臺灣健保事前審查實作指引, 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 1.2.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 用藥品項-MedicationRequest Treat TWPAS

此用藥品項-MedicationRequest Treat TWPAS Profile說明本IG如何進一步定義臺灣核心-藥品請求(TW Core MedicationRequest) Profile以呈現事前審查中治療資訊之用藥品項

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS and 癌藥事前審查-Claim TWPAS
• Examples for this Profile: MedicationRequest/medReq-treat
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

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
MedicationRequest		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
MedicationRequest.meta	Σ This element is included in summaries.	1..1	Meta	此MedicationRequest Resource的metadata
MedicationRequest.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier	S This element must be supported.	0..*	Identifier	此藥品請求的外部識別碼
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物使用狀態 Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼
MedicationRequest.statusReason		0..1	CodeableConceptTW	藥物處方終止原因 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。
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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 Required Pattern: order
MedicationRequest.category	S This element must be supported.	0..1	CodeableConceptTW	自費註記 Binding: NHI-健保事前審查-藥物類型值集 (required)
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	如果藥品請求是禁止活動，則為真。
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	藥品代碼 Slice: Unordered, Closed by type:$this Binding: NHI-健保事前審查-用藥品項值集 (example) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported.	1..1	CodeableConceptTW	服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Closed by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:fda-medication-tw	S This element must be supported.	0..1	CodingTW	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。 Binding: NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:nhi-medication	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: NHI-健保事前審查-用藥品項值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	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
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	藥品請求請求最初何時被撰寫？
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries.	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？
MedicationRequest.reasonReference	S This element must be supported.	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）
MedicationRequest.note	S This element must be supported.	0..*	Annotation	關於處方的資訊
MedicationRequest.dosageInstruction	S This element must be supported.	1..*	Dosage	應該如何用藥
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	純文字表述的劑量指示，例如：SIG。
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	1..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	1..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
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	1..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方起始日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方終止日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.code	S This element must be supported.	1..1	CodeableConceptTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible)
MedicationRequest.dosageInstruction.timing.code.coding	S This element must be supported.	0..*	CodingTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required)
MedicationRequest.dosageInstruction.timing.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	藥品使用頻率及服用時間。
MedicationRequest.dosageInstruction.route	S This element must be supported.	1..1	CodeableConceptTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.coding	S This element must be supported.	1..1	CodingTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字標記法
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	1..1	Element	用藥量
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	1..1	SimpleQuantity	每一劑量的藥量 Binding: NHI-健保事前審查-藥品劑量單位及包裝類型值集 (required)
MedicationRequest.dosageInstruction.doseAndRate.dose[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
MedicationRequest.dosageInstruction.doseAndRate.dose[x].system	Σ This element is included in summaries. C	1..1	uri	藥物每次處方劑量單位及包裝類型之代碼系統
MedicationRequest.dosageInstruction.doseAndRate.dose[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物每次處方劑量單位及包裝類型
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	藥品供應授權
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.validityPeriod	S This element must be supported.	0..1	Period	處方可用以配藥的有效期限
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	可重複領藥的次數
MedicationRequest.dispenseRequest.expectedSupplyDuration	S This element must be supported.	0..1	Duration	每次配藥可持續的天數
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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	required	NHI-健保事前審查-藥物類型值集	📦1.2.8	This IG
MedicationRequest.medication[x]	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:fda-medication-tw	Base	required	NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:nhi-medication	Base	required	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.dosageInstruction.​timing.code	Base	extensible	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​timing.code.coding	Base	required	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​route	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​route.coding	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	required	NHI-健保事前審查-藥品劑量單位及包裝類型值集	📦1.2.8	This IG

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 TWCoreMedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			TWCoreMedicationRequest
MedicationRequest.meta		1..1	Meta	此MedicationRequest Resource的metadata
MedicationRequest.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
MedicationRequest.status		1..1	code	藥物使用狀態
MedicationRequest.statusReason		0..1	CodeableConceptTW	藥物處方終止原因
MedicationRequest.intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
MedicationRequest.category		0..1	CodeableConceptTW	自費註記 Binding: NHI-健保事前審查-藥物類型值集 (required)
MedicationRequest.medication[x]		1..1	CodeableConceptTW	藥品代碼 Binding: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x]				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationReference		0..0		Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported.	1..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: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding		1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Closed by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:fda-medication-tw		0..1	CodingTW	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。 Binding: NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:nhi-medication	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: NHI-健保事前審查-用藥品項值集 (required)
MedicationRequest.subject		1..1	Reference(病人資訊-Patient TWPAS)	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
MedicationRequest.dosageInstruction		1..*	Dosage	應該如何用藥
MedicationRequest.dosageInstruction.timing		1..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported.	1..1	Element	事件定期重複發生的時間
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported.	1..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start	S This element must be supported.	1..1	dateTime	藥物處方起始日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end	S This element must be supported.	1..1	dateTime	藥物處方終止日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.code		1..1	CodeableConceptTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible)
MedicationRequest.dosageInstruction.timing.code.coding		0..*	CodingTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required)
MedicationRequest.dosageInstruction.timing.code.text		0..1	string	藥品使用頻率及服用時間。
MedicationRequest.dosageInstruction.route		1..1	CodeableConceptTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.coding		1..1	CodingTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported.	1..1	Element	用藥量
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported.	1..1	SimpleQuantity	每一劑量的藥量 Binding: NHI-健保事前審查-藥品劑量單位及包裝類型值集 (required)
MedicationRequest.dosageInstruction.doseAndRate.dose[x].value	S This element must be supported.	1..1	decimal	藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
MedicationRequest.dosageInstruction.doseAndRate.dose[x].system		1..1	uri	藥物每次處方劑量單位及包裝類型之代碼系統
MedicationRequest.dosageInstruction.doseAndRate.dose[x].code	S This element must be supported.	1..1	code	藥物每次處方劑量單位及包裝類型
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.category	Base	required	NHI-健保事前審查-藥物類型值集	📦1.2.8	This IG
MedicationRequest.medication[x]	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:fda-medication-tw	Base	required	NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:nhi-medication	Base	required	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.dosageInstruction.​timing.code	Base	extensible	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​timing.code.coding	Base	required	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​route	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​route.coding	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	required	NHI-健保事前審查-藥品劑量單位及包裝類型值集	📦1.2.8	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		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
MedicationRequest.id	Σ This element is included in summaries.	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。
MedicationRequest.meta	Σ This element is included in summaries.	1..1	Meta	此MedicationRequest Resource的metadata
MedicationRequest.meta.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
MedicationRequest.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
MedicationRequest.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
MedicationRequest.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
MedicationRequest.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationRequest.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
MedicationRequest.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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier	S This element must be supported.	0..*	Identifier	此藥品請求的外部識別碼
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物使用狀態 Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼
MedicationRequest.statusReason		0..1	CodeableConceptTW	藥物處方終止原因 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。
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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 Required Pattern: order
MedicationRequest.category	S This element must be supported.	0..1	CodeableConceptTW	自費註記 Binding: NHI-健保事前審查-藥物類型值集 (required)
MedicationRequest.priority	Σ This element is included in summaries.	0..1	code	routine ｜ urgent ｜ asap ｜ stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	如果藥品請求是禁止活動，則為真。
MedicationRequest.reported[x]	Σ This element is included in summaries.	0..1		被報告的而不是主要的紀錄
MedicationRequest.reported[x].reportedBoolean			boolean
MedicationRequest.reported[x].reportedReference			Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization)
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	藥品代碼 Slice: Unordered, Closed by type:$this Binding: NHI-健保事前審查-用藥品項值集 (example) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported.	1..1	CodeableConceptTW	服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Closed by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:fda-medication-tw	S This element must be supported.	0..1	CodingTW	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。 Binding: NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:nhi-medication	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: NHI-健保事前審查-用藥品項值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	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
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
MedicationRequest.supportingInformation		0..*	Reference(Resource)	任何與藥品請求相關的補充資訊
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	藥品請求請求最初何時被撰寫？
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries.	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？
MedicationRequest.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
MedicationRequest.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。
MedicationRequest.recorder		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	輸入藥品請求請求的人
MedicationRequest.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。
MedicationRequest.reasonReference	S This element must be supported.	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）
MedicationRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical()	實例化FHIR計畫書（protocol）或定義
MedicationRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	實例化外部計畫書（protocol）或定義
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation)	此MedicationRquest是基於什麼而履行？
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	此為綜合請求的一部分
MedicationRequest.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。
MedicationRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	相關的保險承保範圍
MedicationRequest.note	S This element must be supported.	0..*	Annotation	關於處方的資訊
MedicationRequest.dosageInstruction	S This element must be supported.	1..*	Dosage	應該如何用藥
MedicationRequest.dosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	劑量指示的順序
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	純文字表述的劑量指示，例如：SIG。
MedicationRequest.dosageInstruction.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。
MedicationRequest.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	以病人或消費者為導向的指示
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	1..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
MedicationRequest.dosageInstruction.timing.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.event	Σ This element is included in summaries.	0..*	dateTime	事件發生的時間
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	1..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
MedicationRequest.dosageInstruction.timing.repeat.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.repeat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	1..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方起始日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方終止日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.count	Σ This element is included in summaries.	0..1	positiveInt	重複的次數
MedicationRequest.dosageInstruction.timing.repeat.countMax	Σ This element is included in summaries.	0..1	positiveInt	重複的最大次數
MedicationRequest.dosageInstruction.timing.repeat.duration	Σ This element is included in summaries.	0..1	decimal	此事件持續多久時間
MedicationRequest.dosageInstruction.timing.repeat.durationMax	Σ This element is included in summaries.	0..1	decimal	此事件持續多久時間 （最長時間／最大值）
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.frequency	Σ This element is included in summaries.	0..1	positiveInt	此事件於每一期間的發生頻率
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	Σ This element is included in summaries.	0..1	positiveInt	此事件於每一期間的最大發生頻率
MedicationRequest.dosageInstruction.timing.repeat.period	Σ This element is included in summaries.	0..1	decimal	此事件於特定時間區間所發生的頻率
MedicationRequest.dosageInstruction.timing.repeat.periodMax	Σ This element is included in summaries.	0..1	decimal	時間區間的上限（3-4小時）
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	Σ This element is included in summaries.	0..*	time	一天中的活動時間
MedicationRequest.dosageInstruction.timing.repeat.when	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.offset	Σ This element is included in summaries.	0..1	unsignedInt	事件的分鐘數（之前或之後）
MedicationRequest.dosageInstruction.timing.code	S This element must be supported.	1..1	CodeableConceptTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible)
MedicationRequest.dosageInstruction.timing.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
MedicationRequest.dosageInstruction.timing.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.code.coding	S This element must be supported.	0..*	CodingTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required)
MedicationRequest.dosageInstruction.timing.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	藥品使用頻率及服用時間。
MedicationRequest.dosageInstruction.asNeeded[x]	Σ This element is included in summaries.	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。
MedicationRequest.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationRequest.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept(CodeableConceptTW)
MedicationRequest.dosageInstruction.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。
MedicationRequest.dosageInstruction.route	S This element must be supported.	1..1	CodeableConceptTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
MedicationRequest.dosageInstruction.route.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.route.coding	S This element must be supported.	1..1	CodingTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字標記法
MedicationRequest.dosageInstruction.method		0..1	CodeableConceptTW	用藥的技術 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。
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	1..1	Element	用藥量
MedicationRequest.dosageInstruction.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.doseAndRate.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。
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	1..1	SimpleQuantity	每一劑量的藥量 Binding: NHI-健保事前審查-藥品劑量單位及包裝類型值集 (required)
MedicationRequest.dosageInstruction.doseAndRate.dose[x].id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.doseAndRate.dose[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit	Σ This element is included in summaries.	0..1	string	Unit representation
MedicationRequest.dosageInstruction.doseAndRate.dose[x].system	Σ This element is included in summaries. C	1..1	uri	藥物每次處方劑量單位及包裝類型之代碼系統
MedicationRequest.dosageInstruction.doseAndRate.dose[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物每次處方劑量單位及包裝類型
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1		每時間單位內的用藥量
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	每時間單位內用藥的上限
MedicationRequest.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity	每次用藥的上限 Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity	病人一生中用藥的上限 Constraints: sqty-1
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	藥品供應授權
MedicationRequest.dispenseRequest.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill		0..1	BackboneElement	首次依照處方配藥的細節
MedicationRequest.dispenseRequest.initialFill.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.initialFill.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.initialFill.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill.quantity	C	0..1	SimpleQuantity	首次配藥的數量 Constraints: sqty-1
MedicationRequest.dispenseRequest.initialFill.duration		0..1	Duration	首次配藥的持續時間
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	前後兩次配藥的最短時間間隔
MedicationRequest.dispenseRequest.validityPeriod	S This element must be supported.	0..1	Period	處方可用以配藥的有效期限
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	可重複領藥的次數
MedicationRequest.dispenseRequest.quantity	C	0..1	SimpleQuantity	每次配藥的藥品（數）量 Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration	S This element must be supported.	0..1	Duration	每次配藥可持續的天數
MedicationRequest.dispenseRequest.performer		0..1	Reference(TW Core Organization)	預定的配藥人員
MedicationRequest.substitution		0..1	BackboneElement	對替代藥品的任何限制
MedicationRequest.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.substitution.allowed[x]		1..1		是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (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。
MedicationRequest.substitution.allowed[x].allowedBoolean			boolean
MedicationRequest.substitution.allowed[x].allowedCodeableConcept			CodeableConcept(CodeableConceptTW)
MedicationRequest.substitution.reason		0..1	CodeableConceptTW	為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (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。
MedicationRequest.priorPrescription		0..1	Reference(TW Core MedicationRequest)	正被替換的醫令／處方
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	活動的臨床問題
MedicationRequest.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.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	required	NHI-健保事前審查-藥物類型值集	📦1.2.8	This IG
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:fda-medication-tw	Base	required	NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:nhi-medication	Base	required	NHI-健保事前審查-用藥品項值集	📦2026-10-01	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	extensible	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​timing.code.coding	Base	required	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	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	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​route.coding	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
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.dosageInstruction.​doseAndRate.dose[x]	Base	required	NHI-健保事前審查-藥品劑量單位及包裝類型值集	📦1.2.8	This IG
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())
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
Must-Support: 10 elements
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
• TW Core Medication (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore)
• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		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
MedicationRequest.meta	Σ This element is included in summaries.	1..1	Meta	此MedicationRequest Resource的metadata
MedicationRequest.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier	S This element must be supported.	0..*	Identifier	此藥品請求的外部識別碼
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物使用狀態 Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼
MedicationRequest.statusReason		0..1	CodeableConceptTW	藥物處方終止原因 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。
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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 Required Pattern: order
MedicationRequest.category	S This element must be supported.	0..1	CodeableConceptTW	自費註記 Binding: NHI-健保事前審查-藥物類型值集 (required)
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	如果藥品請求是禁止活動，則為真。
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	藥品代碼 Slice: Unordered, Closed by type:$this Binding: NHI-健保事前審查-用藥品項值集 (example) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported.	1..1	CodeableConceptTW	服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Closed by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:fda-medication-tw	S This element must be supported.	0..1	CodingTW	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。 Binding: NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:nhi-medication	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: NHI-健保事前審查-用藥品項值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	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
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	藥品請求請求最初何時被撰寫？
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries.	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？
MedicationRequest.reasonReference	S This element must be supported.	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）
MedicationRequest.note	S This element must be supported.	0..*	Annotation	關於處方的資訊
MedicationRequest.dosageInstruction	S This element must be supported.	1..*	Dosage	應該如何用藥
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	純文字表述的劑量指示，例如：SIG。
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	1..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	1..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
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	1..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方起始日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方終止日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.code	S This element must be supported.	1..1	CodeableConceptTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible)
MedicationRequest.dosageInstruction.timing.code.coding	S This element must be supported.	0..*	CodingTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required)
MedicationRequest.dosageInstruction.timing.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	藥品使用頻率及服用時間。
MedicationRequest.dosageInstruction.route	S This element must be supported.	1..1	CodeableConceptTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.coding	S This element must be supported.	1..1	CodingTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字標記法
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	1..1	Element	用藥量
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	1..1	SimpleQuantity	每一劑量的藥量 Binding: NHI-健保事前審查-藥品劑量單位及包裝類型值集 (required)
MedicationRequest.dosageInstruction.doseAndRate.dose[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
MedicationRequest.dosageInstruction.doseAndRate.dose[x].system	Σ This element is included in summaries. C	1..1	uri	藥物每次處方劑量單位及包裝類型之代碼系統
MedicationRequest.dosageInstruction.doseAndRate.dose[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物每次處方劑量單位及包裝類型
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	藥品供應授權
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.validityPeriod	S This element must be supported.	0..1	Period	處方可用以配藥的有效期限
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	可重複領藥的次數
MedicationRequest.dispenseRequest.expectedSupplyDuration	S This element must be supported.	0..1	Duration	每次配藥可持續的天數
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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	required	NHI-健保事前審查-藥物類型值集	📦1.2.8	This IG
MedicationRequest.medication[x]	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:fda-medication-tw	Base	required	NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:nhi-medication	Base	required	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.dosageInstruction.​timing.code	Base	extensible	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​timing.code.coding	Base	required	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​route	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​route.coding	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	required	NHI-健保事前審查-藥品劑量單位及包裝類型值集	📦1.2.8	This IG

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 TWCoreMedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			TWCoreMedicationRequest
MedicationRequest.meta		1..1	Meta	此MedicationRequest Resource的metadata
MedicationRequest.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
MedicationRequest.status		1..1	code	藥物使用狀態
MedicationRequest.statusReason		0..1	CodeableConceptTW	藥物處方終止原因
MedicationRequest.intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
MedicationRequest.category		0..1	CodeableConceptTW	自費註記 Binding: NHI-健保事前審查-藥物類型值集 (required)
MedicationRequest.medication[x]		1..1	CodeableConceptTW	藥品代碼 Binding: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x]				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationReference		0..0		Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported.	1..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: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding		1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Closed by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:fda-medication-tw		0..1	CodingTW	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。 Binding: NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.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。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:nhi-medication	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: NHI-健保事前審查-用藥品項值集 (required)
MedicationRequest.subject		1..1	Reference(病人資訊-Patient TWPAS)	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
MedicationRequest.dosageInstruction		1..*	Dosage	應該如何用藥
MedicationRequest.dosageInstruction.timing		1..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported.	1..1	Element	事件定期重複發生的時間
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported.	1..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start	S This element must be supported.	1..1	dateTime	藥物處方起始日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end	S This element must be supported.	1..1	dateTime	藥物處方終止日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.code		1..1	CodeableConceptTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible)
MedicationRequest.dosageInstruction.timing.code.coding		0..*	CodingTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required)
MedicationRequest.dosageInstruction.timing.code.text		0..1	string	藥品使用頻率及服用時間。
MedicationRequest.dosageInstruction.route		1..1	CodeableConceptTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.coding		1..1	CodingTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported.	1..1	Element	用藥量
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported.	1..1	SimpleQuantity	每一劑量的藥量 Binding: NHI-健保事前審查-藥品劑量單位及包裝類型值集 (required)
MedicationRequest.dosageInstruction.doseAndRate.dose[x].value	S This element must be supported.	1..1	decimal	藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
MedicationRequest.dosageInstruction.doseAndRate.dose[x].system		1..1	uri	藥物每次處方劑量單位及包裝類型之代碼系統
MedicationRequest.dosageInstruction.doseAndRate.dose[x].code	S This element must be supported.	1..1	code	藥物每次處方劑量單位及包裝類型
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.category	Base	required	NHI-健保事前審查-藥物類型值集	📦1.2.8	This IG
MedicationRequest.medication[x]	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:fda-medication-tw	Base	required	NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:nhi-medication	Base	required	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.dosageInstruction.​timing.code	Base	extensible	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​timing.code.coding	Base	required	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​route	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​route.coding	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	required	NHI-健保事前審查-藥品劑量單位及包裝類型值集	📦1.2.8	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		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
MedicationRequest.id	Σ This element is included in summaries.	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。
MedicationRequest.meta	Σ This element is included in summaries.	1..1	Meta	此MedicationRequest Resource的metadata
MedicationRequest.meta.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
MedicationRequest.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
MedicationRequest.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
MedicationRequest.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas
MedicationRequest.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationRequest.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
MedicationRequest.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。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier	S This element must be supported.	0..*	Identifier	此藥品請求的外部識別碼
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物使用狀態 Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼
MedicationRequest.statusReason		0..1	CodeableConceptTW	藥物處方終止原因 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。
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	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 Required Pattern: order
MedicationRequest.category	S This element must be supported.	0..1	CodeableConceptTW	自費註記 Binding: NHI-健保事前審查-藥物類型值集 (required)
MedicationRequest.priority	Σ This element is included in summaries.	0..1	code	routine ｜ urgent ｜ asap ｜ stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	如果藥品請求是禁止活動，則為真。
MedicationRequest.reported[x]	Σ This element is included in summaries.	0..1		被報告的而不是主要的紀錄
MedicationRequest.reported[x].reportedBoolean			boolean
MedicationRequest.reported[x].reportedReference			Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization)
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	藥品代碼 Slice: Unordered, Closed by type:$this Binding: NHI-健保事前審查-用藥品項值集 (example) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported.	1..1	CodeableConceptTW	服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。 Binding: NHI-健保事前審查-用藥品項值集 (example)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding	S This element must be supported.	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Closed by pattern:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:fda-medication-tw	S This element must be supported.	0..1	CodingTW	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。 Binding: NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for coding.coding:nhi-medication	S This element must be supported.	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: NHI-健保事前審查-用藥品項值集 (required)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字表示法
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	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
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
MedicationRequest.supportingInformation		0..*	Reference(Resource)	任何與藥品請求相關的補充資訊
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	藥品請求請求最初何時被撰寫？
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries.	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？
MedicationRequest.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
MedicationRequest.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。
MedicationRequest.recorder		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	輸入藥品請求請求的人
MedicationRequest.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。
MedicationRequest.reasonReference	S This element must be supported.	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）
MedicationRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical()	實例化FHIR計畫書（protocol）或定義
MedicationRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	實例化外部計畫書（protocol）或定義
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation)	此MedicationRquest是基於什麼而履行？
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	此為綜合請求的一部分
MedicationRequest.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。
MedicationRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	相關的保險承保範圍
MedicationRequest.note	S This element must be supported.	0..*	Annotation	關於處方的資訊
MedicationRequest.dosageInstruction	S This element must be supported.	1..*	Dosage	應該如何用藥
MedicationRequest.dosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	劑量指示的順序
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	純文字表述的劑量指示，例如：SIG。
MedicationRequest.dosageInstruction.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。
MedicationRequest.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	以病人或消費者為導向的指示
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	1..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
MedicationRequest.dosageInstruction.timing.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.event	Σ This element is included in summaries.	0..*	dateTime	事件發生的時間
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	1..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
MedicationRequest.dosageInstruction.timing.repeat.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.repeat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	1..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方起始日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	藥物處方終止日期，YYYY-MM-DD。
MedicationRequest.dosageInstruction.timing.repeat.count	Σ This element is included in summaries.	0..1	positiveInt	重複的次數
MedicationRequest.dosageInstruction.timing.repeat.countMax	Σ This element is included in summaries.	0..1	positiveInt	重複的最大次數
MedicationRequest.dosageInstruction.timing.repeat.duration	Σ This element is included in summaries.	0..1	decimal	此事件持續多久時間
MedicationRequest.dosageInstruction.timing.repeat.durationMax	Σ This element is included in summaries.	0..1	decimal	此事件持續多久時間 （最長時間／最大值）
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.frequency	Σ This element is included in summaries.	0..1	positiveInt	此事件於每一期間的發生頻率
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	Σ This element is included in summaries.	0..1	positiveInt	此事件於每一期間的最大發生頻率
MedicationRequest.dosageInstruction.timing.repeat.period	Σ This element is included in summaries.	0..1	decimal	此事件於特定時間區間所發生的頻率
MedicationRequest.dosageInstruction.timing.repeat.periodMax	Σ This element is included in summaries.	0..1	decimal	時間區間的上限（3-4小時）
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	Σ This element is included in summaries.	0..*	time	一天中的活動時間
MedicationRequest.dosageInstruction.timing.repeat.when	Σ This element is included in summaries.	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
MedicationRequest.dosageInstruction.timing.repeat.offset	Σ This element is included in summaries.	0..1	unsignedInt	事件的分鐘數（之前或之後）
MedicationRequest.dosageInstruction.timing.code	S This element must be supported.	1..1	CodeableConceptTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible)
MedicationRequest.dosageInstruction.timing.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
MedicationRequest.dosageInstruction.timing.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.code.coding	S This element must be supported.	0..*	CodingTW	藥品使用頻率及服用時間。 Binding: HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required)
MedicationRequest.dosageInstruction.timing.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	藥品使用頻率及服用時間。
MedicationRequest.dosageInstruction.asNeeded[x]	Σ This element is included in summaries.	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。
MedicationRequest.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationRequest.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept(CodeableConceptTW)
MedicationRequest.dosageInstruction.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。
MedicationRequest.dosageInstruction.route	S This element must be supported.	1..1	CodeableConceptTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
MedicationRequest.dosageInstruction.route.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.route.coding	S This element must be supported.	1..1	CodingTW	給藥途徑／作用部位。 Binding: SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required)
MedicationRequest.dosageInstruction.route.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	概念的文字標記法
MedicationRequest.dosageInstruction.method		0..1	CodeableConceptTW	用藥的技術 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。
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	1..1	Element	用藥量
MedicationRequest.dosageInstruction.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.doseAndRate.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。
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	1..1	SimpleQuantity	每一劑量的藥量 Binding: NHI-健保事前審查-藥品劑量單位及包裝類型值集 (required)
MedicationRequest.dosageInstruction.doseAndRate.dose[x].id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.doseAndRate.dose[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit	Σ This element is included in summaries.	0..1	string	Unit representation
MedicationRequest.dosageInstruction.doseAndRate.dose[x].system	Σ This element is included in summaries. C	1..1	uri	藥物每次處方劑量單位及包裝類型之代碼系統
MedicationRequest.dosageInstruction.doseAndRate.dose[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	藥物每次處方劑量單位及包裝類型
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	Σ This element is included in summaries.	0..1		每時間單位內的用藥量
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	每時間單位內用藥的上限
MedicationRequest.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity	每次用藥的上限 Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity	病人一生中用藥的上限 Constraints: sqty-1
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	藥品供應授權
MedicationRequest.dispenseRequest.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill		0..1	BackboneElement	首次依照處方配藥的細節
MedicationRequest.dispenseRequest.initialFill.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.initialFill.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.initialFill.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill.quantity	C	0..1	SimpleQuantity	首次配藥的數量 Constraints: sqty-1
MedicationRequest.dispenseRequest.initialFill.duration		0..1	Duration	首次配藥的持續時間
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	前後兩次配藥的最短時間間隔
MedicationRequest.dispenseRequest.validityPeriod	S This element must be supported.	0..1	Period	處方可用以配藥的有效期限
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	可重複領藥的次數
MedicationRequest.dispenseRequest.quantity	C	0..1	SimpleQuantity	每次配藥的藥品（數）量 Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration	S This element must be supported.	0..1	Duration	每次配藥可持續的天數
MedicationRequest.dispenseRequest.performer		0..1	Reference(TW Core Organization)	預定的配藥人員
MedicationRequest.substitution		0..1	BackboneElement	對替代藥品的任何限制
MedicationRequest.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.substitution.allowed[x]		1..1		是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (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。
MedicationRequest.substitution.allowed[x].allowedBoolean			boolean
MedicationRequest.substitution.allowed[x].allowedCodeableConcept			CodeableConcept(CodeableConceptTW)
MedicationRequest.substitution.reason		0..1	CodeableConceptTW	為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (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。
MedicationRequest.priorPrescription		0..1	Reference(TW Core MedicationRequest)	正被替換的醫令／處方
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	活動的臨床問題
MedicationRequest.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.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	required	NHI-健保事前審查-藥物類型值集	📦1.2.8	This IG
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept	Base	example	NHI-健保事前審查-用藥品項值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:fda-medication-tw	Base	required	NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集	📦2026-10-01	This IG
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:nhi-medication	Base	required	NHI-健保事前審查-用藥品項值集	📦2026-10-01	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	extensible	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	This IG
MedicationRequest.dosageInstruction.​timing.code.coding	Base	required	HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集	📦1.2.8	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	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
MedicationRequest.dosageInstruction.​route.coding	Base	required	SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集	📦0.3.0	This IG
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.dosageInstruction.​doseAndRate.dose[x]	Base	required	NHI-健保事前審查-藥品劑量單位及包裝類型值集	📦1.2.8	This IG
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())
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
Must-Support: 10 elements
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
• TW Core Medication (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore)
• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding (Closed)