臺灣榮總腦中風實作指引(TW VGH Stroke IG)
0.1.0 - ci-build

臺灣榮總腦中風實作指引(TW VGH Stroke IG), published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: 腦中風-影像檢查醫令

Official URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeServiceRequest Version: 0.1.0
Draft as of 2026-10-07 Computable Name: StrokeServiceRequest

此 Profile 說明本 IG 如何進一步定義 FHIR 的 ServiceRequest Resource,以呈現腦中風病人影像檢查的醫令。

院方核定醫令識別方式與檢查項目代碼後才使用。每張影像檢查醫令建一筆,執行後的影像檢查以 StrokeImagingStudy.basedOn 參照本資源。核定前,RAPID 影像申請序號只保留在登錄表單,不建本資源。

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: doco
ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.identifier This element must be supported. This element is included in summaries. 1..* Identifier 醫令號。[應填入院方核定的醫令識別碼]
ServiceRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ServiceRequest.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令狀態。[依實際醫令狀態填寫]
Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令意圖。[依實際醫令填寫,正式醫令填 order]
Binding: RequestIntent (required): The kind of service request.
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of service
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
ServiceRequest.Slices for category.category:twcore This element must be supported. This element is included in summaries. 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。
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢查項目。[應填入院方核定的檢查項目代碼]
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。
ServiceRequest.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:medical-service-payment This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:sct-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
ServiceRequest.code.Slices for coding.coding:loinc-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ServiceRequest.code.Slices for coding.coding:rapidScanType This element must be supported. This element is included in summaries. 0..1 Coding 掃描類型。[應填入 CTP/CTA/NCCT]
Binding: 腦中風-影像分析掃描類型值集 (required)

Required Pattern: At least the following
ServiceRequest.code.Slices for coding.coding:rapidScanType.id 0..1 string Unique id for inter-element referencing
ServiceRequest.code.Slices for coding.coding:rapidScanType.extension 0..* Extension Additional content defined by implementations
ServiceRequest.code.Slices for coding.coding:rapidScanType.version 0..1 string Version of the system - if relevant
ServiceRequest.code.Slices for coding.coding:rapidScanType.display 0..1 string Representation defined by the system
ServiceRequest.code.Slices for coding.coding:rapidScanType.userSelected 0..1 boolean If this coding was chosen directly by the user
ServiceRequest.code.Slices for coding.coding:rapidScanType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ServiceRequest.code.Slices for coding.coding:rapidScanType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
ServiceRequest.code.text This element must be supported. This element is included in summaries. 0..1 string 檢查名稱
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風-就醫事件) 就醫事件。[應參照 StrokeEncounter]
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 預定執行時間。[醫令有記錄時才填;時區規則同 authoredOn]
ServiceRequest.occurrence[x].occurrenceDateTime dateTime This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod Period
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime 醫令開立日期與時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區]
ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner This type must be supported. | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device) Who/what is requesting service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.identifier.​use Base required IdentifierUse 📍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.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:rapidScanType Base required 腦中風-影像分析掃描類型值集 📦0.1.0 This IG

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: doco
ServiceRequest 0..* TWCoreServiceRequest A request for a service to be performed
ServiceRequest.identifier This element must be supported. 1..* Identifier 醫令號。[應填入院方核定的醫令識別碼]
ServiceRequest.identifier.value This element must be supported. 1..1 string The value that is unique
ServiceRequest.status 1..1 code 醫令狀態。[依實際醫令狀態填寫]
ServiceRequest.intent 1..1 code 醫令意圖。[依實際醫令填寫,正式醫令填 order]
ServiceRequest.code.Slices for coding Content/Rules for all slices
ServiceRequest.code.Slices for coding.coding:rapidScanType This element must be supported. 0..1 Coding 掃描類型。[應填入 CTP/CTA/NCCT]
Binding: 腦中風-影像分析掃描類型值集 (required)
Required Pattern: At least the following
ServiceRequest.code.Slices for coding.coding:rapidScanType.system 1..1 uri Identity of the terminology system
Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ServiceRequest.code.Slices for coding.coding:rapidScanType.code 1..1 code Symbol in syntax defined by the system
ServiceRequest.code.text 0..1 string 檢查名稱
ServiceRequest.subject 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
ServiceRequest.encounter This element must be supported. 0..1 Reference(腦中風-就醫事件) 就醫事件。[應參照 StrokeEncounter]
ServiceRequest.occurrence[x] 0..1 dateTime, Period, Timing 預定執行時間。[醫令有記錄時才填;時區規則同 authoredOn]
ServiceRequest.authoredOn 0..1 dateTime 醫令開立日期與時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區]

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code.​coding:rapidScanType Base required 腦中風-影像分析掃描類型值集 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
ServiceRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ServiceRequest.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
ServiceRequest.contained 0..* Resource Contained, inline Resources
ServiceRequest.extension 0..* Extension Additional content defined by implementations
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.identifier This element must be supported. This element is included in summaries. 1..* Identifier 醫令號。[應填入院方核定的醫令識別碼]
ServiceRequest.identifier.id 0..1 string Unique id for inter-element referencing
ServiceRequest.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ServiceRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ServiceRequest.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
ServiceRequest.identifier.system This element is included in summaries. 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
ServiceRequest.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ServiceRequest.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
ServiceRequest.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
ServiceRequest.instantiatesCanonical This element is included in summaries. 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
ServiceRequest.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest) What request fulfills
ServiceRequest.replaces This element is included in summaries. 0..* Reference(TW Core ServiceRequest) What request replaces
ServiceRequest.requisition This element is included in summaries. 0..1 Identifier Composite Request ID
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令狀態。[依實際醫令狀態填寫]
Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令意圖。[依實際醫令填寫,正式醫令填 order]
Binding: RequestIntent (required): The kind of service request.
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of service
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
ServiceRequest.Slices for category.category:twcore This element must be supported. This element is included in summaries. 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。
ServiceRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢查項目。[應填入院方核定的檢查項目代碼]
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。
ServiceRequest.code.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
ServiceRequest.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
ServiceRequest.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:medical-service-payment This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:sct-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
ServiceRequest.code.Slices for coding.coding:loinc-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ServiceRequest.code.Slices for coding.coding:rapidScanType This element must be supported. This element is included in summaries. 0..1 Coding 掃描類型。[應填入 CTP/CTA/NCCT]
Binding: 腦中風-影像分析掃描類型值集 (required)

Required Pattern: At least the following
ServiceRequest.code.Slices for coding.coding:rapidScanType.id 0..1 string Unique id for inter-element referencing
ServiceRequest.code.Slices for coding.coding:rapidScanType.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ServiceRequest.code.Slices for coding.coding:rapidScanType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ServiceRequest.code.Slices for coding.coding:rapidScanType.version This element is included in summaries. 0..1 string Version of the system - if relevant
ServiceRequest.code.Slices for coding.coding:rapidScanType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
ServiceRequest.code.Slices for coding.coding:rapidScanType.display This element is included in summaries. 0..1 string Representation defined by the system
ServiceRequest.code.Slices for coding.coding:rapidScanType.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
ServiceRequest.code.text This element must be supported. This element is included in summaries. 0..1 string 檢查名稱
ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
ServiceRequest.quantity[x] This element is included in summaries. 0..1 Service amount
ServiceRequest.quantity[x].quantityQuantity Quantity
ServiceRequest.quantity[x].quantityRatio Ratio
ServiceRequest.quantity[x].quantityRange Range
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風-就醫事件) 就醫事件。[應參照 StrokeEncounter]
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 預定執行時間。[醫令有記錄時才填;時區規則同 authoredOn]
ServiceRequest.occurrence[x].occurrenceDateTime dateTime This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod Period
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.asNeeded[x] This element is included in summaries. 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.
ServiceRequest.asNeeded[x].asNeededBoolean boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime 醫令開立日期與時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區]
ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner This type must be supported. | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device) Who/what is requesting service
ServiceRequest.performerType This element is included in summaries. 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.
ServiceRequest.performer This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | HealthcareService | TW Core Patient | Device | TW Core RelatedPerson) Requested performer
ServiceRequest.locationCode This element is included in summaries. 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
ServiceRequest.locationReference This element is included in summaries. 0..* Reference(TW Core Location) Requested location
ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
ServiceRequest.reasonReference This element is included in summaries. 0..* Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) Explanation/Justification for service or service
ServiceRequest.insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
ServiceRequest.supportingInfo 0..* Reference(Resource) Additional clinical information
ServiceRequest.specimen This element is included in summaries. 0..* Reference(TW Core Specimen) Procedure Samples
ServiceRequest.bodySite This element is included in summaries. 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ServiceRequest.note 0..* Annotation Comments
ServiceRequest.patientInstruction This element is included in summaries. 0..1 string Patient or consumer-oriented instructions
ServiceRequest.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.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier.​type Base extensible IdentifierType 📍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:rapidScanType Base required 腦中風-影像分析掃描類型值集 📦0.1.0 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 v7.4
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: 2 elements(2 nested mandatory elements)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.identifier This element must be supported. This element is included in summaries. 1..* Identifier 醫令號。[應填入院方核定的醫令識別碼]
ServiceRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ServiceRequest.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令狀態。[依實際醫令狀態填寫]
Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令意圖。[依實際醫令填寫,正式醫令填 order]
Binding: RequestIntent (required): The kind of service request.
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of service
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
ServiceRequest.Slices for category.category:twcore This element must be supported. This element is included in summaries. 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。
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢查項目。[應填入院方核定的檢查項目代碼]
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。
ServiceRequest.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:medical-service-payment This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:sct-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
ServiceRequest.code.Slices for coding.coding:loinc-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ServiceRequest.code.Slices for coding.coding:rapidScanType This element must be supported. This element is included in summaries. 0..1 Coding 掃描類型。[應填入 CTP/CTA/NCCT]
Binding: 腦中風-影像分析掃描類型值集 (required)

Required Pattern: At least the following
ServiceRequest.code.Slices for coding.coding:rapidScanType.id 0..1 string Unique id for inter-element referencing
ServiceRequest.code.Slices for coding.coding:rapidScanType.extension 0..* Extension Additional content defined by implementations
ServiceRequest.code.Slices for coding.coding:rapidScanType.version 0..1 string Version of the system - if relevant
ServiceRequest.code.Slices for coding.coding:rapidScanType.display 0..1 string Representation defined by the system
ServiceRequest.code.Slices for coding.coding:rapidScanType.userSelected 0..1 boolean If this coding was chosen directly by the user
ServiceRequest.code.Slices for coding.coding:rapidScanType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ServiceRequest.code.Slices for coding.coding:rapidScanType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
ServiceRequest.code.text This element must be supported. This element is included in summaries. 0..1 string 檢查名稱
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風-就醫事件) 就醫事件。[應參照 StrokeEncounter]
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 預定執行時間。[醫令有記錄時才填;時區規則同 authoredOn]
ServiceRequest.occurrence[x].occurrenceDateTime dateTime This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod Period
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime 醫令開立日期與時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區]
ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner This type must be supported. | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device) Who/what is requesting service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.identifier.​use Base required IdentifierUse 📍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.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:rapidScanType Base required 腦中風-影像分析掃描類型值集 📦0.1.0 This IG

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: doco
ServiceRequest 0..* TWCoreServiceRequest A request for a service to be performed
ServiceRequest.identifier This element must be supported. 1..* Identifier 醫令號。[應填入院方核定的醫令識別碼]
ServiceRequest.identifier.value This element must be supported. 1..1 string The value that is unique
ServiceRequest.status 1..1 code 醫令狀態。[依實際醫令狀態填寫]
ServiceRequest.intent 1..1 code 醫令意圖。[依實際醫令填寫,正式醫令填 order]
ServiceRequest.code 1..1 CodeableConceptTW 檢查項目。[應填入院方核定的檢查項目代碼]
ServiceRequest.code.Slices for coding Content/Rules for all slices
ServiceRequest.code.Slices for coding.coding:rapidScanType This element must be supported. 0..1 Coding 掃描類型。[應填入 CTP/CTA/NCCT]
Binding: 腦中風-影像分析掃描類型值集 (required)
Required Pattern: At least the following
ServiceRequest.code.Slices for coding.coding:rapidScanType.system 1..1 uri Identity of the terminology system
Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ServiceRequest.code.Slices for coding.coding:rapidScanType.code 1..1 code Symbol in syntax defined by the system
ServiceRequest.code.text 0..1 string 檢查名稱
ServiceRequest.subject 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
ServiceRequest.encounter This element must be supported. 0..1 Reference(腦中風-就醫事件) 就醫事件。[應參照 StrokeEncounter]
ServiceRequest.occurrence[x] 0..1 dateTime, Period, Timing 預定執行時間。[醫令有記錄時才填;時區規則同 authoredOn]
ServiceRequest.authoredOn 0..1 dateTime 醫令開立日期與時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區]

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code.​coding:rapidScanType Base required 腦中風-影像分析掃描類型值集 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
ServiceRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
ServiceRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
ServiceRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
ServiceRequest.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
ServiceRequest.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
ServiceRequest.contained 0..* Resource Contained, inline Resources
ServiceRequest.extension 0..* Extension Additional content defined by implementations
ServiceRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
ServiceRequest.identifier This element must be supported. This element is included in summaries. 1..* Identifier 醫令號。[應填入院方核定的醫令識別碼]
ServiceRequest.identifier.id 0..1 string Unique id for inter-element referencing
ServiceRequest.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ServiceRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
ServiceRequest.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
ServiceRequest.identifier.system This element is included in summaries. 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
ServiceRequest.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
ServiceRequest.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
ServiceRequest.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
ServiceRequest.instantiatesCanonical This element is included in summaries. 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
ServiceRequest.instantiatesUri This element is included in summaries. 0..* uri Instantiates external protocol or definition
ServiceRequest.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest) What request fulfills
ServiceRequest.replaces This element is included in summaries. 0..* Reference(TW Core ServiceRequest) What request replaces
ServiceRequest.requisition This element is included in summaries. 0..1 Identifier Composite Request ID
ServiceRequest.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令狀態。[依實際醫令狀態填寫]
Binding: RequestStatus (required): The status of a service order.
ServiceRequest.intent This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 醫令意圖。[依實際醫令填寫,正式醫令填 order]
Binding: RequestIntent (required): The kind of service request.
ServiceRequest.Slices for category This element must be supported. This element is included in summaries. 0..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well Classification of service
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
ServiceRequest.Slices for category.category:twcore This element must be supported. This element is included in summaries. 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。
ServiceRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
ServiceRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if service/procedure should not be performed
ServiceRequest.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 檢查項目。[應填入院方核定的檢查項目代碼]
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。
ServiceRequest.code.id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
ServiceRequest.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
ServiceRequest.code.Slices for coding This element must be supported. This element is included in summaries. 0..* CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2023 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2021 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:icd10-pcs-2014 This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:medical-service-payment This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 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)
ServiceRequest.code.Slices for coding.coding:sct-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
ServiceRequest.code.Slices for coding.coding:loinc-procedures This element must be supported. This element is included in summaries. 0..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ServiceRequest.code.Slices for coding.coding:rapidScanType This element must be supported. This element is included in summaries. 0..1 Coding 掃描類型。[應填入 CTP/CTA/NCCT]
Binding: 腦中風-影像分析掃描類型值集 (required)

Required Pattern: At least the following
ServiceRequest.code.Slices for coding.coding:rapidScanType.id 0..1 string Unique id for inter-element referencing
ServiceRequest.code.Slices for coding.coding:rapidScanType.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ServiceRequest.code.Slices for coding.coding:rapidScanType.system This element is included in summaries. 1..1 uri Identity of the terminology system
Fixed Value: http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type
ServiceRequest.code.Slices for coding.coding:rapidScanType.version This element is included in summaries. 0..1 string Version of the system - if relevant
ServiceRequest.code.Slices for coding.coding:rapidScanType.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
ServiceRequest.code.Slices for coding.coding:rapidScanType.display This element is included in summaries. 0..1 string Representation defined by the system
ServiceRequest.code.Slices for coding.coding:rapidScanType.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
ServiceRequest.code.text This element must be supported. This element is included in summaries. 0..1 string 檢查名稱
ServiceRequest.orderDetail This element is included in summaries. C 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
ServiceRequest.quantity[x] This element is included in summaries. 0..1 Service amount
ServiceRequest.quantity[x].quantityQuantity Quantity
ServiceRequest.quantity[x].quantityRatio Ratio
ServiceRequest.quantity[x].quantityRange Range
ServiceRequest.subject This element must be supported. This element is included in summaries. 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
ServiceRequest.encounter This element must be supported. This element is included in summaries. 0..1 Reference(腦中風-就醫事件) 就醫事件。[應參照 StrokeEncounter]
ServiceRequest.occurrence[x] This element must be supported. This element is included in summaries. 0..1 預定執行時間。[醫令有記錄時才填;時區規則同 authoredOn]
ServiceRequest.occurrence[x].occurrenceDateTime dateTime This target must be supported.
ServiceRequest.occurrence[x].occurrencePeriod Period
ServiceRequest.occurrence[x].occurrenceTiming Timing
ServiceRequest.asNeeded[x] This element is included in summaries. 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.
ServiceRequest.asNeeded[x].asNeededBoolean boolean
ServiceRequest.asNeeded[x].asNeededCodeableConcept CodeableConcept
ServiceRequest.authoredOn This element must be supported. This element is included in summaries. 0..1 dateTime 醫令開立日期與時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區]
ServiceRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(TW Core Practitioner This type must be supported. | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device) Who/what is requesting service
ServiceRequest.performerType This element is included in summaries. 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.
ServiceRequest.performer This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | HealthcareService | TW Core Patient | Device | TW Core RelatedPerson) Requested performer
ServiceRequest.locationCode This element is included in summaries. 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (3.0.0) (example): A location type where services are delivered.
ServiceRequest.locationReference This element is included in summaries. 0..* Reference(TW Core Location) Requested location
ServiceRequest.reasonCode This element is included in summaries. 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
ServiceRequest.reasonReference This element is included in summaries. 0..* Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference) Explanation/Justification for service or service
ServiceRequest.insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
ServiceRequest.supportingInfo 0..* Reference(Resource) Additional clinical information
ServiceRequest.specimen This element is included in summaries. 0..* Reference(TW Core Specimen) Procedure Samples
ServiceRequest.bodySite This element is included in summaries. 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
ServiceRequest.note 0..* Annotation Comments
ServiceRequest.patientInstruction This element is included in summaries. 0..1 string Patient or consumer-oriented instructions
ServiceRequest.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.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ServiceRequest.identifier.​type Base extensible IdentifierType 📍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:rapidScanType Base required 腦中風-影像分析掃描類型值集 📦0.1.0 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 v7.4
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: 2 elements(2 nested mandatory elements)
Must-Support: 4 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron