臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0

臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: 長期照顧－服務請求

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/LTCServiceRequest Version: 1.0.0
Active as of 2026-04-03 Computable Name: LTCServiceRequest

此 Profile 說明本 IG 如何進一步定義 FHIR 的 ServiceRequest Resource，以呈現長期照顧情境中的轉介申請及服務請求需求。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 服務請求識別碼
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConceptTW 服務類別，如轉介、照護服務請求等
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConceptTW 服務項目代碼
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... Slices for coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:ltcServiceItem SΣ 0..1 CodingTW 臺灣長照服務項目代碼（AA..GA 系列）
Binding: 臺灣長照服務項目 (required)
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) Individual or Entity the service is ordered for
... encounter SΣ 0..1 Reference(TW Core Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime S
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Who/what is requesting service
... performer SΣ 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Requested performer
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference SΣ 0..* Reference(長期照顧－病情、問題或診斷) Explanation/Justification for service or service
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v1.0
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ltcServiceItem Base required 臺灣長照服務項目 📦1.0.0 This IG
ServiceRequest.reasonCode Base extensible SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

This structure is derived from TWCoreServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* TWCoreServiceRequest A request for a service to be performed
... identifier S 0..* Identifier 服務請求識別碼
... category 0..* CodeableConceptTW 服務類別，如轉介、照護服務請求等
... code 1..1 CodeableConceptTW 服務項目代碼
.... Slices for coding Content/Rules for all slices
..... coding:ltcServiceItem S 0..1 CodingTW 臺灣長照服務項目代碼（AA..GA 系列）
Binding: 臺灣長照服務項目 (required)
...... system 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item
...... code 1..1 code 系統定義的語法之符號
... encounter S 0..1 Reference(TW Core Encounter) Encounter in which the request was created
... requester 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Who/what is requesting service
... performer S 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Requested performer
... reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
... reasonReference S 0..* Reference(長期照顧－病情、問題或診斷) Explanation/Justification for service or service
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code.​coding:ltcServiceItem Base required 臺灣長照服務項目 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 服務請求識別碼
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(TW Core ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConceptTW 服務類別，如轉介、照護服務請求等
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConceptTW 服務項目代碼
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:ltcServiceItem SΣ 0..1 CodingTW 臺灣長照服務項目代碼（AA..GA 系列）
Binding: 臺灣長照服務項目 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) Individual or Entity the service is ordered for
... encounter SΣ 0..1 Reference(TW Core Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime S
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer SΣ 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(TW Core Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference SΣ 0..* Reference(長期照顧－病情、問題或診斷) Explanation/Justification for service or service
... insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(TW Core Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note S 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v1.0
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ltcServiceItem Base required 臺灣長照服務項目 📦1.0.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.1
ServiceRequest.reasonCode Base extensible SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 服務請求識別碼
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConceptTW 服務類別，如轉介、照護服務請求等
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConceptTW 服務項目代碼
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... Slices for coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:ltcServiceItem SΣ 0..1 CodingTW 臺灣長照服務項目代碼（AA..GA 系列）
Binding: 臺灣長照服務項目 (required)
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) Individual or Entity the service is ordered for
... encounter SΣ 0..1 Reference(TW Core Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime S
.... occurrencePeriod Period
.... occurrenceTiming Timing
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Who/what is requesting service
... performer SΣ 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Requested performer
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference SΣ 0..* Reference(長期照顧－病情、問題或診斷) Explanation/Justification for service or service
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v1.0
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ltcServiceItem Base required 臺灣長照服務項目 📦1.0.0 This IG
ServiceRequest.reasonCode Base extensible SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

Differential View

This structure is derived from TWCoreServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest 0..* TWCoreServiceRequest A request for a service to be performed
... identifier S 0..* Identifier 服務請求識別碼
... category 0..* CodeableConceptTW 服務類別，如轉介、照護服務請求等
... code 1..1 CodeableConceptTW 服務項目代碼
.... Slices for coding Content/Rules for all slices
..... coding:ltcServiceItem S 0..1 CodingTW 臺灣長照服務項目代碼（AA..GA 系列）
Binding: 臺灣長照服務項目 (required)
...... system 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item
...... code 1..1 code 系統定義的語法之符號
... encounter S 0..1 Reference(TW Core Encounter) Encounter in which the request was created
... requester 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Who/what is requesting service
... performer S 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Requested performer
... reasonCode S 0..* CodeableConcept Explanation/Justification for procedure or service
... reasonReference S 0..* Reference(長期照顧－病情、問題或診斷) Explanation/Justification for service or service
... note S 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code.​coding:ltcServiceItem Base required 臺灣長照服務項目 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier 服務請求識別碼
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest) What request fulfills
... replaces Σ 0..* Reference(TW Core ServiceRequest) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
... Slices for category SΣ 0..* CodeableConceptTW 服務類別，如轉介、照護服務請求等
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code SΣ 1..1 CodeableConceptTW 服務項目代碼
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures SΣ 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:ltcServiceItem SΣ 0..1 CodingTW 臺灣長照服務項目代碼（AA..GA 系列）
Binding: 臺灣長照服務項目 (required)
...... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
...... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item
...... version Σ 0..1 string 系統的版本—如果相關的話
...... code SΣ 1..1 code 系統定義的語法之符號
...... display SΣ 0..1 string 由系統定義的表示法
...... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(長期照顧－住民基本資料) Individual or Entity the service is ordered for
... encounter SΣ 0..1 Reference(TW Core Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 When service should occur
.... occurrenceDateTime dateTime S
.... occurrencePeriod Period
.... occurrenceTiming Timing
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer SΣ 0..* Reference(長期照顧－照顧服務提供者 | 長期照顧－機構 | 長期照顧－服務人員角色) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(TW Core Location) Requested location
... reasonCode SΣ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference SΣ 0..* Reference(長期照顧－病情、問題或診斷) Explanation/Justification for service or service
... insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(TW Core Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note S 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📍4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v1.0
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v1.0
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:ltcServiceItem Base required 臺灣長照服務項目 📦1.0.0 This IG
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📍4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📍4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.1
ServiceRequest.reasonCode Base extensible SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v1.0
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ServiceRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ServiceRequest 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error ServiceRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ServiceRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
prr-1 error ServiceRequest orderDetail SHALL only be present if code is present orderDetail.empty() or code.exists()

 

Other representations of profile: CSV, Excel, Schematron