臺灣電子處方箋與調劑單張實作指引(TW EMPD IG), published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/empd/ and changes regularly. See the Directory of published versions
Resource Profile: 電子處方箋-處方內容(MedicationRequest)
| Official URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/MedicationRequest-EMPD | Version: 0.2.1 | |||
| Active as of 2026-10-21 | Computable Name: MedicationRequestEMPD | |||
此Profile繼承於臺灣核心-藥品處方(TW Core MedicationRequest)，並用於描述電子處方箋的處方內容[FMM1]
Usages:
- Use this Profile: 電子處方箋-Bundle
- Refer to this Profile: 電子處方箋-Composition
- Examples for this Profile: MedicationRequest/med-req-01-ep, MedicationRequest/med-req-02-ep, MedicationRequest/med-req-03-ep, MedicationRequest/med-req-04-ep...
- CapabilityStatements using this Profile: 電子處方箋與調劑單張-用戶端 and 電子處方箋與調劑單張-伺服端
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:  |
|---|---|---|---|---|
  MedicationRequest |
C | 0..* | TWCoreMedicationRequest | 為病人或實體集合（例如：特定的一群人）開立的藥品請求 Constraints: empd-ord-1, empd-medreq-2, empd-medreq-3, empd-medreq-4, empd-medreq-5, empd-medreq-6 |
  implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
  Slices for extension |
1..1 | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:TotalMedicationDays |
1..1 | (Complex) | 擴充的資料項目。[應填入電子處方箋給藥總日份 Total Medication Days] URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration | |
  extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration" | |
 value[x] |
1..1 | positiveInt | Value of extension Max Value: 999 | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 Slices for identifier |
2..* | Identifier | 此藥品處方的外部識別碼。[應填入處方箋單號 Prescription No.與項次 Item] Slice: Unordered, Closed by value:use Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 identifier:PrescriptionNo |
1..1 | Identifier | 用以識別電子處方箋之處方箋單號 | |
 use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋單號 Prescription No.] Example General: 123456 Max Length:64 | |
| identifier:Item |
1..1 | Identifier | 用以識別電子處方箋中處方項目之項次 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋項次 Item] Example General: 123456 Max Length:2 | |
| status |
1..1 | code | 表示處方箋目前之狀態。本實作指引限使用 active 與 cancelled；active 表示處方箋有效，cancelled 表示處方箋已註銷。[應填入處方箋註銷註記] Binding: EMPD MedicationRequest Status (required) | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | |
| Slices for category |
3..* | CodeableConceptTW  |
用藥型別 Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 category:typesOfPrescription |
1..1 | CodeableConceptTW |
[應填入處方箋種類註記 Types of Prescription]。 Binding: 處方箋種類註記值集 (required): 應填入MedicationRequestPrescription值集中的其中一個代碼。 | |
| category:orderType |
1..1 | CodeableConceptTW |
[應填入醫令類別]。 Binding: 醫令類別值集 (required): 醫令類別；應填入OrderType值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
 category:selfpayStatus |
1..1 | CodeableConceptTW |
[應填入自費註記]。用於判別就醫識別碼是否必填。如自費註記為"Y"，無須檢核健保代碼。 Binding: 自費註記值集 (required): 自費註記；應填入SelfpayStatus值集中適合的代碼。 | |
| doNotPerform |
0..1 | boolean | 如果藥品請求是禁止活動，則為真。 | |
| Slices for medication[x] |
1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
 medicationCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||
 medicationReference |
Reference(電子處方箋-藥物處方內容(Medication)) | |||
| medication[x]:medicationReference |
0..1 | Reference(電子處方箋-藥物處方內容(Medication)) | Medication to be taken | |
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConceptTW |
服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |
| 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 | |
 Slices for coding |
Content/Rules for all slices | |||
 coding:NHIMaterial |
0..1 | CodingTW |
此為中央健康保險署(NHI)維護之特材代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: NHI-電子處方箋-健保特材值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 | |
| code |
1..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
| coding:nonNHIMaterial |
0..1 | CodingTW |
無健保代碼之特材健保代碼暫編碼。依下列說明編碼(共12碼):第1- 2 碼依現行特材代碼前 2 碼編碼原則 (2碼)+ 第 3 碼為 半形「 z 」 (1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) 。 Binding: 無健保代碼之特材值集 (example) Required Pattern: | |
| system |
1..1 | uri | 無健保代碼之特材代碼系統。[請固定填寫此代碼系統] | |
| code |
1..1 | code | 第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為半形「 z 」(1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) | |
| display |
0..1 | string | 無健保代碼之特材名稱 | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(Group | 電子處方箋-病人基本資料) | 為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求 | |
| encounter |
0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | |
| authoredOn |
0..1 | dateTime | 藥品請求請求最初何時被撰寫？ | |
| requester |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰／什麼提出藥品請求請求？ | |
| reasonReference |
0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation） | |
| insurance |
1..* | Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) | 相關的保險承保範圍 | |
| note |
0..* | Annotation | 關於處方的資訊 | |
| dosageInstruction |
0..* | Dosage | 應該如何用藥 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| text |
0..1 | string | 純文字表述的劑量指示，例如：SIG。 | |
| timing |
1..1 | Timing | 應該何時給藥；時間的寫法請參照Timimg datatype。 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| repeat |
C | 0..1 | Element | 事件定期重複發生的時間 Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 |
 frequency |
0..1 | positiveInt | 藥品於指定使用時間週期內之使用次數。[應填入藥品使用次數 Frequency] | |
 code |
1..1 | CodeableConceptTW |
BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + [應填入使用時間] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| coding |
1..* | CodingTW |
藥品使用頻率及服用時間。[應填入藥品使用頻率及服用時間 Usagetime] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| text |
0..1 | string | 藥品使用頻率及使用時間之文字表示，並可補充代碼未能完整表達之資訊。 | |
| route |
1..1 | CodeableConceptTW |
藥品應如何進入體內。[應填入給藥途徑 Route of Administration] Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: 臺灣健保署給藥途徑值集 (extensible) | |
| text |
0..1 | string | 概念的文字標記法 | |
| method |
0..1 | CodeableConceptTW |
用藥的技術。[應填入用藥指示] Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念，描述用藥的技術；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| text |
0..1 | string | 給藥方法之文字描述；當無適用代碼可完整表達給藥方法時，可於此以文字說明。 Max Length:600 | |
| doseAndRate |
1..* | Element | 用藥量 | |
| Slices for dose[x] |
0..1 | 每一劑量的藥量 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
0..1 | SimpleQuantity |
每一劑量的藥量 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入劑量 Dose] | |
| unit |
1..1 | string | Unit representation.[應填入劑量單位 Dose units] Max Length:30 | |
| dispenseRequest |
1..1 | BackboneElement | 藥品供應授權 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| validityPeriod |
1..1 | Period | 處方可用以配藥的有效期限，包含起日與迄日[應填入處方箋有效日期] | |
| numberOfRepeatsAllowed |
1..1 | unsignedInt | 可重複領藥的次數。[應填入處方可調劑次數 Refill Times] Max Value: 99 | |
| quantity |
C | 1..1 | SimpleQuantity | 每次配藥的藥品（數）量 Constraints: sqty-1 |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入給藥總量 Total Amount] | |
| unit |
1..1 | string | Unit representation.[應填入給藥總量單位 Dose units] | |
| expectedSupplyDuration |
0..1 | Duration | 每次配藥可持續的天數。[應填入給藥日數 Medication Days]，不得超過999天。 | |
| value |
0..1 | decimal | Numerical value (with implicit precision) Max Value: 999 | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
0..1 | string | Unit representation Required Pattern: d (extensions allowed) | |
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) |
| code |
0..1 | code | Coded form of the unit Required Pattern: d (extensions allowed) | |
| substitution |
0..1 | BackboneElement | 對替代藥品的任何限制。填寫說明：有特殊情況時才填寫。 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 allowed[x] |
1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||
| allowedBoolean |
boolean | |||
| allowedCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||
| reason |
1..1 | CodeableConceptTW |
為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| text |
1..1 | string | 為什麼要（不）進行替換。[應填入不得以其他廠牌藥品替代之理由]，有特殊情況時才填寫。 Max Length:800 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.identifier:PrescriptionNo.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:Item.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | EMPD MedicationRequest Status | 📦0.2.1 | This IG |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:typesOfPrescription | Base | required | 處方箋種類註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:orderType | Base | required | 醫令類別值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:selfpayStatus | Base | required | 自費註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:NHIMaterial | Base | required | NHI-電子處方箋-健保特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code.coding | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | SNOMED CT + 臺灣健保署給藥途徑值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.route.coding | Base | extensible | 臺灣健保署給藥途徑值集 | 📦2024-06-04 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.method | Base | extensible | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | 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())
|
| empd-medreq-2 | error | MedicationRequest | 未使用 medicationReference 表示藥品時，應於 medicationCodeableConcept 填寫特材代碼。 |
medication.ofType(Reference).exists() or medication.ofType(CodeableConcept).exists()
|
| empd-medreq-3 | error | MedicationRequest | 無健保代碼之特材暫編碼須符合編碼規則：共12碼，第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為大寫「Z」(1碼)+第4-9碼為許可證號(6碼)+ 第10-12碼為流水號(3碼) |
medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists() implies (medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').all(code.matches('^(AC|BB|C[ABCDEFGHKMPRTVX]|F[ABEHNPSU]|H[EFH]|LE|N[ABCE]|RR|S[ACS]|T[BFKS]|W[BD])Z.{6}[0-9]{3}$')))
|
| empd-medreq-4 | error | MedicationRequest | 當藥品使用頻率為依照醫師指示使用（ASORDER）時，給藥方法（dosageInstruction.method）應填寫。 |
dosageInstruction.where(timing.code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NHIMedicationFrequency-cs' and code = 'ASORDER').exists()).all(method.exists())
|
| empd-medreq-5 | error | MedicationRequest | 劑量（dosageInstruction.doseAndRate.doseQuantity.value）總長度不得超過11位數，其中小數不得超過3位。 |
dosageInstruction.doseAndRate.dose.ofType(Quantity).value.all(toString().matches('^[0-9]{1,8}([.][0-9]{1,3})?$'))
|
| empd-medreq-6 | error | MedicationRequest | 給藥總量（dispenseRequest.quantity.value）總長度不得超過6位數，其中小數不得超過2位。 |
dispenseRequest.quantity.value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| empd-ord-1 | error | MedicationRequest | 當醫令類別不是特殊材料（code=3）時，應填寫劑量、劑量單位、頻率、給藥途徑、給藥日數及給藥總量。 |
category.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/OrderType-cs' and code = '3').exists() or (dosageInstruction.exists() and dosageInstruction.all(doseAndRate.dose.ofType(Quantity).value.exists() and doseAndRate.dose.ofType(Quantity).unit.exists() and timing.code.coding.code.exists() and route.exists()) and dispenseRequest.expectedSupplyDuration.exists() and dispenseRequest.quantity.exists())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units |
duration.empty() or durationUnit.exists()
|
| tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units |
period.empty() or periodUnit.exists()
|
| tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value |
duration.exists() implies duration >= 0
|
| tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value |
period.exists() implies period >= 0
|
| tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period |
periodMax.empty() or period.exists()
|
| tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration |
durationMax.empty() or duration.exists()
|
| tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count |
countMax.empty() or count.exists()
|
| tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) |
offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
|
| tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa |
timeOfDay.empty() or when.empty()
|
This structure is derived from TWCoreMedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
C | 0..* | TWCoreMedicationRequest | 為病人或實體集合（例如：特定的一群人）開立的藥品請求 Constraints: empd-ord-1, empd-medreq-2, empd-medreq-3, empd-medreq-4, empd-medreq-5, empd-medreq-6 |
| Slices for extension |
1..1 | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:TotalMedicationDays |
1..1 | (Complex) | 擴充的資料項目。[應填入電子處方箋給藥總日份 Total Medication Days] URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration | |
 value[x] |
1..1 | positiveInt | Value of extension Max Value: 999 | |
| Slices for identifier |
2..* | Identifier | 此藥品處方的外部識別碼。[應填入處方箋單號 Prescription No.與項次 Item] Slice: Unordered, Closed by value:use Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| identifier:PrescriptionNo |
1..1 | Identifier | 用以識別電子處方箋之處方箋單號 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: usual (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋單號 Prescription No.] Max Length:64 | |
| identifier:Item |
1..1 | Identifier | 用以識別電子處方箋中處方項目之項次 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: secondary (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋項次 Item] Max Length:2 | |
| status |
1..1 | code | 表示處方箋目前之狀態。本實作指引限使用 active 與 cancelled；active 表示處方箋有效，cancelled 表示處方箋已註銷。[應填入處方箋註銷註記] Binding: EMPD MedicationRequest Status (required) | |
| Slices for category |
3..* | CodeableConceptTW | 用藥型別 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:typesOfPrescription |
1..1 | CodeableConceptTW | [應填入處方箋種類註記 Types of Prescription]。 Binding: 處方箋種類註記值集 (required): 應填入MedicationRequestPrescription值集中的其中一個代碼。 | |
| category:orderType |
1..1 | CodeableConceptTW | [應填入醫令類別]。 Binding: 醫令類別值集 (required): 醫令類別；應填入OrderType值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| category:selfpayStatus |
1..1 | CodeableConceptTW | [應填入自費註記]。用於判別就醫識別碼是否必填。如自費註記為"Y"，無須檢核健保代碼。 Binding: 自費註記值集 (required): 自費註記；應填入SelfpayStatus值集中適合的代碼。 | |
| medication[x] |
1..1 | 服用的藥品。 | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||
| medicationReference |
Reference(電子處方箋-藥物處方內容(Medication)) | |||
| Slices for medication[x] |
Content/Rules for all slices | |||
| medication[x]:medicationReference |
0..1 | Reference(電子處方箋-藥物處方內容(Medication)) | Medication to be taken | |
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 | |
 Slices for coding |
Content/Rules for all slices | |||
| coding:fda-medication-tw |
0..0 | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 | ||
| coding:nhi-medication-tw |
0..0 | 此為中央健康保險署(NHI)維護之藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 | ||
| coding:nhi-medication-ch-herb-tw |
0..0 | 此為中央健康保險署(NHI)維護之中藥藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 | ||
| coding:rxnorm-medication-us-core |
0..0 | RxNorm為美國Unified Medical Language System®中的藥品代碼，取得UMLS®授權即可免費使用，可依情境選用此代碼。 | ||
| coding:atc-medication-code |
0..0 | ATC代碼的版權為世界衛生組織（WHO）Collaborating Centre for Drug Statistics Methodology，可免費使用，可依情境選用此代碼。 | ||
| coding:snomedct-medication-codes |
0..0 | 此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 | ||
| coding:NHIMaterial |
0..1 | CodingTW | 此為中央健康保險署(NHI)維護之特材代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: NHI-電子處方箋-健保特材值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 | |
| code |
1..1 | code | 系統定義的語法之符號 | |
| coding:nonNHIMaterial |
0..1 | CodingTW | 無健保代碼之特材健保代碼暫編碼。依下列說明編碼(共12碼):第1- 2 碼依現行特材代碼前 2 碼編碼原則 (2碼)+ 第 3 碼為 半形「 z 」 (1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) 。 Binding: 無健保代碼之特材值集 (example) Required Pattern: | |
| system |
1..1 | uri | 無健保代碼之特材代碼系統。[請固定填寫此代碼系統] | |
| code |
1..1 | code | 第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為半形「 z 」(1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) | |
| display |
0..1 | string | 無健保代碼之特材名稱 | |
| subject |
1..1 | Reference(Group | 電子處方箋-病人基本資料) | 為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求 | |
| insurance |
1..* | Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) | 相關的保險承保範圍 | |
| dosageInstruction |
||||
| timing |
1..1 | Timing | 應該何時給藥；時間的寫法請參照Timimg datatype。 | |
| repeat |
||||
| frequency |
0..1 | positiveInt | 藥品於指定使用時間週期內之使用次數。[應填入藥品使用次數 Frequency] | |
| code |
1..1 | CodeableConceptTW | BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + [應填入使用時間] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| coding |
1..* | CodingTW | 藥品使用頻率及服用時間。[應填入藥品使用頻率及服用時間 Usagetime] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| text |
0..1 | string | 藥品使用頻率及使用時間之文字表示，並可補充代碼未能完整表達之資訊。 | |
| route |
1..1 | CodeableConceptTW | 藥品應如何進入體內。[應填入給藥途徑 Route of Administration] Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |
| coding |
0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: 臺灣健保署給藥途徑值集 (extensible) | |
| method |
0..1 | CodeableConceptTW | 用藥的技術。[應填入用藥指示] | |
| text |
0..1 | string | 給藥方法之文字描述；當無適用代碼可完整表達給藥方法時，可於此以文字說明。 Max Length:600 | |
| doseAndRate |
1..* | Element | 用藥量 | |
| Slices for dose[x] |
0..1 | Range, SimpleQuantity | 每一劑量的藥量 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
| dose[x]:doseQuantity |
0..1 | SimpleQuantity | 每一劑量的藥量 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入劑量 Dose] | |
| unit |
1..1 | string | Unit representation.[應填入劑量單位 Dose units] Max Length:30 | |
| dispenseRequest |
1..1 | BackboneElement | 藥品供應授權 | |
| validityPeriod |
1..1 | Period | 處方可用以配藥的有效期限，包含起日與迄日[應填入處方箋有效日期] | |
| numberOfRepeatsAllowed |
1..1 | unsignedInt | 可重複領藥的次數。[應填入處方可調劑次數 Refill Times] Max Value: 99 | |
| quantity |
1..1 | SimpleQuantity | 每次配藥的藥品（數）量 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入給藥總量 Total Amount] | |
| unit |
1..1 | string | Unit representation.[應填入給藥總量單位 Dose units] | |
| expectedSupplyDuration |
0..1 | Duration | 每次配藥可持續的天數。[應填入給藥日數 Medication Days]，不得超過999天。 | |
| value |
0..1 | decimal | Numerical value (with implicit precision) Max Value: 999 | |
| unit |
0..1 | string | Unit representation Required Pattern: d (extensions allowed) | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | |
| code |
0..1 | code | Coded form of the unit Required Pattern: d (extensions allowed) | |
| substitution |
0..1 | BackboneElement | 對替代藥品的任何限制。填寫說明：有特殊情況時才填寫。 | |
| allowed[x] |
1..1 | boolean, CodeableConceptTW | 是否允許替換 | |
| reason |
1..1 | CodeableConceptTW | 為什麼要（不）進行替換 | |
| text |
1..1 | string | 為什麼要（不）進行替換。[應填入不得以其他廠牌藥品替代之理由]，有特殊情況時才填寫。 Max Length:800 | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | EMPD MedicationRequest Status | 📦0.2.1 | This IG |
| MedicationRequest.category:typesOfPrescription | Base | required | 處方箋種類註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:orderType | Base | required | 醫令類別值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:selfpayStatus | Base | required | 自費註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:NHIMaterial | Base | required | NHI-電子處方箋-健保特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code.coding | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | SNOMED CT + 臺灣健保署給藥途徑值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.route.coding | Base | extensible | 臺灣健保署給藥途徑值集 | 📦2024-06-04 | 臺灣核心實作指引 v0.3 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| empd-medreq-2 | error | MedicationRequest | 未使用 medicationReference 表示藥品時，應於 medicationCodeableConcept 填寫特材代碼。 |
medication.ofType(Reference).exists() or medication.ofType(CodeableConcept).exists()
|
| empd-medreq-3 | error | MedicationRequest | 無健保代碼之特材暫編碼須符合編碼規則：共12碼，第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為大寫「Z」(1碼)+第4-9碼為許可證號(6碼)+ 第10-12碼為流水號(3碼) |
medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists() implies (medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').all(code.matches('^(AC|BB|C[ABCDEFGHKMPRTVX]|F[ABEHNPSU]|H[EFH]|LE|N[ABCE]|RR|S[ACS]|T[BFKS]|W[BD])Z.{6}[0-9]{3}$')))
|
| empd-medreq-4 | error | MedicationRequest | 當藥品使用頻率為依照醫師指示使用（ASORDER）時，給藥方法（dosageInstruction.method）應填寫。 |
dosageInstruction.where(timing.code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NHIMedicationFrequency-cs' and code = 'ASORDER').exists()).all(method.exists())
|
| empd-medreq-5 | error | MedicationRequest | 劑量（dosageInstruction.doseAndRate.doseQuantity.value）總長度不得超過11位數，其中小數不得超過3位。 |
dosageInstruction.doseAndRate.dose.ofType(Quantity).value.all(toString().matches('^[0-9]{1,8}([.][0-9]{1,3})?$'))
|
| empd-medreq-6 | error | MedicationRequest | 給藥總量（dispenseRequest.quantity.value）總長度不得超過6位數，其中小數不得超過2位。 |
dispenseRequest.quantity.value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| empd-ord-1 | error | MedicationRequest | 當醫令類別不是特殊材料（code=3）時，應填寫劑量、劑量單位、頻率、給藥途徑、給藥日數及給藥總量。 |
category.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/OrderType-cs' and code = '3').exists() or (dosageInstruction.exists() and dosageInstruction.all(doseAndRate.dose.ofType(Quantity).value.exists() and doseAndRate.dose.ofType(Quantity).unit.exists() and timing.code.coding.code.exists() and route.exists()) and dispenseRequest.expectedSupplyDuration.exists() and dispenseRequest.quantity.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | TWCoreMedicationRequest | 為病人或實體集合（例如：特定的一群人）開立的藥品請求 Constraints: empd-ord-1, empd-medreq-2, empd-medreq-3, empd-medreq-4, empd-medreq-5, empd-medreq-6 | ||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
0..1 | Meta | 此MedicationRequest Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..1 | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:TotalMedicationDays |
1..1 | (Complex) | 擴充的資料項目。[應填入電子處方箋給藥總日份 Total Medication Days] URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration" | |||||
| value[x] |
1..1 | positiveInt | Value of extension Max Value: 999 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| Slices for identifier |
2..* | Identifier | 此藥品處方的外部識別碼。[應填入處方箋單號 Prescription No.與項次 Item] Slice: Unordered, Closed by value:use Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| identifier:PrescriptionNo |
1..1 | Identifier | 用以識別電子處方箋之處方箋單號 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual (extensions allowed) | |||||
| type |
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. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | [應填入處方箋單號 Prescription No.] Example General: 123456 Max Length:64 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:Item |
1..1 | Identifier | 用以識別電子處方箋中處方項目之項次 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary (extensions allowed) | |||||
| type |
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. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | [應填入處方箋項次 Item] Example General: 123456 Max Length:2 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | 表示處方箋目前之狀態。本實作指引限使用 active 與 cancelled；active 表示處方箋有效，cancelled 表示處方箋已註銷。[應填入處方箋註銷註記] Binding: EMPD MedicationRequest Status (required) | |||||
| statusReason |
0..1 | CodeableConceptTW |
當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | |||||
| Slices for category |
3..* | CodeableConceptTW |
用藥型別 Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:typesOfPrescription |
1..1 | CodeableConceptTW |
[應填入處方箋種類註記 Types of Prescription]。 Binding: 處方箋種類註記值集 (required): 應填入MedicationRequestPrescription值集中的其中一個代碼。 | |||||
| category:orderType |
1..1 | CodeableConceptTW |
[應填入醫令類別]。 Binding: 醫令類別值集 (required): 醫令類別；應填入OrderType值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| category:selfpayStatus |
1..1 | CodeableConceptTW |
[應填入自費註記]。用於判別就醫識別碼是否必填。如自費註記為"Y"，無須檢核健保代碼。 Binding: 自費註記值集 (required): 自費註記；應填入SelfpayStatus值集中適合的代碼。 | |||||
| priority |
0..1 | code | routine ｜ urgent ｜ asap ｜ stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | |||||
| doNotPerform |
0..1 | boolean | 如果藥品請求是禁止活動，則為真。 | |||||
| reported[x] |
0..1 | 被報告的而不是主要的紀錄 | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
| Slices for medication[x] |
1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||||||
| medicationReference |
Reference(電子處方箋-藥物處方內容(Medication)) | |||||||
| medication[x]:medicationReference |
0..1 | Reference(電子處方箋-藥物處方內容(Medication)) | Medication to be taken | |||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConceptTW |
服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
| 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 | |||||
| Slices for coding |
Content/Rules for all slices | |||||||
| coding:NHIMaterial |
0..1 | CodingTW |
此為中央健康保險署(NHI)維護之特材代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: NHI-電子處方箋-健保特材值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:nonNHIMaterial |
0..1 | CodingTW |
無健保代碼之特材健保代碼暫編碼。依下列說明編碼(共12碼):第1- 2 碼依現行特材代碼前 2 碼編碼原則 (2碼)+ 第 3 碼為 半形「 z 」 (1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) 。 Binding: 無健保代碼之特材值集 (example) Required Pattern: | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 無健保代碼之特材代碼系統。[請固定填寫此代碼系統] | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為半形「 z 」(1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) | |||||
| display |
0..1 | string | 無健保代碼之特材名稱 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| subject |
1..1 | Reference(Group | 電子處方箋-病人基本資料) | 為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求 | |||||
| encounter |
0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | |||||
| supportingInformation |
0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
| authoredOn |
0..1 | dateTime | 藥品請求請求最初何時被撰寫？ | |||||
| requester |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰／什麼提出藥品請求請求？ | |||||
| performer |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
| performerType |
0..1 | CodeableConceptTW |
所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| recorder |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
| reasonCode |
0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| reasonReference |
0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation） | |||||
| instantiatesCanonical |
0..* | canonical() | 實例化FHIR計畫書（protocol）或定義 | |||||
| instantiatesUri |
0..* | uri | 實例化外部計畫書（protocol）或定義 | |||||
| basedOn |
0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行？ | |||||
| groupIdentifier |
0..1 | Identifier | 此為綜合請求的一部分 | |||||
| courseOfTherapyType |
0..1 | CodeableConceptTW |
給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| insurance |
1..* | Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) | 相關的保險承保範圍 | |||||
| note |
0..* | Annotation | 關於處方的資訊 | |||||
| dosageInstruction |
0..* | Dosage | 應該如何用藥 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | 劑量指示的順序 | |||||
| text |
0..1 | string | 純文字表述的劑量指示，例如：SIG。 | |||||
| additionalInstruction |
0..* | CodeableConceptTW |
對病人的補充指示或警告－例如：「隨餐服用」，「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念，確定額外的指示，如「與水一起服用」或「避免操作重型機器」；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| patientInstruction |
0..1 | string | 以病人或消費者為導向的指示 | |||||
| timing |
1..1 | Timing | 應該何時給藥；時間的寫法請參照Timimg datatype。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| event |
0..* | dateTime | 事件發生的時間 | |||||
| repeat |
C | 0..1 | Element | 事件定期重複發生的時間 Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] |
0..1 | 時間或期間長度／長度範圍，或（開始和／或結束）限制 | ||||||
| boundsDuration |
Duration | |||||||
| boundsRange |
Range | |||||||
| boundsPeriod |
Period | |||||||
| count |
0..1 | positiveInt | 重複的次數 | |||||
| countMax |
0..1 | positiveInt | 重複的最大次數 | |||||
| duration |
0..1 | decimal | 此事件持續多久時間 | |||||
| durationMax |
0..1 | decimal | 此事件持續多久時間 （最長時間／最大值） | |||||
| durationUnit |
0..1 | code | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼 | |||||
| frequency |
0..1 | positiveInt | 藥品於指定使用時間週期內之使用次數。[應填入藥品使用次數 Frequency] | |||||
| frequencyMax |
0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | |||||
| period |
0..1 | decimal | 此事件於特定時間區間所發生的頻率 | |||||
| periodMax |
0..1 | decimal | 時間區間的上限（3-4小時） | |||||
| periodUnit |
0..1 | code | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼 | |||||
| dayOfWeek |
0..* | code | mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | |||||
| timeOfDay |
0..* | time | 一天中的活動時間 | |||||
| when |
0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件；應填入EventTiming值集中的其中一個代碼 | |||||
| offset |
0..1 | unsignedInt | 事件的分鐘數（之前或之後） | |||||
| code |
1..1 | CodeableConceptTW |
BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + [應填入使用時間] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
1..* | CodingTW |
藥品使用頻率及服用時間。[應填入藥品使用頻率及服用時間 Usagetime] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |||||
| text |
0..1 | string | 藥品使用頻率及使用時間之文字表示，並可補充代碼未能完整表達之資訊。 | |||||
| asNeeded[x] |
0..1 | 「根據（對x的）需要」服用
Binding：一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；可參考SNOMEDCTMedicationAsNeededReasonCodes值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||||||
| site |
0..1 | CodeableConceptTW |
用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念，描述藥品進入或在身體上的位置；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| route |
1..1 | CodeableConceptTW |
藥品應如何進入體內。[應填入給藥途徑 Route of Administration] Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |||||
| 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 | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: 臺灣健保署給藥途徑值集 (extensible) | |||||
| text |
0..1 | string | 概念的文字標記法 | |||||
| method |
0..1 | CodeableConceptTW |
用藥的技術。[應填入用藥指示] Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念，描述用藥的技術；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| 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 | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| text |
0..1 | string | 給藥方法之文字描述；當無適用代碼可完整表達給藥方法時，可於此以文字說明。 Max Length:600 | |||||
| doseAndRate |
1..* | Element | 用藥量 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConceptTW |
特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| Slices for dose[x] |
0..1 | 每一劑量的藥量 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| dose[x]:doseQuantity |
0..1 | SimpleQuantity |
每一劑量的藥量 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入劑量 Dose] | |||||
| unit |
1..1 | string | Unit representation.[應填入劑量單位 Dose units] Max Length:30 | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
0..1 | code | Coded form of the unit | |||||
| rate[x] |
0..1 | 每時間單位內的用藥量 | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | 每時間單位內用藥的上限 | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity | 每次用藥的上限 Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity | 病人一生中用藥的上限 Constraints: sqty-1 | ||||
| dispenseRequest |
1..1 | BackboneElement | 藥品供應授權 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| initialFill |
0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity | 首次配藥的數量 Constraints: sqty-1 | ||||
| duration |
0..1 | Duration | 首次配藥的持續時間 | |||||
| dispenseInterval |
0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
| validityPeriod |
1..1 | Period | 處方可用以配藥的有效期限，包含起日與迄日[應填入處方箋有效日期] | |||||
| numberOfRepeatsAllowed |
1..1 | unsignedInt | 可重複領藥的次數。[應填入處方可調劑次數 Refill Times] Max Value: 99 | |||||
| quantity |
C | 1..1 | SimpleQuantity | 每次配藥的藥品（數）量 Constraints: sqty-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入給藥總量 Total Amount] | |||||
| unit |
1..1 | string | Unit representation.[應填入給藥總量單位 Dose units] | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
0..1 | code | Coded form of the unit | |||||
| expectedSupplyDuration |
0..1 | Duration | 每次配藥可持續的天數。[應填入給藥日數 Medication Days]，不得超過999天。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Max Value: 999 | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
0..1 | string | Unit representation Required Pattern: d (extensions allowed) | |||||
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | ||||
| code |
0..1 | code | Coded form of the unit Required Pattern: d (extensions allowed) | |||||
| performer |
0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
| substitution |
0..1 | BackboneElement | 對替代藥品的任何限制。填寫說明：有特殊情況時才填寫。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||||||
| reason |
1..1 | CodeableConceptTW |
為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| 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 | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| text |
1..1 | string | 為什麼要（不）進行替換。[應填入不得以其他廠牌藥品替代之理由]，有特殊情況時才填寫。 Max Length:800 | |||||
| priorPrescription |
0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令／處方 | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
| eventHistory |
0..* | Reference(TW Core Provenance) | 生命週期中感興趣的事件清單 | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MedicationRequest.identifier:PrescriptionNo.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:PrescriptionNo.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:Item.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:Item.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | EMPD MedicationRequest Status | 📦0.2.1 | This IG |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:typesOfPrescription | Base | required | 處方箋種類註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:orderType | Base | required | 醫令類別值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:selfpayStatus | Base | required | 自費註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:NHIMaterial | Base | required | NHI-電子處方箋-健保特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.performerType | Base | extensible | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | extensible | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.code | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code.coding | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | extensible | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | extensible | SNOMED CT Anatomical Structure for Administration Site Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | extensible | SNOMED CT + 臺灣健保署給藥途徑值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.route.coding | Base | extensible | 臺灣健保署給藥途徑值集 | 📦2024-06-04 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.method | Base | extensible | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | 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())
|
| empd-medreq-2 | error | MedicationRequest | 未使用 medicationReference 表示藥品時，應於 medicationCodeableConcept 填寫特材代碼。 |
medication.ofType(Reference).exists() or medication.ofType(CodeableConcept).exists()
|
| empd-medreq-3 | error | MedicationRequest | 無健保代碼之特材暫編碼須符合編碼規則：共12碼，第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為大寫「Z」(1碼)+第4-9碼為許可證號(6碼)+ 第10-12碼為流水號(3碼) |
medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists() implies (medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').all(code.matches('^(AC|BB|C[ABCDEFGHKMPRTVX]|F[ABEHNPSU]|H[EFH]|LE|N[ABCE]|RR|S[ACS]|T[BFKS]|W[BD])Z.{6}[0-9]{3}$')))
|
| empd-medreq-4 | error | MedicationRequest | 當藥品使用頻率為依照醫師指示使用（ASORDER）時，給藥方法（dosageInstruction.method）應填寫。 |
dosageInstruction.where(timing.code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NHIMedicationFrequency-cs' and code = 'ASORDER').exists()).all(method.exists())
|
| empd-medreq-5 | error | MedicationRequest | 劑量（dosageInstruction.doseAndRate.doseQuantity.value）總長度不得超過11位數，其中小數不得超過3位。 |
dosageInstruction.doseAndRate.dose.ofType(Quantity).value.all(toString().matches('^[0-9]{1,8}([.][0-9]{1,3})?$'))
|
| empd-medreq-6 | error | MedicationRequest | 給藥總量（dispenseRequest.quantity.value）總長度不得超過6位數，其中小數不得超過2位。 |
dispenseRequest.quantity.value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| empd-ord-1 | error | MedicationRequest | 當醫令類別不是特殊材料（code=3）時，應填寫劑量、劑量單位、頻率、給藥途徑、給藥日數及給藥總量。 |
category.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/OrderType-cs' and code = '3').exists() or (dosageInstruction.exists() and dosageInstruction.all(doseAndRate.dose.ofType(Quantity).value.exists() and doseAndRate.dose.ofType(Quantity).unit.exists() and timing.code.coding.code.exists() and route.exists()) and dispenseRequest.expectedSupplyDuration.exists() and dispenseRequest.quantity.exists())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units |
duration.empty() or durationUnit.exists()
|
| tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units |
period.empty() or periodUnit.exists()
|
| tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value |
duration.exists() implies duration >= 0
|
| tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value |
period.exists() implies period >= 0
|
| tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period |
periodMax.empty() or period.exists()
|
| tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration |
durationMax.empty() or duration.exists()
|
| tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count |
countMax.empty() or count.exists()
|
| tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) |
offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
|
| tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa |
timeOfDay.empty() or when.empty()
|
This structure is derived from TWCoreMedicationRequest
Summary
Mandatory: 18 elements(13 nested mandatory elements)
Must-Support: 25 elements
Prohibited: 6 elements
Structures
This structure refers to these other structures:
- TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
- 電子處方箋-藥物處方內容(Medication) (https://nhicore.nhi.gov.tw/empd/StructureDefinition/Medication-EMPD)
- 電子處方箋-病人基本資料 (https://nhicore.nhi.gov.tw/empd/StructureDefinition/Patient-EMPD)
- 電子處方箋/調劑單張-就醫身分別 (https://nhicore.nhi.gov.tw/empd/StructureDefinition/Coverage-EMR)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationRequest.identifier (Closed)
- The element 1 is sliced based on the value of MedicationRequest.category
- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
C | 0..* | TWCoreMedicationRequest | 為病人或實體集合（例如：特定的一群人）開立的藥品請求 Constraints: empd-ord-1, empd-medreq-2, empd-medreq-3, empd-medreq-4, empd-medreq-5, empd-medreq-6 |
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |
| Slices for extension |
1..1 | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:TotalMedicationDays |
1..1 | (Complex) | 擴充的資料項目。[應填入電子處方箋給藥總日份 Total Medication Days] URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||
| url |
1..1 | uri | "https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration" | |
| value[x] |
1..1 | positiveInt | Value of extension Max Value: 999 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| Slices for identifier |
2..* | Identifier | 此藥品處方的外部識別碼。[應填入處方箋單號 Prescription No.與項次 Item] Slice: Unordered, Closed by value:use Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| identifier:PrescriptionNo |
1..1 | Identifier | 用以識別電子處方箋之處方箋單號 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋單號 Prescription No.] Example General: 123456 Max Length:64 | |
| identifier:Item |
1..1 | Identifier | 用以識別電子處方箋中處方項目之項次 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋項次 Item] Example General: 123456 Max Length:2 | |
| status |
1..1 | code | 表示處方箋目前之狀態。本實作指引限使用 active 與 cancelled；active 表示處方箋有效，cancelled 表示處方箋已註銷。[應填入處方箋註銷註記] Binding: EMPD MedicationRequest Status (required) | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | |
| Slices for category |
3..* | CodeableConceptTW |
用藥型別 Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:typesOfPrescription |
1..1 | CodeableConceptTW |
[應填入處方箋種類註記 Types of Prescription]。 Binding: 處方箋種類註記值集 (required): 應填入MedicationRequestPrescription值集中的其中一個代碼。 | |
| category:orderType |
1..1 | CodeableConceptTW |
[應填入醫令類別]。 Binding: 醫令類別值集 (required): 醫令類別；應填入OrderType值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| category:selfpayStatus |
1..1 | CodeableConceptTW |
[應填入自費註記]。用於判別就醫識別碼是否必填。如自費註記為"Y"，無須檢核健保代碼。 Binding: 自費註記值集 (required): 自費註記；應填入SelfpayStatus值集中適合的代碼。 | |
| doNotPerform |
0..1 | boolean | 如果藥品請求是禁止活動，則為真。 | |
| Slices for medication[x] |
1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||
| medicationReference |
Reference(電子處方箋-藥物處方內容(Medication)) | |||
| medication[x]:medicationReference |
0..1 | Reference(電子處方箋-藥物處方內容(Medication)) | Medication to be taken | |
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConceptTW |
服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:NHIMaterial |
0..1 | CodingTW |
此為中央健康保險署(NHI)維護之特材代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: NHI-電子處方箋-健保特材值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 | |
| code |
1..1 | code | 系統定義的語法之符號 | |
| display |
0..1 | string | 由系統定義的表示法 | |
| coding:nonNHIMaterial |
0..1 | CodingTW |
無健保代碼之特材健保代碼暫編碼。依下列說明編碼(共12碼):第1- 2 碼依現行特材代碼前 2 碼編碼原則 (2碼)+ 第 3 碼為 半形「 z 」 (1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) 。 Binding: 無健保代碼之特材值集 (example) Required Pattern: | |
| system |
1..1 | uri | 無健保代碼之特材代碼系統。[請固定填寫此代碼系統] | |
| code |
1..1 | code | 第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為半形「 z 」(1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) | |
| display |
0..1 | string | 無健保代碼之特材名稱 | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(Group | 電子處方箋-病人基本資料) | 為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求 | |
| encounter |
0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | |
| authoredOn |
0..1 | dateTime | 藥品請求請求最初何時被撰寫？ | |
| requester |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰／什麼提出藥品請求請求？ | |
| reasonReference |
0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation） | |
| insurance |
1..* | Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) | 相關的保險承保範圍 | |
| note |
0..* | Annotation | 關於處方的資訊 | |
| dosageInstruction |
0..* | Dosage | 應該如何用藥 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| text |
0..1 | string | 純文字表述的劑量指示，例如：SIG。 | |
| timing |
1..1 | Timing | 應該何時給藥；時間的寫法請參照Timimg datatype。 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| repeat |
C | 0..1 | Element | 事件定期重複發生的時間 Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 |
| frequency |
0..1 | positiveInt | 藥品於指定使用時間週期內之使用次數。[應填入藥品使用次數 Frequency] | |
| code |
1..1 | CodeableConceptTW |
BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + [應填入使用時間] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| coding |
1..* | CodingTW |
藥品使用頻率及服用時間。[應填入藥品使用頻率及服用時間 Usagetime] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| text |
0..1 | string | 藥品使用頻率及使用時間之文字表示，並可補充代碼未能完整表達之資訊。 | |
| route |
1..1 | CodeableConceptTW |
藥品應如何進入體內。[應填入給藥途徑 Route of Administration] Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: 臺灣健保署給藥途徑值集 (extensible) | |
| text |
0..1 | string | 概念的文字標記法 | |
| method |
0..1 | CodeableConceptTW |
用藥的技術。[應填入用藥指示] Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念，描述用藥的技術；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| text |
0..1 | string | 給藥方法之文字描述；當無適用代碼可完整表達給藥方法時，可於此以文字說明。 Max Length:600 | |
| doseAndRate |
1..* | Element | 用藥量 | |
| Slices for dose[x] |
0..1 | 每一劑量的藥量 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| dose[x]:doseQuantity |
0..1 | SimpleQuantity |
每一劑量的藥量 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入劑量 Dose] | |
| unit |
1..1 | string | Unit representation.[應填入劑量單位 Dose units] Max Length:30 | |
| dispenseRequest |
1..1 | BackboneElement | 藥品供應授權 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| validityPeriod |
1..1 | Period | 處方可用以配藥的有效期限，包含起日與迄日[應填入處方箋有效日期] | |
| numberOfRepeatsAllowed |
1..1 | unsignedInt | 可重複領藥的次數。[應填入處方可調劑次數 Refill Times] Max Value: 99 | |
| quantity |
C | 1..1 | SimpleQuantity | 每次配藥的藥品（數）量 Constraints: sqty-1 |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入給藥總量 Total Amount] | |
| unit |
1..1 | string | Unit representation.[應填入給藥總量單位 Dose units] | |
| expectedSupplyDuration |
0..1 | Duration | 每次配藥可持續的天數。[應填入給藥日數 Medication Days]，不得超過999天。 | |
| value |
0..1 | decimal | Numerical value (with implicit precision) Max Value: 999 | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
0..1 | string | Unit representation Required Pattern: d (extensions allowed) | |
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) |
| code |
0..1 | code | Coded form of the unit Required Pattern: d (extensions allowed) | |
| substitution |
0..1 | BackboneElement | 對替代藥品的任何限制。填寫說明：有特殊情況時才填寫。 | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| allowed[x] |
1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||
| allowedBoolean |
boolean | |||
| allowedCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||
| reason |
1..1 | CodeableConceptTW |
為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| text |
1..1 | string | 為什麼要（不）進行替換。[應填入不得以其他廠牌藥品替代之理由]，有特殊情況時才填寫。 Max Length:800 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.identifier:PrescriptionNo.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:Item.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | EMPD MedicationRequest Status | 📦0.2.1 | This IG |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:typesOfPrescription | Base | required | 處方箋種類註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:orderType | Base | required | 醫令類別值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:selfpayStatus | Base | required | 自費註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:NHIMaterial | Base | required | NHI-電子處方箋-健保特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code.coding | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | SNOMED CT + 臺灣健保署給藥途徑值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.route.coding | Base | extensible | 臺灣健保署給藥途徑值集 | 📦2024-06-04 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.method | Base | extensible | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | 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())
|
| empd-medreq-2 | error | MedicationRequest | 未使用 medicationReference 表示藥品時，應於 medicationCodeableConcept 填寫特材代碼。 |
medication.ofType(Reference).exists() or medication.ofType(CodeableConcept).exists()
|
| empd-medreq-3 | error | MedicationRequest | 無健保代碼之特材暫編碼須符合編碼規則：共12碼，第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為大寫「Z」(1碼)+第4-9碼為許可證號(6碼)+ 第10-12碼為流水號(3碼) |
medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists() implies (medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').all(code.matches('^(AC|BB|C[ABCDEFGHKMPRTVX]|F[ABEHNPSU]|H[EFH]|LE|N[ABCE]|RR|S[ACS]|T[BFKS]|W[BD])Z.{6}[0-9]{3}$')))
|
| empd-medreq-4 | error | MedicationRequest | 當藥品使用頻率為依照醫師指示使用（ASORDER）時，給藥方法（dosageInstruction.method）應填寫。 |
dosageInstruction.where(timing.code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NHIMedicationFrequency-cs' and code = 'ASORDER').exists()).all(method.exists())
|
| empd-medreq-5 | error | MedicationRequest | 劑量（dosageInstruction.doseAndRate.doseQuantity.value）總長度不得超過11位數，其中小數不得超過3位。 |
dosageInstruction.doseAndRate.dose.ofType(Quantity).value.all(toString().matches('^[0-9]{1,8}([.][0-9]{1,3})?$'))
|
| empd-medreq-6 | error | MedicationRequest | 給藥總量（dispenseRequest.quantity.value）總長度不得超過6位數，其中小數不得超過2位。 |
dispenseRequest.quantity.value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| empd-ord-1 | error | MedicationRequest | 當醫令類別不是特殊材料（code=3）時，應填寫劑量、劑量單位、頻率、給藥途徑、給藥日數及給藥總量。 |
category.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/OrderType-cs' and code = '3').exists() or (dosageInstruction.exists() and dosageInstruction.all(doseAndRate.dose.ofType(Quantity).value.exists() and doseAndRate.dose.ofType(Quantity).unit.exists() and timing.code.coding.code.exists() and route.exists()) and dispenseRequest.expectedSupplyDuration.exists() and dispenseRequest.quantity.exists())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units |
duration.empty() or durationUnit.exists()
|
| tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units |
period.empty() or periodUnit.exists()
|
| tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value |
duration.exists() implies duration >= 0
|
| tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value |
period.exists() implies period >= 0
|
| tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period |
periodMax.empty() or period.exists()
|
| tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration |
durationMax.empty() or duration.exists()
|
| tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count |
countMax.empty() or count.exists()
|
| tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) |
offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
|
| tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa |
timeOfDay.empty() or when.empty()
|
Differential View
This structure is derived from TWCoreMedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
C | 0..* | TWCoreMedicationRequest | 為病人或實體集合（例如：特定的一群人）開立的藥品請求 Constraints: empd-ord-1, empd-medreq-2, empd-medreq-3, empd-medreq-4, empd-medreq-5, empd-medreq-6 |
| Slices for extension |
1..1 | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:TotalMedicationDays |
1..1 | (Complex) | 擴充的資料項目。[應填入電子處方箋給藥總日份 Total Medication Days] URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration | |
| value[x] |
1..1 | positiveInt | Value of extension Max Value: 999 | |
| Slices for identifier |
2..* | Identifier | 此藥品處方的外部識別碼。[應填入處方箋單號 Prescription No.與項次 Item] Slice: Unordered, Closed by value:use Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| identifier:PrescriptionNo |
1..1 | Identifier | 用以識別電子處方箋之處方箋單號 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: usual (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋單號 Prescription No.] Max Length:64 | |
| identifier:Item |
1..1 | Identifier | 用以識別電子處方箋中處方項目之項次 | |
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Required Pattern: secondary (extensions allowed) | |
| value |
1..1 | string | [應填入處方箋項次 Item] Max Length:2 | |
| status |
1..1 | code | 表示處方箋目前之狀態。本實作指引限使用 active 與 cancelled；active 表示處方箋有效，cancelled 表示處方箋已註銷。[應填入處方箋註銷註記] Binding: EMPD MedicationRequest Status (required) | |
| Slices for category |
3..* | CodeableConceptTW | 用藥型別 Slice: Unordered, Open by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:typesOfPrescription |
1..1 | CodeableConceptTW | [應填入處方箋種類註記 Types of Prescription]。 Binding: 處方箋種類註記值集 (required): 應填入MedicationRequestPrescription值集中的其中一個代碼。 | |
| category:orderType |
1..1 | CodeableConceptTW | [應填入醫令類別]。 Binding: 醫令類別值集 (required): 醫令類別；應填入OrderType值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |
| category:selfpayStatus |
1..1 | CodeableConceptTW | [應填入自費註記]。用於判別就醫識別碼是否必填。如自費註記為"Y"，無須檢核健保代碼。 Binding: 自費註記值集 (required): 自費註記；應填入SelfpayStatus值集中適合的代碼。 | |
| medication[x] |
1..1 | 服用的藥品。 | ||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||
| medicationReference |
Reference(電子處方箋-藥物處方內容(Medication)) | |||
| Slices for medication[x] |
Content/Rules for all slices | |||
| medication[x]:medicationReference |
0..1 | Reference(電子處方箋-藥物處方內容(Medication)) | Medication to be taken | |
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:fda-medication-tw |
0..0 | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。 | ||
| coding:nhi-medication-tw |
0..0 | 此為中央健康保險署(NHI)維護之藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 | ||
| coding:nhi-medication-ch-herb-tw |
0..0 | 此為中央健康保險署(NHI)維護之中藥藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 | ||
| coding:rxnorm-medication-us-core |
0..0 | RxNorm為美國Unified Medical Language System®中的藥品代碼，取得UMLS®授權即可免費使用，可依情境選用此代碼。 | ||
| coding:atc-medication-code |
0..0 | ATC代碼的版權為世界衛生組織（WHO）Collaborating Centre for Drug Statistics Methodology，可免費使用，可依情境選用此代碼。 | ||
| coding:snomedct-medication-codes |
0..0 | 此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 | ||
| coding:NHIMaterial |
0..1 | CodingTW | 此為中央健康保險署(NHI)維護之特材代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: NHI-電子處方箋-健保特材值集 (required) | |
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 | |
| code |
1..1 | code | 系統定義的語法之符號 | |
| coding:nonNHIMaterial |
0..1 | CodingTW | 無健保代碼之特材健保代碼暫編碼。依下列說明編碼(共12碼):第1- 2 碼依現行特材代碼前 2 碼編碼原則 (2碼)+ 第 3 碼為 半形「 z 」 (1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) 。 Binding: 無健保代碼之特材值集 (example) Required Pattern: | |
| system |
1..1 | uri | 無健保代碼之特材代碼系統。[請固定填寫此代碼系統] | |
| code |
1..1 | code | 第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為半形「 z 」(1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) | |
| display |
0..1 | string | 無健保代碼之特材名稱 | |
| subject |
1..1 | Reference(Group | 電子處方箋-病人基本資料) | 為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求 | |
| insurance |
1..* | Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) | 相關的保險承保範圍 | |
| dosageInstruction |
||||
| timing |
1..1 | Timing | 應該何時給藥；時間的寫法請參照Timimg datatype。 | |
| repeat |
||||
| frequency |
0..1 | positiveInt | 藥品於指定使用時間週期內之使用次數。[應填入藥品使用次數 Frequency] | |
| code |
1..1 | CodeableConceptTW | BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + [應填入使用時間] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| coding |
1..* | CodingTW | 藥品使用頻率及服用時間。[應填入藥品使用頻率及服用時間 Usagetime] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |
| text |
0..1 | string | 藥品使用頻率及使用時間之文字表示，並可補充代碼未能完整表達之資訊。 | |
| route |
1..1 | CodeableConceptTW | 藥品應如何進入體內。[應填入給藥途徑 Route of Administration] Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |
| coding |
0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: 臺灣健保署給藥途徑值集 (extensible) | |
| method |
0..1 | CodeableConceptTW | 用藥的技術。[應填入用藥指示] | |
| text |
0..1 | string | 給藥方法之文字描述；當無適用代碼可完整表達給藥方法時，可於此以文字說明。 Max Length:600 | |
| doseAndRate |
1..* | Element | 用藥量 | |
| Slices for dose[x] |
0..1 | Range, SimpleQuantity | 每一劑量的藥量 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |
| dose[x]:doseQuantity |
0..1 | SimpleQuantity | 每一劑量的藥量 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入劑量 Dose] | |
| unit |
1..1 | string | Unit representation.[應填入劑量單位 Dose units] Max Length:30 | |
| dispenseRequest |
1..1 | BackboneElement | 藥品供應授權 | |
| validityPeriod |
1..1 | Period | 處方可用以配藥的有效期限，包含起日與迄日[應填入處方箋有效日期] | |
| numberOfRepeatsAllowed |
1..1 | unsignedInt | 可重複領藥的次數。[應填入處方可調劑次數 Refill Times] Max Value: 99 | |
| quantity |
1..1 | SimpleQuantity | 每次配藥的藥品（數）量 | |
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入給藥總量 Total Amount] | |
| unit |
1..1 | string | Unit representation.[應填入給藥總量單位 Dose units] | |
| expectedSupplyDuration |
0..1 | Duration | 每次配藥可持續的天數。[應填入給藥日數 Medication Days]，不得超過999天。 | |
| value |
0..1 | decimal | Numerical value (with implicit precision) Max Value: 999 | |
| unit |
0..1 | string | Unit representation Required Pattern: d (extensions allowed) | |
| system |
0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | |
| code |
0..1 | code | Coded form of the unit Required Pattern: d (extensions allowed) | |
| substitution |
0..1 | BackboneElement | 對替代藥品的任何限制。填寫說明：有特殊情況時才填寫。 | |
| allowed[x] |
1..1 | boolean, CodeableConceptTW | 是否允許替換 | |
| reason |
1..1 | CodeableConceptTW | 為什麼要（不）進行替換 | |
| text |
1..1 | string | 為什麼要（不）進行替換。[應填入不得以其他廠牌藥品替代之理由]，有特殊情況時才填寫。 Max Length:800 | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | EMPD MedicationRequest Status | 📦0.2.1 | This IG |
| MedicationRequest.category:typesOfPrescription | Base | required | 處方箋種類註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:orderType | Base | required | 醫令類別值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:selfpayStatus | Base | required | 自費註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:NHIMaterial | Base | required | NHI-電子處方箋-健保特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code.coding | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.route | Base | extensible | SNOMED CT + 臺灣健保署給藥途徑值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.route.coding | Base | extensible | 臺灣健保署給藥途徑值集 | 📦2024-06-04 | 臺灣核心實作指引 v0.3 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| empd-medreq-2 | error | MedicationRequest | 未使用 medicationReference 表示藥品時，應於 medicationCodeableConcept 填寫特材代碼。 |
medication.ofType(Reference).exists() or medication.ofType(CodeableConcept).exists()
|
| empd-medreq-3 | error | MedicationRequest | 無健保代碼之特材暫編碼須符合編碼規則：共12碼，第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為大寫「Z」(1碼)+第4-9碼為許可證號(6碼)+ 第10-12碼為流水號(3碼) |
medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists() implies (medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').all(code.matches('^(AC|BB|C[ABCDEFGHKMPRTVX]|F[ABEHNPSU]|H[EFH]|LE|N[ABCE]|RR|S[ACS]|T[BFKS]|W[BD])Z.{6}[0-9]{3}$')))
|
| empd-medreq-4 | error | MedicationRequest | 當藥品使用頻率為依照醫師指示使用（ASORDER）時，給藥方法（dosageInstruction.method）應填寫。 |
dosageInstruction.where(timing.code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NHIMedicationFrequency-cs' and code = 'ASORDER').exists()).all(method.exists())
|
| empd-medreq-5 | error | MedicationRequest | 劑量（dosageInstruction.doseAndRate.doseQuantity.value）總長度不得超過11位數，其中小數不得超過3位。 |
dosageInstruction.doseAndRate.dose.ofType(Quantity).value.all(toString().matches('^[0-9]{1,8}([.][0-9]{1,3})?$'))
|
| empd-medreq-6 | error | MedicationRequest | 給藥總量（dispenseRequest.quantity.value）總長度不得超過6位數，其中小數不得超過2位。 |
dispenseRequest.quantity.value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| empd-ord-1 | error | MedicationRequest | 當醫令類別不是特殊材料（code=3）時，應填寫劑量、劑量單位、頻率、給藥途徑、給藥日數及給藥總量。 |
category.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/OrderType-cs' and code = '3').exists() or (dosageInstruction.exists() and dosageInstruction.all(doseAndRate.dose.ofType(Quantity).value.exists() and doseAndRate.dose.ofType(Quantity).unit.exists() and timing.code.coding.code.exists() and route.exists()) and dispenseRequest.expectedSupplyDuration.exists() and dispenseRequest.quantity.exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | TWCoreMedicationRequest | 為病人或實體集合（例如：特定的一群人）開立的藥品請求 Constraints: empd-ord-1, empd-medreq-2, empd-medreq-3, empd-medreq-4, empd-medreq-5, empd-medreq-6 | ||||
| id |
0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄，通常又稱為邏輯性ID。 | |||||
| meta |
0..1 | Meta | 此MedicationRequest Resource的metadata | |||||
| implicitRules |
0..1 | uri | 創建此內容所依據的一組規則 | |||||
| language |
0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
| text |
0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..1 | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:TotalMedicationDays |
1..1 | (Complex) | 擴充的資料項目。[應填入電子處方箋給藥總日份 Total Medication Days] URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "https://nhicore.nhi.gov.tw/empd/StructureDefinition/Extension-TotalDuration" | |||||
| value[x] |
1..1 | positiveInt | Value of extension Max Value: 999 | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| Slices for identifier |
2..* | Identifier | 此藥品處方的外部識別碼。[應填入處方箋單號 Prescription No.與項次 Item] Slice: Unordered, Closed by value:use Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| identifier:PrescriptionNo |
1..1 | Identifier | 用以識別電子處方箋之處方箋單號 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual (extensions allowed) | |||||
| type |
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. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | [應填入處方箋單號 Prescription No.] Example General: 123456 Max Length:64 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| identifier:Item |
1..1 | Identifier | 用以識別電子處方箋中處方項目之項次 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: secondary (extensions allowed) | |||||
| type |
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. | |||||
| system |
0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||
| value |
1..1 | string | [應填入處方箋項次 Item] Example General: 123456 Max Length:2 | |||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||
| status |
1..1 | code | 表示處方箋目前之狀態。本實作指引限使用 active 與 cancelled；active 表示處方箋有效，cancelled 表示處方箋已註銷。[應填入處方箋註銷註記] Binding: EMPD MedicationRequest Status (required) | |||||
| statusReason |
0..1 | CodeableConceptTW |
當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | |||||
| Slices for category |
3..* | CodeableConceptTW |
用藥型別 Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:typesOfPrescription |
1..1 | CodeableConceptTW |
[應填入處方箋種類註記 Types of Prescription]。 Binding: 處方箋種類註記值集 (required): 應填入MedicationRequestPrescription值集中的其中一個代碼。 | |||||
| category:orderType |
1..1 | CodeableConceptTW |
[應填入醫令類別]。 Binding: 醫令類別值集 (required): 醫令類別；應填入OrderType值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| category:selfpayStatus |
1..1 | CodeableConceptTW |
[應填入自費註記]。用於判別就醫識別碼是否必填。如自費註記為"Y"，無須檢核健保代碼。 Binding: 自費註記值集 (required): 自費註記；應填入SelfpayStatus值集中適合的代碼。 | |||||
| priority |
0..1 | code | routine ｜ urgent ｜ asap ｜ stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | |||||
| doNotPerform |
0..1 | boolean | 如果藥品請求是禁止活動，則為真。 | |||||
| reported[x] |
0..1 | 被報告的而不是主要的紀錄 | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
| Slices for medication[x] |
1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||
| medicationCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||||||
| medicationReference |
Reference(電子處方箋-藥物處方內容(Medication)) | |||||||
| medication[x]:medicationReference |
0..1 | Reference(電子處方箋-藥物處方內容(Medication)) | Medication to be taken | |||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConceptTW |
服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
| Slices for coding |
Content/Rules for all slices | |||||||
| coding:NHIMaterial |
0..1 | CodingTW |
此為中央健康保險署(NHI)維護之特材代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: NHI-電子處方箋-健保特材值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 專門術語系統（terminology system）的識別 | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 系統定義的語法之符號 | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| coding:nonNHIMaterial |
0..1 | CodingTW |
無健保代碼之特材健保代碼暫編碼。依下列說明編碼(共12碼):第1- 2 碼依現行特材代碼前 2 碼編碼原則 (2碼)+ 第 3 碼為 半形「 z 」 (1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) 。 Binding: 無健保代碼之特材值集 (example) Required Pattern: | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 無健保代碼之特材代碼系統。[請固定填寫此代碼系統] | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為半形「 z 」(1 碼)+ 第 4-9 碼為許可證號 (6 碼)+ 第 10-12 碼為流水號 (3 碼) | |||||
| display |
0..1 | string | 無健保代碼之特材名稱 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| subject |
1..1 | Reference(Group | 電子處方箋-病人基本資料) | 為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求 | |||||
| encounter |
0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | |||||
| supportingInformation |
0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
| authoredOn |
0..1 | dateTime | 藥品請求請求最初何時被撰寫？ | |||||
| requester |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰／什麼提出藥品請求請求？ | |||||
| performer |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
| performerType |
0..1 | CodeableConceptTW |
所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| recorder |
0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
| reasonCode |
0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| reasonReference |
0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation） | |||||
| instantiatesCanonical |
0..* | canonical() | 實例化FHIR計畫書（protocol）或定義 | |||||
| instantiatesUri |
0..* | uri | 實例化外部計畫書（protocol）或定義 | |||||
| basedOn |
0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行？ | |||||
| groupIdentifier |
0..1 | Identifier | 此為綜合請求的一部分 | |||||
| courseOfTherapyType |
0..1 | CodeableConceptTW |
給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| insurance |
1..* | Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) | 相關的保險承保範圍 | |||||
| note |
0..* | Annotation | 關於處方的資訊 | |||||
| dosageInstruction |
0..* | Dosage | 應該如何用藥 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | 劑量指示的順序 | |||||
| text |
0..1 | string | 純文字表述的劑量指示，例如：SIG。 | |||||
| additionalInstruction |
0..* | CodeableConceptTW |
對病人的補充指示或警告－例如：「隨餐服用」，「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念，確定額外的指示，如「與水一起服用」或「避免操作重型機器」；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| patientInstruction |
0..1 | string | 以病人或消費者為導向的指示 | |||||
| timing |
1..1 | Timing | 應該何時給藥；時間的寫法請參照Timimg datatype。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| event |
0..* | dateTime | 事件發生的時間 | |||||
| repeat |
C | 0..1 | Element | 事件定期重複發生的時間 Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| bounds[x] |
0..1 | 時間或期間長度／長度範圍，或（開始和／或結束）限制 | ||||||
| boundsDuration |
Duration | |||||||
| boundsRange |
Range | |||||||
| boundsPeriod |
Period | |||||||
| count |
0..1 | positiveInt | 重複的次數 | |||||
| countMax |
0..1 | positiveInt | 重複的最大次數 | |||||
| duration |
0..1 | decimal | 此事件持續多久時間 | |||||
| durationMax |
0..1 | decimal | 此事件持續多久時間 （最長時間／最大值） | |||||
| durationUnit |
0..1 | code | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼 | |||||
| frequency |
0..1 | positiveInt | 藥品於指定使用時間週期內之使用次數。[應填入藥品使用次數 Frequency] | |||||
| frequencyMax |
0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | |||||
| period |
0..1 | decimal | 此事件於特定時間區間所發生的頻率 | |||||
| periodMax |
0..1 | decimal | 時間區間的上限（3-4小時） | |||||
| periodUnit |
0..1 | code | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼 | |||||
| dayOfWeek |
0..* | code | mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | |||||
| timeOfDay |
0..* | time | 一天中的活動時間 | |||||
| when |
0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件；應填入EventTiming值集中的其中一個代碼 | |||||
| offset |
0..1 | unsignedInt | 事件的分鐘數（之前或之後） | |||||
| code |
1..1 | CodeableConceptTW |
BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + [應填入使用時間] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
1..* | CodingTW |
藥品使用頻率及服用時間。[應填入藥品使用頻率及服用時間 Usagetime] Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required) | |||||
| text |
0..1 | string | 藥品使用頻率及使用時間之文字表示，並可補充代碼未能完整表達之資訊。 | |||||
| asNeeded[x] |
0..1 | 「根據（對x的）需要」服用
Binding：一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；可參考SNOMEDCTMedicationAsNeededReasonCodes值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||||||
| site |
0..1 | CodeableConceptTW |
用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念，描述藥品進入或在身體上的位置；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| route |
1..1 | CodeableConceptTW |
藥品應如何進入體內。[應填入給藥途徑 Route of Administration] Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |||||
| 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 | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: 臺灣健保署給藥途徑值集 (extensible) | |||||
| text |
0..1 | string | 概念的文字標記法 | |||||
| method |
0..1 | CodeableConceptTW |
用藥的技術。[應填入用藥指示] Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念，描述用藥的技術；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
| 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 | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| text |
0..1 | string | 給藥方法之文字描述；當無適用代碼可完整表達給藥方法時，可於此以文字說明。 Max Length:600 | |||||
| doseAndRate |
1..* | Element | 用藥量 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConceptTW |
特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| Slices for dose[x] |
0..1 | 每一劑量的藥量 Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| dose[x]:doseQuantity |
0..1 | SimpleQuantity |
每一劑量的藥量 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入劑量 Dose] | |||||
| unit |
1..1 | string | Unit representation.[應填入劑量單位 Dose units] Max Length:30 | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
0..1 | code | Coded form of the unit | |||||
| rate[x] |
0..1 | 每時間單位內的用藥量 | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | 每時間單位內用藥的上限 | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity | 每次用藥的上限 Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity | 病人一生中用藥的上限 Constraints: sqty-1 | ||||
| dispenseRequest |
1..1 | BackboneElement | 藥品供應授權 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| initialFill |
0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity | 首次配藥的數量 Constraints: sqty-1 | ||||
| duration |
0..1 | Duration | 首次配藥的持續時間 | |||||
| dispenseInterval |
0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
| validityPeriod |
1..1 | Period | 處方可用以配藥的有效期限，包含起日與迄日[應填入處方箋有效日期] | |||||
| numberOfRepeatsAllowed |
1..1 | unsignedInt | 可重複領藥的次數。[應填入處方可調劑次數 Refill Times] Max Value: 99 | |||||
| quantity |
C | 1..1 | SimpleQuantity | 每次配藥的藥品（數）量 Constraints: sqty-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision).[應填入給藥總量 Total Amount] | |||||
| unit |
1..1 | string | Unit representation.[應填入給藥總量單位 Dose units] | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
0..1 | code | Coded form of the unit | |||||
| expectedSupplyDuration |
0..1 | Duration | 每次配藥可持續的天數。[應填入給藥日數 Medication Days]，不得超過999天。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Max Value: 999 | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
0..1 | string | Unit representation Required Pattern: d (extensions allowed) | |||||
| system |
C | 0..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed) | ||||
| code |
0..1 | code | Coded form of the unit Required Pattern: d (extensions allowed) | |||||
| performer |
0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
| substitution |
0..1 | BackboneElement | 對替代藥品的任何限制。填寫說明：有特殊情況時才填寫。 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept(CodeableConceptTW) | |||||||
| reason |
1..1 | CodeableConceptTW |
為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
| 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 | |||||
| coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| text |
1..1 | string | 為什麼要（不）進行替換。[應填入不得以其他廠牌藥品替代之理由]，有特殊情況時才填寫。 Max Length:800 | |||||
| priorPrescription |
0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令／處方 | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
| eventHistory |
0..* | Reference(TW Core Provenance) | 生命週期中感興趣的事件清單 | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MedicationRequest.identifier:PrescriptionNo.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:PrescriptionNo.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:Item.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| MedicationRequest.identifier:Item.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | EMPD MedicationRequest Status | 📦0.2.1 | This IG |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:typesOfPrescription | Base | required | 處方箋種類註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:orderType | Base | required | 醫令類別值集 | 📦0.2.1 | This IG |
| MedicationRequest.category:selfpayStatus | Base | required | 自費註記值集 | 📦0.2.1 | This IG |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | example | SNOMED CT Medication Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:NHIMaterial | Base | required | NHI-電子處方箋-健保特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.1 | This IG |
| MedicationRequest.performerType | Base | extensible | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | extensible | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.timing.code | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.timing.code.coding | Base | required | HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 | 📦0.2.1 | This IG |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | extensible | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | extensible | SNOMED CT Anatomical Structure for Administration Site Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | extensible | SNOMED CT + 臺灣健保署給藥途徑值集 | 📦0.3.0 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.route.coding | Base | extensible | 臺灣健保署給藥途徑值集 | 📦2024-06-04 | 臺灣核心實作指引 v0.3 |
| MedicationRequest.dosageInstruction.method | Base | extensible | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | 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 | MedicationRequest | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | 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())
|
| empd-medreq-2 | error | MedicationRequest | 未使用 medicationReference 表示藥品時，應於 medicationCodeableConcept 填寫特材代碼。 |
medication.ofType(Reference).exists() or medication.ofType(CodeableConcept).exists()
|
| empd-medreq-3 | error | MedicationRequest | 無健保代碼之特材暫編碼須符合編碼規則：共12碼，第1-2碼依現行特材代碼前2碼編碼原則(2碼)+第3碼為大寫「Z」(1碼)+第4-9碼為許可證號(6碼)+ 第10-12碼為流水號(3碼) |
medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists() implies (medication.ofType(CodeableConcept).coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').all(code.matches('^(AC|BB|C[ABCDEFGHKMPRTVX]|F[ABEHNPSU]|H[EFH]|LE|N[ABCE]|RR|S[ACS]|T[BFKS]|W[BD])Z.{6}[0-9]{3}$')))
|
| empd-medreq-4 | error | MedicationRequest | 當藥品使用頻率為依照醫師指示使用（ASORDER）時，給藥方法（dosageInstruction.method）應填寫。 |
dosageInstruction.where(timing.code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NHIMedicationFrequency-cs' and code = 'ASORDER').exists()).all(method.exists())
|
| empd-medreq-5 | error | MedicationRequest | 劑量（dosageInstruction.doseAndRate.doseQuantity.value）總長度不得超過11位數，其中小數不得超過3位。 |
dosageInstruction.doseAndRate.dose.ofType(Quantity).value.all(toString().matches('^[0-9]{1,8}([.][0-9]{1,3})?$'))
|
| empd-medreq-6 | error | MedicationRequest | 給藥總量（dispenseRequest.quantity.value）總長度不得超過6位數，其中小數不得超過2位。 |
dispenseRequest.quantity.value.all(toString().matches('^[0-9]{1,4}([.][0-9]{1,2})?$'))
|
| empd-ord-1 | error | MedicationRequest | 當醫令類別不是特殊材料（code=3）時，應填寫劑量、劑量單位、頻率、給藥途徑、給藥日數及給藥總量。 |
category.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/OrderType-cs' and code = '3').exists() or (dosageInstruction.exists() and dosageInstruction.all(doseAndRate.dose.ofType(Quantity).value.exists() and doseAndRate.dose.ofType(Quantity).unit.exists() and timing.code.coding.code.exists() and route.exists()) and dispenseRequest.expectedSupplyDuration.exists() and dispenseRequest.quantity.exists())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units |
duration.empty() or durationUnit.exists()
|
| tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units |
period.empty() or periodUnit.exists()
|
| tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value |
duration.exists() implies duration >= 0
|
| tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value |
period.exists() implies period >= 0
|
| tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period |
periodMax.empty() or period.exists()
|
| tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration |
durationMax.empty() or duration.exists()
|
| tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count |
countMax.empty() or count.exists()
|
| tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) |
offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
|
| tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa |
timeOfDay.empty() or when.empty()
|
This structure is derived from TWCoreMedicationRequest
Summary
Mandatory: 18 elements(13 nested mandatory elements)
Must-Support: 25 elements
Prohibited: 6 elements
Structures
This structure refers to these other structures:
- TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
- 電子處方箋-藥物處方內容(Medication) (https://nhicore.nhi.gov.tw/empd/StructureDefinition/Medication-EMPD)
- 電子處方箋-病人基本資料 (https://nhicore.nhi.gov.tw/empd/StructureDefinition/Patient-EMPD)
- 電子處方箋/調劑單張-就醫身分別 (https://nhicore.nhi.gov.tw/empd/StructureDefinition/Coverage-EMR)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationRequest.identifier (Closed)
- The element 1 is sliced based on the value of MedicationRequest.category
- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Other representations of profile: CSV, Excel, Schematron