σ	0..1	Ratio	Optional amount (concentration)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	0..1	Quantity	Numerator value
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	放射治療總劑量單位
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
denominator	Σ	0..1	Quantity	Denominator value
substance[x]	Σ	1..1		A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.category	extensible	SubstanceCategoryCodes http://hl7.org/fhir/ValueSet/substance-category from the FHIR Standard
Substance.code	required	ICD10PCSRadiotherapy https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-radiotherapy from this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Substance.ingredient.substance[x]	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard

Constraints

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

This structure is derived from Substance

Summary

Must-Support: 3 elements

Differential View

This structure is derived from Substance

Name	Flags	Card.	Type	Description & Constraints
Substance			Substance
code		1..1	CodeableConcept	放射治療項目，伽傌射線、高能量X光、質子治療、碘-123、鎝-99m、碘-131、銦-111等。ICD-PCS。 Binding: 臺灣健保署2021年中文版ICD 10 PCS-放射治療項目值集 (required)
ingredient	S	0..1	BackboneElement	Composition information about the substance
quantity
numerator
value	S	0..1	decimal	放射治療總劑量
unit	S	0..1	string	放射治療總劑量單位
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Substance.code	required	ICD10PCSRadiotherapy https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-radiotherapy from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
code	Σ	1..1	CodeableConcept	放射治療項目，伽傌射線、高能量X光、質子治療、碘-123、鎝-99m、碘-131、銦-111等。ICD-PCS。 Binding: 臺灣健保署2021年中文版ICD 10 PCS-放射治療項目值集 (required)
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	Σ	0..1	Ratio	Optional amount (concentration)
numerator	Σ	0..1	Quantity	Numerator value
value	SΣ	0..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	放射治療總劑量單位
substance[x]	Σ	1..1		A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.code	required	ICD10PCSRadiotherapy https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-radiotherapy from this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Substance.ingredient.substance[x]	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Substance		0..*	Substance	A homogeneous material with a definite composition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique identifier
status	?!Σ	0..1	code	active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used.
category	Σ	0..*	CodeableConcept	What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance.
code	Σ	1..1	CodeableConcept	放射治療項目，伽傌射線、高能量X光、質子治療、碘-123、鎝-99m、碘-131、銦-111等。ICD-PCS。 Binding: 臺灣健保署2021年中文版ICD 10 PCS-放射治療項目值集 (required)
description	Σ	0..1	string	Textual description of the substance, comments
instance	Σ	0..*	BackboneElement	If this describes a specific package/container of the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..1	Identifier	Identifier of the package/container
expiry	Σ	0..1	dateTime	When no longer valid to use
quantity	Σ	0..1	SimpleQuantity	Amount of substance in the package
ingredient	SΣ	0..1	BackboneElement	Composition information about the substance
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity	Σ	0..1	Ratio	Optional amount (concentration)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	Σ	0..1	Quantity	Numerator value
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	放射治療總劑量
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	放射治療總劑量單位
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
denominator	Σ	0..1	Quantity	Denominator value
substance[x]	Σ	1..1		A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes.
substanceCodeableConcept			CodeableConcept
substanceReference			Reference(Substance)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Substance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Substance.status	required	FHIRSubstanceStatus http://hl7.org/fhir/ValueSet/substance-status|4.0.1 from the FHIR Standard
Substance.category	extensible	SubstanceCategoryCodes http://hl7.org/fhir/ValueSet/substance-category from the FHIR Standard
Substance.code	required	ICD10PCSRadiotherapy https://twcore.mohw.gov.tw/ig/pas/ValueSet/icd-10-pcs-radiotherapy from this IG
Substance.ingredient.quantity.numerator.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Substance.ingredient.substance[x]	example	SubstanceCode http://hl7.org/fhir/ValueSet/substance-code from the FHIR Standard

Constraints

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

This structure is derived from Substance

Summary

Must-Support: 3 elements

Other representations of profile: CSV, Excel, Schematron