臺灣核心實作指引(TW Core IG)
0.3.2 - Trial Use

This page is part of the 臺灣核心實作指引(TW Core IG) (v0.3.2: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: TW Core Procedure

Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore Version: 0.3.2
Active as of 2024-12-12 Computable Name: TWCoreProcedure

此臺灣核心-處置或手術(TW Core Procedure) Profile說明本IG如何進一步定義FHIR的Procedure Resource以呈現處置或手術基本資料。

Resource Procedure - 內容

這是指一項針對病人執行的或已經執行過的活動。這種活動可能是像手術那樣的身體介入,或者是像長期服務、諮詢或催眠療法等更少侵入性的活動。

範圍與使用

Procedure 在 FHIR 工作流程(workflow) 規範中被歸類為 事件(event) resource。

這個 resource 被用來詳細記錄對病人進行的當前和過往的處置。處置是一種作為照護提供的一部分,對病人進行、與病人一同進行,或者為病人進行的活動。例如:這包括外科處置、診斷處置、內視鏡處置、活組織切片、諮詢、物理治療、個人支援服務、成人日間照護服務、非緊急運輸、家庭改造、運動等。這些處置可能由醫療專業人員、醫療服務提供者、朋友或親戚執行,或在某些情況下由病人自己執行。

這個 resource 主要提供關於處置發生的摘要資訊,並不是在提供處置展開過程中的即時快照。儘管對於如心理治療等長期進行的處置,它可以提供有關整體進展的摘要資訊,然而,當談到創建一個用於支援更詳細即時的處置資訊的 resource 時,這意味著需要有一個具體的應用場景或使用案例,才能決定如何分享這類詳細資訊。

界限與關聯

Procedure resource 不應該用來記錄事件,如果已經有一個更具體的 resource 存在,例如疫苗接種(immunizations)給藥(drug administrations)通訊(communications)。判斷一個活動是屬於 Procedure(如培訓或諮詢)還是 Communication 的界限,取決於是否有明確的意圖去改變病人的心態,若只是訊息披露則屬於 Communication;但若涉及驗證病人理解或改變病人心理狀態的過程會被視為 Procedure。

請注意,許多診斷過程即為處置,處置會產生 ObservationsDiagnosticReports。 有時,創建這些「Observation」不需要詳細記錄如何進行的「Procedure」,但如果有需要知道診斷活動如何進行的細節,那麼就會使用「Procedure」來描述這些活動。

並非所有診斷性處置都需要有一個「Procedure」紀錄,只有在需要記錄進行診斷所需的身體介入(例如:麻醉、手術切口、內視鏡大小等)資訊時,才會創建「Procedure」紀錄。

任務(Task)是工作流程的一個步驟,比如取消一個醫令、完成一個醫令、簽署一個醫令、合併一組紀錄、接收一位病人。Procedures 是指那些目的在於對病人產生身體或心理變化的活動(例如:手術、物理治療、培訓、諮詢)。Task resource 經常與臨床 resources 一起使用。例如:一個「Task」可能是要求執行一個 Procedure,這時它會連結到一個要求提供處置服務的請求(ServiceRequest),這樣的請求就明確指定了要完成的臨床活動。

Procedure resource 被以下 resources 所參照:醫療不良事件(AdverseEvent)、預約(Appointment)、費用項目(ChargeItem)、理賠申請(Claim)、設備使用聲明(DeviceUseStatement)、就醫事件(Encounter)、利益說明(ExplanationOfBenefit)、標記(Flag)、影像檢查(ImagingStudy)、給藥(MedicationAdministration)、配藥或調劑藥品(MedicationDispense)、用藥聲明(MedicationStatement)、檢驗檢查(Observation)、診斷報告(Procedure)及問卷題目回覆(QuestionnaireResponse)。

Usage:

Formal Views of Profile Content

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

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure 正在或曾經對病人執行的動作
... id 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。
... meta 0..1 Meta 此Procedure Resource的metadata
... implicitRules 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Procedure Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Procedure Resource之內容摘要以供人閱讀
... identifier 0..* Identifier 此處置/手術的外部識別碼
... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) 實例化FHIR計畫書(protocol)或定義
... instantiatesUri 0..* uri 實例化外部計畫書(protocol)或定義
... basedOn 0..* Reference(TW Core CarePlan | TW Core ServiceRequest) 此Procedure是基於什麼而履行
... partOf 0..* Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration) 參照事件的一部分
... status S 1..1 code preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼

... statusReason 0..1 CodeableConceptTW 當前狀態的原因。
Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... category 0..1 CodeableConceptTW 處置/手術的分類。
Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... code S 1..1 CodeableConceptTW 處置/手術的識別碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
.... Slices for coding 0..* CodingTW 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2023年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:icd10-pcs-2014 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:medical-service-payment S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:sct-procedures S 0..1 CodingTW 此為SNOMED CT處置/手術代碼,若機構已有購買相關授權,亦可使用。
Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
.... text S 0..1 string 概念的文字表示法
... subject S 1..1 Reference(TW Core Patient) 處置/手術服務的對象
... encounter 0..1 Reference(TW Core Encounter) 就醫(Encounter)紀錄作為處置/手術的一部分
... performed[x] S 0..1 此處置/手術何時執行的?
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder 0..1 Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 誰記錄此處置/手術
... asserter S 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole) 聲稱有此處置/手術的人
... performer S 0..* BackboneElement 執行處置/手術的人員
.... function 0..1 CodeableConceptTW 執行的型別
Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... actor S 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) 參照至健康照護服務提供者
.... onBehalfOf S 0..1 Reference(TW Core Organization) 此裝置(Device)或健康照護服務提供者所屬機構(Organization)
... location 0..1 Reference(TW Core Location) 處置/手術發生的地點(Location)?
... reasonCode 0..* CodeableConceptTW 處置/手術執行原因代碼
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... reasonReference 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference) 執行此處置/手術的原因
... bodySite S 0..* CodeableConceptTW 目標身體部位。
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... outcome 0..1 CodeableConceptTW 處置/手術的結果。
Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... report 0..* Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition) 此處置/手術產生的任何報告
... complication 0..* CodeableConceptTW 處置/手術後的併發症
Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... complicationDetail 0..* Reference(TW Core Condition) 處置/手術後發生的病情、問題或診斷
... followUp 0..* CodeableConceptTW 追蹤說明。
Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... note 0..* Annotation 關於此處置/手術的附加資訊
... focalDevice 0..* BackboneElement 處理、植入的或移除的裝置
.... action 0..1 CodeableConceptTW 改變裝置的種類
Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

.... manipulated 1..1 Reference(Device) 被改變的裝置
... usedReference 0..* Reference(Device | TW Core Medication | Substance) 處置/手術中使用的項目/物品
... usedCode 0..* CodeableConceptTW 處置/手術中使用的項目之代碼
Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonextensibleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryextensibleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
Procedure.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
Procedure.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS (a valid code from 臺灣健保署2014年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
from this IG
Procedure.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
from this IG
Procedure.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Procedure.performer.functionextensibleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeextensibleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpextensibleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure 正在或曾經對病人執行的動作
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Procedure Resource的metadata
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
ele-1: All FHIR elements must have a @value or children
... language 0..1 code 用以表述Procedure Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

ele-1: All FHIR elements must have a @value or children
Example Value: zh-TW
... text 0..1 Narrative Procedure Resource之內容摘要以供人閱讀
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier Σ 0..* Identifier 此處置/手術的外部識別碼
ele-1: All FHIR elements must have a @value or children
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) 實例化FHIR計畫書(protocol)或定義
ele-1: All FHIR elements must have a @value or children
... instantiatesUri Σ 0..* uri 實例化外部計畫書(protocol)或定義
ele-1: All FHIR elements must have a @value or children
... basedOn Σ 0..* Reference(TW Core CarePlan | TW Core ServiceRequest) 此Procedure是基於什麼而履行
ele-1: All FHIR elements must have a @value or children
... partOf Σ 0..* Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration) 參照事件的一部分
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼


ele-1: All FHIR elements must have a @value or children
... statusReason 0..1 CodeableConceptTW 當前狀態的原因。
Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... category 0..1 CodeableConceptTW 處置/手術的分類。
Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... code S 1..1 CodeableConceptTW 處置/手術的識別碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2023年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2014 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:medical-service-payment S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:sct-procedures S 0..1 CodingTW 此為SNOMED CT處置/手術代碼,若機構已有購買相關授權,亦可使用。
Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(TW Core Patient) 處置/手術服務的對象
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(TW Core Encounter) 就醫(Encounter)紀錄作為處置/手術的一部分
ele-1: All FHIR elements must have a @value or children
... performed[x] SΣ 0..1 此處置/手術何時執行的?
ele-1: All FHIR elements must have a @value or children
.... performedDateTime dateTime
... recorder Σ 0..1 Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 誰記錄此處置/手術
ele-1: All FHIR elements must have a @value or children
... asserter SΣ 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole) 聲稱有此處置/手術的人
ele-1: All FHIR elements must have a @value or children
... performer SΣ 0..* BackboneElement 執行處置/手術的人員
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... function 0..1 CodeableConceptTW 執行的型別
Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... actor SΣ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) 參照至健康照護服務提供者
ele-1: All FHIR elements must have a @value or children
.... onBehalfOf S 0..1 Reference(TW Core Organization) 此裝置(Device)或健康照護服務提供者所屬機構(Organization)
ele-1: All FHIR elements must have a @value or children
... location Σ 0..1 Reference(TW Core Location) 處置/手術發生的地點(Location)?
ele-1: All FHIR elements must have a @value or children
... reasonCode 0..* CodeableConceptTW 處置/手術執行原因代碼
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference) 執行此處置/手術的原因
ele-1: All FHIR elements must have a @value or children
... bodySite S 0..* CodeableConceptTW 目標身體部位。
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... outcome 0..1 CodeableConceptTW 處置/手術的結果。
Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... report 0..* Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition) 此處置/手術產生的任何報告
ele-1: All FHIR elements must have a @value or children
... complication 0..* CodeableConceptTW 處置/手術後的併發症
Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... complicationDetail 0..* Reference(TW Core Condition) 處置/手術後發生的病情、問題或診斷
ele-1: All FHIR elements must have a @value or children
... followUp 0..* CodeableConceptTW 追蹤說明。
Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... note 0..* Annotation 關於此處置/手術的附加資訊
ele-1: All FHIR elements must have a @value or children
... focalDevice 0..* BackboneElement 處理、植入的或移除的裝置
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... action 0..1 CodeableConceptTW 改變裝置的種類
Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


ele-1: All FHIR elements must have a @value or children
.... manipulated 1..1 Reference(Device) 被改變的裝置
ele-1: All FHIR elements must have a @value or children
... usedReference 0..* Reference(Device | TW Core Medication | Substance) 處置/手術中使用的項目/物品
ele-1: All FHIR elements must have a @value or children
... usedCode 0..* CodeableConceptTW 處置/手術中使用的項目之代碼
Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonextensibleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryextensibleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
Procedure.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
Procedure.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS (a valid code from 臺灣健保署2014年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
from this IG
Procedure.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
from this IG
Procedure.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Procedure.performer.functionextensibleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeextensibleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpextensibleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProcedureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProcedureIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorProcedureIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorProcedureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProcedureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure 正在或曾經對病人執行的動作
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Procedure Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Procedure Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Procedure Resource之內容摘要以供人閱讀
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier 此處置/手術的外部識別碼
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) 實例化FHIR計畫書(protocol)或定義
... instantiatesUri Σ 0..* uri 實例化外部計畫書(protocol)或定義
... basedOn Σ 0..* Reference(TW Core CarePlan | TW Core ServiceRequest) 此Procedure是基於什麼而履行
... partOf Σ 0..* Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration) 參照事件的一部分
... status ?!SΣ 1..1 code preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼

... statusReason 0..1 CodeableConceptTW 當前狀態的原因。
Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... category 0..1 CodeableConceptTW 處置/手術的分類。
Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... code S 1..1 CodeableConceptTW 處置/手術的識別碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .

.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2023年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:icd10-pcs-2014 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:medical-service-payment S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:sct-procedures S 0..1 CodingTW 此為SNOMED CT處置/手術代碼,若機構已有購買相關授權,亦可使用。
Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(TW Core Patient) 處置/手術服務的對象
... encounter Σ 0..1 Reference(TW Core Encounter) 就醫(Encounter)紀錄作為處置/手術的一部分
... performed[x] SΣ 0..1 此處置/手術何時執行的?
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder Σ 0..1 Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 誰記錄此處置/手術
... asserter SΣ 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole) 聲稱有此處置/手術的人
... performer SΣ 0..* BackboneElement 執行處置/手術的人員
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConceptTW 執行的型別
Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... actor SΣ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) 參照至健康照護服務提供者
.... onBehalfOf S 0..1 Reference(TW Core Organization) 此裝置(Device)或健康照護服務提供者所屬機構(Organization)
... location Σ 0..1 Reference(TW Core Location) 處置/手術發生的地點(Location)?
... reasonCode 0..* CodeableConceptTW 處置/手術執行原因代碼
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference) 執行此處置/手術的原因
... bodySite S 0..* CodeableConceptTW 目標身體部位。
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... outcome 0..1 CodeableConceptTW 處置/手術的結果。
Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... report 0..* Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition) 此處置/手術產生的任何報告
... complication 0..* CodeableConceptTW 處置/手術後的併發症
Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... complicationDetail 0..* Reference(TW Core Condition) 處置/手術後發生的病情、問題或診斷
... followUp 0..* CodeableConceptTW 追蹤說明。
Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... note 0..* Annotation 關於此處置/手術的附加資訊
... focalDevice 0..* BackboneElement 處理、植入的或移除的裝置
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConceptTW 改變裝置的種類
Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

.... manipulated 1..1 Reference(Device) 被改變的裝置
... usedReference 0..* Reference(Device | TW Core Medication | Substance) 處置/手術中使用的項目/物品
... usedCode 0..* CodeableConceptTW 處置/手術中使用的項目之代碼
Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。



doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonextensibleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryextensibleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
Procedure.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
Procedure.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS (a valid code from 臺灣健保署2014年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
from this IG
Procedure.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
from this IG
Procedure.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Procedure.performer.functionextensibleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeextensibleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpextensibleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

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

This structure is derived from Procedure

Summary

Mandatory: 1 element
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.code.coding

Differential View

This structure is derived from Procedure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure 正在或曾經對病人執行的動作
... id 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。
... meta 0..1 Meta 此Procedure Resource的metadata
... implicitRules 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Procedure Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Procedure Resource之內容摘要以供人閱讀
... identifier 0..* Identifier 此處置/手術的外部識別碼
... instantiatesCanonical 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) 實例化FHIR計畫書(protocol)或定義
... instantiatesUri 0..* uri 實例化外部計畫書(protocol)或定義
... basedOn 0..* Reference(TW Core CarePlan | TW Core ServiceRequest) 此Procedure是基於什麼而履行
... partOf 0..* Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration) 參照事件的一部分
... status S 1..1 code preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼

... statusReason 0..1 CodeableConceptTW 當前狀態的原因。
Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... category 0..1 CodeableConceptTW 處置/手術的分類。
Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... code S 1..1 CodeableConceptTW 處置/手術的識別碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
.... Slices for coding 0..* CodingTW 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2023年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:icd10-pcs-2014 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:medical-service-payment S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:sct-procedures S 0..1 CodingTW 此為SNOMED CT處置/手術代碼,若機構已有購買相關授權,亦可使用。
Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。

..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
.... text S 0..1 string 概念的文字表示法
... subject S 1..1 Reference(TW Core Patient) 處置/手術服務的對象
... encounter 0..1 Reference(TW Core Encounter) 就醫(Encounter)紀錄作為處置/手術的一部分
... performed[x] S 0..1 此處置/手術何時執行的?
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder 0..1 Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 誰記錄此處置/手術
... asserter S 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole) 聲稱有此處置/手術的人
... performer S 0..* BackboneElement 執行處置/手術的人員
.... function 0..1 CodeableConceptTW 執行的型別
Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... actor S 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) 參照至健康照護服務提供者
.... onBehalfOf S 0..1 Reference(TW Core Organization) 此裝置(Device)或健康照護服務提供者所屬機構(Organization)
... location 0..1 Reference(TW Core Location) 處置/手術發生的地點(Location)?
... reasonCode 0..* CodeableConceptTW 處置/手術執行原因代碼
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... reasonReference 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference) 執行此處置/手術的原因
... bodySite S 0..* CodeableConceptTW 目標身體部位。
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... outcome 0..1 CodeableConceptTW 處置/手術的結果。
Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... report 0..* Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition) 此處置/手術產生的任何報告
... complication 0..* CodeableConceptTW 處置/手術後的併發症
Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... complicationDetail 0..* Reference(TW Core Condition) 處置/手術後發生的病情、問題或診斷
... followUp 0..* CodeableConceptTW 追蹤說明。
Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... note 0..* Annotation 關於此處置/手術的附加資訊
... focalDevice 0..* BackboneElement 處理、植入的或移除的裝置
.... action 0..1 CodeableConceptTW 改變裝置的種類
Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

.... manipulated 1..1 Reference(Device) 被改變的裝置
... usedReference 0..* Reference(Device | TW Core Medication | Substance) 處置/手術中使用的項目/物品
... usedCode 0..* CodeableConceptTW 處置/手術中使用的項目之代碼
Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonextensibleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryextensibleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
Procedure.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
Procedure.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS (a valid code from 臺灣健保署2014年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
from this IG
Procedure.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
from this IG
Procedure.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Procedure.performer.functionextensibleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeextensibleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpextensibleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure 正在或曾經對病人執行的動作
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Procedure Resource的metadata
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
ele-1: All FHIR elements must have a @value or children
... language 0..1 code 用以表述Procedure Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

ele-1: All FHIR elements must have a @value or children
Example Value: zh-TW
... text 0..1 Narrative Procedure Resource之內容摘要以供人閱讀
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier Σ 0..* Identifier 此處置/手術的外部識別碼
ele-1: All FHIR elements must have a @value or children
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) 實例化FHIR計畫書(protocol)或定義
ele-1: All FHIR elements must have a @value or children
... instantiatesUri Σ 0..* uri 實例化外部計畫書(protocol)或定義
ele-1: All FHIR elements must have a @value or children
... basedOn Σ 0..* Reference(TW Core CarePlan | TW Core ServiceRequest) 此Procedure是基於什麼而履行
ele-1: All FHIR elements must have a @value or children
... partOf Σ 0..* Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration) 參照事件的一部分
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼


ele-1: All FHIR elements must have a @value or children
... statusReason 0..1 CodeableConceptTW 當前狀態的原因。
Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... category 0..1 CodeableConceptTW 處置/手術的分類。
Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... code S 1..1 CodeableConceptTW 處置/手術的識別碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .


ele-1: All FHIR elements must have a @value or children
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2023年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2014 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:medical-service-payment S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:sct-procedures S 0..1 CodingTW 此為SNOMED CT處置/手術代碼,若機構已有購買相關授權,亦可使用。
Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


ele-1: All FHIR elements must have a @value or children
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(TW Core Patient) 處置/手術服務的對象
ele-1: All FHIR elements must have a @value or children
... encounter Σ 0..1 Reference(TW Core Encounter) 就醫(Encounter)紀錄作為處置/手術的一部分
ele-1: All FHIR elements must have a @value or children
... performed[x] SΣ 0..1 此處置/手術何時執行的?
ele-1: All FHIR elements must have a @value or children
.... performedDateTime dateTime
... recorder Σ 0..1 Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 誰記錄此處置/手術
ele-1: All FHIR elements must have a @value or children
... asserter SΣ 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole) 聲稱有此處置/手術的人
ele-1: All FHIR elements must have a @value or children
... performer SΣ 0..* BackboneElement 執行處置/手術的人員
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... function 0..1 CodeableConceptTW 執行的型別
Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
.... actor SΣ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) 參照至健康照護服務提供者
ele-1: All FHIR elements must have a @value or children
.... onBehalfOf S 0..1 Reference(TW Core Organization) 此裝置(Device)或健康照護服務提供者所屬機構(Organization)
ele-1: All FHIR elements must have a @value or children
... location Σ 0..1 Reference(TW Core Location) 處置/手術發生的地點(Location)?
ele-1: All FHIR elements must have a @value or children
... reasonCode 0..* CodeableConceptTW 處置/手術執行原因代碼
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference) 執行此處置/手術的原因
ele-1: All FHIR elements must have a @value or children
... bodySite S 0..* CodeableConceptTW 目標身體部位。
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... outcome 0..1 CodeableConceptTW 處置/手術的結果。
Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... report 0..* Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition) 此處置/手術產生的任何報告
ele-1: All FHIR elements must have a @value or children
... complication 0..* CodeableConceptTW 處置/手術後的併發症
Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... complicationDetail 0..* Reference(TW Core Condition) 處置/手術後發生的病情、問題或診斷
ele-1: All FHIR elements must have a @value or children
... followUp 0..* CodeableConceptTW 追蹤說明。
Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children
... note 0..* Annotation 關於此處置/手術的附加資訊
ele-1: All FHIR elements must have a @value or children
... focalDevice 0..* BackboneElement 處理、植入的或移除的裝置
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... action 0..1 CodeableConceptTW 改變裝置的種類
Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


ele-1: All FHIR elements must have a @value or children
.... manipulated 1..1 Reference(Device) 被改變的裝置
ele-1: All FHIR elements must have a @value or children
... usedReference 0..* Reference(Device | TW Core Medication | Substance) 處置/手術中使用的項目/物品
ele-1: All FHIR elements must have a @value or children
... usedCode 0..* CodeableConceptTW 處置/手術中使用的項目之代碼
Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonextensibleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryextensibleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
Procedure.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
Procedure.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS (a valid code from 臺灣健保署2014年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
from this IG
Procedure.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
from this IG
Procedure.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Procedure.performer.functionextensibleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeextensibleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpextensibleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..* Procedure 正在或曾經對病人執行的動作
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Procedure Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code 用以表述Procedure Resource內容的語言。
Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguages Max Binding

Example Value: zh-TW
... text 0..1 Narrative Procedure Resource之內容摘要以供人閱讀
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier 此處置/手術的外部識別碼
... instantiatesCanonical Σ 0..* canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) 實例化FHIR計畫書(protocol)或定義
... instantiatesUri Σ 0..* uri 實例化外部計畫書(protocol)或定義
... basedOn Σ 0..* Reference(TW Core CarePlan | TW Core ServiceRequest) 此Procedure是基於什麼而履行
... partOf Σ 0..* Reference(TW Core Procedure | TW Core Observation Laboratory Result | MedicationAdministration) 參照事件的一部分
... status ?!SΣ 1..1 code preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown
Binding: EventStatus (required): 應填入所綁定值集中的其中一個代碼

... statusReason 0..1 CodeableConceptTW 當前狀態的原因。
Binding: ProcedureNotPerformedReason(SNOMED-CT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... category 0..1 CodeableConceptTW 處置/手術的分類。
Binding: ProcedureCategoryCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... code S 1..1 CodeableConceptTW 處置/手術的識別碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure .

.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2023年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:icd10-pcs-2021 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:icd10-pcs-2014 S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:medical-service-payment S 0..1 CodingTW 此為臺灣衛生福利部中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:sct-procedures S 0..1 CodingTW 此為SNOMED CT處置/手術代碼,若機構已有購買相關授權,亦可使用。
Binding: ProcedureCodes(SNOMEDCT) (required): 處置/手術的識別;應填入所綁定值集中的其中一個代碼。


..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(TW Core Patient) 處置/手術服務的對象
... encounter Σ 0..1 Reference(TW Core Encounter) 就醫(Encounter)紀錄作為處置/手術的一部分
... performed[x] SΣ 0..1 此處置/手術何時執行的?
.... performedDateTime dateTime S
.... performedPeriod Period
.... performedString string
.... performedAge Age
.... performedRange Range
... recorder Σ 0..1 Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson) 誰記錄此處置/手術
... asserter SΣ 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole) 聲稱有此處置/手術的人
... performer SΣ 0..* BackboneElement 執行處置/手術的人員
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConceptTW 執行的型別
Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

.... actor SΣ 1..1 Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) 參照至健康照護服務提供者
.... onBehalfOf S 0..1 Reference(TW Core Organization) 此裝置(Device)或健康照護服務提供者所屬機構(Organization)
... location Σ 0..1 Reference(TW Core Location) 處置/手術發生的地點(Location)?
... reasonCode 0..* CodeableConceptTW 處置/手術執行原因代碼
Binding: ProcedureReasonCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... reasonReference Σ 0..* Reference(TW Core Condition | TW Core Observation Laboratory Result | TW Core Procedure | TW Core DiagnosticReport | TW Core DocumentReference) 執行此處置/手術的原因
... bodySite S 0..* CodeableConceptTW 目標身體部位。
Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... outcome 0..1 CodeableConceptTW 處置/手術的結果。
Binding: ProcedureOutcomeCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

... report 0..* Reference(TW Core DiagnosticReport | TW Core DocumentReference | TW Core Composition) 此處置/手術產生的任何報告
... complication 0..* CodeableConceptTW 處置/手術後的併發症
Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... complicationDetail 0..* Reference(TW Core Condition) 處置/手術後發生的病情、問題或診斷
... followUp 0..* CodeableConceptTW 追蹤說明。
Binding: ProcedureFollowUpCodes(SNOMEDCT) (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


... note 0..* Annotation 關於此處置/手術的附加資訊
... focalDevice 0..* BackboneElement 處理、植入的或移除的裝置
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... action 0..1 CodeableConceptTW 改變裝置的種類
Binding: ProcedureDeviceActionCodes (preferred): 鼓勵使用所綁定值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

.... manipulated 1..1 Reference(Device) 被改變的裝置
... usedReference 0..* Reference(Device | TW Core Medication | Substance) 處置/手術中使用的項目/物品
... usedCode 0..* CodeableConceptTW 處置/手術中使用的項目之代碼
Binding: FHIRDeviceTypes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。



doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Procedure.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Procedure.statusrequiredEventStatus
http://hl7.org/fhir/ValueSet/event-status|4.0.1
from the FHIR Standard
Procedure.statusReasonextensibleProcedureNotPerformedReason(SNOMED-CT)
http://hl7.org/fhir/ValueSet/procedure-not-performed-reason
from the FHIR Standard
Procedure.categoryextensibleProcedureCategoryCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-category
from the FHIR Standard
Procedure.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
from this IG
Procedure.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS (a valid code from 臺灣健保署2021年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
from this IG
Procedure.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS (a valid code from 臺灣健保署2014年中文版ICD-10-PCS)
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
from this IG
Procedure.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
from this IG
Procedure.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
Procedure.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Procedure.performer.functionextensibleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
Procedure.reasonCodeextensibleProcedureReasonCodes
http://hl7.org/fhir/ValueSet/procedure-reason
from the FHIR Standard
Procedure.bodySiteextensibleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Procedure.outcomeextensibleProcedureOutcomeCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-outcome
from the FHIR Standard
Procedure.complicationextensibleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
Procedure.followUpextensibleProcedureFollowUpCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-followup
from the FHIR Standard
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
http://hl7.org/fhir/ValueSet/device-action
from the FHIR Standard
Procedure.usedCodeextensibleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

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

This structure is derived from Procedure

Summary

Mandatory: 1 element
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Procedure.code.coding

 

Other representations of profile: CSV, Excel, Schematron

Notes:

以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單,請參閱TW Core Server能力聲明

建議應該支援以下查詢參數:

  1. 建議應該(SHOULD) 支援透過查詢參數 _id 查詢所有Procedure:
    (如何透過token查詢)
    GET [base]/Procedure?_id=[id]
    GET [base]/Procedure/[id]

    例子:
    (1) GET [base]/Procedure?_id=pro-example
    (2) GET [base]/Procedure/pro-example

  2. 建議應該(SHOULD) 支援透過查詢參數 code 查詢所有Procedure:
    (如何透過token查詢)
    GET [base]/Procedure?code={system|}[code]

    例子:
    (1) GET [base]/Procedure?code=https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw|BU46ZZZ

  3. 建議應該(SHOULD) 支援透過查詢參數 status 查詢所有Procedure:
    (如何透過token查詢)
    GET [base]/Procedure?status=[code]

    例子:
    (1) GET [base]/Procedure?status=completed

  4. 建議應該(SHOULD) 支援透過查詢參數 subject 查詢所有Procedure:
    (如何透過reference查詢)
    GET [base]/Procedure?subject={Type/}[id]

    例子::
    (1) GET [base]/Procedure?subject=Patient/pat-example

  5. 建議應該(SHOULD) 支援透過查詢參數 date 查詢所有Procedure:
    (如何透過date查詢)
    GET [base]/Procedure?date={gt|lt|ge|le}[date]

    例子::
    (1) GET [base]/Procedure?date=gt2022-08-12