臺灣電子處方箋與調劑單張實作指引(TW EMPD IG)
0.2.1 - ci-build

臺灣電子處方箋與調劑單張實作指引(TW EMPD IG), published by NHI. 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-Self-EMPD Version: 0.2.1
Active as of 2023-10-30 Computable Name: MedicationRequestSelfEMPD

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:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 0..1 Extension Extension
Slice: Unordered, Open by value:url
.... extension:TotalMedicationDays S 0..1 Quantity 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category 3..* CodeableConcept Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:typesOfPrescription 1..1 CodeableConcept [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 CodeableConcept [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 CodeableConcept "[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 ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] Σ 1..1 Reference(電子處方箋與調劑單張-無健保代碼之藥品與特材(Medication)) Medication to be taken
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... insurance S 1..* Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) Associated insurance coverage
... note 0..* Annotation 關於處方的資訊或其他相關備註說明。[應填入處方箋註銷註記/須被合併之處方箋註記]。
... dosageInstruction 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... timing Σ 0..1 Timing When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat SΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... frequency SΣ 0..1 positiveInt 此事件於每一期間的發生頻率。[應填入頻率 Frequency]
..... code Σ 0..1 CodeableConcept 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 Σ 0..* Coding Code defined by a terminology system
Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required)
.... route Σ 0..1 CodeableConcept 藥品應如何進入體內。[應填入給藥途徑 Route of Administration]
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method SΣ 0..1 CodeableConcept 用藥的技術。[應填入用藥指示]
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 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[應填入處方箋有效日期]
.... numberOfRepeatsAllowed 1..1 unsignedInt 可重複領藥的次數。[應填入連續處方可調劑次數 Refill Times]
.... quantity S 1..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
..... value SΣ 1..1 decimal Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
..... unit SΣ 1..1 string Unit representation.[應填入給藥總量單位 Total Units]
... substitution S 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason S 0..1 CodeableConcept 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。
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍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.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 example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.3

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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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 MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest MedicationRequest
... Slices for extension S 0..1 Extension Extension
Slice: Unordered, Open by value:url
.... extension:TotalMedicationDays 0..1 Quantity 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
... 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]
... Slices for category 3..* CodeableConcept Type of medication usage
Slice: Unordered, Open by pattern:$this
.... category:typesOfPrescription 1..1 CodeableConcept [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 CodeableConcept [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 CodeableConcept "[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。
... insurance S 1..* Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) Associated insurance coverage
... note 0..* Annotation 關於處方的資訊或其他相關備註說明。[應填入處方箋註銷註記/須被合併之處方箋註記]。
... dosageInstruction
.... timing
..... repeat S 0..1 Element When the event is to occur
...... frequency S 0..1 positiveInt 此事件於每一期間的發生頻率。[應填入頻率 Frequency]
..... code 0..1 CodeableConcept 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 0..* Coding Code defined by a terminology system
Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required)
.... route 0..1 CodeableConcept 藥品應如何進入體內。[應填入給藥途徑 Route of Administration]
.... method S 0..1 CodeableConcept 用藥的技術。[應填入用藥指示]
... dispenseRequest
.... validityPeriod 1..1 Period 處方可用以配藥的有效期限[應填入處方箋有效日期]
.... numberOfRepeatsAllowed 1..1 unsignedInt 可重複領藥的次數。[應填入連續處方可調劑次數 Refill Times]
.... quantity S 1..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
..... value S 1..1 decimal Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
..... unit S 1..1 string Unit representation.[應填入給藥總量單位 Total Units]
... substitution S 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] S 1..1 boolean, CodeableConcept Whether substitution is allowed or not
.... reason S 0..1 CodeableConcept 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。

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
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.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
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..1 Extension Extension
Slice: Unordered, Open by value:url
.... extension:TotalMedicationDays S 0..1 Quantity 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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]
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category 3..* CodeableConcept Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:typesOfPrescription 1..1 CodeableConcept [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 CodeableConcept [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 CodeableConcept "[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 Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Reference(電子處方箋與調劑單張-無健保代碼之藥品與特材(Medication)) Medication to be taken
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance S 1..* Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) Associated insurance coverage
... note 0..* Annotation 關於處方的資訊或其他相關備註說明。[應填入處方箋註銷註記/須被合併之處方箋註記]。
... dosageInstruction 0..* Dosage How the medication should be taken
.... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
..... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element When the event is to occur
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] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt 此事件於每一期間的發生頻率。[應填入頻率 Frequency]
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept 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 Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required)
...... text Σ 0..1 string Plain text representation of the concept
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept 藥品應如何進入體內。[應填入給藥途徑 Route of Administration]
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method SΣ 0..1 CodeableConcept 用藥的技術。[應填入用藥指示]
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... 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 Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity(4.0.1) First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 1..1 Period 處方可用以配藥的有效期限[應填入處方箋有效日期]
.... numberOfRepeatsAllowed 1..1 unsignedInt 可重複領藥的次數。[應填入連續處方可調劑次數 Refill Times]
.... quantity S 1..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
..... 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 SΣ 1..1 decimal Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
..... unit SΣ 1..1 string Unit representation.[應填入給藥總量單位 Total Units]
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution S 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason S 0..1 CodeableConcept 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。
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
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.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example 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 example 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 example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.3

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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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 MedicationRequest

Summary

Mandatory: 4 elements(5 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

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.category

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension S 0..1 Extension Extension
Slice: Unordered, Open by value:url
.... extension:TotalMedicationDays S 0..1 Quantity 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category 3..* CodeableConcept Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:typesOfPrescription 1..1 CodeableConcept [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 CodeableConcept [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 CodeableConcept "[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 ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] Σ 1..1 Reference(電子處方箋與調劑單張-無健保代碼之藥品與特材(Medication)) Medication to be taken
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... insurance S 1..* Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) Associated insurance coverage
... note 0..* Annotation 關於處方的資訊或其他相關備註說明。[應填入處方箋註銷註記/須被合併之處方箋註記]。
... dosageInstruction 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... timing Σ 0..1 Timing When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat SΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... frequency SΣ 0..1 positiveInt 此事件於每一期間的發生頻率。[應填入頻率 Frequency]
..... code Σ 0..1 CodeableConcept 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 Σ 0..* Coding Code defined by a terminology system
Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required)
.... route Σ 0..1 CodeableConcept 藥品應如何進入體內。[應填入給藥途徑 Route of Administration]
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method SΣ 0..1 CodeableConcept 用藥的技術。[應填入用藥指示]
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 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[應填入處方箋有效日期]
.... numberOfRepeatsAllowed 1..1 unsignedInt 可重複領藥的次數。[應填入連續處方可調劑次數 Refill Times]
.... quantity S 1..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
..... value SΣ 1..1 decimal Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
..... unit SΣ 1..1 string Unit representation.[應填入給藥總量單位 Total Units]
... substitution S 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason S 0..1 CodeableConcept 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。
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍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.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 example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.3

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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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 MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest MedicationRequest
... Slices for extension S 0..1 Extension Extension
Slice: Unordered, Open by value:url
.... extension:TotalMedicationDays 0..1 Quantity 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
... 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]
... Slices for category 3..* CodeableConcept Type of medication usage
Slice: Unordered, Open by pattern:$this
.... category:typesOfPrescription 1..1 CodeableConcept [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 CodeableConcept [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 CodeableConcept "[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。
... insurance S 1..* Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) Associated insurance coverage
... note 0..* Annotation 關於處方的資訊或其他相關備註說明。[應填入處方箋註銷註記/須被合併之處方箋註記]。
... dosageInstruction
.... timing
..... repeat S 0..1 Element When the event is to occur
...... frequency S 0..1 positiveInt 此事件於每一期間的發生頻率。[應填入頻率 Frequency]
..... code 0..1 CodeableConcept 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 0..* Coding Code defined by a terminology system
Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required)
.... route 0..1 CodeableConcept 藥品應如何進入體內。[應填入給藥途徑 Route of Administration]
.... method S 0..1 CodeableConcept 用藥的技術。[應填入用藥指示]
... dispenseRequest
.... validityPeriod 1..1 Period 處方可用以配藥的有效期限[應填入處方箋有效日期]
.... numberOfRepeatsAllowed 1..1 unsignedInt 可重複領藥的次數。[應填入連續處方可調劑次數 Refill Times]
.... quantity S 1..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
..... value S 1..1 decimal Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
..... unit S 1..1 string Unit representation.[應填入給藥總量單位 Total Units]
... substitution S 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] S 1..1 boolean, CodeableConcept Whether substitution is allowed or not
.... reason S 0..1 CodeableConcept 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。

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
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.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

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..1 Extension Extension
Slice: Unordered, Open by value:url
.... extension:TotalMedicationDays S 0..1 Quantity 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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]
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category 3..* CodeableConcept Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:typesOfPrescription 1..1 CodeableConcept [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 CodeableConcept [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 CodeableConcept "[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 Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Reference(電子處方箋與調劑單張-無健保代碼之藥品與特材(Medication)) Medication to be taken
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance S 1..* Reference(ClaimResponse | 電子處方箋/調劑單張-就醫身分別) Associated insurance coverage
... note 0..* Annotation 關於處方的資訊或其他相關備註說明。[應填入處方箋註銷註記/須被合併之處方箋註記]。
... dosageInstruction 0..* Dosage How the medication should be taken
.... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
..... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element When the event is to occur
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] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt 此事件於每一期間的發生頻率。[應填入頻率 Frequency]
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept 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 Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
Binding: HL7 TimingAbbreviation + NHI-電子處方箋-藥品使用頻率值集 (required)
...... text Σ 0..1 string Plain text representation of the concept
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 0..1 CodeableConcept 藥品應如何進入體內。[應填入給藥途徑 Route of Administration]
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method SΣ 0..1 CodeableConcept 用藥的技術。[應填入用藥指示]
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... 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 Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity(4.0.1) First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 1..1 Period 處方可用以配藥的有效期限[應填入處方箋有效日期]
.... numberOfRepeatsAllowed 1..1 unsignedInt 可重複領藥的次數。[應填入連續處方可調劑次數 Refill Times]
.... quantity S 1..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
..... 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 SΣ 1..1 decimal Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
..... unit SΣ 1..1 string Unit representation.[應填入給藥總量單位 Total Units]
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution S 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason S 0..1 CodeableConcept 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。
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
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.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example 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 example 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 example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.3
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.3

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())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
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 MedicationRequest

Summary

Mandatory: 4 elements(5 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

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.category

 

Other representations of profile: CSV, Excel, Schematron