{ "resourceType": "StructureDefinition", "id": "procedureoperation-imri", "text": { "status": "extensions", "div": "

Generated Narrative: StructureDefinition procedureoperation-imri

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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Procedure TWCoreProcedure
\".\"\".\"\".\" partOf 0..*Reference(Procedure IMRI | TW Core Observation Laboratory Result | 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即為「手術代碼」，處置/手術的識別碼。
\".\"\".\"\".\"\".\" 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。
\".\"\".\"\".\"\".\"\".\" system 1..1uri專門術語系統（terminology system）的識別
\".\"\".\"\".\"\".\"\".\" code 1..1code系統定義的語法之符號
\".\"\".\"\".\"\".\"\".\" display 1..1string由系統定義的表示法
\".\"\".\"\".\" subject 1..1Reference(Patient IMRI)處置/手術服務的對象
\".\"\".\"\".\" encounter 0..1Reference(Encounter IMRI)就醫（Encounter）紀錄作為處置/手術的一部分
\".\"\".\"\".\" Slices for performed[x] 1..1dateTime即為「手術日期」，此處置何時執行的？。
Slice: Unordered, Open by type:$this
\".\"\".\"\".\"\".\" performed[x]:performedDateTime 1..1dateTime此處置/手術何時執行的？
\".\"\".\"\".\" performer 0..*BackboneElement即為「手術醫師」，執行處置/手術的人員。
\".\"\".\"\".\"\".\" actor 1..1Reference(PractitionerRole IMRI)參照至健康照護服務提供者
\".\"\".\"\".\" reasonReference 1..*Reference(TW Core Condition)即為「手術前診斷」，執行此處置/手術的原因。
\".\"\".\"\".\" bodySite 0..*CodeableConceptTW即為「手術部位」，目標身體部位。
\".\"\".\"\".\" report 0..*Reference(DiagnosticReport | DocumentReference | Composition)即為「手術圖像」，此處置/手術產生的任何報告。
\".\"\".\"\".\" note 2..*Annotation即為「手術發現」和「手術過程紀錄」，第一筆填寫「手術發現」，第二筆填寫「手術過程紀錄」，關於此處置/手術的附加資訊。
\".\"\".\"\".\" usedCode 0..*CodeableConceptTW即為「手術特材」，處置/手術中使用的項目／物品之代碼

\"doco\" Documentation for this format
" }, "url": "https://imri.cgh.org.tw/imri/StructureDefinition/procedureoperation-imri", "version": "0.1.0", "name": "ProcedureOperationIMRI", "title": "ProcedureOperation IMRI", "status": "active", "date": "2024-11-26T14:24:42+00:00", "publisher": "國泰金控", "contact": [ { "name": "國泰金控", "telecom": [ { "system": "url", "value": "https://www.cathayholdings.com/holdings/" } ] } ], "description": "此手術(ProcedureOperation IMRI)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", "differential": { "element": [ { "id": "Procedure.partOf", "path": "Procedure.partOf", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/procedure-imri", "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore", "http://hl7.org/fhir/StructureDefinition/MedicationAdministration" ] } ] }, { "id": "Procedure.status", "path": "Procedure.status", "patternCode": "completed" }, { "id": "Procedure.code", "path": "Procedure.code", "short": "即為「手術代碼」，處置/手術的識別碼。" }, { "id": "Procedure.code.coding", "path": "Procedure.code.coding" }, { "id": "Procedure.code.coding.system", "path": "Procedure.code.coding.system", "min": 1 }, { "id": "Procedure.code.coding.code", "path": "Procedure.code.coding.code", "min": 1 }, { "id": "Procedure.code.coding.display", "path": "Procedure.code.coding.display", "min": 1 }, { "id": "Procedure.subject", "path": "Procedure.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/patient-imri" ] } ] }, { "id": "Procedure.encounter", "path": "Procedure.encounter", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/encounter-imri" ] } ] }, { "id": "Procedure.performed[x]", "path": "Procedure.performed[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "即為「手術日期」，此處置何時執行的？。", "min": 1 }, { "id": "Procedure.performed[x]:performedDateTime", "path": "Procedure.performed[x]", "sliceName": "performedDateTime", "min": 1, "max": "1", "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support", "valueBoolean": true } ], "code": "dateTime" } ] }, { "id": "Procedure.performer", "path": "Procedure.performer", "short": "即為「手術醫師」，執行處置/手術的人員。" }, { "id": "Procedure.performer.actor", "path": "Procedure.performer.actor", "type": [ { "code": "Reference", "targetProfile": [ "https://imri.cgh.org.tw/imri/StructureDefinition/practitionerrole-imri" ] } ] }, { "id": "Procedure.reasonReference", "path": "Procedure.reasonReference", "short": "即為「手術前診斷」，執行此處置/手術的原因。", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore" ] } ] }, { "id": "Procedure.bodySite", "path": "Procedure.bodySite", "short": "即為「手術部位」，目標身體部位。" }, { "id": "Procedure.report", "path": "Procedure.report", "short": "即為「手術圖像」，此處置/手術產生的任何報告。" }, { "id": "Procedure.note", "path": "Procedure.note", "short": "即為「手術發現」和「手術過程紀錄」，第一筆填寫「手術發現」，第二筆填寫「手術過程紀錄」，關於此處置/手術的附加資訊。", "min": 2 }, { "id": "Procedure.usedCode", "path": "Procedure.usedCode", "short": "即為「手術特材」，處置/手術中使用的項目／物品之代碼" } ] } }