臺灣電子處方箋與調劑單張實作指引(TW EMPD IG)
0.2.0 - 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 0.2.0 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: 電子處方箋與調劑單張-無健保代碼之藥品與特材(Medication)

Official URL: https://nhicore.nhi.gov.tw/empd/StructureDefinition/Medication-Self-EMPD | Version: 0.2.0
Active as of 2026-05-26 | Computable Name: MedicationSelfEMPD
Copyright/Legal: 衛生福利部

此Profile用於描述電子處方箋與調劑單張中之健保代碼欄位。

本Profile之Medication.code用於承載電子處方箋與調劑單張中之健保代碼。若品項具有正式健保代碼，應填入正式健保代碼；若為無健保代碼之藥品，應使用本IG定義之無健保代碼藥品暫編碼，其代碼格式為999999加流水號4碼，流水號由院所自訂；若為無健保代碼之特材，應使用本IG定義之無健保代碼特材暫編碼，其代碼格式為99999999加流水號4碼，流水號由院所自訂。

本Profile中健保代碼之藥品與特材編碼僅提供參考。

Usages:

- Use this Profile: 調劑單張-Bundle and 電子處方箋-Bundle
- Refer to this Profile: 調劑單張-Composition and 電子處方箋-Composition
- Examples for this Profile: Medication/MedicationSelfEMPD-non01 and Medication/MedicationSelfEMPD-non02
- 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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication | C | 0..* | Medication | Definition of a Medication Constraints: med-self-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
code | S Σ | 1..1 | CodeableConcept | 健保代碼。[應填入正式健保代碼；若為無健保代碼之藥品，應填入999999加流水號4碼；若為無健保代碼之特材，應填入99999999加流水號4碼] Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:nonNHIMedication | S Σ | 0..1 | Coding | 無健保代碼之藥品健保代碼暫編碼 Binding: 自費藥物值集 (example): NonNHIMedication 值集僅提供參考。
system | S Σ | 1..1 | uri | 無健保代碼之藥品健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs
code | S Σ | 1..1 | code | 無健保代碼之藥品健保代碼暫編碼。格式為999999加流水號4碼，例如9999990001。
display | S Σ | 0..1 | string | 無健保代碼之藥品名稱
coding:nonNHIMaterial | S Σ | 0..1 | Coding | 無健保代碼之特材健保代碼暫編碼 Binding: 無健保代碼之特材值集 (example): nonNHIMaterial 值集僅提供參考。
system | S Σ | 1..1 | uri | 無健保代碼之特材健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs
code | S Σ | 1..1 | code | 無健保代碼之特材健保代碼暫編碼。格式為99999999加流水號4碼，例如999999990001。
display | S Σ | 0..1 | string | 無健保代碼之特材名稱
text | S Σ | 0..1 | string | 健保代碼對應之品項名稱。[可填入藥品名稱、特材名稱或院所品項名稱]
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.code.coding:nonNHIMedication | Base | example | 自費藥物值集 | 📦0.2.0 | This IG
Medication.code.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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()`
med-self-1 | error | Medication | Medication-Self-EMPD至少應包含一組無健保代碼之藥品或無健保代碼之特材coding | `code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs').exists() or code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists()`

This structure is derived from Medication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication | C | 0..* | Medication | Definition of a Medication Constraints: med-self-1
code | S | 1..1 | CodeableConcept | 健保代碼。[應填入正式健保代碼；若為無健保代碼之藥品，應填入999999加流水號4碼；若為無健保代碼之特材，應填入99999999加流水號4碼]
Slices for coding | S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:nonNHIMedication | S | 0..1 | Coding | 無健保代碼之藥品健保代碼暫編碼 Binding: 自費藥物值集 (example): NonNHIMedication 值集僅提供參考。
system | S | 1..1 | uri | 無健保代碼之藥品健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs
code | S | 1..1 | code | 無健保代碼之藥品健保代碼暫編碼。格式為999999加流水號4碼，例如9999990001。
display | S | 0..1 | string | 無健保代碼之藥品名稱
coding:nonNHIMaterial | S | 0..1 | Coding | 無健保代碼之特材健保代碼暫編碼 Binding: 無健保代碼之特材值集 (example): nonNHIMaterial 值集僅提供參考。
system | S | 1..1 | uri | 無健保代碼之特材健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs
code | S | 1..1 | code | 無健保代碼之特材健保代碼暫編碼。格式為99999999加流水號4碼，例如999999990001。
display | S | 0..1 | string | 無健保代碼之特材名稱
text | S | 0..1 | string | 健保代碼對應之品項名稱。[可填入藥品名稱、特材名稱或院所品項名稱]
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Medication.code.coding:nonNHIMedication | Base | example | 自費藥物值集 | 📦0.2.0 | This IG
Medication.code.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
med-self-1 | error | Medication | Medication-Self-EMPD至少應包含一組無健保代碼之藥品或無健保代碼之特材coding | `code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs').exists() or code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication | C | 0..* | Medication | Definition of a Medication Constraints: med-self-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | S Σ | 1..1 | CodeableConcept | 健保代碼。[應填入正式健保代碼；若為無健保代碼之藥品，應填入999999加流水號4碼；若為無健保代碼之特材，應填入99999999加流水號4碼] Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:nonNHIMedication | S Σ | 0..1 | Coding | 無健保代碼之藥品健保代碼暫編碼 Binding: 自費藥物值集 (example): NonNHIMedication 值集僅提供參考。
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 無健保代碼之藥品健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | 無健保代碼之藥品健保代碼暫編碼。格式為999999加流水號4碼，例如9999990001。
display | S Σ | 0..1 | string | 無健保代碼之藥品名稱
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:nonNHIMaterial | S Σ | 0..1 | Coding | 無健保代碼之特材健保代碼暫編碼 Binding: 無健保代碼之特材值集 (example): nonNHIMaterial 值集僅提供參考。
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 無健保代碼之特材健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | 無健保代碼之特材健保代碼暫編碼。格式為99999999加流水號4碼，例如999999990001。
display | S Σ | 0..1 | string | 無健保代碼之特材名稱
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | S Σ | 0..1 | string | 健保代碼對應之品項名稱。[可填入藥品名稱、特材名稱或院所品項名稱]
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
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
item[x] |  | 1..1 |  | The actual ingredient or content
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
batch |  | 0..1 | BackboneElement | Details about packaged medications
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
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.code.coding:nonNHIMedication | Base | example | 自費藥物值集 | 📦0.2.0 | This IG
Medication.code.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | SNOMED CT Form Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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()`
med-self-1 | error | Medication | Medication-Self-EMPD至少應包含一組無健保代碼之藥品或無健保代碼之特材coding | `code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs').exists() or code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists()`

This structure is derived from Medication

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 11 elements
Fixed: 2 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Medication.code.coding

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication | C | 0..* | Medication | Definition of a Medication Constraints: med-self-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
code | S Σ | 1..1 | CodeableConcept | 健保代碼。[應填入正式健保代碼；若為無健保代碼之藥品，應填入999999加流水號4碼；若為無健保代碼之特材，應填入99999999加流水號4碼] Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:nonNHIMedication | S Σ | 0..1 | Coding | 無健保代碼之藥品健保代碼暫編碼 Binding: 自費藥物值集 (example): NonNHIMedication 值集僅提供參考。
system | S Σ | 1..1 | uri | 無健保代碼之藥品健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs
code | S Σ | 1..1 | code | 無健保代碼之藥品健保代碼暫編碼。格式為999999加流水號4碼，例如9999990001。
display | S Σ | 0..1 | string | 無健保代碼之藥品名稱
coding:nonNHIMaterial | S Σ | 0..1 | Coding | 無健保代碼之特材健保代碼暫編碼 Binding: 無健保代碼之特材值集 (example): nonNHIMaterial 值集僅提供參考。
system | S Σ | 1..1 | uri | 無健保代碼之特材健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs
code | S Σ | 1..1 | code | 無健保代碼之特材健保代碼暫編碼。格式為99999999加流水號4碼，例如999999990001。
display | S Σ | 0..1 | string | 無健保代碼之特材名稱
text | S Σ | 0..1 | string | 健保代碼對應之品項名稱。[可填入藥品名稱、特材名稱或院所品項名稱]
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.code.coding:nonNHIMedication | Base | example | 自費藥物值集 | 📦0.2.0 | This IG
Medication.code.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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()`
med-self-1 | error | Medication | Medication-Self-EMPD至少應包含一組無健保代碼之藥品或無健保代碼之特材coding | `code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs').exists() or code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists()`

Differential View

This structure is derived from Medication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication | C | 0..* | Medication | Definition of a Medication Constraints: med-self-1
code | S | 1..1 | CodeableConcept | 健保代碼。[應填入正式健保代碼；若為無健保代碼之藥品，應填入999999加流水號4碼；若為無健保代碼之特材，應填入99999999加流水號4碼]
Slices for coding | S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:nonNHIMedication | S | 0..1 | Coding | 無健保代碼之藥品健保代碼暫編碼 Binding: 自費藥物值集 (example): NonNHIMedication 值集僅提供參考。
system | S | 1..1 | uri | 無健保代碼之藥品健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs
code | S | 1..1 | code | 無健保代碼之藥品健保代碼暫編碼。格式為999999加流水號4碼，例如9999990001。
display | S | 0..1 | string | 無健保代碼之藥品名稱
coding:nonNHIMaterial | S | 0..1 | Coding | 無健保代碼之特材健保代碼暫編碼 Binding: 無健保代碼之特材值集 (example): nonNHIMaterial 值集僅提供參考。
system | S | 1..1 | uri | 無健保代碼之特材健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs
code | S | 1..1 | code | 無健保代碼之特材健保代碼暫編碼。格式為99999999加流水號4碼，例如999999990001。
display | S | 0..1 | string | 無健保代碼之特材名稱
text | S | 0..1 | string | 健保代碼對應之品項名稱。[可填入藥品名稱、特材名稱或院所品項名稱]
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Medication.code.coding:nonNHIMedication | Base | example | 自費藥物值集 | 📦0.2.0 | This IG
Medication.code.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
med-self-1 | error | Medication | Medication-Self-EMPD至少應包含一組無健保代碼之藥品或無健保代碼之特材coding | `code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs').exists() or code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication | C | 0..* | Medication | Definition of a Medication Constraints: med-self-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for this medication
code | S Σ | 1..1 | CodeableConcept | 健保代碼。[應填入正式健保代碼；若為無健保代碼之藥品，應填入999999加流水號4碼；若為無健保代碼之特材，應填入99999999加流水號4碼] Binding: SNOMEDCTMedicationCodes (example): A coded concept that defines the type of a medication.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:nonNHIMedication | S Σ | 0..1 | Coding | 無健保代碼之藥品健保代碼暫編碼 Binding: 自費藥物值集 (example): NonNHIMedication 值集僅提供參考。
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 無健保代碼之藥品健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | 無健保代碼之藥品健保代碼暫編碼。格式為999999加流水號4碼，例如9999990001。
display | S Σ | 0..1 | string | 無健保代碼之藥品名稱
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:nonNHIMaterial | S Σ | 0..1 | Coding | 無健保代碼之特材健保代碼暫編碼 Binding: 無健保代碼之特材值集 (example): nonNHIMaterial 值集僅提供參考。
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | 無健保代碼之特材健保代碼暫編碼CodeSystem Fixed Value: https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | 無健保代碼之特材健保代碼暫編碼。格式為99999999加流水號4碼，例如999999990001。
display | S Σ | 0..1 | string | 無健保代碼之特材名稱
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | S Σ | 0..1 | string | 健保代碼對應之品項名稱。[可填入藥品名稱、特材名稱或院所品項名稱]
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization) | Manufacturer of the item
form |  | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: SNOMEDCTFormCodes (example): A coded concept defining the form of a medication.
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
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
item[x] |  | 1..1 |  | The actual ingredient or content
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
isActive |  | 0..1 | boolean | Active ingredient indicator
strength |  | 0..1 | Ratio | Quantity of ingredient present
batch |  | 0..1 | BackboneElement | Details about packaged medications
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
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std.
Medication.code.coding:nonNHIMedication | Base | example | 自費藥物值集 | 📦0.2.0 | This IG
Medication.code.coding:nonNHIMaterial | Base | example | 無健保代碼之特材值集 | 📦0.2.0 | This IG
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | example | SNOMED CT Form Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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()`
med-self-1 | error | Medication | Medication-Self-EMPD至少應包含一組無健保代碼之藥品或無健保代碼之特材coding | `code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMedication-cs').exists() or code.coding.where(system = 'https://nhicore.nhi.gov.tw/empd/CodeSystem/NonNHIMaterial-cs').exists()`

This structure is derived from Medication

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 11 elements
Fixed: 2 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Medication.code.coding

Other representations of profile: CSV, Excel, Schematron