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 1.1.0 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: 1.1.0 | |||
| Active as of 2026-10-30 | 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:
- Derived from this Profile: 在宅急症－服務請求
- Examples for this Profile: ServiceRequest/ltc-servicerequest-referral-example
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
0..* | Identifier | 服務請求識別碼 | |
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |
| intent |
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 |
0..* | CodeableConceptTW  |
服務類別，如轉介、照護服務請求等 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   category:twcore |
0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 | |
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |
| code |
1..1 | CodeableConceptTW |
服務項目代碼 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | |
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |
 coding:icd10-pcs-2023 |
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 |
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 |
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 |
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 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |
 coding:ltcServiceItem |
0..1 | Coding | 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 | Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed) | |
 code |
1..1 | code | Symbol in syntax defined by the system | |
 text |
0..1 | string | 概念的文字表示法 | |
 subject |
1..1 | Reference(長期照顧－住民基本資料) | Individual or Entity the service is ordered for | |
| encounter |
0..1 | Reference(TW Core Encounter) | Encounter in which the request was created | |
 occurrence[x] |
0..1 | When service should occur | ||
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| authoredOn |
0..1 | dateTime | Date request signed | |
| 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 |
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 |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | |
| reasonReference |
0..* | Reference(長期照顧－病情、問題或診斷) | Explanation/Justification for service or service | |
| note |
0..* | Annotation | Comments | |
| 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 | 📦1.1.0 | 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
0..* | TWCoreServiceRequest | A request for a service to be performed | |
 identifier |
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 |
0..1 | Coding | 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 | Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed) | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(長期照顧－住民基本資料) | Individual or Entity the service is ordered for | |
| encounter |
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 |
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 |
0..* | CodeableConcept | Explanation/Justification for procedure or service | |
| reasonReference |
0..* | Reference(長期照顧－病情、問題或診斷) | Explanation/Justification for service or service | |
| note |
0..* | Annotation | Comments | |
| 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 | 📦1.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 |
0..* | Identifier | 服務請求識別碼 | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest) | What request fulfills | |||||
| replaces |
0..* | Reference(TW Core ServiceRequest) | What request replaces | |||||
| requisition |
0..1 | Identifier | Composite Request ID | |||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||
| intent |
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 |
0..* | CodeableConceptTW |
服務類別，如轉介、照護服務請求等 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:twcore |
0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||
| code |
1..1 | CodeableConceptTW |
服務項目代碼 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
| coding:icd10-pcs-2023 |
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 |
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 |
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 |
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 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |||||
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |||||
| coding:ltcServiceItem |
0..1 | Coding | 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed) | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] |
0..1 | Service amount | ||||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
1..1 | Reference(長期照顧－住民基本資料) | Individual or Entity the service is ordered for | |||||
| encounter |
0..1 | Reference(TW Core Encounter) | Encounter in which the request was created | |||||
| occurrence[x] |
0..1 | When service should occur | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
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 |
0..1 | dateTime | Date request signed | |||||
| 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 | |||||
| performerType |
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 |
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 |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||
| locationReference |
0..* | Reference(TW Core Location) | Requested location | |||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | |||||
| reasonReference |
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 |
0..* | Reference(TW Core Specimen) | Procedure Samples | |||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| 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 | 📦1.1.0 | 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 v7.5 |
| 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()
|
This structure is derived from TWCoreServiceRequest
Summary
Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 7 elements
Structures
This structure refers to these other structures:
- 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
- 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
- 長期照顧－機構 (http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc)
- 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
- 長期照顧－病情、問題或診斷 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCondition)
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | 服務請求識別碼 | |
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |
| intent |
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 |
0..* | CodeableConceptTW |
服務類別，如轉介、照護服務請求等 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:twcore |
0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 | |
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |
| code |
1..1 | CodeableConceptTW |
服務項目代碼 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | |
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |
| coding:icd10-pcs-2023 |
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 |
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 |
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 |
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 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |
| coding:ltcServiceItem |
0..1 | Coding | 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 | Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed) | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(長期照顧－住民基本資料) | Individual or Entity the service is ordered for | |
| encounter |
0..1 | Reference(TW Core Encounter) | Encounter in which the request was created | |
| occurrence[x] |
0..1 | When service should occur | ||
| occurrenceDateTime |
dateTime | |||
| occurrencePeriod |
Period | |||
| occurrenceTiming |
Timing | |||
| authoredOn |
0..1 | dateTime | Date request signed | |
| 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 |
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 |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | |
| reasonReference |
0..* | Reference(長期照顧－病情、問題或診斷) | Explanation/Justification for service or service | |
| note |
0..* | Annotation | Comments | |
| 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 | 📦1.1.0 | 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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
0..* | TWCoreServiceRequest | A request for a service to be performed | |
| identifier |
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 |
0..1 | Coding | 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 | Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed) | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| subject |
1..1 | Reference(長期照顧－住民基本資料) | Individual or Entity the service is ordered for | |
| encounter |
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 |
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 |
0..* | CodeableConcept | Explanation/Justification for procedure or service | |
| reasonReference |
0..* | Reference(長期照顧－病情、問題或診斷) | Explanation/Justification for service or service | |
| note |
0..* | Annotation | Comments | |
| 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 | 📦1.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 |
0..* | Identifier | 服務請求識別碼 | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest) | What request fulfills | |||||
| replaces |
0..* | Reference(TW Core ServiceRequest) | What request replaces | |||||
| requisition |
0..1 | Identifier | Composite Request ID | |||||
| status |
1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | |||||
| intent |
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 |
0..* | CodeableConceptTW |
服務類別，如轉介、照護服務請求等 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:twcore |
0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||
| code |
1..1 | CodeableConceptTW |
服務項目代碼 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
| coding:icd10-pcs-2023 |
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 |
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 |
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 |
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 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |||||
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |||||
| coding:ltcServiceItem |
0..1 | Coding | 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 | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/cs-tw-ltc-service-item (extensions allowed) | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] |
0..1 | Service amount | ||||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
1..1 | Reference(長期照顧－住民基本資料) | Individual or Entity the service is ordered for | |||||
| encounter |
0..1 | Reference(TW Core Encounter) | Encounter in which the request was created | |||||
| occurrence[x] |
0..1 | When service should occur | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| asNeeded[x] |
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 |
0..1 | dateTime | Date request signed | |||||
| 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 | |||||
| performerType |
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 |
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 |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||
| locationReference |
0..* | Reference(TW Core Location) | Requested location | |||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | |||||
| reasonReference |
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 |
0..* | Reference(TW Core Specimen) | Procedure Samples | |||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| 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 | 📦1.1.0 | 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 v7.5 |
| 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()
|
This structure is derived from TWCoreServiceRequest
Summary
Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 7 elements
Structures
This structure refers to these other structures:
- 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
- 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
- 長期照顧－機構 (http://ltc-ig.fhir.tw/StructureDefinition/Organization-twltc)
- 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)
- 長期照顧－病情、問題或診斷 (http://ltc-ig.fhir.tw/StructureDefinition/LTCCondition)
Other representations of profile: CSV, Excel, Schematron