臺灣核心實作指引(TW Core IG)
0.1.1 - Trial Use
臺灣核心實作指引(TW Core IG)
0.1.1 - Trial Use
This page is part of the 臺灣核心實作指引(TW Core IG) (v0.1.1: Releases) based on FHIR 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 
| Active as of 2023-08-30 |
JSON representation of the Procedure-twcore resource profile.
{
"resourceType" : "StructureDefinition",
"id" : "Procedure-twcore",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
},
"url" : "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore",
"version" : "0.1.1",
"name" : "TWCoreProcedure",
"title" : "TW Core Procedure",
"status" : "active",
"date" : "2023-08-30T12:27:08+08:00",
"contact" : [
{
"name" : "衛生福利部",
"telecom" : [
{
"system" : "url",
"value" : "https://www.mohw.gov.tw/"
},
{
"system" : "email",
"value" : "CCYU@mohw.gov.tw"
}
]
}
],
"description" : "此臺灣核心-處置(TW Core Procedure) Profile說明本IG如何進一步定義FHIR的Procedure Resource以呈現處置基本資料 [[*FMM1*](http://build.fhir.org/versions.html#maturity)]",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Procedure",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Procedure",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Procedure",
"path" : "Procedure",
"short" : "正在或曾經對病人執行的動作",
"definition" : "正在或曾經對病人執行的動作。這可以是像手術這樣的身體介入，也可以是像長照服務、諮詢或催眠療法這樣的非侵入性介入。HL7 FHIR官網另有提到的例子包括例如包括診斷處置、內視鏡處置、活體組織切片、諮詢、物理治療、個人支持服務、日照服務、非緊急運輸、改善家居設施、健身活動等。處置可以由醫護人員、服務提供人員、朋友或親屬或在某些情況下由病人自己執行。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "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",
"expression" : "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()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "rim",
"map" : "Procedure[moodCode=EVN]"
}
]
},
{
"id" : "Procedure.id",
"path" : "Procedure.id",
"short" : "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。",
"definition" : "resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。",
"comment" : "一個resource使用新增操作（create operation）提交給伺服器時是此resource唯一沒有id的時刻",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Procedure.meta",
"path" : "Procedure.meta",
"short" : "此Procedure Resource的metadata",
"definition" : "關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Procedure.implicitRules",
"path" : "Procedure.implicitRules",
"short" : "創建此內容所依據的一組規則",
"definition" : "構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是IG定義特殊規則及其他profiles的參照。",
"comment" : "宣告這套規則限制了內容只能被有限的貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和／或規範編寫者應該避免使用這個資料項目。通常，在使用時，此URL是對實作指引的參照，此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "Procedure.language",
"path" : "Procedure.language",
"short" : "用以表述Procedure Resource內容的語言",
"definition" : "編寫此resource的基礎語言",
"comment" : "提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此基礎語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div元素（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"example" : [
{
"label" : "Value",
"valueString" : "zh-TW"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "preferred",
"description" : "人類語言；鼓勵使用[CommonLanguages](http://hl7.org/fhir/R4/valueset-languages.html)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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "Procedure.text",
"path" : "Procedure.text",
"short" : "Procedure Resource之內容摘要以供人閱讀",
"definition" : "人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義可定義哪些內容應該在敘述中表示，以確保臨床安全。",
"comment" : "內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。在某些情況下，resource可能只有文字表述，很少或沒有額外的離散資料（只要滿足所有minOccurs=1的資料項目）。這對於來自舊有系統的資料可能是必要的，在這些系統中，從 「文字表述區塊（text blob） 」獲取訊息，或者文字表述是額外的原始輸入或敘述，而編碼訊息是後來添加的。",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Procedure.contained",
"path" : "Procedure.contained",
"short" : "內嵌的（contained）、行內的Resources",
"definition" : "這些resource內嵌（contains）的resource不會另外存於任何FHIR伺服器，意即它們無法在任何FHIR伺服器中被找到，也無法有自己獨立的資料異動／交易（transaction）範圍。",
"comment" : "當內容可以從任何FHIR伺服器找到時，不應該以內嵌（contained）resource的方式呈現，因為一旦識別丟失，要再次恢復它是非常困難的（並且取決於情境）。內嵌（contained）的resource可在它們的meta資料項目中表述profiles和tag（標籤），但 **必須沒有（SHALL NOT）** 資訊安全標號（security labels）。",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Procedure.extension",
"path" : "Procedure.extension",
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Procedure.modifierExtension",
"path" : "Procedure.modifierExtension",
"short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
"definition" : "可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和（或）對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n 修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"requirements" : "修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息，請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false
},
{
"id" : "Procedure.identifier",
"path" : "Procedure.identifier",
"short" : "此處置的外部識別碼",
"definition" : "由執行者或其他系統指定給此處置的業務用識別碼，即使此resource作更新及在伺服器之間的傳遞，此識別碼仍保持不變。",
"comment" : "這是一個業務識別碼，不是一個resource識別碼（詳見討論）。最好的做法是該識別碼只出現在單個resource實例上，但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如：多個 「Patient（病人）」和 「Person（個人）」resource實例可能共用同一個社會保險號碼。",
"requirements" : "允許識別各參與系統所知的此處置資訊，並在各伺服器之間保持一致的方式。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "v2",
"map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
},
{
"identity" : "rim",
"map" : ".id"
}
]
},
{
"id" : "Procedure.instantiatesCanonical",
"path" : "Procedure.instantiatesCanonical",
"short" : "實例化FHIR計畫書（protocol）或定義",
"definition" : "指向此處置全部或部分遵守的FHIR定義的計畫書（protocol）、指南（guideline）、醫令集（orderset）或其他定義的URL。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.instantiatesCanonical",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "canonical",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/PlanDefinition",
"http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
"http://hl7.org/fhir/StructureDefinition/Measure",
"http://hl7.org/fhir/StructureDefinition/OperationDefinition",
"http://hl7.org/fhir/StructureDefinition/Questionnaire"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.instantiatesCanonical"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "Procedure.instantiatesUri",
"path" : "Procedure.instantiatesUri",
"short" : "實例化外部計畫書（protocol）或定義",
"definition" : "指向此處置全部或部分的外部維護之計畫書（protocol）、指南（guideline）、醫令集（orderset）或其他定義的URL。",
"comment" : "這可能是一個HTML頁面、PDF等，也可能只是一個不可分解的URI識別碼。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.instantiatesUri",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.instantiatesUri"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id" : "Procedure.basedOn",
"path" : "Procedure.basedOn",
"short" : "此Procedure是基於什麼而履行？",
"definition" : "對一個resource的參照，此resource包含此處置請求的細節。",
"alias" : [
"fulfills"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/CarePlan",
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code"
}
]
},
{
"id" : "Procedure.partOf",
"path" : "Procedure.partOf",
"short" : "參照事件的一部分",
"definition" : "這個特定的處置是一個更大的事件中的一個組成部分或步驟",
"comment" : "MedicationAdministration.partOf有一個Procedure參照，但這不是一個迴圈參照。例如：麻醉的給藥（MedicationAdministration）是手術處置的一部分（MedicationAdministration.partOf = Procedure）。例如：為靜脈給藥插入靜脈口的處置是給藥的一部分（Procedure.partOf = MedicationAdministration）。",
"alias" : [
"container"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
"http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.partOf"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
}
]
},
{
"id" : "Procedure.status",
"path" : "Procedure.status",
"short" : "preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown",
"definition" : "一個指定處置當前狀態的代碼。一般來說，它是進行中或完成的狀態。",
"comment" : "「未知」代碼不能用來表達其他狀態。當其中一個狀態適用時但編輯系統不知道此處置的當前狀態，應該使用「未知」代碼。 \r\n \r\n此資料項目被標記為修飾用，因為狀態包含標記resource當前無效的代碼。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Procedure.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : true,
"isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureStatus"
}
],
"strength" : "required",
"description" : "應填入[EventStatus](http://hl7.org/fhir/R4/valueset-event-status.html)值集中的其中一個代碼",
"valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.1"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "rim",
"map" : "statusCode"
}
]
},
{
"id" : "Procedure.statusReason",
"path" : "Procedure.statusReason",
"short" : "當前狀態的原因。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "捕捉Procedure當前狀態的原因",
"comment" : "這通常只用於「例外」狀態像是「未完成」、「暫停」或「終止」。執行此處置的原因是在reasonCode中說明，而不是在這裡。",
"alias" : [
"Suspended Reason",
"Cancelled Reason"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.statusReason",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureNegationReason"
}
],
"strength" : "example",
"description" : "可參考[Procedure Not Performed Reason(SNOMED-CT)](http://hl7.org/fhir/R4/valueset-procedure-not-performed-reason.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.category",
"path" : "Procedure.category",
"short" : "處置的分類。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "對處置進行分類的代碼（例如：「手術處置」）。主要為了搜尋、排序和顯示時使用。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.category",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureCategory"
}
],
"strength" : "example",
"description" : "可參考[Procedure Category Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-category.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.code",
"path" : "Procedure.code",
"short" : "處置的識別碼。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "所進行的特定處置。如果不能對處置的確切種類進行編碼，則使用文字（例如：「腹腔鏡闌尾切除術」）。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"requirements" : "0..1主要僅用於解釋敘述性的resource。",
"alias" : [
"type"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Procedure.code",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureCode"
}
],
"strength" : "example",
"description" : "可參考[Procedure Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-code.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.code.id",
"path" : "Procedure.code.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Procedure.code.extension",
"path" : "Procedure.code.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "擴充的資料項目",
"definition" : "擴充的資料項目",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Procedure.code.coding",
"path" : "Procedure.code.coding",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "$this"
}
],
"rules" : "open"
},
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "*",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Procedure.code.coding:icd10-pcs-2021",
"path" : "Procedure.code.coding",
"sliceName" : "icd10-pcs-2021",
"short" : "此為臺灣衛生福利部中央健康保險署維護之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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[臺灣2021年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2021-tw.html)值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Procedure.code.coding:icd10-pcs-2014",
"path" : "Procedure.code.coding",
"sliceName" : "icd10-pcs-2014",
"short" : "此為臺灣衛生福利部中央健康保險署維護之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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[臺灣2014年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2014-tw.html)值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Procedure.code.coding:icd9-cm-2001",
"path" : "Procedure.code.coding",
"sliceName" : "icd9-cm-2001",
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Procedure.code.coding:medical-service-payment",
"path" : "Procedure.code.coding",
"sliceName" : "medical-service-payment",
"short" : "此為中央健康保險署(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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[臺灣2014年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2014-tw.html)值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-tw"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Procedure.code.coding:sct-procedures-ips",
"path" : "Procedure.code.coding",
"sliceName" : "sct-procedures-ips",
"short" : "此為SNOMED CT處置代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.coding",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Coding",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[Procedures - IPS](http://hl7.org/fhir/uv/ips/STU1.1/ValueSet-procedures-uv-ips.html)值集中的其中一個代碼。",
"valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"
},
{
"identity" : "rim",
"map" : "CV"
},
{
"identity" : "orim",
"map" : "fhir:Coding rdfs:subClassOf dt:CDCoding"
}
]
},
{
"id" : "Procedure.code.text",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean" : true
}
],
"path" : "Procedure.code.text",
"short" : "概念的文字表示法",
"definition" : "輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。",
"comment" : "很多時候，此文字表述與其中一個代碼的顯示名稱相同。",
"requirements" : "專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "CodeableConcept.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity" : "rim",
"map" : "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id" : "Procedure.subject",
"path" : "Procedure.subject",
"short" : "處置服務的對象",
"definition" : "進行處置的病人、動物或實體集合（例如：特定的一群人）。",
"alias" : [
"patient"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Procedure.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=SBJ].role"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "Procedure.encounter",
"path" : "Procedure.encounter",
"short" : "就醫（Encounter）紀錄作為處置的一部分",
"definition" : "此「處置（Procedure）」記載在哪次的「就醫（Encounter）」紀錄或者與此處置紀錄密切相關的「就醫（Encounter）」紀錄",
"comment" : "通常是此處置發生的就醫事件（Encounter），雖然有些活動可能在就醫結束之前或之後開始，但仍與就醫事件的情境有關。這筆紀錄表明與此處置紀錄相關的就醫事件。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "w5",
"map" : "FiveWs.context"
},
{
"identity" : "v2",
"map" : "PV1-19"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
},
{
"id" : "Procedure.performed[x]",
"path" : "Procedure.performed[x]",
"short" : "此處置何時執行的？",
"definition" : "進行處置的估計或實際日期、日期時間、時間區間或年齡。允許一個時間區間來支持跨越一個日期以上的複雜處置，也允許捕捉處置的執行時間長度。",
"comment" : "年齡一般用於病人報告其進行手術的年齡，像是20到25歲時。 dateTime支援一定的精度範圍，因為有些處置被報告為過去的處置，可能沒有毫秒的精度，而其他在就醫期間執行和記錄的處置可能有更精確的UTC時間戳記和時區。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.performed[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean" : true
}
],
"code" : "dateTime"
},
{
"code" : "Period"
},
{
"code" : "string"
},
{
"code" : "Age"
},
{
"code" : "Range"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.done[x]"
},
{
"identity" : "v2",
"map" : "OBR-7"
},
{
"identity" : "rim",
"map" : ".effectiveTime"
}
]
},
{
"id" : "Procedure.recorder",
"path" : "Procedure.recorder",
"short" : "誰記錄此處置",
"definition" : "記錄處置內容並對其內容負責的個人",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.recorder",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.author"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=AUT].role"
}
]
},
{
"id" : "Procedure.asserter",
"path" : "Procedure.asserter",
"short" : "聲稱有此處置的人",
"definition" : "提出此處置說明的人",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.asserter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.source"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=INF].role"
}
]
},
{
"id" : "Procedure.performer",
"path" : "Procedure.performer",
"short" : "執行處置的人員",
"definition" : "限於「真正的」人而不是設備",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.performer"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=PRF]"
}
]
},
{
"id" : "Procedure.performer.id",
"path" : "Procedure.performer.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Procedure.performer.extension",
"path" : "Procedure.performer.extension",
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Procedure.performer.modifierExtension",
"path" : "Procedure.performer.modifierExtension",
"short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
"definition" : "可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和（或）對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n 修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"requirements" : "修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息，請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true
},
{
"id" : "Procedure.performer.function",
"path" : "Procedure.performer.function",
"short" : "執行的型別",
"definition" : "區分執行者在處置中的參與型別，例如：外科醫生、麻醉師、內視鏡醫生。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"requirements" : "允許針對不同執行者的參與型別進行澄清以消除歧義",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.performer.function",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedurePerformerRole"
}
],
"strength" : "example",
"description" : "可參考[Procedure Performer Role Codes](http://hl7.org/fhir/R4/valueset-performer-role.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.performer.actor",
"path" : "Procedure.performer.actor",
"short" : "參照至健康照護服務提供人員",
"definition" : "參與處置的健康照護服務提供人員",
"requirements" : "一個參照至裝置（Device）的使用案例，例如：心律調整器。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Procedure.performer.actor",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"http://hl7.org/fhir/StructureDefinition/Device"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "v2",
"map" : "ORC-19/PRT-5"
},
{
"identity" : "rim",
"map" : ".role"
}
]
},
{
"id" : "Procedure.performer.onBehalfOf",
"path" : "Procedure.performer.onBehalfOf",
"short" : "此裝置（Device）或健康照護服務提供人員所屬機構（Organization）",
"definition" : "此裝置或健康照護服務提供人員所代表的機構",
"requirements" : "健康照護服務提供人員和裝置可以與多個機構相關聯，此資料項目表明他們在執行行動時代表哪個機構。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.performer.onBehalfOf",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".scoper"
}
]
},
{
"id" : "Procedure.location",
"path" : "Procedure.location",
"short" : "處置發生的地點（Location）？",
"definition" : "實際發生處置的地點（Location）。例如：新生兒在家裡出生、在餐廳做氣管切開術。",
"requirements" : "將一個處置與可能保存紀錄的地點（Location）聯繫起來",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.location",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Location"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.where[x]"
},
{
"identity" : "rim",
"map" : ".participation[typeCode=LOC].role[classCode=SDLOC]"
}
]
},
{
"id" : "Procedure.reasonCode",
"path" : "Procedure.reasonCode",
"short" : "處置執行原因代碼",
"definition" : "進行此處置的原因代碼。這可能是某種型別的編碼，也可能只是文字表述。",
"comment" : "當一個代碼足以描述原因時，使用Procedure.reasonCode。當參照一個resource時，使用Procedure.reasonReference以傳達更多的資訊，如發病日期。Procedure.reasonCode和Procedure.reasonReference不應該是重複的。對於一個單一的原因，Procedure.reasonCode或Procedure.reasonReference都可以被使用。Procedure.reasonCode可以是一個摘要代碼，或者Procedure.reasonReference可以用Condition | Observation | Procedure | DiagnosticReport | DocumentReference來參照一個非常精確的原因定義。如果Procedure.reasonCode和Procedure.reasonReference描述的是處置的不同原因，則兩者都可以使用。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.reasonCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureReason"
}
],
"strength" : "example",
"description" : "可[參考[Procedure Reason Codes](http://hl7.org/fhir/R4/valueset-procedure-reason.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.reasonReference",
"path" : "Procedure.reasonReference",
"short" : "執行此處置的原因",
"definition" : "為什麼進行此處置的原因",
"comment" : "一個處置有可能成為另一個處置（如C-Section）的理由（如硬膜外）。其他的例子包括擴張的內窺鏡檢查和活檢（診斷和治療的結合）。\r\n 當一個代碼充分地描述了原因時，使用Procedure.reasonCode。當引用一個resource時，使用Procedure.reasonReference，這樣可以傳達更多的資訊，如發病日期。Procedure.reasonCode和Procedure.reasonReference不應該是重複的。對於一個單一的原因，Procedure.reasonCode或Procedure.reasonReference都可以被使用。Procedure.reasonCode可以是一個摘要代碼，或者Procedure.reasonReference可以用Condition | Observation | Procedure | DiagnosticReport | DocumentReference來引用一個非常精確的原因定義。如果Procedure.reasonCode和Procedure.reasonReference描述的是處置的不同原因，則兩者都可以使用。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.reasonReference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore",
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.reasonReference"
},
{
"identity" : "w5",
"map" : "FiveWs.why[x]"
},
{
"identity" : "rim",
"map" : ".reasonCode"
}
]
},
{
"id" : "Procedure.bodySite",
"path" : "Procedure.bodySite",
"short" : "目標身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "詳細和結構化的解剖學位置資訊。允許多個位置—例如：一個病灶的多個活體組織切片。",
"comment" : "如果案例需要BodySite resource的屬性（例如：識別和各別追蹤），那麼就使用標準擴充[procedure-targetbodystructure]（擴充-procedure-targetbodystructure.html）。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.bodySite",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}
],
"strength" : "example",
"description" : "可參考[SNOMED CT Body Structures](http://hl7.org/fhir/R4/valueset-body-site.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.outcome",
"path" : "Procedure.outcome",
"short" : "處置的結果。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "處置的結果—它是否解決了當初執行處置所要解決的問題？",
"comment" : "如果結果只包含敘述性文字，可用CodeableConcept.text來說明。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.outcome",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureOutcome"
}
],
"strength" : "example",
"description" : "可參考[Procedure Outcome Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-outcome.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.report",
"path" : "Procedure.report",
"short" : "此處置產生的任何報告",
"definition" : "這可能是組織學結果、病理學報告、手術報告等。",
"comment" : "有可能會有多份報告—例如：如果這是一個需要進行多次活體組織切片的處置，會產生一些解剖病理報告。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.report",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"http://hl7.org/fhir/StructureDefinition/DocumentReference",
"http://hl7.org/fhir/StructureDefinition/Composition"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Procedure.complication",
"path" : "Procedure.complication",
"short" : "處置後的併發症",
"definition" : "在處置過程中，或在處置後不久發生的任何併發症。這些通常與紀錄分開追蹤，紀錄通常描述處置本身，而不是任何 「處置後」的問題。 ",
"comment" : "如果併發症僅由敘述性文字表達，可用CodeableConcept.text來說明。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.complication",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureComplication"
}
],
"strength" : "example",
"description" : "可參考[Condition/Problem/Diagnosis Codes](http://hl7.org/fhir/R4/valueset-condition-code.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.complicationDetail",
"path" : "Procedure.complicationDetail",
"short" : "處置後發生的病情、問題或診斷",
"definition" : "在處置過程中或在執行結束後立即發生的任何併發症",
"requirements" : "這是用來記錄作為處置結果的病情、問題或診斷，而不是作為處置原因的病情、問題或診斷。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.complicationDetail",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
}
]
},
{
"id" : "Procedure.followUp",
"path" : "Procedure.followUp",
"short" : "追蹤說明。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "如果該處置需要特定的後續行動—例如拆除縫線。 後續行動可以表現為一個簡單的說明，也可能是更複雜的，在這種情況下，可以使用CarePlan resource。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.followUp",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureFollowUp"
}
],
"strength" : "example",
"description" : "可參考[Procedure Follow up Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-followup.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.note",
"path" : "Procedure.note",
"short" : "關於此處置的附加資訊",
"definition" : "關於此處置的任何其他註釋和意見",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.note"
},
{
"identity" : "v2",
"map" : "NTE"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
},
{
"id" : "Procedure.focalDevice",
"path" : "Procedure.focalDevice",
"short" : "處理、植入的或移除的裝置",
"definition" : "植入、移除或以其他方式操作的裝置（校準、更換電池、安裝義肢、安裝傷口真空裝置等），是處置的重點部分。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.focalDevice",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode=DEV].role[classCode=MANU]"
}
]
},
{
"id" : "Procedure.focalDevice.id",
"path" : "Procedure.focalDevice.id",
"representation" : [
"xmlAttr"
],
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Procedure.focalDevice.extension",
"path" : "Procedure.focalDevice.extension",
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Procedure.focalDevice.modifierExtension",
"path" : "Procedure.focalDevice.modifierExtension",
"short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
"definition" : "可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和（或）對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n 修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"requirements" : "修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息，請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true
},
{
"id" : "Procedure.focalDevice.action",
"path" : "Procedure.focalDevice.action",
"short" : "改變裝置的種類",
"definition" : "處置過程中，設備改變的類型。",
"comment" : "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Procedure.focalDevice.action",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DeviceActionKind"
}
],
"strength" : "preferred",
"description" : "鼓勵使用[Procedure Device Action Codes](http://hl7.org/fhir/R4/valueset-device-action.html)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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
},
{
"id" : "Procedure.focalDevice.manipulated",
"path" : "Procedure.focalDevice.manipulated",
"short" : "被改變的裝置",
"definition" : "在處置中被處理（改變）的裝置",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Procedure.focalDevice.manipulated",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Device"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode=DEV].role[classCode=SDLOC]"
}
]
},
{
"id" : "Procedure.usedReference",
"path" : "Procedure.usedReference",
"short" : "處置中使用的項目／物品",
"definition" : "指明藥品、裝置和作為處置一部分的任何其他物質",
"comment" : "對於實際植入或取出的裝置，使用Procedure.device。",
"requirements" : "用於追蹤污染等",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.usedReference",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/Medication",
"http://hl7.org/fhir/StructureDefinition/Substance"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
}
]
},
{
"id" : "Procedure.usedCode",
"path" : "Procedure.usedCode",
"short" : "處置中使用的項目之代碼",
"definition" : "指明作為處置的一部分而使用的編碼項目",
"comment" : "對於實際植入或取出的裝置，使用Procedure.device。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Procedure.usedCode",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureUsed"
}
],
"strength" : "example",
"description" : "可參考[FHIR Device Types](http://hl7.org/fhir/R4/valueset-device-kind.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
},
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "v2",
"map" : "CE/CNE/CWE"
},
{
"identity" : "rim",
"map" : "CD"
},
{
"identity" : "orim",
"map" : "fhir:CodeableConcept rdfs:subClassOf dt:CD"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Procedure",
"path" : "Procedure",
"short" : "正在或曾經對病人執行的動作",
"definition" : "正在或曾經對病人執行的動作。這可以是像手術這樣的身體介入，也可以是像長照服務、諮詢或催眠療法這樣的非侵入性介入。HL7 FHIR官網另有提到的例子包括例如包括診斷處置、內視鏡處置、活體組織切片、諮詢、物理治療、個人支持服務、日照服務、非緊急運輸、改善家居設施、健身活動等。處置可以由醫護人員、服務提供人員、朋友或親屬或在某些情況下由病人自己執行。"
},
{
"id" : "Procedure.id",
"path" : "Procedure.id",
"short" : "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。",
"definition" : "resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。",
"comment" : "一個resource使用新增操作（create operation）提交給伺服器時是此resource唯一沒有id的時刻"
},
{
"id" : "Procedure.meta",
"path" : "Procedure.meta",
"short" : "此Procedure Resource的metadata",
"definition" : "關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。"
},
{
"id" : "Procedure.implicitRules",
"path" : "Procedure.implicitRules",
"short" : "創建此內容所依據的一組規則",
"definition" : "構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是IG定義特殊規則及其他profiles的參照。",
"comment" : "宣告這套規則限制了內容只能被有限的貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和／或規範編寫者應該避免使用這個資料項目。通常，在使用時，此URL是對實作指引的參照，此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。"
},
{
"id" : "Procedure.language",
"path" : "Procedure.language",
"short" : "用以表述Procedure Resource內容的語言",
"definition" : "編寫此resource的基礎語言",
"comment" : "提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此基礎語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div元素（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。",
"example" : [
{
"label" : "Value",
"valueString" : "zh-TW"
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}
],
"strength" : "preferred",
"description" : "人類語言；鼓勵使用[CommonLanguages](http://hl7.org/fhir/R4/valueset-languages.html)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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "Procedure.text",
"path" : "Procedure.text",
"short" : "Procedure Resource之內容摘要以供人閱讀",
"definition" : "人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義可定義哪些內容應該在敘述中表示，以確保臨床安全。",
"comment" : "內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 **建議應該（SHOULD）** 有敘述。在某些情況下，resource可能只有文字表述，很少或沒有額外的離散資料（只要滿足所有minOccurs=1的資料項目）。這對於來自舊有系統的資料可能是必要的，在這些系統中，從 「文字表述區塊（text blob） 」獲取訊息，或者文字表述是額外的原始輸入或敘述，而編碼訊息是後來添加的。",
"mustSupport" : true
},
{
"id" : "Procedure.contained",
"path" : "Procedure.contained",
"short" : "內嵌的（contained）、行內的Resources",
"definition" : "這些resource內嵌（contains）的resource不會另外存於任何FHIR伺服器，意即它們無法在任何FHIR伺服器中被找到，也無法有自己獨立的資料異動／交易（transaction）範圍。",
"comment" : "當內容可以從任何FHIR伺服器找到時，不應該以內嵌（contained）resource的方式呈現，因為一旦識別丟失，要再次恢復它是非常困難的（並且取決於情境）。內嵌（contained）的resource可在它們的meta資料項目中表述profiles和tag（標籤），但 **必須沒有（SHALL NOT）** 資訊安全標號（security labels）。"
},
{
"id" : "Procedure.extension",
"path" : "Procedure.extension",
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"
},
{
"id" : "Procedure.modifierExtension",
"path" : "Procedure.modifierExtension",
"short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
"definition" : "可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和（或）對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n 修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"requirements" : "修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息，請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。"
},
{
"id" : "Procedure.identifier",
"path" : "Procedure.identifier",
"short" : "此處置的外部識別碼",
"definition" : "由執行者或其他系統指定給此處置的業務用識別碼，即使此resource作更新及在伺服器之間的傳遞，此識別碼仍保持不變。",
"comment" : "這是一個業務識別碼，不是一個resource識別碼（詳見討論）。最好的做法是該識別碼只出現在單個resource實例上，但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如：多個 「Patient（病人）」和 「Person（個人）」resource實例可能共用同一個社會保險號碼。",
"requirements" : "允許識別各參與系統所知的此處置資訊，並在各伺服器之間保持一致的方式。"
},
{
"id" : "Procedure.instantiatesCanonical",
"path" : "Procedure.instantiatesCanonical",
"short" : "實例化FHIR計畫書（protocol）或定義",
"definition" : "指向此處置全部或部分遵守的FHIR定義的計畫書（protocol）、指南（guideline）、醫令集（orderset）或其他定義的URL。"
},
{
"id" : "Procedure.instantiatesUri",
"path" : "Procedure.instantiatesUri",
"short" : "實例化外部計畫書（protocol）或定義",
"definition" : "指向此處置全部或部分的外部維護之計畫書（protocol）、指南（guideline）、醫令集（orderset）或其他定義的URL。",
"comment" : "這可能是一個HTML頁面、PDF等，也可能只是一個不可分解的URI識別碼。"
},
{
"id" : "Procedure.basedOn",
"path" : "Procedure.basedOn",
"short" : "此Procedure是基於什麼而履行？",
"definition" : "對一個resource的參照，此resource包含此處置請求的細節。"
},
{
"id" : "Procedure.partOf",
"path" : "Procedure.partOf",
"short" : "參照事件的一部分",
"definition" : "這個特定的處置是一個更大的事件中的一個組成部分或步驟",
"comment" : "MedicationAdministration.partOf有一個Procedure參照，但這不是一個迴圈參照。例如：麻醉的給藥（MedicationAdministration）是手術處置的一部分（MedicationAdministration.partOf = Procedure）。例如：為靜脈給藥插入靜脈口的處置是給藥的一部分（Procedure.partOf = MedicationAdministration）。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
"http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
]
}
]
},
{
"id" : "Procedure.status",
"path" : "Procedure.status",
"short" : "preparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown",
"definition" : "一個指定處置當前狀態的代碼。一般來說，它是進行中或完成的狀態。",
"comment" : "「未知」代碼不能用來表達其他狀態。當其中一個狀態適用時但編輯系統不知道此處置的當前狀態，應該使用「未知」代碼。 \r\n \r\n此資料項目被標記為修飾用，因為狀態包含標記resource當前無效的代碼。",
"mustSupport" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureStatus"
}
],
"strength" : "required",
"description" : "應填入[EventStatus](http://hl7.org/fhir/R4/valueset-event-status.html)值集中的其中一個代碼",
"valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.1"
}
},
{
"id" : "Procedure.statusReason",
"path" : "Procedure.statusReason",
"short" : "當前狀態的原因。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "捕捉Procedure當前狀態的原因",
"comment" : "這通常只用於「例外」狀態像是「未完成」、「暫停」或「終止」。執行此處置的原因是在reasonCode中說明，而不是在這裡。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureNegationReason"
}
],
"strength" : "example",
"description" : "可參考[Procedure Not Performed Reason(SNOMED-CT)](http://hl7.org/fhir/R4/valueset-procedure-not-performed-reason.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
}
},
{
"id" : "Procedure.category",
"path" : "Procedure.category",
"short" : "處置的分類。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "對處置進行分類的代碼（例如：「手術處置」）。主要為了搜尋、排序和顯示時使用。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureCategory"
}
],
"strength" : "example",
"description" : "可參考[Procedure Category Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-category.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
}
},
{
"id" : "Procedure.code",
"path" : "Procedure.code",
"short" : "處置的識別碼。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "所進行的特定處置。如果不能對處置的確切種類進行編碼，則使用文字（例如：「腹腔鏡闌尾切除術」）。",
"requirements" : "0..1主要僅用於解釋敘述性的resource。",
"min" : 1,
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"mustSupport" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureCode"
}
],
"strength" : "example",
"description" : "可參考[Procedure Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-code.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
}
},
{
"id" : "Procedure.code.id",
"path" : "Procedure.code.id",
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"
},
{
"id" : "Procedure.code.extension",
"path" : "Procedure.code.extension",
"short" : "擴充的資料項目",
"definition" : "擴充的資料項目",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"
},
{
"id" : "Procedure.code.coding",
"path" : "Procedure.code.coding",
"slicing" : {
"discriminator" : [
{
"type" : "pattern",
"path" : "$this"
}
],
"rules" : "open"
},
"short" : "由專門術語系統（terminology system）定義的代碼",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼"
},
{
"id" : "Procedure.code.coding:icd10-pcs-2021",
"path" : "Procedure.code.coding",
"sliceName" : "icd10-pcs-2021",
"short" : "此為臺灣衛生福利部中央健康保險署維護之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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[臺灣2021年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2021-tw.html)值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw"
}
},
{
"id" : "Procedure.code.coding:icd10-pcs-2014",
"path" : "Procedure.code.coding",
"sliceName" : "icd10-pcs-2014",
"short" : "此為臺灣衛生福利部中央健康保險署維護之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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[臺灣2014年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2014-tw.html)值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw"
}
},
{
"id" : "Procedure.code.coding:icd9-cm-2001",
"path" : "Procedure.code.coding",
"sliceName" : "icd9-cm-2001",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw"
}
},
{
"id" : "Procedure.code.coding:medical-service-payment",
"path" : "Procedure.code.coding",
"sliceName" : "medical-service-payment",
"short" : "此為中央健康保險署(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。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[臺灣2014年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2014-tw.html)值集中的其中一個代碼。",
"valueSet" : "https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-tw"
}
},
{
"id" : "Procedure.code.coding:sct-procedures-ips",
"path" : "Procedure.code.coding",
"sliceName" : "sct-procedures-ips",
"short" : "此為SNOMED CT處置代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "由專門術語系統（terminology system）所定義之代碼的參照。",
"comment" : "代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles ）。編碼的排序是未定義的因而 **必須沒有（SHALL NOT）** 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。",
"requirements" : "允許使用者在不知道識別碼系統的情況下利用識別碼",
"min" : 0,
"max" : "1",
"mustSupport" : true,
"binding" : {
"strength" : "required",
"description" : "病情、問題或診斷的識別；應填入[Procedures - IPS](http://hl7.org/fhir/uv/ips/STU1.1/ValueSet-procedures-uv-ips.html)值集中的其中一個代碼。",
"valueSet" : "http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips"
}
},
{
"id" : "Procedure.code.text",
"path" : "Procedure.code.text",
"short" : "概念的文字表示法",
"definition" : "輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。",
"comment" : "很多時候，此文字表述與其中一個代碼的顯示名稱相同。",
"requirements" : "專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。",
"mustSupport" : true
},
{
"id" : "Procedure.subject",
"path" : "Procedure.subject",
"short" : "處置服務的對象",
"definition" : "進行處置的病人、動物或實體集合（例如：特定的一群人）。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"
]
}
],
"mustSupport" : true
},
{
"id" : "Procedure.encounter",
"path" : "Procedure.encounter",
"short" : "就醫（Encounter）紀錄作為處置的一部分",
"definition" : "此「處置（Procedure）」記載在哪次的「就醫（Encounter）」紀錄或者與此處置紀錄密切相關的「就醫（Encounter）」紀錄",
"comment" : "通常是此處置發生的就醫事件（Encounter），雖然有些活動可能在就醫結束之前或之後開始，但仍與就醫事件的情境有關。這筆紀錄表明與此處置紀錄相關的就醫事件。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore"
]
}
]
},
{
"id" : "Procedure.performed[x]",
"path" : "Procedure.performed[x]",
"short" : "此處置何時執行的？",
"definition" : "進行處置的估計或實際日期、日期時間、時間區間或年齡。允許一個時間區間來支持跨越一個日期以上的複雜處置，也允許捕捉處置的執行時間長度。",
"comment" : "年齡一般用於病人報告其進行手術的年齡，像是20到25歲時。 dateTime支援一定的精度範圍，因為有些處置被報告為過去的處置，可能沒有毫秒的精度，而其他在就醫期間執行和記錄的處置可能有更精確的UTC時間戳記和時區。",
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support",
"valueBoolean" : true
}
],
"code" : "dateTime"
},
{
"code" : "Period"
},
{
"code" : "string"
},
{
"code" : "Age"
},
{
"code" : "Range"
}
],
"mustSupport" : true
},
{
"id" : "Procedure.recorder",
"path" : "Procedure.recorder",
"short" : "誰記錄此處置",
"definition" : "記錄處置內容並對其內容負責的個人",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
]
},
{
"id" : "Procedure.asserter",
"path" : "Procedure.asserter",
"short" : "聲稱有此處置的人",
"definition" : "提出此處置說明的人",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole"
]
}
],
"mustSupport" : true
},
{
"id" : "Procedure.performer",
"path" : "Procedure.performer",
"short" : "執行處置的人員",
"definition" : "限於「真正的」人而不是設備",
"mustSupport" : true
},
{
"id" : "Procedure.performer.id",
"path" : "Procedure.performer.id",
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"
},
{
"id" : "Procedure.performer.extension",
"path" : "Procedure.performer.extension",
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"
},
{
"id" : "Procedure.performer.modifierExtension",
"path" : "Procedure.performer.modifierExtension",
"short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
"definition" : "可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和（或）對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n 修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"requirements" : "修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息，請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。"
},
{
"id" : "Procedure.performer.function",
"path" : "Procedure.performer.function",
"short" : "執行的型別",
"definition" : "區分執行者在處置中的參與型別，例如：外科醫生、麻醉師、內視鏡醫生。",
"requirements" : "允許針對不同執行者的參與型別進行澄清以消除歧義",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedurePerformerRole"
}
],
"strength" : "example",
"description" : "可參考[Procedure Performer Role Codes](http://hl7.org/fhir/R4/valueset-performer-role.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
}
},
{
"id" : "Procedure.performer.actor",
"path" : "Procedure.performer.actor",
"short" : "參照至健康照護服務提供人員",
"definition" : "參與處置的健康照護服務提供人員",
"requirements" : "一個參照至裝置（Device）的使用案例，例如：心律調整器。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"http://hl7.org/fhir/StructureDefinition/Device"
]
}
],
"mustSupport" : true
},
{
"id" : "Procedure.performer.onBehalfOf",
"path" : "Procedure.performer.onBehalfOf",
"short" : "此裝置（Device）或健康照護服務提供人員所屬機構（Organization）",
"definition" : "此裝置或健康照護服務提供人員所代表的機構",
"requirements" : "健康照護服務提供人員和裝置可以與多個機構相關聯，此資料項目表明他們在執行行動時代表哪個機構。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore"
]
}
],
"mustSupport" : true
},
{
"id" : "Procedure.location",
"path" : "Procedure.location",
"short" : "處置發生的地點（Location）？",
"definition" : "實際發生處置的地點（Location）。例如：新生兒在家裡出生、在餐廳做氣管切開術。",
"requirements" : "將一個處置與可能保存紀錄的地點（Location）聯繫起來"
},
{
"id" : "Procedure.reasonCode",
"path" : "Procedure.reasonCode",
"short" : "處置執行原因代碼",
"definition" : "進行此處置的原因代碼。這可能是某種型別的編碼，也可能只是文字表述。",
"comment" : "當一個代碼足以描述原因時，使用Procedure.reasonCode。當參照一個resource時，使用Procedure.reasonReference以傳達更多的資訊，如發病日期。Procedure.reasonCode和Procedure.reasonReference不應該是重複的。對於一個單一的原因，Procedure.reasonCode或Procedure.reasonReference都可以被使用。Procedure.reasonCode可以是一個摘要代碼，或者Procedure.reasonReference可以用Condition | Observation | Procedure | DiagnosticReport | DocumentReference來參照一個非常精確的原因定義。如果Procedure.reasonCode和Procedure.reasonReference描述的是處置的不同原因，則兩者都可以使用。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureReason"
}
],
"strength" : "example",
"description" : "可[參考[Procedure Reason Codes](http://hl7.org/fhir/R4/valueset-procedure-reason.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
}
},
{
"id" : "Procedure.reasonReference",
"path" : "Procedure.reasonReference",
"short" : "執行此處置的原因",
"definition" : "為什麼進行此處置的原因",
"comment" : "一個處置有可能成為另一個處置（如C-Section）的理由（如硬膜外）。其他的例子包括擴張的內窺鏡檢查和活檢（診斷和治療的結合）。\r\n 當一個代碼充分地描述了原因時，使用Procedure.reasonCode。當引用一個resource時，使用Procedure.reasonReference，這樣可以傳達更多的資訊，如發病日期。Procedure.reasonCode和Procedure.reasonReference不應該是重複的。對於一個單一的原因，Procedure.reasonCode或Procedure.reasonReference都可以被使用。Procedure.reasonCode可以是一個摘要代碼，或者Procedure.reasonReference可以用Condition | Observation | Procedure | DiagnosticReport | DocumentReference來引用一個非常精確的原因定義。如果Procedure.reasonCode和Procedure.reasonReference描述的是處置的不同原因，則兩者都可以使用。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore",
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore",
"http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
}
]
},
{
"id" : "Procedure.bodySite",
"path" : "Procedure.bodySite",
"short" : "目標身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "詳細和結構化的解剖學位置資訊。允許多個位置—例如：一個病灶的多個活體組織切片。",
"comment" : "如果案例需要BodySite resource的屬性（例如：識別和各別追蹤），那麼就使用標準擴充[procedure-targetbodystructure]（擴充-procedure-targetbodystructure.html）。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"mustSupport" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}
],
"strength" : "example",
"description" : "可參考[SNOMED CT Body Structures](http://hl7.org/fhir/R4/valueset-body-site.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
}
},
{
"id" : "Procedure.outcome",
"path" : "Procedure.outcome",
"short" : "處置的結果。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "處置的結果—它是否解決了當初執行處置所要解決的問題？",
"comment" : "如果結果只包含敘述性文字，可用CodeableConcept.text來說明。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureOutcome"
}
],
"strength" : "example",
"description" : "可參考[Procedure Outcome Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-outcome.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
}
},
{
"id" : "Procedure.report",
"path" : "Procedure.report",
"short" : "此處置產生的任何報告",
"definition" : "這可能是組織學結果、病理學報告、手術報告等。",
"comment" : "有可能會有多份報告—例如：如果這是一個需要進行多次活體組織切片的處置，會產生一些解剖病理報告。"
},
{
"id" : "Procedure.complication",
"path" : "Procedure.complication",
"short" : "處置後的併發症",
"definition" : "在處置過程中，或在處置後不久發生的任何併發症。這些通常與紀錄分開追蹤，紀錄通常描述處置本身，而不是任何 「處置後」的問題。 ",
"comment" : "如果併發症僅由敘述性文字表達，可用CodeableConcept.text來說明。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureComplication"
}
],
"strength" : "example",
"description" : "可參考[Condition/Problem/Diagnosis Codes](http://hl7.org/fhir/R4/valueset-condition-code.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
}
},
{
"id" : "Procedure.complicationDetail",
"path" : "Procedure.complicationDetail",
"short" : "處置後發生的病情、問題或診斷",
"definition" : "在處置過程中或在執行結束後立即發生的任何併發症",
"requirements" : "這是用來記錄作為處置結果的病情、問題或診斷，而不是作為處置原因的病情、問題或診斷。",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore"
]
}
]
},
{
"id" : "Procedure.followUp",
"path" : "Procedure.followUp",
"short" : "追蹤說明。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。",
"definition" : "如果該處置需要特定的後續行動—例如拆除縫線。 後續行動可以表現為一個簡單的說明，也可能是更複雜的，在這種情況下，可以使用CarePlan resource。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureFollowUp"
}
],
"strength" : "example",
"description" : "可參考[Procedure Follow up Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-followup.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
}
},
{
"id" : "Procedure.note",
"path" : "Procedure.note",
"short" : "關於此處置的附加資訊",
"definition" : "關於此處置的任何其他註釋和意見"
},
{
"id" : "Procedure.focalDevice",
"path" : "Procedure.focalDevice",
"short" : "處理、植入的或移除的裝置",
"definition" : "植入、移除或以其他方式操作的裝置（校準、更換電池、安裝義肢、安裝傷口真空裝置等），是處置的重點部分。"
},
{
"id" : "Procedure.focalDevice.id",
"path" : "Procedure.focalDevice.id",
"short" : "唯一可識別ID，以供資料項目間相互參照。",
"definition" : "resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。"
},
{
"id" : "Procedure.focalDevice.extension",
"path" : "Procedure.focalDevice.extension",
"short" : "擴充的資料項目",
"definition" : "可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"
},
{
"id" : "Procedure.focalDevice.modifierExtension",
"path" : "Procedure.focalDevice.modifierExtension",
"short" : "此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。",
"definition" : "可以用來表示不屬於資料項目的基本定義的附加資訊，並且修改對它所內嵌（contained）的資料項目的理解和（或）對包含資料項目之後續使用的理解。通常，修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理，對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充，但作為擴充定義的一部分，有一套要求 **必須（SHALL）** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 \r\n 修飾用的擴充資料項目 **必須沒有（SHALL NOT）** 改變resource或DomainResource上任何資料項目的含義（包括不能改變modifierExtension本身的含義）。",
"comment" : "無論使用或定義擴充的機構或管轄區，任何應用程式、專案或標準使用擴充都不背負任何汙名（stigma）。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。",
"requirements" : "修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息，請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。"
},
{
"id" : "Procedure.focalDevice.action",
"path" : "Procedure.focalDevice.action",
"short" : "改變裝置的種類",
"definition" : "處置過程中，設備改變的類型。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "DeviceActionKind"
}
],
"strength" : "preferred",
"description" : "鼓勵使用[Procedure Device Action Codes](http://hl7.org/fhir/R4/valueset-device-action.html)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。",
"valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
}
},
{
"id" : "Procedure.focalDevice.manipulated",
"path" : "Procedure.focalDevice.manipulated",
"short" : "被改變的裝置",
"definition" : "在處置中被處理（改變）的裝置"
},
{
"id" : "Procedure.usedReference",
"path" : "Procedure.usedReference",
"short" : "處置中使用的項目／物品",
"definition" : "指明藥品、裝置和作為處置一部分的任何其他物質",
"comment" : "對於實際植入或取出的裝置，使用Procedure.device。",
"requirements" : "用於追蹤污染等"
},
{
"id" : "Procedure.usedCode",
"path" : "Procedure.usedCode",
"short" : "處置中使用的項目之代碼",
"definition" : "指明作為處置的一部分而使用的編碼項目",
"comment" : "對於實際植入或取出的裝置，使用Procedure.device。",
"type" : [
{
"code" : "CodeableConcept",
"profile" : [
"https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"
]
}
],
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ProcedureUsed"
}
],
"strength" : "example",
"description" : "可參考[FHIR Device Types](http://hl7.org/fhir/R4/valueset-device-kind.html)值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。",
"valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
}
}
]
}
}
IG © 2022+ 衛生福利部. Package tw.gov.mohw.twcore#0.1.1 based on FHIR 4.0.1. Generated 2023-08-30
Links: Table of Contents |
QA Report
| Version History |
Propose a change