MI-TW 緊急醫療救護實作指引 (MI-TW EMS IG)
1.0.0 - CI Build

This page is part of the MI-TW 緊急醫療救護實作指引 (MI-TW EMS IG) (v1.0.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: EMS_Procedure_ALS - XML Profile

Active as of 2024-08-23

XML representation of the EMS-Procedure-ALS resource profile.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="EMS-Procedure-ALS"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition EMS-Procedure-ALS</b></p><a name="EMS-Procedure-ALS"> </a><a name="hcEMS-Procedure-ALS"> </a><a name="EMS-Procedure-ALS-en-US"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure">Procedure</a><a name="Procedure"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Procedure-twcore.html">TWCoreProcedure</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">正在或曾經對病人執行的動作</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.partOf">partOf</a><a name="Procedure.partOf"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Procedure-twcore.html">TW Core Procedure</a> | <a href="https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Observation-laboratoryResult-twcore.html">TW Core Observation Laboratory Result</a> | <a href="http://hl7.org/fhir/R4/medicationadministration.html">MedicationAdministration</a> | <a href="StructureDefinition-EMS-Procedure.html">EMS_處置項目_Procedure</a> | <a href="StructureDefinition-EMS-Procedure-ALS.html">EMS_ALS 處置_Procedure</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">參照事件的一部分</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.code" title="所進行的特定處置。如果不能對處置的確切種類進行編碼,則使用文字(例如:「腹腔鏡闌尾切除術」)。
NEMSIS 對應 : eProcedures.03 - Procedure

TEMSIS 對應 : eProcedures.T01 - 處置">code</a><a name="Procedure.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-CodeableConcept-tw.html" title="CodeableConcept">CodeableConceptTW</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">處置的識別碼。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。[氣管內管]或[手動電擊]</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.subject">subject</a><a name="Procedure.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-EMS-Patient.html">EMS_傷病患資料_Patient</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">處置服務的對象</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.encounter">encounter</a><a name="Procedure.encounter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-EMS-Encounter.html">EMS_派遣資料_Encounter</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">就醫(Encounter)紀錄作為處置的一部分</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.recorder">recorder</a><a name="Procedure.recorder"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a> | <a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a> | <a href="StructureDefinition-EMS-Patient.html">EMS_傷病患資料_Patient</a> | <a href="StructureDefinition-EMS-Practitioner.html">EMS_救護人員簽名(姓名)_Practitioner</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">誰記錄此處置</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.asserter">asserter</a><a name="Procedure.asserter"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a> | <a href="https://twcore.mohw.gov.tw/ig/twcore/0.1.1/StructureDefinition-Practitioner-twcore.html">TW Core Practitioner</a> | <a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a> | <a href="StructureDefinition-EMS-Patient.html">EMS_傷病患資料_Patient</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">聲稱有此處置的人</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.complicationDetail">complicationDetail</a><a name="Procedure.complicationDetail"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-EMS-Condition-Situation.html">EMS_現場狀況_Condition</a> | <a href="StructureDefinition-EMS-Condition-History.html">EMS_過去病史_Condition</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">處置後發生的病情、問題或診斷</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EMS-Procedure-ALS-definitions.html#Procedure.note">note</a><a name="Procedure.note"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R4/datatypes.html#Annotation">Annotation</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">關於此處置的附加資訊。當Procedure.code用於&quot;氣管內管&quot;時,note為[號數]、[固定深度 (cm)] ; 當用於&quot;手動電擊&quot;時,note為[次數]、[焦耳數]</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Procedure-ALS"/>
  <version value="1.0.0"/>
  <name value="EMS_Procedure_ALS"/>
  <title value="EMS_ALS 處置_Procedure"/>
  <status value="active"/>
  <date value="2024-08-23T18:44:55+08:00"/>
  <publisher value="MI-TW"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://mitw.dicom.org.tw/"/>
    </telecom>
  </contact>
  <description
               value="此Profile基於臺灣核心-處置(TW Core Procedure) Profile 並定義緊急醫療救護(EMS)表單之ALS 處置。"/>
  <fhirVersion value="4.0.1"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Pattern"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/fivews"/>
    <name value="FiveWs Pattern Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Procedure"/>
  <baseDefinition
                  value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Procedure">
      <path value="Procedure"/>
      <short value="正在或曾經對病人執行的動作"/>
      <definition
                  value="正在或曾經對病人執行的動作。這可以是像手術這樣的身體介入,也可以是像長照服務、諮詢或催眠療法這樣的非侵入性介入。HL7 FHIR官網另有提到的例子包括例如包括診斷處置、內視鏡處置、活體組織切片、諮詢、物理治療、個人支持服務、日照服務、非緊急運輸、改善家居設施、健身活動等。處置可以由醫護人員、服務提供人員、朋友或親屬或在某些情況下由病人自己執行。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/>
        <expression
                    value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-5"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a security label"/>
        <expression value="contained.meta.security.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <constraint>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown
                         value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/>
        </extension>
        <key value="dom-6"/>
        <severity value="warning"/>
        <human
               value="A resource should have narrative for robust management"/>
        <expression value="text.`div`.exists()"/>
        <xpath value="exists(f:text/h:div)"/>
        <source
                value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Procedure[moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Procedure.id">
      <path value="Procedure.id"/>
      <short value="不重複的ID用以識別儲存在特定FHIR Server中的Procedure紀錄,通常又稱為邏輯性ID。"/>
      <definition value="resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。"/>
      <comment
               value="一個resource使用新增操作(create operation)提交給伺服器時是此resource唯一沒有id的時刻"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Procedure.meta">
      <path value="Procedure.meta"/>
      <short value="此Procedure Resource的metadata"/>
      <definition
                  value="關於resource的metadata。這是由基礎建設維護的內容。對內容的改變可能並不總是與resource的版本改變相關。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
    </element>
    <element id="Procedure.implicitRules">
      <path value="Procedure.implicitRules"/>
      <short value="創建此內容所依據的一組規則"/>
      <definition
                  value="構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是IG定義特殊規則及其他profiles的參照。"/>
      <comment
               value="宣告這套規則限制了內容只能被有限的貿易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常,在使用時,此URL是對實作指引的參照,此指引將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/>
      <isSummary value="true"/>
    </element>
    <element id="Procedure.language">
      <path value="Procedure.language"/>
      <short value="用以表述Procedure Resource內容的語言"/>
      <definition value="編寫此resource的基礎語言"/>
      <comment
               value="提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此基礎語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div元素(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <example>
        <label value="Value"/>
        <valueString value="zh-TW"/>
      </example>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <strength value="preferred"/>
        <description
                     value="人類語言;鼓勵使用[CommonLanguages](http://hl7.org/fhir/R4/valueset-languages.html)值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
      </binding>
    </element>
    <element id="Procedure.text">
      <path value="Procedure.text"/>
      <short value="Procedure Resource之內容摘要以供人閱讀"/>
      <definition
                  value="人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義可定義哪些內容應該在敘述中表示,以確保臨床安全。"/>
      <comment
               value="內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 **建議應該(SHOULD)** 有敘述。在某些情況下,resource可能只有文字表述,很少或沒有額外的離散資料(只要滿足所有minOccurs=1的資料項目)。這對於來自舊有系統的資料可能是必要的,在這些系統中,從 「文字表述區塊(text blob) 」獲取訊息,或者文字表述是額外的原始輸入或敘述,而編碼訊息是後來添加的。"/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Procedure.contained">
      <path value="Procedure.contained"/>
      <short value="內嵌的(contained)、行內的Resources"/>
      <definition
                  value="這些resource內嵌(contains)的resource不會另外存於任何FHIR伺服器,意即它們無法在任何FHIR伺服器中被找到,也無法有自己獨立的資料異動/交易(transaction)範圍。"/>
      <comment
               value="當內容可以從任何FHIR伺服器找到時,不應該以內嵌(contained)resource的方式呈現,因為一旦識別丟失,要再次恢復它是非常困難的(並且取決於情境)。內嵌(contained)的resource可在它們的meta資料項目中表述profiles和tag(標籤),但 **必須沒有(SHALL NOT)** 資訊安全標號(security labels)。"/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Procedure.extension">
      <path value="Procedure.extension"/>
      <short value="擴充的資料項目"/>
      <definition
                  value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 **必須(SHALL)** 滿足。"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Procedure.modifierExtension">
      <path value="Procedure.modifierExtension"/>
      <short value="此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。"/>
      <definition
                  value="可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 **必須(SHALL)** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 
 修飾用的擴充資料項目 **必須沒有(SHALL NOT)** 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <requirements
                    value="修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
      <isSummary value="false"/>
    </element>
    <element id="Procedure.identifier">
      <path value="Procedure.identifier"/>
      <short value="此處置的外部識別碼"/>
      <definition
                  value="由執行者或其他系統指定給此處置的業務用識別碼,即使此resource作更新及在伺服器之間的傳遞,此識別碼仍保持不變。"/>
      <comment
               value="這是一個業務識別碼,不是一個resource識別碼(詳見討論)。最好的做法是該識別碼只出現在單個resource實例上,但是業務實務有可能會規定可以在多個resource實例中具有相同識別碼—甚至可能具有不同的resource型例。例如:多個 「Patient(病人)」和 「Person(個人)」resource實例可能共用同一個社會保險號碼。"/>
      <requirements value="允許識別各參與系統所知的此處置資訊,並在各伺服器之間保持一致的方式。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.identifier"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
    </element>
    <element id="Procedure.instantiatesCanonical">
      <path value="Procedure.instantiatesCanonical"/>
      <short value="實例化FHIR計畫書(protocol)或定義"/>
      <definition
                  value="指向此處置全部或部分遵守的FHIR定義的計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.instantiatesCanonical"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="canonical"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Measure"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/OperationDefinition"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.instantiatesCanonical"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=DEFN].target"/>
      </mapping>
    </element>
    <element id="Procedure.instantiatesUri">
      <path value="Procedure.instantiatesUri"/>
      <short value="實例化外部計畫書(protocol)或定義"/>
      <definition
                  value="指向此處置全部或部分的外部維護之計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。"/>
      <comment value="這可能是一個HTML頁面、PDF等,也可能只是一個不可分解的URI識別碼。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.instantiatesUri"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.instantiatesUri"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".outboundRelationship[typeCode=DEFN].target"/>
      </mapping>
    </element>
    <element id="Procedure.basedOn">
      <path value="Procedure.basedOn"/>
      <short value="此Procedure是基於什麼而履行?"/>
      <definition value="對一個resource的參照,此resource包含此處置請求的細節。"/>
      <alias value="fulfills"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.basedOn"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"/>
      </mapping>
    </element>
    <element id="Procedure.partOf">
      <path value="Procedure.partOf"/>
      <short value="參照事件的一部分"/>
      <definition value="這個特定的處置是一個更大的事件中的一個組成部分或步驟"/>
      <comment
               value="MedicationAdministration.partOf有一個Procedure參照,但這不是一個迴圈參照。例如:麻醉的給藥(MedicationAdministration)是手術處置的一部分(MedicationAdministration.partOf = Procedure)。例如:為靜脈給藥插入靜脈口的處置是給藥的一部分(Procedure.partOf = MedicationAdministration)。"/>
      <alias value="container"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.partOf"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Procedure"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Procedure-ALS"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.partOf"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Procedure.status">
      <path value="Procedure.status"/>
      <short
             value="preparation | in-progress | not-done |on-hold |stopped | completed | entered-in-error | unknown"/>
      <definition value="一個指定處置當前狀態的代碼。一般來說,它是進行中或完成的狀態。"/>
      <comment
               value="「未知」代碼不能用來表達其他狀態。當其中一個狀態適用時但編輯系統不知道此處置的當前狀態,應該使用「未知」代碼。 
 
此資料項目被標記為修飾用,因為狀態包含標記resource當前無效的代碼。"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Procedure.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="true"/>
      <isModifierReason
                        value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid"/>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureStatus"/>
        </extension>
        <strength value="required"/>
        <description
                     value="應填入[EventStatus](http://hl7.org/fhir/R4/valueset-event-status.html)值集中的其中一個代碼"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/event-status|4.0.1"/>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode"/>
      </mapping>
    </element>
    <element id="Procedure.statusReason">
      <path value="Procedure.statusReason"/>
      <short value="當前狀態的原因。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。"/>
      <definition value="捕捉Procedure當前狀態的原因"/>
      <comment
               value="這通常只用於「例外」狀態像是「未完成」、「暫停」或「終止」。執行此處置的原因是在reasonCode中說明,而不是在這裡。"/>
      <alias value="Suspended Reason"/>
      <alias value="Cancelled Reason"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.statusReason"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureNegationReason"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Procedure Not Performed Reason(SNOMED-CT)](http://hl7.org/fhir/R4/valueset-procedure-not-performed-reason.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet
                  value="http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.category">
      <path value="Procedure.category"/>
      <short value="處置的分類。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。"/>
      <definition value="對處置進行分類的代碼(例如:「手術處置」)。主要為了搜尋、排序和顯示時使用。"/>
      <comment
               value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.category"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureCategory"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Procedure Category Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-category.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-category"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.code">
      <path value="Procedure.code"/>
      <short value="處置的識別碼。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。[氣管內管]或[手動電擊]"/>
      <definition
                  value="所進行的特定處置。如果不能對處置的確切種類進行編碼,則使用文字(例如:「腹腔鏡闌尾切除術」)。
NEMSIS 對應 : eProcedures.03 - Procedure

TEMSIS 對應 : eProcedures.T01 - 處置"/>
      <comment
               value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
      <requirements value="0..1主要僅用於解釋敘述性的resource。"/>
      <alias value="type"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Procedure.code"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureCode"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Procedure Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-code.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-code"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.code.id">
      <path value="Procedure.code.id"/>
      <representation value="xmlAttr"/>
      <short value="唯一可識別ID,以供資料項目間相互參照。"/>
      <definition value="resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Procedure.code.extension">
      <path value="Procedure.code.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="擴充的資料項目"/>
      <definition value="擴充的資料項目"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Procedure.code.coding">
      <path value="Procedure.code.coding"/>
      <slicing>
        <discriminator>
          <type value="pattern"/>
          <path value="$this"/>
        </discriminator>
        <rules value="open"/>
      </slicing>
      <short value="由專門術語系統(terminology system)定義的代碼"/>
      <definition value="由專門術語系統(terminology system)所定義之代碼的參照。"/>
      <comment
               value="代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 **必須沒有(SHALL NOT)** 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。"/>
      <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
      </mapping>
    </element>
    <element id="Procedure.code.coding:icd10-pcs-2021">
      <path value="Procedure.code.coding"/>
      <sliceName value="icd10-pcs-2021"/>
      <short
             value="此為臺灣衛生福利部中央健康保險署維護之2021年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。"/>
      <definition value="由專門術語系統(terminology system)所定義之代碼的參照。"/>
      <comment
               value="代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 **必須沒有(SHALL NOT)** 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。"/>
      <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <description
                     value="病情、問題或診斷的識別;應填入[臺灣2021年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2021-tw.html)值集中的其中一個代碼。"/>
        <valueSet
                  value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
      </mapping>
    </element>
    <element id="Procedure.code.coding:icd10-pcs-2014">
      <path value="Procedure.code.coding"/>
      <sliceName value="icd10-pcs-2014"/>
      <short
             value="此為臺灣衛生福利部中央健康保險署維護之2014年中文版ICD-10-PCS代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。"/>
      <definition value="由專門術語系統(terminology system)所定義之代碼的參照。"/>
      <comment
               value="代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 **必須沒有(SHALL NOT)** 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。"/>
      <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <description
                     value="病情、問題或診斷的識別;應填入[臺灣2014年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2014-tw.html)值集中的其中一個代碼。"/>
        <valueSet
                  value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
      </mapping>
    </element>
    <element id="Procedure.code.coding:icd9-cm-2001">
      <path value="Procedure.code.coding"/>
      <sliceName value="icd9-cm-2001"/>
      <short value="由專門術語系統(terminology system)定義的代碼"/>
      <definition value="由專門術語系統(terminology system)所定義之代碼的參照"/>
      <comment
               value="代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 **必須沒有(SHALL NOT)** 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。"/>
      <requirements value="允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <valueSet
                  value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-9-cm-2001-tw"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
      </mapping>
    </element>
    <element id="Procedure.code.coding:medical-service-payment">
      <path value="Procedure.code.coding"/>
      <sliceName value="medical-service-payment"/>
      <short value="此為中央健康保險署(NHI)維護之醫療服務給付項目,主要針對申報使用,可免費使用,可依情境選用此代碼。"/>
      <definition value="由專門術語系統(terminology system)所定義之代碼的參照。"/>
      <comment
               value="代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 **必須沒有(SHALL NOT)** 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。"/>
      <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <description
                     value="病情、問題或診斷的識別;應填入[臺灣2014年中文版ICD-10-PCS值集](https://twcore.mohw.gov.tw/ig/twcore/ValueSet-icd-10-pcs-2014-tw.html)值集中的其中一個代碼。"/>
        <valueSet
                  value="https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-tw"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
      </mapping>
    </element>
    <element id="Procedure.code.coding:sct-procedures-ips">
      <path value="Procedure.code.coding"/>
      <sliceName value="sct-procedures-ips"/>
      <short value="此為SNOMED CT處置代碼,若機構已有購買相關授權,亦可使用。"/>
      <definition value="由專門術語系統(terminology system)所定義之代碼的參照。"/>
      <comment
               value="代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 **必須沒有(SHALL NOT)** 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。"/>
      <requirements value="允許使用者在不知道識別碼系統的情況下利用識別碼"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.coding"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Coding-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <strength value="required"/>
        <description
                     value="病情、問題或診斷的識別;應填入[Procedures - IPS](http://hl7.org/fhir/uv/ips/STU1.1/ValueSet-procedures-uv-ips.html)值集中的其中一個代碼。"/>
        <valueSet
                  value="http://hl7.org/fhir/uv/ips/ValueSet/procedures-uv-ips"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map
             value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CV"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:Coding rdfs:subClassOf dt:CDCoding"/>
      </mapping>
    </element>
    <element id="Procedure.code.text">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true"/>
      </extension>
      <path value="Procedure.code.text"/>
      <short value="概念的文字表示法"/>
      <definition value="輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。"/>
      <comment value="很多時候,此文字表述與其中一個代碼的顯示名稱相同。"/>
      <requirements
                    value="專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="CodeableConcept.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="C*E.9. But note many systems use C*E.2 for this"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map
             value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
      </mapping>
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject"/>
      <short value="處置服務的對象"/>
      <definition value="進行處置的病人、動物或實體集合(例如:特定的一群人)。"/>
      <alias value="patient"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Procedure.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Patient"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.subject"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.subject[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].role"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.subject"/>
      </mapping>
    </element>
    <element id="Procedure.encounter">
      <path value="Procedure.encounter"/>
      <short value="就醫(Encounter)紀錄作為處置的一部分"/>
      <definition
                  value="此「處置(Procedure)」記載在哪次的「就醫(Encounter)」紀錄或者與此處置紀錄密切相關的「就醫(Encounter)」紀錄"/>
      <comment
               value="通常是此處置發生的就醫事件(Encounter),雖然有些活動可能在就醫結束之前或之後開始,但仍與就醫事件的情境有關。這筆紀錄表明與此處置紀錄相關的就醫事件。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.encounter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Encounter"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.context"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.context"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Procedure.performed[x]">
      <path value="Procedure.performed[x]"/>
      <short value="此處置何時執行的?"/>
      <definition
                  value="進行處置的估計或實際日期、日期時間、時間區間或年齡。允許一個時間區間來支持跨越一個日期以上的複雜處置,也允許捕捉處置的執行時間長度。"/>
      <comment
               value="年齡一般用於病人報告其進行手術的年齡,像是20到25歲時。 dateTime支援一定的精度範圍,因為有些處置被報告為過去的處置,可能沒有毫秒的精度,而其他在就醫期間執行和記錄的處置可能有更精確的UTC時間戳記和時區。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.performed[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support">
          <valueBoolean value="true"/>
        </extension>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="Age"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence[x]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.done[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element id="Procedure.recorder">
      <path value="Procedure.recorder"/>
      <short value="誰記錄此處置"/>
      <definition value="記錄處置內容並對其內容負責的個人"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.recorder"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Patient"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Practitioner"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.author"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=AUT].role"/>
      </mapping>
    </element>
    <element id="Procedure.asserter">
      <path value="Procedure.asserter"/>
      <short value="聲稱有此處置的人"/>
      <definition value="提出此處置說明的人"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.asserter"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Patient"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.source"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=INF].role"/>
      </mapping>
    </element>
    <element id="Procedure.performer">
      <path value="Procedure.performer"/>
      <short value="執行處置的人員"/>
      <definition value="限於「真正的」人而不是設備"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.performer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
    </element>
    <element id="Procedure.performer.id">
      <path value="Procedure.performer.id"/>
      <representation value="xmlAttr"/>
      <short value="唯一可識別ID,以供資料項目間相互參照。"/>
      <definition value="resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Procedure.performer.extension">
      <path value="Procedure.performer.extension"/>
      <short value="擴充的資料項目"/>
      <definition
                  value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 **必須(SHALL)** 滿足。"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Procedure.performer.modifierExtension">
      <path value="Procedure.performer.modifierExtension"/>
      <short value="此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。"/>
      <definition
                  value="可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 **必須(SHALL)** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 
 修飾用的擴充資料項目 **必須沒有(SHALL NOT)** 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <requirements
                    value="修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
    </element>
    <element id="Procedure.performer.function">
      <path value="Procedure.performer.function"/>
      <short value="執行的型別"/>
      <definition value="區分執行者在處置中的參與型別,例如:外科醫生、麻醉師、內視鏡醫生。"/>
      <comment
               value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
      <requirements value="允許針對不同執行者的參與型別進行澄清以消除歧義"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.performer.function"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedurePerformerRole"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Procedure Performer Role Codes](http://hl7.org/fhir/R4/valueset-performer-role.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/performer-role"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.performer.actor">
      <path value="Procedure.performer.actor"/>
      <short value="參照至健康照護服務提供人員"/>
      <definition value="參與處置的健康照護服務提供人員"/>
      <requirements value="一個參照至裝置(Device)的使用案例,例如:心律調整器。"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Procedure.performer.actor"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.actor"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.actor"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORC-19/PRT-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element id="Procedure.performer.onBehalfOf">
      <path value="Procedure.performer.onBehalfOf"/>
      <short value="此裝置(Device)或健康照護服務提供人員所屬機構(Organization)"/>
      <definition value="此裝置或健康照護服務提供人員所代表的機構"/>
      <requirements value="健康照護服務提供人員和裝置可以與多個機構相關聯,此資料項目表明他們在執行行動時代表哪個機構。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.performer.onBehalfOf"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".scoper"/>
      </mapping>
    </element>
    <element id="Procedure.location">
      <path value="Procedure.location"/>
      <short value="處置發生的地點(Location)?"/>
      <definition value="實際發生處置的地點(Location)。例如:新生兒在家裡出生、在餐廳做氣管切開術。"/>
      <requirements value="將一個處置與可能保存紀錄的地點(Location)聯繫起來"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.location"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.where[x]"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=LOC].role[classCode=SDLOC]"/>
      </mapping>
    </element>
    <element id="Procedure.reasonCode">
      <path value="Procedure.reasonCode"/>
      <short value="處置執行原因代碼"/>
      <definition value="進行此處置的原因代碼。這可能是某種型別的編碼,也可能只是文字表述。"/>
      <comment
               value="當一個代碼足以描述原因時,使用Procedure.reasonCode。當參照一個resource時,使用Procedure.reasonReference以傳達更多的資訊,如發病日期。Procedure.reasonCode和Procedure.reasonReference不應該是重複的。對於一個單一的原因,Procedure.reasonCode或Procedure.reasonReference都可以被使用。Procedure.reasonCode可以是一個摘要代碼,或者Procedure.reasonReference可以用Condition | Observation | Procedure | DiagnosticReport | DocumentReference來參照一個非常精確的原因定義。如果Procedure.reasonCode和Procedure.reasonReference描述的是處置的不同原因,則兩者都可以使用。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.reasonCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureReason"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可[參考[Procedure Reason Codes](http://hl7.org/fhir/R4/valueset-procedure-reason.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-reason"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.reasonReference">
      <path value="Procedure.reasonReference"/>
      <short value="執行此處置的原因"/>
      <definition value="為什麼進行此處置的原因"/>
      <comment
               value="一個處置有可能成為另一個處置(如C-Section)的理由(如硬膜外)。其他的例子包括擴張的內窺鏡檢查和活檢(診斷和治療的結合)。
 當一個代碼充分地描述了原因時,使用Procedure.reasonCode。當引用一個resource時,使用Procedure.reasonReference,這樣可以傳達更多的資訊,如發病日期。Procedure.reasonCode和Procedure.reasonReference不應該是重複的。對於一個單一的原因,Procedure.reasonCode或Procedure.reasonReference都可以被使用。Procedure.reasonCode可以是一個摘要代碼,或者Procedure.reasonReference可以用Condition | Observation | Procedure | DiagnosticReport | DocumentReference來引用一個非常精確的原因定義。如果Procedure.reasonCode和Procedure.reasonReference描述的是處置的不同原因,則兩者都可以使用。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.reasonReference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Condition-twcore"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.reasonReference"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="FiveWs.why[x]"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".reasonCode"/>
      </mapping>
    </element>
    <element id="Procedure.bodySite">
      <path value="Procedure.bodySite"/>
      <short value="目標身體部位。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。"/>
      <definition value="詳細和結構化的解剖學位置資訊。允許多個位置—例如:一個病灶的多個活體組織切片。"/>
      <comment
               value="如果案例需要BodySite resource的屬性(例如:識別和各別追蹤),那麼就使用標準擴充[procedure-targetbodystructure](擴充-procedure-targetbodystructure.html)。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.bodySite"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[SNOMED CT Body Structures](http://hl7.org/fhir/R4/valueset-body-site.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/body-site"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.outcome">
      <path value="Procedure.outcome"/>
      <short value="處置的結果。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。"/>
      <definition value="處置的結果—它是否解決了當初執行處置所要解決的問題?"/>
      <comment value="如果結果只包含敘述性文字,可用CodeableConcept.text來說明。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.outcome"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureOutcome"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Procedure Outcome Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-outcome.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-outcome"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.report">
      <path value="Procedure.report"/>
      <short value="此處置產生的任何報告"/>
      <definition value="這可能是組織學結果、病理學報告、手術報告等。"/>
      <comment value="有可能會有多份報告—例如:如果這是一個需要進行多次活體組織切片的處置,會產生一些解剖病理報告。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.report"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Composition"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="Procedure.complication">
      <path value="Procedure.complication"/>
      <short value="處置後的併發症"/>
      <definition
                  value="在處置過程中,或在處置後不久發生的任何併發症。這些通常與紀錄分開追蹤,紀錄通常描述處置本身,而不是任何 「處置後」的問題。"/>
      <comment value="如果併發症僅由敘述性文字表達,可用CodeableConcept.text來說明。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.complication"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureComplication"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Condition/Problem/Diagnosis Codes](http://hl7.org/fhir/R4/valueset-condition-code.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.complicationDetail">
      <path value="Procedure.complicationDetail"/>
      <short value="處置後發生的病情、問題或診斷"/>
      <definition value="在處置過程中或在執行結束後立即發生的任何併發症"/>
      <requirements value="這是用來記錄作為處置結果的病情、問題或診斷,而不是作為處置原因的病情、問題或診斷。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.complicationDetail"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Condition-Situation"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Condition-History"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=&quot;complication&quot;, moodCode=EVN].value"/>
      </mapping>
    </element>
    <element id="Procedure.followUp">
      <path value="Procedure.followUp"/>
      <short value="追蹤說明。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。"/>
      <definition
                  value="如果該處置需要特定的後續行動—例如拆除縫線。 後續行動可以表現為一個簡單的說明,也可能是更複雜的,在這種情況下,可以使用CarePlan resource。"/>
      <comment
               value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.followUp"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureFollowUp"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[Procedure Follow up Codes(SNOMED CT)](http://hl7.org/fhir/R4/valueset-procedure-followup.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/procedure-followup"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.note">
      <path value="Procedure.note"/>
      <short
             value="關於此處置的附加資訊。當Procedure.code用於&quot;氣管內管&quot;時,note為[號數]、[固定深度 (cm)] ; 當用於&quot;手動電擊&quot;時,note為[次數]、[焦耳數]"/>
      <definition value="關於此處置的任何其他註釋和意見"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.note"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Annotation"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.note"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="NTE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"/>
      </mapping>
    </element>
    <element id="Procedure.focalDevice">
      <path value="Procedure.focalDevice"/>
      <short value="處理、植入的或移除的裝置"/>
      <definition value="植入、移除或以其他方式操作的裝置(校準、更換電池、安裝義肢、安裝傷口真空裝置等),是處置的重點部分。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.focalDevice"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=DEV].role[classCode=MANU]"/>
      </mapping>
    </element>
    <element id="Procedure.focalDevice.id">
      <path value="Procedure.focalDevice.id"/>
      <representation value="xmlAttr"/>
      <short value="唯一可識別ID,以供資料項目間相互參照。"/>
      <definition value="resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Procedure.focalDevice.extension">
      <path value="Procedure.focalDevice.extension"/>
      <short value="擴充的資料項目"/>
      <definition
                  value="可用於表示不屬於此資料項目基本定義的附加資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 **必須(SHALL)** 滿足。"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Procedure.focalDevice.modifierExtension">
      <path value="Procedure.focalDevice.modifierExtension"/>
      <short value="此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。"/>
      <definition
                  value="可以用來表示不屬於資料項目的基本定義的附加資訊,並且修改對它所內嵌(contained)的資料項目的理解和(或)對包含資料項目之後續使用的理解。通常,修飾用的資料項目提供否定或限定。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,有一套要求 **必須(SHALL)** 滿足。處理resource的應用程式被要求檢查修飾用的擴充資料項目。 
 修飾用的擴充資料項目 **必須沒有(SHALL NOT)** 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。"/>
      <comment
               value="無論使用或定義擴充的機構或管轄區,任何應用程式、專案或標準使用擴充都不背負任何汙名(stigma)。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。"/>
      <requirements
                    value="修飾用的資料項目擴充將不能安全地忽略的擴充與絕大多數可以安全地忽略的擴充明確區分開來。透過消除禁止實作者擴充存在的需求來促進可互通性。更多訊息,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
    </element>
    <element id="Procedure.focalDevice.action">
      <path value="Procedure.focalDevice.action"/>
      <short value="改變裝置的種類"/>
      <definition value="處置過程中,設備改變的類型。"/>
      <comment
               value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Procedure.focalDevice.action"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DeviceActionKind"/>
        </extension>
        <strength value="preferred"/>
        <description
                     value="鼓勵使用[Procedure Device Action Codes](http://hl7.org/fhir/R4/valueset-device-action.html)值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/device-action"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
    <element id="Procedure.focalDevice.manipulated">
      <path value="Procedure.focalDevice.manipulated"/>
      <short value="被改變的裝置"/>
      <definition value="在處置中被處理(改變)的裝置"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Procedure.focalDevice.manipulated"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=DEV].role[classCode=SDLOC]"/>
      </mapping>
    </element>
    <element id="Procedure.usedReference">
      <path value="Procedure.usedReference"/>
      <short value="處置中使用的項目/物品"/>
      <definition value="指明藥品、裝置和作為處置一部分的任何其他物質"/>
      <comment value="對於實際植入或取出的裝置,使用Procedure.device。"/>
      <requirements value="用於追蹤污染等"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.usedReference"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Device"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Medication"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/Substance"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value=".participation[typeCode=DEV].role[classCode=MANU] or
.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"/>
      </mapping>
    </element>
    <element id="Procedure.usedCode">
      <path value="Procedure.usedCode"/>
      <short value="處置中使用的項目之代碼"/>
      <definition value="指明作為處置的一部分而使用的編碼項目"/>
      <comment value="對於實際植入或取出的裝置,使用Procedure.device。"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Procedure.usedCode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
        <profile
                 value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw"/>
      </type>
      <condition value="ele-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <isModifier value="false"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProcedureUsed"/>
        </extension>
        <strength value="example"/>
        <description
                     value="可參考[FHIR Device Types](http://hl7.org/fhir/R4/valueset-device-kind.html)值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。"/>
        <valueSet value="http://hl7.org/fhir/ValueSet/device-kind"/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="CE/CNE/CWE"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CD"/>
      </mapping>
      <mapping>
        <identity value="orim"/>
        <map value="fhir:CodeableConcept rdfs:subClassOf dt:CD"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Procedure">
      <path value="Procedure"/>
    </element>
    <element id="Procedure.partOf">
      <path value="Procedure.partOf"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Procedure"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Procedure-ALS"/>
      </type>
    </element>
    <element id="Procedure.code">
      <path value="Procedure.code"/>
      <short value="處置的識別碼。此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。[氣管內管]或[手動電擊]"/>
      <definition
                  value="所進行的特定處置。如果不能對處置的確切種類進行編碼,則使用文字(例如:「腹腔鏡闌尾切除術」)。
NEMSIS 對應 : eProcedures.03 - Procedure

TEMSIS 對應 : eProcedures.T01 - 處置"/>
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Patient"/>
      </type>
    </element>
    <element id="Procedure.encounter">
      <path value="Procedure.encounter"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Encounter"/>
      </type>
    </element>
    <element id="Procedure.recorder">
      <path value="Procedure.recorder"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Patient"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Practitioner"/>
      </type>
    </element>
    <element id="Procedure.asserter">
      <path value="Procedure.asserter"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
        <targetProfile
                       value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore"/>
        <targetProfile
                       value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Patient"/>
      </type>
    </element>
    <element id="Procedure.complicationDetail">
      <path value="Procedure.complicationDetail"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Condition-Situation"/>
        <targetProfile
                       value="https://standard-interoperability-lab.com/fhir/StructureDefinition/EMS-Condition-History"/>
      </type>
    </element>
    <element id="Procedure.note">
      <path value="Procedure.note"/>
      <short
             value="關於此處置的附加資訊。當Procedure.code用於&quot;氣管內管&quot;時,note為[號數]、[固定深度 (cm)] ; 當用於&quot;手動電擊&quot;時,note為[次數]、[焦耳數]"/>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>