臺灣核心實作指引(TW Core IG)
0.3.0 - Ci-Build Trial Use

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TWCoreMedication - Detailed Descriptions

Active as of 2024-09-16

Definitions for the Medication-twcore resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Medication
Definition

此resource主要用於識別和定義藥品,以便開立處方、配藥和給藥,以及對藥品使用進行說明。

Short藥品的定義
2. Medication.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

Short不重複的ID用以識別儲存在特定FHIR Server中的Medication紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

4. Medication.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

Short此Medication Resource的metadata
6. Medication.implicitRules
Definition

構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

Short創建此內容所依據的一組規則
Comments

宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

8. Medication.language
Definition

編寫此resource的語言

Short用以表述Medication Resource內容的語言。
Comments

提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

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 BindingsPurpose
AllLanguagesMax Binding
Example<br/><b>Value</b>:zh-TW
10. Medication.text
Definition

人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

ShortMedication Resource之內容摘要以供人閱讀
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

12. Medication.identifier
Definition

此藥品的業務用識別碼

Short此藥品的業務用識別碼
Comments

序號可被包含於一個識別碼

NoteThis is a business identifier, not a resource identifier (see discussion)
14. Medication.code
Definition

具體說明此藥品的一個代碼(或一組代碼),如果沒有代碼,則為文字描述。使用說明:這可以是一個標準的藥品代碼,如RxNorm、SNOMED CT、IDMP等的代碼。它也可以是一個國家或地方的處方藥代碼,可以選擇翻譯/交易(transactions)為其他代碼系統。

Short指明這種藥品的代碼。
Comments

根據使用情境,實際由使用者(開立處方者、配藥者等)選擇的代碼將把coding.userSelected設置為true。正如coding datatype中所描述的。「如果使用者在使用者介面上選擇了特定的代碼值(例如:使用者在清單中選擇了一個項目),那麼coding可以被標記為 「userSelected」。如果存在一個使用者選擇的代碼,它是進行翻譯等的首選,其他代碼只能字面翻譯至替代的代碼系統或者較小精細度的代碼(例如:一個通用代碼用於一個供應商限定的代碼)。

BindingFor example codes, see SNOMEDCTMedicationCodes
(example to http://hl7.org/fhir/ValueSet/medication-codes)

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。

TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
16. Medication.code.coding
Definition

由專門術語系統(terminology system)所定義之代碼的參照。

Short由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
Comments

代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

Requirements

允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

SlicingThis element introduces a set of slices on Medication.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 18. Medication.code.coding:fda-medication-tw
    Slice Namefda-medication-tw
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from 臺灣食藥署藥品及醫療器材代碼值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw)

    應填入所綁定值集中的其中一個代碼。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    20. Medication.code.coding:nhi-medication-tw
    Slice Namenhi-medication-tw
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from 臺灣健保署健保用藥品項代碼值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw)

    應填入所綁定值集中的其中一個代碼。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    22. Medication.code.coding:nhi-medication-ch-herb-tw
    Slice Namenhi-medication-ch-herb-tw
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from 臺灣健保署中藥用藥品項值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw)

    應填入所綁定值集中的其中一個代碼。

    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    24. Medication.code.coding:rxnorm-medication-us-core
    Slice Namerxnorm-medication-us-core
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    ShortRxNorm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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from RxNorm藥品代碼值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw)

    應填入所綁定值集中的其中一個代碼。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    26. Medication.code.coding:atc-medication-code
    Slice Nameatc-medication-code
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    ShortATC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。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from 臺灣食藥署藥品藥理治療分類ATC碼值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw)

    應填入所綁定值集中的其中一個代碼。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    28. Medication.code.coding:snomedct-medication-codes
    Slice Namesnomedct-medication-codes
    Definition

    由專門術語系統(terminology system)所定義之代碼的參照。

    Short此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。
    Comments

    代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

    Control0..1
    BindingThe codes SHALL be taken from SNOMEDCTMedicationCodes
    (required to http://hl7.org/fhir/ValueSet/medication-codes)

    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。

    Must Supporttrue
    Requirements

    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

    30. Medication.code.text
    Definition

    輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

    Short概念的文字表示法
    Comments

    很多時候,此文字表述與其中一個代碼的顯示名稱相同。

    Must Supporttrue
    Requirements

    專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

    32. Medication.status
    Definition

    此代碼指明藥品是否使用中

    Shortactive | inactive | entered-in-error
    Comments

    此狀態是為了識別當地系統中的藥品是否在藥物資料庫或存貨為有效使用狀態。例如:一個藥局系統可能為一個複方產品 「ABC醫院專用藥膏」建立一個新的藥品檔案紀錄,狀態為有效。在未來的某個時間點,可能決定此藥品紀錄在建立時出現了錯誤,於是狀態被改為 「輸入錯誤 」。這種狀態不是為了說明某種藥品是否屬於某個特定的處方集。藥品紀錄有可能被多個處方集或編錄集所參照,每筆紀錄都會有一個單獨的狀態。

    BindingThe codes SHALL be taken from Medication Status Codes
    (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

    應填入所綁定值集中的其中一個代碼

    34. Medication.manufacturer
    Definition

    描述藥品製造商的詳細訊息。這並不意味著代表藥品的經銷商。

    Short此藥品的製造商
    TypeReference(TW Core Organization)
    36. Medication.form
    Definition

    描述藥品的劑型:藥粉、錠劑、膠囊。

    Shortpowder | tablets | capsule +
    Comments

    當藥品被MedicationRequest參照時,這是開立處方的劑型。當MedicationDispense中參用Medication時,這是配藥的劑型。當在MedicationAdministration中引用Medication時,這是給藥的劑型。

    BindingFor example codes, see SNOMEDCTFormCodes
    (example to http://hl7.org/fhir/ValueSet/medication-form-codes)

    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。

    TypeCodeableConcept(TW CodeableConcept)
    Must Supporttrue
    38. Medication.form.coding
    Shortpowder | tablets | capsule + 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。
    Control1..?
    SlicingThis element introduces a set of slices on Medication.form.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 40. Medication.form.coding:v3-orderableDrugForm
      Slice Namev3-orderableDrugForm
      Control1..1
      BindingThe codes SHALL be taken from 藥品劑型值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/v3-orderableDrugForm)

      應填入所綁定值集中的其中一個代碼

      Must Supporttrue
      42. Medication.form.coding:snomed-sct-form-codes
      Slice Namesnomed-sct-form-codes
      Control0..1
      BindingThe codes SHALL be taken from SNOMEDCTFormCodes
      (required to http://hl7.org/fhir/ValueSet/medication-form-codes)

      應填入所綁定值集中的其中一個代碼

      Must Supporttrue
      44. Medication.form.text
      Must Supporttrue
      46. Medication.amount
      Definition

      每包裝產品中藥品的具體數量或容量。例如:當指定一個具有相同強度的藥品時(例如:每毫升注射用胰島素100單位),該屬性提供了每包裝數量與容量的附加說明(例如:3mL、10mL等)。

      Short每包裝的藥品數量或容量
      48. Medication.ingredient
      Definition

      指明產品中的特定成份

      Short有使用或沒有使用的藥品成份
      Comments

      成份不需要是一個完整的清單。如果沒有具體說明某種成份,這並不表明有使用或沒使用某種成份。如果一個成份被具體說明,並不意味著所有的成份都被具體說明。可以同時具體說明有沒有使用及有使用的成份。

      50. Medication.ingredient.item[x]
      Definition

      實際成份—不是一種物質(單一成份)就是一種藥品的另一種藥品。

      Short實際的成份或內容物
      TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication, Substance)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Requirements

      此成份可能是指一種物質(例如:阿莫西林)或另一種藥品(例如:複方葛蘭素史克)。

      52. Medication.ingredient.isActive
      Definition

      說明此成份是否會影響藥物的治療作用

      Short有效成份指標
      Requirements

      True表示此成份會影響藥物的治療作用(意即:active),False表示此成份不影響藥物的治療作用(意即:inactive)。

      54. Medication.ingredient.strength
      Definition

      指明此藥品中有多少(或多少)項目。例如:每錠250毫克,這表示為一個比率,分子為250毫克,分母為1錠。

      Short所含成份的劑量
      56. Medication.batch
      Definition

      只適用於包裝(不是產品)的資訊

      Short關於包裝藥品的細節
      58. Medication.batch.lotNumber
      Definition

      藥品的批號資訊

      Short藥品的批號
      60. Medication.batch.expirationDate
      Definition

      此批號藥品之有效期限

      Short有效期限

      Guidance on how to interpret the contents of this table can be found here

      0. Medication
      Definition

      此resource主要用於識別和定義藥品,以便開立處方、配藥和給藥,以及對藥品使用進行說明。


      This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

      Short藥品的定義Definition of a Medication
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Medication.id
      Definition

      resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。


      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      Short不重複的ID用以識別儲存在特定FHIR Server中的Medication紀錄,通常又稱為邏輯性ID。Logical id of this artifact
      Comments

      一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。


      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Control0..1
      Typeidstring
      Is Modifierfalse
      Summarytrue
      4. Medication.meta
      Definition

      關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。


      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      Short此Medication Resource的metadataMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Medication.implicitRules
      Definition

      構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      Short創建此內容所依據的一組規則A set of rules under which this content was created
      Comments

      宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Medication.language
      Definition

      編寫此resource的語言


      The base language in which the resource is written.

      Short用以表述Medication Resource內容的語言。Language of the resource content
      Comments

      提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。


      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      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。


      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Example<br/><b>Value</b>:zh-TW
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Medication.text
      Definition

      人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。


      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortMedication Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
      Comments

      內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。


      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Medication.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      14. Medication.identifier
      Definition

      此藥品的業務用識別碼


      Business identifier for this medication.

      Short此藥品的業務用識別碼Business identifier for this medication
      Comments

      序號可被包含於一個識別碼


      The serial number could be included as an identifier.

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Medication.code
      Definition

      具體說明此藥品的一個代碼(或一組代碼),如果沒有代碼,則為文字描述。使用說明:這可以是一個標準的藥品代碼,如RxNorm、SNOMED CT、IDMP等的代碼。它也可以是一個國家或地方的處方藥代碼,可以選擇翻譯/交易(transactions)為其他代碼系統。


      A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

      Short指明這種藥品的代碼。Codes that identify this medication
      Comments

      根據使用情境,實際由使用者(開立處方者、配藥者等)選擇的代碼將把coding.userSelected設置為true。正如coding datatype中所描述的。「如果使用者在使用者介面上選擇了特定的代碼值(例如:使用者在清單中選擇了一個項目),那麼coding可以被標記為 「userSelected」。如果存在一個使用者選擇的代碼,它是進行翻譯等的首選,其他代碼只能字面翻譯至替代的代碼系統或者較小精細度的代碼(例如:一個通用代碼用於一個供應商限定的代碼)。


      Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
      (example to http://hl7.org/fhir/ValueSet/medication-codes)

      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。


      A coded concept that defines the type of a medication.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. Medication.code.coding
      Definition

      由專門術語系統(terminology system)所定義之代碼的參照。


      A reference to a code defined by a terminology system.

      Short由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Medication.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 20. Medication.code.coding:fda-medication-tw
        Slice Namefda-medication-tw
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see 臺灣食藥署藥品及醫療器材代碼值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. Medication.code.coding:nhi-medication-tw
        Slice Namenhi-medication-tw
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see 臺灣健保署健保用藥品項代碼值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. Medication.code.coding:nhi-medication-ch-herb-tw
        Slice Namenhi-medication-ch-herb-tw
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see 臺灣健保署中藥用藥品項值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. Medication.code.coding:rxnorm-medication-us-core
        Slice Namerxnorm-medication-us-core
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        ShortRxNorm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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see RxNorm藥品代碼值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. Medication.code.coding:atc-medication-code
        Slice Nameatc-medication-code
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        ShortATC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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see 臺灣食藥署藥品藥理治療分類ATC碼值集
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw)

        應填入所綁定值集中的其中一個代碼。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. Medication.code.coding:snomedct-medication-codes
        Slice Namesnomedct-medication-codes
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照。


        A reference to a code defined by a terminology system.

        Short此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..1*
        This element is affected by the following invariants: ele-1
        BindingThe codes SHALL be taken from For codes, see SNOMEDCTMedicationCodes
        (required to http://hl7.org/fhir/ValueSet/medication-codes)

        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。

        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. Medication.code.text
        Definition

        輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

        Short概念的文字表示法Plain text representation of the concept
        Comments

        很多時候,此文字表述與其中一個代碼的顯示名稱相同。


        Very often the text is the same as a displayName of one of the codings.

        Control0..1
        Typestring
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Medication.status
        Definition

        此代碼指明藥品是否使用中


        A code to indicate if the medication is in active use.

        Shortactive | inactive | entered-in-erroractive | inactive | entered-in-error
        Comments

        此狀態是為了識別當地系統中的藥品是否在藥物資料庫或存貨為有效使用狀態。例如:一個藥局系統可能為一個複方產品 「ABC醫院專用藥膏」建立一個新的藥品檔案紀錄,狀態為有效。在未來的某個時間點,可能決定此藥品紀錄在建立時出現了錯誤,於是狀態被改為 「輸入錯誤 」。這種狀態不是為了說明某種藥品是否屬於某個特定的處方集。藥品紀錄有可能被多個處方集或編錄集所參照,每筆紀錄都會有一個單獨的狀態。


        This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

        Control0..1
        BindingThe codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
        (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

        應填入所綁定值集中的其中一個代碼


        A coded concept defining if the medication is in active use.

        Typecode
        Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. Medication.manufacturer
        Definition

        描述藥品製造商的詳細訊息。這並不意味著代表藥品的經銷商。


        Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

        Short此藥品的製造商Manufacturer of the item
        Control0..1
        TypeReference(TW Core Organization, Organization)
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. Medication.form
        Definition

        描述藥品的劑型:藥粉、錠劑、膠囊。


        Describes the form of the item. Powder; tablets; capsule.

        Shortpowder | tablets | capsule +powder | tablets | capsule +
        Comments

        當藥品被MedicationRequest參照時,這是開立處方的劑型。當MedicationDispense中參用Medication時,這是配藥的劑型。當在MedicationAdministration中引用Medication時,這是給藥的劑型。


        When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

        Control0..1
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see SNOMEDCTFormCodeshttp://hl7.org/fhir/ValueSet/medication-form-codes
        (example to http://hl7.org/fhir/ValueSet/medication-form-codes)

        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。


        A coded concept defining the form of a medication.

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. Medication.form.coding
        Definition

        由專門術語系統(terminology system)所定義之代碼的參照


        A reference to a code defined by a terminology system.

        Shortpowder | tablets | capsule + 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。Code defined by a terminology system
        Comments

        代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control10..*
        This element is affected by the following invariants: ele-1
        TypeCoding(TW Coding)
        Is Modifierfalse
        Must Supporttrue
        Requirements

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Medication.form.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 42. Medication.form.coding:v3-orderableDrugForm
          Slice Namev3-orderableDrugForm
          Definition

          由專門術語系統(terminology system)所定義之代碼的參照


          A reference to a code defined by a terminology system.

          Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
          Comments

          代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see 藥品劑型值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/v3-orderableDrugForm)

          應填入所綁定值集中的其中一個代碼

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Medication.form.coding:snomed-sct-form-codes
          Slice Namesnomed-sct-form-codes
          Definition

          由專門術語系統(terminology system)所定義之代碼的參照


          A reference to a code defined by a terminology system.

          Short由專門術語系統(terminology system)定義的代碼Code defined by a terminology system
          Comments

          代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see SNOMEDCTFormCodes
          (required to http://hl7.org/fhir/ValueSet/medication-form-codes)

          應填入所綁定值集中的其中一個代碼

          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


          Allows for alternative encodings within a code system, and translations to other code systems.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. Medication.form.text
          Definition

          輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。


          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          Short概念的文字表示法Plain text representation of the concept
          Comments

          很多時候,此文字表述與其中一個代碼的顯示名稱相同。


          Very often the text is the same as a displayName of one of the codings.

          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。


          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. Medication.amount
          Definition

          每包裝產品中藥品的具體數量或容量。例如:當指定一個具有相同強度的藥品時(例如:每毫升注射用胰島素100單位),該屬性提供了每包裝數量與容量的附加說明(例如:3mL、10mL等)。


          Specific amount of the drug in the packaged product. For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).

          Short每包裝的藥品數量或容量Amount of drug in package
          Control0..1
          TypeRatio
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. Medication.ingredient
          Definition

          指明產品中的特定成份


          Identifies a particular constituent of interest in the product.

          Short有使用或沒有使用的藥品成份Active or inactive ingredient
          Comments

          成份不需要是一個完整的清單。如果沒有具體說明某種成份,這並不表明有使用或沒使用某種成份。如果一個成份被具體說明,並不意味著所有的成份都被具體說明。可以同時具體說明有沒有使用及有使用的成份。


          The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. Medication.ingredient.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          54. Medication.ingredient.item[x]
          Definition

          實際成份—不是一種物質(單一成份)就是一種藥品的另一種藥品。


          The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

          Short實際的成份或內容物The actual ingredient or content
          Control1..1
          TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication, Substance, Medication)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summaryfalse
          Requirements

          此成份可能是指一種物質(例如:阿莫西林)或另一種藥品(例如:複方葛蘭素史克)。


          The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Medication.ingredient.isActive
          Definition

          說明此成份是否會影響藥物的治療作用


          Indication of whether this ingredient affects the therapeutic action of the drug.

          Short有效成份指標Active ingredient indicator
          Control0..1
          Typeboolean
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Requirements

          True表示此成份會影響藥物的治療作用(意即:active),False表示此成份不影響藥物的治療作用(意即:inactive)。


          True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. Medication.ingredient.strength
          Definition

          指明此藥品中有多少(或多少)項目。例如:每錠250毫克,這表示為一個比率,分子為250毫克,分母為1錠。


          Specifies how many (or how much) of the items there are in this Medication. For example, 250 mg per tablet. This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

          Short所含成份的劑量Quantity of ingredient present
          Control0..1
          TypeRatio
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Medication.batch
          Definition

          只適用於包裝(不是產品)的資訊


          Information that only applies to packages (not products).

          Short關於包裝藥品的細節Details about packaged medications
          Control0..1
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. Medication.batch.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          64. Medication.batch.lotNumber
          Definition

          藥品的批號資訊


          The assigned lot number of a batch of the specified product.

          Short藥品的批號Identifier assigned to batch
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. Medication.batch.expirationDate
          Definition

          此批號藥品之有效期限


          When this specific batch of product will expire.

          Short有效期限When batch will expire
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Guidance on how to interpret the contents of this table can be found here

          0. Medication
          Definition

          此resource主要用於識別和定義藥品,以便開立處方、配藥和給藥,以及對藥品使用進行說明。

          Short藥品的定義
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          2. Medication.id
          Definition

          resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

          Short不重複的ID用以識別儲存在特定FHIR Server中的Medication紀錄,通常又稱為邏輯性ID。
          Comments

          一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. Medication.meta
          Definition

          關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

          Short此Medication Resource的metadata
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Medication.implicitRules
          Definition

          構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

          Short創建此內容所依據的一組規則
          Comments

          宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Medication.language
          Definition

          編寫此resource的語言

          Short用以表述Medication Resource內容的語言。
          Comments

          提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          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 BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Example<br/><b>Value</b>:zh-TW
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Medication.text
          Definition

          人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

          ShortMedication Resource之內容摘要以供人閱讀
          Comments

          內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Medication.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Medication.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          16. Medication.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          18. Medication.identifier
          Definition

          此藥品的業務用識別碼

          Short此藥品的業務用識別碼
          Comments

          序號可被包含於一個識別碼

          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..*
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Medication.code
          Definition

          具體說明此藥品的一個代碼(或一組代碼),如果沒有代碼,則為文字描述。使用說明:這可以是一個標準的藥品代碼,如RxNorm、SNOMED CT、IDMP等的代碼。它也可以是一個國家或地方的處方藥代碼,可以選擇翻譯/交易(transactions)為其他代碼系統。

          Short指明這種藥品的代碼。
          Comments

          根據使用情境,實際由使用者(開立處方者、配藥者等)選擇的代碼將把coding.userSelected設置為true。正如coding datatype中所描述的。「如果使用者在使用者介面上選擇了特定的代碼值(例如:使用者在清單中選擇了一個項目),那麼coding可以被標記為 「userSelected」。如果存在一個使用者選擇的代碼,它是進行翻譯等的首選,其他代碼只能字面翻譯至替代的代碼系統或者較小精細度的代碼(例如:一個通用代碼用於一個供應商限定的代碼)。

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see SNOMEDCTMedicationCodes
          (example to http://hl7.org/fhir/ValueSet/medication-codes)

          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。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Medication.code.id
          Definition

          resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。

          Short唯一可識別ID,以供資料項目間相互參照。
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          24. Medication.code.extension
          Definition

          擴充的資料項目

          Short擴充的資料項目
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Medication.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 26. Medication.code.coding
            Definition

            由專門術語系統(terminology system)所定義之代碼的參照。

            Short由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
            Comments

            代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

            Control0..*
            This element is affected by the following invariants: ele-1
            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Medication.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • pattern @ $this
            • 28. Medication.code.coding:fda-medication-tw
              Slice Namefda-medication-tw
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照。

              Short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。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from 臺灣食藥署藥品及醫療器材代碼值集
              (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw)

              應填入所綁定值集中的其中一個代碼。

              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. Medication.code.coding:nhi-medication-tw
              Slice Namenhi-medication-tw
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照。

              Short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。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from 臺灣健保署健保用藥品項代碼值集
              (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw)

              應填入所綁定值集中的其中一個代碼。

              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. Medication.code.coding:nhi-medication-ch-herb-tw
              Slice Namenhi-medication-ch-herb-tw
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照。

              Short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。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from 臺灣健保署中藥用藥品項值集
              (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw)

              應填入所綁定值集中的其中一個代碼。

              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. Medication.code.coding:rxnorm-medication-us-core
              Slice Namerxnorm-medication-us-core
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照。

              ShortRxNorm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。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from RxNorm藥品代碼值集
              (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw)

              應填入所綁定值集中的其中一個代碼。

              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. Medication.code.coding:atc-medication-code
              Slice Nameatc-medication-code
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照。

              ShortATC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。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from 臺灣食藥署藥品藥理治療分類ATC碼值集
              (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw)

              應填入所綁定值集中的其中一個代碼。

              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. Medication.code.coding:snomedct-medication-codes
              Slice Namesnomedct-medication-codes
              Definition

              由專門術語系統(terminology system)所定義之代碼的參照。

              Short此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。
              Comments

              代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from SNOMEDCTMedicationCodes
              (required to http://hl7.org/fhir/ValueSet/medication-codes)

              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。

              TypeCoding(TW Coding)
              Is Modifierfalse
              Must Supporttrue
              Requirements

              允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. Medication.code.text
              Definition

              輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

              Short概念的文字表示法
              Comments

              很多時候,此文字表述與其中一個代碼的顯示名稱相同。

              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Medication.status
              Definition

              此代碼指明藥品是否使用中

              Shortactive | inactive | entered-in-error
              Comments

              此狀態是為了識別當地系統中的藥品是否在藥物資料庫或存貨為有效使用狀態。例如:一個藥局系統可能為一個複方產品 「ABC醫院專用藥膏」建立一個新的藥品檔案紀錄,狀態為有效。在未來的某個時間點,可能決定此藥品紀錄在建立時出現了錯誤,於是狀態被改為 「輸入錯誤 」。這種狀態不是為了說明某種藥品是否屬於某個特定的處方集。藥品紀錄有可能被多個處方集或編錄集所參照,每筆紀錄都會有一個單獨的狀態。

              Control0..1
              BindingThe codes SHALL be taken from Medication Status Codes
              (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

              應填入所綁定值集中的其中一個代碼

              Typecode
              Is Modifiertrue because This element changes the interpretation of all descriptive attributes.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Medication.manufacturer
              Definition

              描述藥品製造商的詳細訊息。這並不意味著代表藥品的經銷商。

              Short此藥品的製造商
              Control0..1
              TypeReference(TW Core Organization)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. Medication.form
              Definition

              描述藥品的劑型:藥粉、錠劑、膠囊。

              Shortpowder | tablets | capsule +
              Comments

              當藥品被MedicationRequest參照時,這是開立處方的劑型。當MedicationDispense中參用Medication時,這是配藥的劑型。當在MedicationAdministration中引用Medication時,這是給藥的劑型。

              Control0..1
              This element is affected by the following invariants: ele-1
              BindingFor example codes, see SNOMEDCTFormCodes
              (example to http://hl7.org/fhir/ValueSet/medication-form-codes)

              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。

              TypeCodeableConcept(TW CodeableConcept)
              Is Modifierfalse
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. Medication.form.id
              Definition

              resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。

              Short唯一可識別ID,以供資料項目間相互參照。
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              50. Medication.form.extension
              Definition

              擴充的資料項目

              Short擴充的資料項目
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Medication.form.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 52. Medication.form.coding
                Definition

                由專門術語系統(terminology system)所定義之代碼的參照

                Shortpowder | tablets | capsule + 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。
                Comments

                代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                Control1..*
                This element is affected by the following invariants: ele-1
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

                允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Medication.form.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • pattern @ $this
                • 54. Medication.form.coding:v3-orderableDrugForm
                  Slice Namev3-orderableDrugForm
                  Definition

                  由專門術語系統(terminology system)所定義之代碼的參照

                  Short由專門術語系統(terminology system)定義的代碼
                  Comments

                  代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                  Control1..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from 藥品劑型值集
                  (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/v3-orderableDrugForm)

                  應填入所綁定值集中的其中一個代碼

                  TypeCoding(TW Coding)
                  Is Modifierfalse
                  Must Supporttrue
                  Requirements

                  允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  56. Medication.form.coding:snomed-sct-form-codes
                  Slice Namesnomed-sct-form-codes
                  Definition

                  由專門術語系統(terminology system)所定義之代碼的參照

                  Short由專門術語系統(terminology system)定義的代碼
                  Comments

                  代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles )。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from SNOMEDCTFormCodes
                  (required to http://hl7.org/fhir/ValueSet/medication-form-codes)

                  應填入所綁定值集中的其中一個代碼

                  TypeCoding(TW Coding)
                  Is Modifierfalse
                  Must Supporttrue
                  Requirements

                  允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  58. Medication.form.text
                  Definition

                  輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。

                  Short概念的文字表示法
                  Comments

                  很多時候,此文字表述與其中一個代碼的顯示名稱相同。

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  60. Medication.amount
                  Definition

                  每包裝產品中藥品的具體數量或容量。例如:當指定一個具有相同強度的藥品時(例如:每毫升注射用胰島素100單位),該屬性提供了每包裝數量與容量的附加說明(例如:3mL、10mL等)。

                  Short每包裝的藥品數量或容量
                  Control0..1
                  TypeRatio
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  62. Medication.ingredient
                  Definition

                  指明產品中的特定成份

                  Short有使用或沒有使用的藥品成份
                  Comments

                  成份不需要是一個完整的清單。如果沒有具體說明某種成份,這並不表明有使用或沒使用某種成份。如果一個成份被具體說明,並不意味著所有的成份都被具體說明。可以同時具體說明有沒有使用及有使用的成份。

                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  64. Medication.ingredient.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  66. Medication.ingredient.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  68. Medication.ingredient.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  70. Medication.ingredient.item[x]
                  Definition

                  實際成份—不是一種物質(單一成份)就是一種藥品的另一種藥品。

                  Short實際的成份或內容物
                  Control1..1
                  TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication, Substance)
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summaryfalse
                  Requirements

                  此成份可能是指一種物質(例如:阿莫西林)或另一種藥品(例如:複方葛蘭素史克)。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  72. Medication.ingredient.isActive
                  Definition

                  說明此成份是否會影響藥物的治療作用

                  Short有效成份指標
                  Control0..1
                  Typeboolean
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Requirements

                  True表示此成份會影響藥物的治療作用(意即:active),False表示此成份不影響藥物的治療作用(意即:inactive)。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  74. Medication.ingredient.strength
                  Definition

                  指明此藥品中有多少(或多少)項目。例如:每錠250毫克,這表示為一個比率,分子為250毫克,分母為1錠。

                  Short所含成份的劑量
                  Control0..1
                  TypeRatio
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. Medication.batch
                  Definition

                  只適用於包裝(不是產品)的資訊

                  Short關於包裝藥品的細節
                  Control0..1
                  TypeBackboneElement
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  78. Medication.batch.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  80. Medication.batch.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  82. Medication.batch.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  84. Medication.batch.lotNumber
                  Definition

                  藥品的批號資訊

                  Short藥品的批號
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. Medication.batch.expirationDate
                  Definition

                  此批號藥品之有效期限

                  Short有效期限
                  Control0..1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))