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

Generated Narrative: StructureDefinition procedure-tcmcr

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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Procedure TWCoreProcedure
\".\"\".\"\".\" 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(中醫-處置或手術(Procedure TCMCR) | 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
\".\"\".\"\".\" category S1..1CodeableConceptTW處置/手術的分類。
Binding: 中醫處置值集 (required)
\".\"\".\"\".\" 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)]
\".\"\".\"\".\"\".\" 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。
\".\"\".\"\".\"\".\"\".\" code 0..1code[應填入門診病摘之處置健保碼]
\".\"\".\"\".\"\".\"\".\" display 0..1string[應填入門診病摘之處置說明]
\".\"\".\"\".\" subject 1..1Reference(病人資料(Patient ClinEMR))處置/手術服務的對象
\".\"\".\"\".\" encounter 0..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) | 中醫-處置或手術(Procedure TCMCR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR))執行此處置/手術的原因
\".\"\".\"\".\" bodySite 1..*CodeableConceptTW目標身體部位。
\".\"\".\"\".\"\".\" extension 1..*ExtensionExtension
\".\"\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\" approach S1..1string[應填入中醫診所門診病摘之針灸穴位/傷科手法/脫臼整復處理方法]
URL: https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-approach
\".\"\".\"\".\"\".\"\".\" description S0..1CodeableConcept[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明]
URL: https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-description
\".\"\".\"\".\"\".\" text 1..1string[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]
\".\"\".\"\".\" report 0..*Reference(診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR) | 中醫-臨床文件架構(Composition TCMCR))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
\".\"\".\"\".\" 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-tcmcr", "version": "1.0.0", "name": "ProcedureTCMCR", "title": "中醫-處置或手術(Procedure TCMCR)", "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": "此中醫-處置或手術(Procedure TCMCR)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以呈現中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.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-tcmcr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/observation-clinemr", "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" ] } ] }, { "id": "Procedure.status", "path": "Procedure.status", "patternCode": "completed" }, { "id": "Procedure.category", "path": "Procedure.category", "min": 1, "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://fhir.cohesiondata.com/clinemr/ValueSet/procedure-cohesion-category" } }, { "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.code.coding", "path": "Procedure.code.coding" }, { "id": "Procedure.code.coding.code", "path": "Procedure.code.coding.code", "short": "[應填入門診病摘之處置健保碼]" }, { "id": "Procedure.code.coding.display", "path": "Procedure.code.coding.display", "short": "[應填入門診病摘之處置說明]" }, { "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" ] } ] }, { "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-tcmcr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/diagnosticreport-clinemr", "https://fhir.cohesiondata.com/clinemr/StructureDefinition/documentreference-clinemr" ] } ] }, { "id": "Procedure.bodySite", "path": "Procedure.bodySite", "min": 1 }, { "id": "Procedure.bodySite.extension", "path": "Procedure.bodySite.extension", "min": 1 }, { "id": "Procedure.bodySite.extension:approach", "path": "Procedure.bodySite.extension", "sliceName": "approach", "short": "[應填入中醫診所門診病摘之針灸穴位/傷科手法/脫臼整復處理方法]", "min": 1, "max": "1", "type": [ { "code": "Extension", "profile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-approach" ] } ], "mustSupport": true }, { "id": "Procedure.bodySite.extension:description", "path": "Procedure.bodySite.extension", "sliceName": "description", "short": "[應填入中醫門診病摘之針灸補充說明/傷科補充說明/脫臼整復補充說明]", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/cohesion-description" ] } ], "mustSupport": true }, { "id": "Procedure.bodySite.text", "path": "Procedure.bodySite.text", "short": "[應填入門診病摘之針灸部位/傷科部位/脫臼整復部位]", "min": 1 }, { "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-tcmcr" ] } ] }, { "id": "Procedure.complicationDetail", "path": "Procedure.complicationDetail", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.cohesiondata.com/clinemr/StructureDefinition/conditiondiagnosis-clinemr" ] } ] }, { "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" ] } ] } ] } }