{ "resourceType": "StructureDefinition", "id": "procedure-dcr", "text": { "status": "extensions", "div": "

Generated Narrative: StructureDefinition procedure-dcr

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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Procedure TWCoreProcedure
\".\"\".\"\".\" identifier 0..*Identifier此處置/手術的外部識別碼。[應填入門診病摘之處置院內碼]
\".\"\".\"\".\" basedOn 0..*Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR))此Procedure是基於什麼而履行
\".\"\".\"\".\" partOf 0..*Reference(牙醫-處置或手術(Procedure DCR) | 檢驗檢查(Observation ClinEMR) | MedicationAdministration)參照事件的一部分
\".\"\".\"\".\" status 1..1codepreparation ｜ in-progress ｜ not-done ｜on-hold ｜stopped ｜ completed ｜ entered-in-error ｜ unknown
Required Pattern: completed
\".\"\".\"\".\" code 1..1CodeableConceptTW處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)]
\".\"\".\"\".\" subject 1..1Reference(病人資料(Patient ClinEMR))處置/手術服務的對象
\".\"\".\"\".\" encounter S0..1Reference(就醫事件(Encounter ClinEMR))就醫（Encounter）紀錄作為處置/手術的一部分
\".\"\".\"\".\" recorder 0..1Reference(病人資料(Patient ClinEMR) | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | RelatedPerson)誰記錄此處置/手術
\".\"\".\"\".\" asserter 0..1Reference(病人資料(Patient ClinEMR) | RelatedPerson | 健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole)聲稱有此處置/手術的人
\".\"\".\"\".\" performer
\".\"\".\"\".\"\".\" actor 1..1Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | 病人資料(Patient ClinEMR) | RelatedPerson | Device)參照至健康照護服務提供者
\".\"\".\"\".\"\".\" onBehalfOf 0..1Reference(醫事機構(Organization ClinEMR))此裝置（Device）或健康照護服務提供者所屬機構（Organization）
\".\"\".\"\".\" reasonReference 0..*Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 牙醫-處置或手術(Procedure DCR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR))執行此處置/手術的原因
\".\"\".\"\".\" bodySite 0..*CodeableConceptTWFDI牙位代碼。[應填入門診病摘之處置部位代碼Treatment Region NHICode。]
Binding: TeethCodes (extensible)
\".\"\".\"\".\" report 0..*Reference(診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR) | 牙醫-臨床文件架構(Composition DCR))此處置/手術產生的任何報告
\".\"\".\"\".\" complicationDetail 0..*Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR))處置/手術後發生的病情、問題或診斷
\".\"\".\"\".\" note S0..*Annotation[應填入門診病摘之處置劑量Treatment Dose。]
\".\"\".\"\".\" usedReference 0..*Reference(Device | 藥品(Medication ClinEMR) | Substance)處置/手術中使用的項目／物品

\"doco\" Documentation for this format
" }, "url": "https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-dcr", "version": "1.0.0", "name": "ProcedureDCR", "title": "牙醫-處置或手術(Procedure DCR)", "status": "active", "date": "2024-10-06T09:51:07+00:00", "publisher": "睿傳數據", "contact": [ { "name": "睿傳數據", "telecom": [ { "system": "url", "value": "https://www.cohesiondata.com/" } ] } ], "description": "此牙醫-處置或手術(Procedure DCR)Profile說明本IG如何進一步定義臺灣核心-處置或手術（TW Core Procedure)Profile以呈現牙醫診所門診病摘之處置或手術的詳細資料。", "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": "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore", "derivation": "constraint", "snapshot": {}, "differential": { "element": [ { "id": "Procedure.identifier", "path": "Procedure.identifier", "short": "此處置/手術的外部識別碼。[應填入門診病摘之處置院內碼]" }, { "id": "Procedure.basedOn", "path": "Procedure.basedOn", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/careplan-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr" ] } ] }, { "id": "Procedure.partOf", "path": "Procedure.partOf", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-dcr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr", "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" ] } ] }, { "id": "Procedure.status", "path": "Procedure.status", "patternCode": "completed" }, { "id": "Procedure.code", "path": "Procedure.code", "short": "處置的識別碼。[應填入門診病摘之處置健保碼(Code)與處置說明(display)]" }, { "id": "Procedure.subject", "path": "Procedure.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr" ] } ] }, { "id": "Procedure.encounter", "path": "Procedure.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/encounter-clinemr" ] } ], "mustSupport": true }, { "id": "Procedure.recorder", "path": "Procedure.recorder", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ] }, { "id": "Procedure.asserter", "path": "Procedure.asserter", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore" ] } ] }, { "id": "Procedure.performer.actor", "path": "Procedure.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/practitioner-clinemr", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/patient-clinemr", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device" ] } ] }, { "id": "Procedure.performer.onBehalfOf", "path": "Procedure.performer.onBehalfOf", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/organization-clinemr" ] } ] }, { "id": "Procedure.reasonReference", "path": "Procedure.reasonReference", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/procedure-dcr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/diagnosticreport-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr" ] } ] }, { "id": "Procedure.bodySite", "path": "Procedure.bodySite", "short": "FDI牙位代碼。[應填入門診病摘之處置部位代碼Treatment Region NHICode。]", "binding": { "strength": "extensible", "valueSet": "http://hl7.org/fhir/ValueSet/teeth" } }, { "id": "Procedure.report", "path": "Procedure.report", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/diagnosticreport-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/composition-dcr" ] } ] }, { "id": "Procedure.complicationDetail", "path": "Procedure.complicationDetail", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr" ] } ] }, { "id": "Procedure.note", "path": "Procedure.note", "short": "[應填入門診病摘之處置劑量Treatment Dose。]", "mustSupport": true }, { "id": "Procedure.usedReference", "path": "Procedure.usedReference", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/medication-clinemr", "http://hl7.org/fhir/StructureDefinition/Substance" ] } ] } ] } }