臺灣核心實作指引(TW Core IG)
0.3.1 - 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 0.3.1 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: TWCoreMedicationRequest - Detailed Descriptions

Active as of 2024-11-11

Definitions for the MedicationRequest-twcore resource profile.

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

0. MedicationRequest
Definition

關於藥品供應和對病人用藥指導的醫令或請求。此resource被稱為 「MedicationRequest」,而不是 「MedicationPrescription 」或「MedicationOrder」,以便與在住院病人和門診病人的環境中通用,包括照護計畫等,並與工作流程模式相協調。

Short為病人或實體集合(例如:特定的一群人)開立的藥品請求
2. MedicationRequest.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MedicationRequest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. MedicationRequest.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MedicationRequest Resource的metadata
6. MedicationRequest.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. MedicationRequest.language
Definition

編寫此resource的語言

Short用以表述MedicationRequest 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. MedicationRequest.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。

ShortMedicationRequest 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. MedicationRequest.identifier
Definition

與此藥品請求相關的識別碼,這些識別碼是由業務流程定義的,並且/或者在對resource本身的直接URL參照不合適的情況下用來參照它。它們是由執行者或其他系統指定給此resource的業務用識別碼,並隨著resource的更新和從伺服器到伺服器的傳播而保持不變。

Short此藥品請求的外部識別碼
Comments

這是一個業務用識別碼,而不是一個resource識別碼。

NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
14. MedicationRequest.status
Definition

一個指定醫令當前狀態的代碼。一般來說,它是有效或完成的狀態。

Comments

這個資料項目被標記為修飾用,因為此狀態亦包含標記resource當前為無效的代碼。

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

應填入所綁定值集中的其中一個代碼

Must Supporttrue
16. MedicationRequest.statusReason
Definition

捕捉MedicationRequest當前狀態的原因

Short當前狀態的原因
Comments

這通常只用於 「例外」狀態,例如:「暫停」或 「取消」。MedicationRequest的原因是在reasonCode中描述,而不是在這裡。

BindingFor example codes, see medicationRequest Status Reason Codes
(example to http://hl7.org/fhir/ValueSet/medicationrequest-status-reason)

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。

TypeCodeableConcept(TW CodeableConcept)
18. MedicationRequest.intent
Definition

請求是提案、計畫、還是原始醫令?

Comments

預期服務請求者的型別將在MedicationRequest的不同階段受到限制。例如:提案可由病人(Patient)、相關人士(relatedPerson)、健康照護服務提供者(Practitioner)或設備(Device)建立。照護計畫可由健康照護服務提供者、病人、相關人士和設備建立。原始醫令只能由健康照護服務提供者建立。

實例醫令(an instance-order)是請求或醫令的實例,可用於填充給藥紀錄。

這個資料項目被標記為修飾用,因為其意圖改變resource實際適用的時間和方式。

BindingThe codes SHALL be taken from medicationRequest Intent
(required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1)

應填入所綁定值集中的其中一個代碼

Must Supporttrue
20. MedicationRequest.category
Definition

表示藥品請求的型別(例如:預計用藥或給藥的地方(即住院病人或門診病人))。

Short用藥型別
Comments

此類別可用於包括預期的藥品使用地點或其他型別的請求

BindingFor example codes, see medicationRequest Category Codes
(example to http://hl7.org/fhir/ValueSet/medicationrequest-category)

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。

TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
22. MedicationRequest.priority
Definition

表示相對於其他請求而言,此藥品請求應如何快速得到處理。

Shortroutine | urgent | asap | stat
BindingThe codes SHALL be taken from RequestPriority
(required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

應填入RequestPriority值集中的其中一個代碼

24. MedicationRequest.doNotPerform
Definition

如果為真,表示健康照護服務提供者要求不發生藥品請求。

Short如果藥品請求是禁止活動,則為真。
Comments

如果沒有具體說明不執行,則該藥品請求是一個正向的請求,例如:「執行」。

26. MedicationRequest.reported[x]
Definition

表明此記錄是否為次級的 「報告 」紀錄,而不是作為原始的主要真實來源紀錄,它也可用以表明報告的來源。

Short被報告的而不是主要的紀錄
TypeChoice of: boolean, Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization)
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. MedicationRequest.medication[x]
Definition

指明被請求的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。

Short服用的藥品。
Comments

如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。

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。

TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication)
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
SlicingThis element introduces a set of slices on MedicationRequest.medication[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 30. MedicationRequest.medication[x]:medicationReference
    Slice NamemedicationReference
    Control0..1
    TypeReference(TW Core Medication)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    32. MedicationRequest.medication[x]:medicationCodeableConcept
    Slice NamemedicationCodeableConcept
    Definition

    指明被開立的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。

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

    如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。

    Control0..1
    BindingFor example codes, see SNOMEDCTMedicationCodes
    (example to http://hl7.org/fhir/ValueSet/medication-codes)
    TypeCodeableConcept(TW CodeableConcept)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    34. MedicationRequest.medication[x]:medicationCodeableConcept.coding
    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。

    SlicingThis element introduces a set of slices on MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 36. MedicationRequest.medication[x]:medicationCodeableConcept.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
      38. MedicationRequest.medication[x]:medicationCodeableConcept.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
      40. MedicationRequest.medication[x]:medicationCodeableConcept.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。

      42. MedicationRequest.medication[x]:medicationCodeableConcept.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
      44. MedicationRequest.medication[x]:medicationCodeableConcept.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
      46. MedicationRequest.medication[x]:medicationCodeableConcept.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
      48. MedicationRequest.subject
      Definition

      連結至一個或一組即將給予藥品的人

      Short為誰或哪個實體集合(例如:特定的一群人)所開立的藥品請求
      Comments

      藥品請求的對像是必填的。對於不提供實際對象的次級使用案例,仍然必須指定一個匿名對象。

      TypeReference(TW Core Patient, Group)
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      50. MedicationRequest.encounter
      Definition

      建立此[x]的就醫(Encounter),或與此藥品請求紀錄密切相關的就醫。

      Short連結至一個或一組即將給予藥品的人
      Comments

      這通常是事件發生的就醫(Encounter),但有些活動可能是在就醫完成之前或之後發生,但仍與就醫的情境相關。如果需要與照護事件相聯繫,它們將用一個擴充資料項目來處理。

      TypeReference(TW Core Encounter)
      Must Supporttrue
      52. MedicationRequest.supportingInformation
      Definition

      任何與藥品請求相關的補充資訊(例如:病人身高及體重)

      Short任何與藥品請求相關的補充資訊
      54. MedicationRequest.authoredOn
      Definition

      處方最初書寫或撰寫的日期(或許也有時間)。

      Short藥品請求請求最初何時被撰寫?
      Must Supporttrue
      56. MedicationRequest.requester
      Definition

      發起藥品請求並對其有效負責的個人、組織或設備。

      Short誰/什麼提出藥品請求請求?
      TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, TW Core RelatedPerson, Device)
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      58. MedicationRequest.performer
      Definition

      具體說明的藥物治療執行者(例如:給藥的執行者)。

      Short預期的給藥執行者
      TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, TW Core RelatedPerson, TW Core CareTeam)
      60. MedicationRequest.performerType
      Definition

      表明給藥的執行者的型別

      Short所需的給藥執行者種類
      Comments

      如果具體說明中未表明執行者,則表明執行者必須是具體的型別。如果具體說明有執行者,那麼如果指定的執行無法獲得則需說明指定執行者的要求條件。

      BindingUnless not suitable, these codes SHALL be taken from ProcedurePerformerRoleCodes
      (extensible to http://hl7.org/fhir/ValueSet/performer-role)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      62. MedicationRequest.recorder
      Definition

      代表另一個人輸入醫令的人,例如:在口頭或電話指示下的情況。

      Short輸入藥品請求請求的人
      TypeReference(TW Core Practitioner, TW Core PractitionerRole)
      64. MedicationRequest.reasonCode
      Definition

      開立或不開立藥品醫令的原因或指示

      Short開立醫令或不開立醫令的原因或指示
      Comments

      這可能是一個診斷代碼。如果存在完整的病情、問題或診斷(condition)紀錄或需要附加的細節,請使用 reasonReference。

      BindingUnless not suitable, these codes SHALL be taken from Condition/Problem/DiagnosisCodes
      (extensible to http://hl7.org/fhir/ValueSet/condition-code)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      66. MedicationRequest.reasonReference
      Definition

      開立藥品醫令的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)。

      Short開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)
      Comments

      藥品醫令開立的原因參照,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)。如果只能有一個代碼存在,則使用reasonCode。

      TypeReference(TW Core Condition, TW Core Observation Laboratory Result)
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      68. MedicationRequest.instantiatesCanonical
      Definition

      指向此藥品請求全部或部分遵守的計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。

      Short實例化FHIR計畫書(protocol)或定義
      70. MedicationRequest.instantiatesUri
      Definition

      指向此藥品請求全部或部分的外部維護之計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。

      Short實例化外部計畫書(protocol)或定義
      72. MedicationRequest.basedOn
      Definition

      透過藥品請求,一項計畫或請求已全部或部分被履行

      Short此MedicationRquest是基於什麼而履行?
      TypeReference(TW Core CarePlan, TW Core MedicationRequest, TW Core ServiceRequest, ImmunizationRecommendation)
      74. MedicationRequest.groupIdentifier
      Definition

      由單一作者或多或少同時授權之所有服務請求的共用識別碼,代表一個藥品請求的群組識別碼

      Short此為綜合請求的一部分
      Requirements

      請求之間的連接可以透過「基於」(basedOn) 關係實現(即一個請求是為了完成另一個請求),或者是它們有一個共同的申請單 (requisition)。那些屬於同一申請單的請求,在改變它們的狀態或在最初創建後進行維護的過程中,通常被視為各自獨立的。

      76. MedicationRequest.courseOfTherapyType
      Definition

      給病人的給藥整體模型描述

      Short給藥的整體模式
      Comments

      這個屬性不應與藥物治療計畫(protocol)混淆

      BindingFor example codes, see medicationRequest Course of Therapy Codes
      (example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy)

      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。

      TypeCodeableConcept(TW CodeableConcept)
      78. MedicationRequest.insurance
      Definition

      提供此請求服務可能需要的保險計畫、擴大承保範圍、預先授權和/或預先決定。

      Short相關的保險承保範圍
      80. MedicationRequest.note
      Definition

      關於處方的附加資訊,不能由其他屬性來傳達。

      Short關於處方的資訊
      Must Supporttrue
      82. MedicationRequest.dosageInstruction
      Definition

      表明病人的用藥方式

      Short應該如何用藥
      Comments

      在一些例子中,藥品請求可包括口服劑量或靜脈注射或肌肉注射劑量的選擇。例如:「昂丹司瓊(Ondansetron)8毫克口服或靜脈注射,每天兩次,治療噁心」或 「康帕辛® (Compazine®)【丙氯拉嗪(prochlorperazine)】5-10毫克口服(PO)或25毫克經直腸給藥(PR) 每天早、晚(飯後)1次(bid) 需要時使用(prn)噁心或嘔吐 」。在這些情況下,這兩個醫令的建立可歸為一組藥品醫令,基於病人在需要用藥時的情況決定使用哪種劑量和給藥途徑。

      Must Supporttrue
      84. MedicationRequest.dosageInstruction.sequence
      Definition

      表明使用或解釋劑量指示的順序

      Short劑量指示的順序
      Requirements

      如果多個劑量的序號是相同的,那麼就意味著這些指示將被視為同時進行。如果序號不同,那麼這些劑量將是依續使用。

      86. MedicationRequest.dosageInstruction.text
      Definition

      純文字表述的劑量指示,例如:SIG。

      Short純文字表述的劑量指示,例如:SIG。
      Must Supporttrue
      Requirements

      純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示,純文字表述說明可能仍然存在,以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入,那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。

      88. MedicationRequest.dosageInstruction.additionalInstruction
      Definition

      向病人提供關於如何服藥的補充指示(例如 「隨餐服用」或「在進食前半小時服用」)或給病人的藥品警告(例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈(日曬用)下」)。

      Short對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」
      Comments

      應在dosage.text中填入關於用藥或準備藥品的資訊(例如: 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」)。

      BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions
      (extensible to http://hl7.org/fhir/ValueSet/additional-instruction-codes)

      一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Requirements

      附加指示是要編碼的,但在沒有編碼的情況下,此資料項目可以包括文字。例如,「用大量的水吞咽」,這可能編碼也可能不編碼。

      90. MedicationRequest.dosageInstruction.patientInstruction
      Definition

      用病人或消費者能理解的術語提供指示

      Short以病人或消費者為導向的指示
      92. MedicationRequest.dosageInstruction.timing
      Definition

      應該何時給藥

      Short應該何時給藥;時間的寫法請參照Timimg datatype。
      Comments

      這個屬性可能並不總是被填入,而Dosage.text預計會被填入。如果兩者都被填入,那麼Dosage.text應反映Dosage.timing的內容。

      Must Supporttrue
      Requirements

      病人用藥的時間安排。這種data type允許許多不同的表達方式。例如:「每8小時一次」;「一天三次」;「從2011年12月23日開始的10天裡,早餐前半小時」;「2013年10月15日、2013年10月17日和2013年11月1日」。有時,當率值(rate)為總容量/期間,其「期間」意指(例如:500mL/2小時)之持續期間為2小時。但當率值非意指「持續期間」時(例如:250mL/小時),則需要timing.repeat.duration來表達輸液的時間區間。

      94. MedicationRequest.dosageInstruction.timing.event
      Definition

      指明事件發生的特定時間

      Short事件發生的時間
      Requirements

      例如:在一份用藥記錄中,你需要把一個一般的規範變成一個精確的規範。

      96. MedicationRequest.dosageInstruction.timing.repeat
      Definition

      一組描述事件何時被安排的規則

      Short事件定期重複發生的時間
      Requirements

      定期重複的時間安排

      98. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
      Definition

      時間長度或可能的時間長度範圍,或開始和/或結束時間。

      Short時間或期間長度/長度範圍,或(開始和/或結束)限制
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      100. MedicationRequest.dosageInstruction.timing.repeat.count
      Definition

      在整個持續期間內,期望重複的總次數。如果countMax這個資料項目存在,此count資料項目表示允許次數範圍的下限。

      Short重複的次數
      Comments

      如果你同時擁有bounds和count這兩個資料項目,那麼這應該被理解為在bounds期間,發生count的次數。

      Requirements

      重複次數可透過設定結束時間或總發生次數作限制

      102. MedicationRequest.dosageInstruction.timing.repeat.countMax
      Definition

      如果countMax存在,表示count是一個範圍,如此可在[count]和[countMax]之間的重複次數執行動作。

      Short重複的最大次數
      104. MedicationRequest.dosageInstruction.timing.repeat.duration
      Definition

      這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在,則此duration資料項目表示持續時間的允許範圍之下限。

      Short此事件持續多久時間
      Comments

      對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。

      Requirements

      有些活動不是立即發生,需要維持一段時間。

      106. MedicationRequest.dosageInstruction.timing.repeat.durationMax
      Definition

      如果durationMax這個資料項目存在,表示duration資料項目是一個範圍的下限 — 所以要在[duration]和[durationMax]之間執行此活動。

      Short此事件持續多久時間 (最長時間/最大值)
      Comments

      對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。

      Requirements

      有些活動不是立即發生,需要維持一段時間。

      108. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
      Definition

      持續時間的單位,以UCUM為單位。

      Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)
      BindingThe codes SHALL be taken from UnitsOfTime
      (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

      時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼

      110. MedicationRequest.dosageInstruction.timing.repeat.frequency
      Definition

      在特定期間內重複動作的次數。如果frequencyMax存在,此frequency資料項目表示頻率的允許範圍的下限。

      Short此事件於每一期間的發生頻率
      112. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
      Definition

      如果frequencyMax存在,frequency資料項目表示頻率範圍的下限 – 所以要在[frequency]和[frequencyMax]之間重複執行此活動。

      Short此事件於每一期間的最大發生頻率
      114. MedicationRequest.dosageInstruction.timing.repeat.period
      Definition

      表示重複發生的時間區間;例如:為了表示「每天3次」,3次是頻率(frequency),1天是週期(period)。如果存在periodMax資料項目,此period資料項目表示時間區間長度的允許範圍的下限。

      Short此事件於特定時間區間所發生的頻率
      116. MedicationRequest.dosageInstruction.timing.repeat.periodMax
      Definition

      如果periodMax存在,表示時間區間是一個從[period]到[periodMax]的範圍,允許表達像是「每3至5天一次」的概念。

      Short時間區間的上限(3-4小時)
      118. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
      Definition

      持續時間的單位,以UCUM為單位。

      Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)
      BindingThe codes SHALL be taken from UnitsOfTime
      (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

      時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼

      120. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
      Definition

      如果提供的資訊為一星期中的一天或多天,那麼此活動只發生在這特定的幾天。

      Shortmon | tue | wed | thu | fri | sat | sun
      Comments

      如果沒有指定天數,則假定該活動每天都會發生,否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。

      BindingThe codes SHALL be taken from DaysOfWeek
      (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

      應填入DaysOfWeek值集中的其中一個代碼

      122. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
      Definition

      具體說明一天中活動進行的時間

      Short一天中的活動時間
      Comments

      當指定了一天中的時間時,就會推斷出該活動每天都會在指定的時間發生(由dayofWeek篩選)。資料項目when、frequency和period不能和timeOfDay一起使用。

      124. MedicationRequest.dosageInstruction.timing.repeat.when
      Definition

      一天中的一個大致時段,可能與日常生活中的某一事件有關,表明該活動應在何時發生。

      Short事件發生的時間區間之代碼
      Comments

      當一個以上的事件被列出,則此事件被綁定至合併的數個特定事件。

      BindingThe codes SHALL be taken from EventTiming
      (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

      與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼

      Requirements

      時間經常由特定事件的發生所決定,例如:起床、吃飯和睡覺。

      126. MedicationRequest.dosageInstruction.timing.repeat.offset
      Definition

      距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後,則假定該offset是指特定事件發生後的分鐘數。

      Short事件的分鐘數(之前或之後)
      128. MedicationRequest.dosageInstruction.timing.code
      Definition

      活動發生時機之代碼(或只是code.text中的文字)。像是BID的一些代碼到處都有,但許多機構定義它們自己的額外代碼。如果提供了一個代碼,此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述,代碼或資料都可用於解釋時機(Timing),但.repeat.bounds適用於代碼(且不包含在代碼中)的例外。

      ShortBID | TID | QID | AM | PM | QD | QOD | + 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

      BID等被定義為「在機構特定的時間」。例如:一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的,就不應該使用代碼BID。反之,應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和/或使用一個結構化表示法(在這種情況下,具體說明兩個事件時間)。

      BindingUnless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集
      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw)

      已知/確定的時間模式之代碼;鼓勵使用TimingAbbreviation值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

      TypeCodeableConcept(TW CodeableConcept)
      Must Supporttrue
      130. MedicationRequest.dosageInstruction.timing.code.coding
      Definition

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

      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。

      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。

      132. MedicationRequest.dosageInstruction.timing.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概念的文字標記法
      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。

      134. MedicationRequest.dosageInstruction.asNeeded[x]
      Definition

      表明此藥品是否只在需要時在特定的用法(Boolean選項)服用,或者表明服用此藥品(CodeableConcept)的前提條件。

      Short「根據(對x的)需要」服用 Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。
      Comments

      可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下,CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下,Boolean值被假定為True。如果您將Boolean值設置為「False」,那麼該劑量是根據時間表給予的,而不是 「prn」或 「根據需要」。

      BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTMedicationAsNeededReasonCodes
      (extensible to http://hl7.org/fhir/ValueSet/medication-as-needed-reason)

      一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      136. MedicationRequest.dosageInstruction.site
      Definition

      用藥的身體部位

      Short用藥之身體部位
      Comments

      如果使用案例需要BodySite resource的屬性(例如:分別識別和追蹤),那麼就使用標準extension bodySite。可以是一個摘要代碼,也可以是對一個非常精確的位置定義的參照,或者兩者都是。

      BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
      (extensible to http://hl7.org/fhir/ValueSet/approach-site-codes)

      一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Requirements

      對藥品首次進入之人體解剖部位的編碼說明

      138. MedicationRequest.dosageInstruction.route
      Definition

      藥品應如何進入體內

      Short藥品應如何進入體內
      BindingFor example codes, see SNOMEDCTRouteCodes
      (example to http://hl7.org/fhir/ValueSet/route-codes)

      一個編碼概念,描述治療劑進入或在受試者體內的用藥途徑或生理途徑;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
      Requirements

      具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼

      140. MedicationRequest.dosageInstruction.route.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。

      BindingUnless not suitable, these codes SHALL be taken from SNOMED CT + 臺灣健保署給藥途徑值集
      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw)
      Requirements

      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

      142. MedicationRequest.dosageInstruction.route.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概念的文字標記法
      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。

      144. MedicationRequest.dosageInstruction.method
      Definition

      用藥的技術

      Short用藥的技術
      Comments

      使用的專門術語通常先組合配對(pre-coordinate)用藥途徑和/或劑型。

      BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTAdministrationMethodCodes
      (extensible to http://hl7.org/fhir/ValueSet/administration-method-codes)

      一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Requirements

      表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如:慢推、深靜脈。

      146. MedicationRequest.dosageInstruction.doseAndRate
      Definition

      用藥量

      Short用藥量
      148. MedicationRequest.dosageInstruction.doseAndRate.type
      Definition

      特定劑量或比率種類,例如:依處方或計算而來。

      Short特定劑量或比率種類
      BindingFor example codes, see DoseAndRateType
      (example to http://hl7.org/fhir/ValueSet/dose-rate-type)

      可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

      TypeCodeableConcept(TW CodeableConcept)
      Requirements

      如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。

      150. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
      Definition

      每一劑量的藥量

      Short每一劑量的藥量
      Comments

      請注意這是指特定藥品量,而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如:如果想表達一錠375毫克的藥錠,劑量是一錠,你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者,如果劑量是375毫克,那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射,例如:多巴胺,你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中,那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的(速率是存在的,或者時間是有期限的),這可具體說明以傳達在時間表所指示的時段之總用藥量,例如:500毫升的劑量應該在4小時內完成。

      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Requirements

      在一次用藥事件中給予的治療用或其他的物質量

      152. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
      Definition

      每時間單位內的用藥量

      Short每時間單位內的用藥量
      Comments

      可同時提供rate和doseQuantity,以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變,根據當地的規則/法規,每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉,或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率(例如:100毫升/小時)。rateQuantity的方式要求系統有能力解析包含毫升/小時的UCUM語法,而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值,使用rateRatio可能比使用rateQuantity指定250毫克/小時在語義上更正確。

      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Requirements

      指明藥品引入病人體內的速度。通常是指輸液的速度,例如:每1小時100毫升或100毫升/小時。也可表示為每單位時間的速度,例如:每2小時500毫升,其他例子如200微克/分鐘或200微克/1分鐘;1升/8小時。有時,當表示為總容量/持續時間時,速率可以隱喻持續時間(例如:500毫升/2小時隱喻持續時間為2小時)。然而,當速率未隱喻持續時間時(例如:250毫升/小時),則需要timing.repeat.duration來表達輸液的時間區間。

      154. MedicationRequest.dosageInstruction.maxDosePerPeriod
      Definition

      每時間單位內用藥的上限

      Short每時間單位內用藥的上限
      Comments

      這是為了在有上限的情況下作為劑量的輔助說明。例如:「每4小時2錠,一天最多8錠」。

      Requirements

      在一段時間區間用於某一對象的治療用物質之最大總量。例如:24小時內1,000毫克。

      156. MedicationRequest.dosageInstruction.maxDosePerAdministration
      Definition

      每次用藥的上限

      Short每次用藥的上限
      Comments

      這是為了在有上限的情況下作為劑量的輔助說明。例如:與體表面積有關的劑量有一個上限,如在5至10分鐘內靜脈注射1.5毫克/平方米(最多2毫克),其doseQuantity為1.5毫克/平方米,maxDosePerAdministration為2毫克。

      Requirements

      每次用於某一對象治療用物質的最大總量

      158. MedicationRequest.dosageInstruction.maxDosePerLifetime
      Definition

      病人一生中用藥的上限

      Short病人一生中用藥的上限
      Requirements

      用於某一對象的治療用物質於其一生的最大總數量

      160. MedicationRequest.dispenseRequest
      Definition

      這表示在藥品請求(亦稱作藥品處方或藥品醫令)中,關於調劑或提供藥品部分的特定詳情。注意:這些資訊不總是與醫令一同發送的。在某些機構(如醫院),可能會有機構或系統上的支援,允許藥局完成調劑的詳細資訊。

      Short藥品供應授權
      Must Supporttrue
      162. MedicationRequest.dispenseRequest.initialFill
      Definition

      表明第一次配藥的數量或時間

      Short首次依照處方配藥的細節
      Comments

      如果填入此資料項目,必須包括數量或期間。

      164. MedicationRequest.dispenseRequest.initialFill.quantity
      Definition

      首次配藥量

      Short首次配藥的數量
      166. MedicationRequest.dispenseRequest.initialFill.duration
      Definition

      預計首次配藥的時間持續長度

      Short首次配藥的持續時間
      168. MedicationRequest.dispenseRequest.dispenseInterval
      Definition

      前後兩次配藥必須間隔的最短時間

      Short前後兩次配藥的最短時間間隔
      170. MedicationRequest.dispenseRequest.validityPeriod
      Definition

      表明處方的有效期(處方的過期日期)

      Short處方可用以配藥的有效期限
      Comments

      它反映了處方開立者對處方的有效性的看法。在此期限之外,不得根據處方進行配藥。配藥視窗的下限標誌處方可以首次配藥的開始日期。如果沒有指定上限,那麼處方是無期限的,或者將默認為基於法規的過期日期。

      Must Supporttrue
      Requirements

      表明處方何時有效,何時處方無法再被拿來配藥。

      172. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
      Definition

      一個整數,表示除了最初的配藥外,病人可以取得處方藥的次數【又稱連續處方/補藥(refills)或重複】。使用注意事項:這個整數不包括原始醫令的配藥,意即如果一個醫令顯示配藥30錠加上「3次重複」,那麼此醫令總共可以配藥4次,病人總共可以得到120片。開立處方者可明確說,在初次配藥後允許零次補藥。

      Short可重複領藥的次數
      Comments

      如果顯示的是「授權的開藥次數」,則在這個數字上加1。

      Must Supporttrue
      174. MedicationRequest.dispenseRequest.quantity
      Definition

      一次裝藥所需的(數)量

      Short每次配藥的藥品(數)量
      176. MedicationRequest.dispenseRequest.expectedSupplyDuration
      Definition

      指明預期使用供應產品的時間區間,或預期配藥可持續的時間長度。

      Short每次配藥可持續的天數
      Comments

      在某些情況下,這個屬性可以用來代替數量,透過預期持續的時間長度來確定供應的數量,而不是發放的實際數量,例如:90天的用藥供應(基於一個醫令的劑量)。在可能的情況下,指定數量總是更好的,因為這往往是更精確的。預期供應時間長度將總是一個估計值,可能受到外部因素的影響。

      Must Supporttrue
      178. MedicationRequest.dispenseRequest.performer
      Definition

      表明開立處方者指定的預定配藥機構(Organization)。

      Short預定的配藥人員
      TypeReference(TW Core Organization)
      180. MedicationRequest.substitution
      Definition

      表示替代藥品是否可以或應該成為配藥的一部分。在某些情況下,替代藥品必須發生,在其他情況下,替代藥品必須不發生。此區塊解釋開立處方者的意圖。如果沒有指定,可以進行替換。

      Short對替代藥品的任何限制
      182. MedicationRequest.substitution.allowed[x]
      Definition

      如果處方開立者允許與處方不同的藥物配藥,則為真。

      Short是否允許替換
      Comments

      這個資料項目被標記為修飾用,因為無論是否允許替換,它都不能被忽略。

      BindingFor example codes, see ActSubstanceAdminSubstitutionCode
      (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode)

      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。

      TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      184. MedicationRequest.substitution.reason
      Definition

      表示替換的原因,或為什麼必須或不必須進行替換。

      Short為什麼要(不)進行替換
      BindingFor example codes, see SubstanceAdminSubstitutionReason
      (example to http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason)

      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。

      TypeCodeableConcept(TW CodeableConcept)
      186. MedicationRequest.priorPrescription
      Definition

      連結至與代表早期醫令相關的醫令或處方的resource

      Short正被替換的醫令/處方
      TypeReference(TW Core MedicationRequest)
      188. MedicationRequest.detectedIssue
      Definition

      表明一個或多個針對病人的較積極的或提議的臨床活動之間的實際或潛在的臨床問題;例如:藥物交互作用、重複治療、劑量警訊等。

      Short活動的臨床問題
      Comments

      此資料項目可包括由決策支援系統或臨床醫生發現的問題,及可能包括解決問題所採取步驟的資訊。

      190. MedicationRequest.eventHistory
      Definition

      連結至Provenance resource的過去版本,或履行請求或事件resource的Provenance紀錄,其指明可能與查看當前版本resource的使用者相關的關鍵狀態之轉換或更新。

      Short生命週期中感興趣的事件清單
      Comments

      這可能不包括請求的所有版本的出處–只包括那些被認為「相關」或重要的版本。這 必須沒有(SHALL NOT) 包括與此resource的當前版本相關的出處。(如果此出處被認為是一個「相關」的變化,它將需要作為後續更新的一部分。在此之前,可使用_revinclude直接查詢指向此版本的出處。 所有出處(Provenances)都應有這個藥品請求請求的一些歷史版本作為對象。)

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

      0. MedicationRequest
      Definition

      關於藥品供應和對病人用藥指導的醫令或請求。此resource被稱為 「MedicationRequest」,而不是 「MedicationPrescription 」或「MedicationOrder」,以便與在住院病人和門診病人的環境中通用,包括照護計畫等,並與工作流程模式相協調。


      An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.

      Short為病人或實體集合(例如:特定的一群人)開立的藥品請求Ordering of medication for patient or group
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate NamesPrescription, Order
      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. MedicationRequest.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MedicationRequest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. MedicationRequest.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MedicationRequest 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. MedicationRequest.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. MedicationRequest.language
      Definition

      編寫此resource的語言


      The base language in which the resource is written.

      Short用以表述MedicationRequest 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. MedicationRequest.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.

      ShortMedicationRequest 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. MedicationRequest.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. MedicationRequest.identifier
      Definition

      與此藥品請求相關的識別碼,這些識別碼是由業務流程定義的,並且/或者在對resource本身的直接URL參照不合適的情況下用來參照它。它們是由執行者或其他系統指定給此resource的業務用識別碼,並隨著resource的更新和從伺服器到伺服器的傳播而保持不變。


      Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

      Short此藥品請求的外部識別碼External ids for this request
      Comments

      這是一個業務用識別碼,而不是一個resource識別碼。


      This is a business identifier, not a resource identifier.

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

      一個指定醫令當前狀態的代碼。一般來說,它是有效或完成的狀態。


      A code specifying the current state of the order. Generally, this will be active or completed state.

      Shortactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
      Comments

      這個資料項目被標記為修飾用,因為此狀態亦包含標記resource當前為無效的代碼。


      This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

      Control1..1
      BindingThe codes SHALL be taken from medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
      (required to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1)

      應填入所綁定值集中的其中一個代碼


      A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

      Typecode
      Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      18. MedicationRequest.statusReason
      Definition

      捕捉MedicationRequest當前狀態的原因


      Captures the reason for the current state of the MedicationRequest.

      Short當前狀態的原因Reason for current status
      Comments

      這通常只用於 「例外」狀態,例如:「暫停」或 「取消」。MedicationRequest的原因是在reasonCode中描述,而不是在這裡。


      This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason
      (example to http://hl7.org/fhir/ValueSet/medicationrequest-status-reason)

      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。


      Identifies the reasons for a given status.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. MedicationRequest.intent
      Definition

      請求是提案、計畫、還是原始醫令?


      Whether the request is a proposal, plan, or an original order.

      Shortproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
      Comments

      預期服務請求者的型別將在MedicationRequest的不同階段受到限制。例如:提案可由病人(Patient)、相關人士(relatedPerson)、健康照護服務提供者(Practitioner)或設備(Device)建立。照護計畫可由健康照護服務提供者、病人、相關人士和設備建立。原始醫令只能由健康照護服務提供者建立。

      實例醫令(an instance-order)是請求或醫令的實例,可用於填充給藥紀錄。

      這個資料項目被標記為修飾用,因為其意圖改變resource實際適用的時間和方式。


      It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.

      An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.

      This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

      Control1..1
      BindingThe codes SHALL be taken from medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
      (required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1)

      應填入所綁定值集中的其中一個代碼


      The kind of medication order.

      Typecode
      Is Modifiertrue because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. MedicationRequest.category
      Definition

      表示藥品請求的型別(例如:預計用藥或給藥的地方(即住院病人或門診病人))。


      Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).

      Short用藥型別Type of medication usage
      Comments

      此類別可用於包括預期的藥品使用地點或其他型別的請求


      The category can be used to include where the medication is expected to be consumed or other types of requests.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category
      (example to http://hl7.org/fhir/ValueSet/medicationrequest-category)

      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。


      A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.

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

      表示相對於其他請求而言,此藥品請求應如何快速得到處理。


      Indicates how quickly the Medication Request should be addressed with respect to other requests.

      Shortroutine | urgent | asap | statroutine | urgent | asap | stat
      Control0..1
      BindingThe codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1
      (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

      應填入RequestPriority值集中的其中一個代碼


      Identifies the level of importance to be assigned to actioning the request.

      Typecode
      Is Modifierfalse
      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()))
      26. MedicationRequest.doNotPerform
      Definition

      如果為真,表示健康照護服務提供者要求不發生藥品請求。


      If true indicates that the provider is asking for the medication request not to occur.

      Short如果藥品請求是禁止活動,則為真。True if request is prohibiting action
      Comments

      如果沒有具體說明不執行,則該藥品請求是一個正向的請求,例如:「執行」。


      If do not perform is not specified, the request is a positive request e.g. "do perform".

      Control0..1
      Typeboolean
      Is Modifiertrue because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
      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()))
      28. MedicationRequest.reported[x]
      Definition

      表明此記錄是否為次級的 「報告 」紀錄,而不是作為原始的主要真實來源紀錄,它也可用以表明報告的來源。


      Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.

      Short被報告的而不是主要的紀錄Reported rather than primary record
      Control0..1
      TypeChoice of: boolean, Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      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()))
      30. MedicationRequest.medication[x]
      Definition

      指明被請求的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。


      Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

      Short服用的藥品。Medication to be taken
      Comments

      如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。


      If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

      Control1..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 identifying substance or product that can be ordered.

      TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication, Medication)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      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 MedicationRequest.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
      • type @ $this
      • 32. MedicationRequest.medication[x]:medicationReference
        Slice NamemedicationReference
        Definition

        Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

        ShortMedication to be taken
        Comments

        If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

        Control01..1
        TypeReference(TW Core Medication, Medication), CodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. MedicationRequest.medication[x]:medicationCodeableConcept
        Slice NamemedicationCodeableConcept
        Definition

        指明被開立的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。


        Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

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

        如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。


        If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

        Control01..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)
        TypeCodeableConcept(TW CodeableConcept), Reference(Medication)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. MedicationRequest.medication[x]:medicationCodeableConcept.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 MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 38. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          40. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          42. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          44. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          46. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          48. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          50. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
          52. MedicationRequest.subject
          Definition

          連結至一個或一組即將給予藥品的人


          A link to a resource representing the person or set of individuals to whom the medication will be given.

          Short為誰或哪個實體集合(例如:特定的一群人)所開立的藥品請求Who or group medication request is for
          Comments

          藥品請求的對像是必填的。對於不提供實際對象的次級使用案例,仍然必須指定一個匿名對象。


          The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.

          Control1..1
          TypeReference(TW Core Patient, Group, Patient)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. MedicationRequest.encounter
          Definition

          建立此[x]的就醫(Encounter),或與此藥品請求紀錄密切相關的就醫。


          The Encounter during which this [x] was created or to which the creation of this record is tightly associated.

          Short連結至一個或一組即將給予藥品的人Encounter created as part of encounter/admission/stay
          Comments

          這通常是事件發生的就醫(Encounter),但有些活動可能是在就醫完成之前或之後發生,但仍與就醫的情境相關。如果需要與照護事件相聯繫,它們將用一個擴充資料項目來處理。


          This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.

          Control0..1
          TypeReference(TW Core Encounter, Encounter)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. MedicationRequest.supportingInformation
          Definition

          任何與藥品請求相關的補充資訊(例如:病人身高及體重)


          Include additional information (for example, patient height and weight) that supports the ordering of the medication.

          Short任何與藥品請求相關的補充資訊Information to support ordering of the medication
          Control0..*
          TypeReference(Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. MedicationRequest.authoredOn
          Definition

          處方最初書寫或撰寫的日期(或許也有時間)。


          The date (and perhaps time) when the prescription was initially written or authored on.

          Short藥品請求請求最初何時被撰寫?When request was initially authored
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. MedicationRequest.requester
          Definition

          發起藥品請求並對其有效負責的個人、組織或設備。


          The individual, organization, or device that initiated the request and has responsibility for its activation.

          Short誰/什麼提出藥品請求請求?Who/What requested the Request
          Control0..1
          TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, TW Core RelatedPerson, Device, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. MedicationRequest.performer
          Definition

          具體說明的藥物治療執行者(例如:給藥的執行者)。


          The specified desired performer of the medication treatment (e.g. the performer of the medication administration).

          Short預期的給藥執行者Intended performer of administration
          Control0..1
          TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, TW Core RelatedPerson, TW Core CareTeam, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, CareTeam)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. MedicationRequest.performerType
          Definition

          表明給藥的執行者的型別


          Indicates the type of performer of the administration of the medication.

          Short所需的給藥執行者種類Desired kind of performer of the medication administration
          Comments

          如果具體說明中未表明執行者,則表明執行者必須是具體的型別。如果具體說明有執行者,那麼如果指定的執行無法獲得則需說明指定執行者的要求條件。


          If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role
          (extensible to http://hl7.org/fhir/ValueSet/performer-role)

          應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


          Identifies the type of individual that is desired to administer the medication.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. MedicationRequest.recorder
          Definition

          代表另一個人輸入醫令的人,例如:在口頭或電話指示下的情況。


          The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.

          Short輸入藥品請求請求的人Person who entered the request
          Control0..1
          TypeReference(TW Core Practitioner, TW Core PractitionerRole, Practitioner, PractitionerRole)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. MedicationRequest.reasonCode
          Definition

          開立或不開立藥品醫令的原因或指示


          The reason or the indication for ordering or not ordering the medication.

          Short開立醫令或不開立醫令的原因或指示Reason or indication for ordering or not ordering the medication
          Comments

          這可能是一個診斷代碼。如果存在完整的病情、問題或診斷(condition)紀錄或需要附加的細節,請使用 reasonReference。


          This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code
          (extensible to http://hl7.org/fhir/ValueSet/condition-code)

          應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


          A coded concept indicating why the medication was ordered.

          TypeCodeableConcept
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          70. MedicationRequest.reasonReference
          Definition

          開立藥品醫令的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)。


          Condition or observation that supports why the medication was ordered.

          Short開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)Condition or observation that supports why the prescription is being written
          Comments

          藥品醫令開立的原因參照,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)。如果只能有一個代碼存在,則使用reasonCode。


          This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.

          Control0..*
          TypeReference(TW Core Condition, TW Core Observation Laboratory Result, Condition, Observation)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          72. MedicationRequest.instantiatesCanonical
          Definition

          指向此藥品請求全部或部分遵守的計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。


          The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.

          Short實例化FHIR計畫書(protocol)或定義Instantiates FHIR protocol or definition
          Control0..*
          Typecanonical
          Is Modifierfalse
          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()))
          74. MedicationRequest.instantiatesUri
          Definition

          指向此藥品請求全部或部分的外部維護之計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。


          The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.

          Short實例化外部計畫書(protocol)或定義Instantiates external protocol or definition
          Control0..*
          Typeuri
          Is Modifierfalse
          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()))
          76. MedicationRequest.basedOn
          Definition

          透過藥品請求,一項計畫或請求已全部或部分被履行


          A plan or request that is fulfilled in whole or in part by this medication request.

          Short此MedicationRquest是基於什麼而履行?What request fulfills
          Control0..*
          TypeReference(TW Core CarePlan, TW Core MedicationRequest, TW Core ServiceRequest, ImmunizationRecommendation, CarePlan, MedicationRequest, ServiceRequest)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. MedicationRequest.groupIdentifier
          Definition

          由單一作者或多或少同時授權之所有服務請求的共用識別碼,代表一個藥品請求的群組識別碼


          A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.

          Short此為綜合請求的一部分Composite request this is part of
          Control0..1
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Requirements

          請求之間的連接可以透過「基於」(basedOn) 關係實現(即一個請求是為了完成另一個請求),或者是它們有一個共同的申請單 (requisition)。那些屬於同一申請單的請求,在改變它們的狀態或在最初創建後進行維護的過程中,通常被視為各自獨立的。


          Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. MedicationRequest.courseOfTherapyType
          Definition

          給病人的給藥整體模型描述


          The description of the overall patte3rn of the administration of the medication to the patient.

          Short給藥的整體模式Overall pattern of medication administration
          Comments

          這個屬性不應與藥物治療計畫(protocol)混淆


          This attribute should not be confused with the protocol of the medication.

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
          (example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy)

          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。


          Identifies the overall pattern of medication administratio.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          82. MedicationRequest.insurance
          Definition

          提供此請求服務可能需要的保險計畫、擴大承保範圍、預先授權和/或預先決定。


          Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.

          Short相關的保險承保範圍Associated insurance coverage
          Control0..*
          TypeReference(Coverage, ClaimResponse)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          84. MedicationRequest.note
          Definition

          關於處方的附加資訊,不能由其他屬性來傳達。


          Extra information about the prescription that could not be conveyed by the other attributes.

          Short關於處方的資訊Information about the prescription
          Control0..*
          TypeAnnotation
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          86. MedicationRequest.dosageInstruction
          Definition

          表明病人的用藥方式


          Indicates how the medication is to be used by the patient.

          Short應該如何用藥How the medication should be taken
          Comments

          在一些例子中,藥品請求可包括口服劑量或靜脈注射或肌肉注射劑量的選擇。例如:「昂丹司瓊(Ondansetron)8毫克口服或靜脈注射,每天兩次,治療噁心」或 「康帕辛® (Compazine®)【丙氯拉嗪(prochlorperazine)】5-10毫克口服(PO)或25毫克經直腸給藥(PR) 每天早、晚(飯後)1次(bid) 需要時使用(prn)噁心或嘔吐 」。在這些情況下,這兩個醫令的建立可歸為一組藥品醫令,基於病人在需要用藥時的情況決定使用哪種劑量和給藥途徑。


          There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.

          Control0..*
          TypeDosage
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          88. MedicationRequest.dosageInstruction.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())
          90. MedicationRequest.dosageInstruction.sequence
          Definition

          表明使用或解釋劑量指示的順序


          Indicates the order in which the dosage instructions should be applied or interpreted.

          Short劑量指示的順序The order of the dosage instructions
          Control0..1
          Typeinteger
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          如果多個劑量的序號是相同的,那麼就意味著這些指示將被視為同時進行。如果序號不同,那麼這些劑量將是依續使用。


          If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          92. MedicationRequest.dosageInstruction.text
          Definition

          純文字表述的劑量指示,例如:SIG。


          Free text dosage instructions e.g. SIG.

          Short純文字表述的劑量指示,例如:SIG。Free text dosage instructions e.g. SIG
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示,純文字表述說明可能仍然存在,以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入,那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。


          Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          94. MedicationRequest.dosageInstruction.additionalInstruction
          Definition

          向病人提供關於如何服藥的補充指示(例如 「隨餐服用」或「在進食前半小時服用」)或給病人的藥品警告(例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈(日曬用)下」)。


          Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").

          Short對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
          Comments

          應在dosage.text中填入關於用藥或準備藥品的資訊(例如: 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」)。


          Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes
          (extensible to http://hl7.org/fhir/ValueSet/additional-instruction-codes)

          一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


          A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Requirements

          附加指示是要編碼的,但在沒有編碼的情況下,此資料項目可以包括文字。例如,「用大量的水吞咽」,這可能編碼也可能不編碼。


          Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. MedicationRequest.dosageInstruction.patientInstruction
          Definition

          用病人或消費者能理解的術語提供指示


          Instructions in terms that are understood by the patient or consumer.

          Short以病人或消費者為導向的指示Patient or consumer oriented instructions
          Control0..1
          Typestring
          Is Modifierfalse
          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()))
          98. MedicationRequest.dosageInstruction.timing
          Definition

          應該何時給藥


          When medication should be administered.

          Short應該何時給藥;時間的寫法請參照Timimg datatype。When medication should be administered
          Comments

          這個屬性可能並不總是被填入,而Dosage.text預計會被填入。如果兩者都被填入,那麼Dosage.text應反映Dosage.timing的內容。


          This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.

          Control0..1
          TypeTiming
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          病人用藥的時間安排。這種data type允許許多不同的表達方式。例如:「每8小時一次」;「一天三次」;「從2011年12月23日開始的10天裡,早餐前半小時」;「2013年10月15日、2013年10月17日和2013年11月1日」。有時,當率值(rate)為總容量/期間,其「期間」意指(例如:500mL/2小時)之持續期間為2小時。但當率值非意指「持續期間」時(例如:250mL/小時),則需要timing.repeat.duration來表達輸液的時間區間。


          The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. MedicationRequest.dosageInstruction.timing.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())
          102. MedicationRequest.dosageInstruction.timing.event
          Definition

          指明事件發生的特定時間


          Identifies specific times when the event occurs.

          Short事件發生的時間When the event occurs
          Control0..*
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          例如:在一份用藥記錄中,你需要把一個一般的規範變成一個精確的規範。


          In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. MedicationRequest.dosageInstruction.timing.repeat
          Definition

          一組描述事件何時被安排的規則


          A set of rules that describe when the event is scheduled.

          Short事件定期重複發生的時間When the event is to occur
          Control0..1
          TypeElement
          Is Modifierfalse
          Summarytrue
          Requirements

          定期重複的時間安排


          Many timing schedules are determined by regular repetitions.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
          tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
          tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
          tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
          tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
          tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
          tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
          tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
          tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
          tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
          tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
          tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
          tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
          tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
          tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
          tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
          tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
          tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
          106. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
          Definition

          時間長度或可能的時間長度範圍,或開始和/或結束時間。


          Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.

          Short時間或期間長度/長度範圍,或(開始和/或結束)限制Length/Range of lengths, or (Start and/or end) limits
          Control0..1
          TypeChoice of: Duration, Range, Period
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. MedicationRequest.dosageInstruction.timing.repeat.count
          Definition

          在整個持續期間內,期望重複的總次數。如果countMax這個資料項目存在,此count資料項目表示允許次數範圍的下限。


          A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.

          Short重複的次數Number of times to repeat
          Comments

          如果你同時擁有bounds和count這兩個資料項目,那麼這應該被理解為在bounds期間,發生count的次數。


          If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.

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

          重複次數可透過設定結束時間或總發生次數作限制


          Repetitions may be limited by end time or total occurrences.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. MedicationRequest.dosageInstruction.timing.repeat.countMax
          Definition

          如果countMax存在,表示count是一個範圍,如此可在[count]和[countMax]之間的重複次數執行動作。


          If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.

          Short重複的最大次數Maximum number of times to repeat
          Control0..1
          TypepositiveInt
          Is Modifierfalse
          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()))
          112. MedicationRequest.dosageInstruction.timing.repeat.duration
          Definition

          這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在,則此duration資料項目表示持續時間的允許範圍之下限。


          How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.

          Short此事件持續多久時間How long when it happens
          Comments

          對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。


          For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

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

          有些活動不是立即發生,需要維持一段時間。


          Some activities are not instantaneous and need to be maintained for a period of time.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. MedicationRequest.dosageInstruction.timing.repeat.durationMax
          Definition

          如果durationMax這個資料項目存在,表示duration資料項目是一個範圍的下限 — 所以要在[duration]和[durationMax]之間執行此活動。


          If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.

          Short此事件持續多久時間 (最長時間/最大值)How long when it happens (Max)
          Comments

          對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。


          For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).

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

          有些活動不是立即發生,需要維持一段時間。


          Some activities are not instantaneous and need to be maintained for a period of time.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          116. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
          Definition

          持續時間的單位,以UCUM為單位。


          The units of time for the duration, in UCUM units.

          Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)s | min | h | d | wk | mo | a - unit of time (UCUM)
          Control0..1
          BindingThe codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
          (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

          時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼


          A unit of time (units from UCUM).

          Typecode
          Is Modifierfalse
          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()))
          118. MedicationRequest.dosageInstruction.timing.repeat.frequency
          Definition

          在特定期間內重複動作的次數。如果frequencyMax存在,此frequency資料項目表示頻率的允許範圍的下限。


          The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.

          Short此事件於每一期間的發生頻率Event occurs frequency times per period
          Control0..1
          TypepositiveInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          120. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
          Definition

          如果frequencyMax存在,frequency資料項目表示頻率範圍的下限 – 所以要在[frequency]和[frequencyMax]之間重複執行此活動。


          If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.

          Short此事件於每一期間的最大發生頻率Event occurs up to frequencyMax times per period
          Control0..1
          TypepositiveInt
          Is Modifierfalse
          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()))
          122. MedicationRequest.dosageInstruction.timing.repeat.period
          Definition

          表示重複發生的時間區間;例如:為了表示「每天3次」,3次是頻率(frequency),1天是週期(period)。如果存在periodMax資料項目,此period資料項目表示時間區間長度的允許範圍的下限。


          Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.

          Short此事件於特定時間區間所發生的頻率Event occurs frequency times per period
          Control0..1
          Typedecimal
          Is Modifierfalse
          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()))
          124. MedicationRequest.dosageInstruction.timing.repeat.periodMax
          Definition

          如果periodMax存在,表示時間區間是一個從[period]到[periodMax]的範圍,允許表達像是「每3至5天一次」的概念。


          If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.

          Short時間區間的上限(3-4小時)Upper limit of period (3-4 hours)
          Control0..1
          Typedecimal
          Is Modifierfalse
          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()))
          126. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
          Definition

          持續時間的單位,以UCUM為單位。


          The units of time for the period in UCUM units.

          Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)s | min | h | d | wk | mo | a - unit of time (UCUM)
          Control0..1
          BindingThe codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1
          (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

          時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼


          A unit of time (units from UCUM).

          Typecode
          Is Modifierfalse
          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()))
          128. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
          Definition

          如果提供的資訊為一星期中的一天或多天,那麼此活動只發生在這特定的幾天。


          If one or more days of week is provided, then the action happens only on the specified day(s).

          Shortmon | tue | wed | thu | fri | sat | sunmon | tue | wed | thu | fri | sat | sun
          Comments

          如果沒有指定天數,則假定該活動每天都會發生,否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。


          If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.

          Control0..*
          BindingThe codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
          (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

          應填入DaysOfWeek值集中的其中一個代碼

          Typecode
          Is Modifierfalse
          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()))
          130. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
          Definition

          具體說明一天中活動進行的時間


          Specified time of day for action to take place.

          Short一天中的活動時間Time of day for action
          Comments

          當指定了一天中的時間時,就會推斷出該活動每天都會在指定的時間發生(由dayofWeek篩選)。資料項目when、frequency和period不能和timeOfDay一起使用。


          When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.

          Control0..*
          Typetime
          Is Modifierfalse
          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()))
          132. MedicationRequest.dosageInstruction.timing.repeat.when
          Definition

          一天中的一個大致時段,可能與日常生活中的某一事件有關,表明該活動應在何時發生。


          An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.

          Short事件發生的時間區間之代碼Code for time period of occurrence
          Comments

          當一個以上的事件被列出,則此事件被綁定至合併的數個特定事件。


          When more than one event is listed, the event is tied to the union of the specified events.

          Control0..*
          BindingThe codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1
          (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

          與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼


          Real world event relating to the schedule.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          時間經常由特定事件的發生所決定,例如:起床、吃飯和睡覺。


          Timings are frequently determined by occurrences such as waking, eating and sleep.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. MedicationRequest.dosageInstruction.timing.repeat.offset
          Definition

          距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後,則假定該offset是指特定事件發生後的分鐘數。


          The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.

          Short事件的分鐘數(之前或之後)Minutes from event (before or after)
          Control0..1
          TypeunsignedInt
          Is Modifierfalse
          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()))
          136. MedicationRequest.dosageInstruction.timing.code
          Definition

          活動發生時機之代碼(或只是code.text中的文字)。像是BID的一些代碼到處都有,但許多機構定義它們自己的額外代碼。如果提供了一個代碼,此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述,代碼或資料都可用於解釋時機(Timing),但.repeat.bounds適用於代碼(且不包含在代碼中)的例外。


          A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).

          ShortBID | TID | QID | AM | PM | QD | QOD | + 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。BID | TID | QID | AM | PM | QD | QOD | +
          Comments

          BID等被定義為「在機構特定的時間」。例如:一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的,就不應該使用代碼BID。反之,應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和/或使用一個結構化表示法(在這種情況下,具體說明兩個事件時間)。


          BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集http://hl7.org/fhir/ValueSet/timing-abbreviation
          (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw)

          已知/確定的時間模式之代碼;鼓勵使用TimingAbbreviation值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


          Code for a known / defined timing pattern.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          138. MedicationRequest.dosageInstruction.timing.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()))
          140. MedicationRequest.dosageInstruction.timing.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概念的文字標記法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()))
          142. MedicationRequest.dosageInstruction.asNeeded[x]
          Definition

          表明此藥品是否只在需要時在特定的用法(Boolean選項)服用,或者表明服用此藥品(CodeableConcept)的前提條件。


          Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).

          Short「根據(對x的)需要」服用 Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。Take "as needed" (for x)
          Comments

          可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下,CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下,Boolean值被假定為True。如果您將Boolean值設置為「False」,那麼該劑量是根據時間表給予的,而不是 「prn」或 「根據需要」。


          Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".

          Control0..1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason
          (extensible to http://hl7.org/fhir/ValueSet/medication-as-needed-reason)

          一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


          A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

          TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          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()))
          144. MedicationRequest.dosageInstruction.site
          Definition

          用藥的身體部位


          Body site to administer to.

          Short用藥之身體部位Body site to administer to
          Comments

          如果使用案例需要BodySite resource的屬性(例如:分別識別和追蹤),那麼就使用標準extension bodySite。可以是一個摘要代碼,也可以是對一個非常精確的位置定義的參照,或者兩者都是。


          If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes
          (extensible to http://hl7.org/fhir/ValueSet/approach-site-codes)

          一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


          A coded concept describing the site location the medicine enters into or onto the body.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Requirements

          對藥品首次進入之人體解剖部位的編碼說明


          A coded specification of the anatomic site where the medication first enters the body.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          146. MedicationRequest.dosageInstruction.route
          Definition

          藥品應如何進入體內


          How drug should enter body.

          Short藥品應如何進入體內How drug should enter body
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

          一個編碼概念,描述治療劑進入或在受試者體內的用藥途徑或生理途徑;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 describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼


          A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          148. MedicationRequest.dosageInstruction.route.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
          BindingUnless not suitable, these codes SHALL be taken from For codes, see SNOMED CT + 臺灣健保署給藥途徑值集
          (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw)
          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()))
          150. MedicationRequest.dosageInstruction.route.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概念的文字標記法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()))
          152. MedicationRequest.dosageInstruction.method
          Definition

          用藥的技術


          Technique for administering medication.

          Short用藥的技術Technique for administering medication
          Comments

          使用的專門術語通常先組合配對(pre-coordinate)用藥途徑和/或劑型。


          Terminologies used often pre-coordinate this term with the route and or form of administration.

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes
          (extensible to http://hl7.org/fhir/ValueSet/administration-method-codes)

          一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


          A coded concept describing the technique by which the medicine is administered.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Requirements

          表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如:慢推、深靜脈。


          A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          154. MedicationRequest.dosageInstruction.doseAndRate
          Definition

          用藥量


          The amount of medication administered.

          Short用藥量Amount of medication administered
          Control0..*
          TypeElement
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          156. MedicationRequest.dosageInstruction.doseAndRate.type
          Definition

          特定劑量或比率種類,例如:依處方或計算而來。


          The kind of dose or rate specified, for example, ordered or calculated.

          Short特定劑量或比率種類The kind of dose or rate specified
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

          可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


          The kind of dose or rate specified.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Requirements

          如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。


          If the type is not populated, assume to be "ordered".

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          158. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
          Definition

          每一劑量的藥量


          Amount of medication per dose.

          Short每一劑量的藥量Amount of medication per dose
          Comments

          請注意這是指特定藥品量,而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如:如果想表達一錠375毫克的藥錠,劑量是一錠,你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者,如果劑量是375毫克,那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射,例如:多巴胺,你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中,那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的(速率是存在的,或者時間是有期限的),這可具體說明以傳達在時間表所指示的時段之總用藥量,例如:500毫升的劑量應該在4小時內完成。


          Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.

          Control0..1
          TypeChoice of: Range, Quantity(SimpleQuantity)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summarytrue
          Requirements

          在一次用藥事件中給予的治療用或其他的物質量


          The amount of therapeutic or other substance given at one administration event.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          160. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
          Definition

          每時間單位內的用藥量


          Amount of medication per unit of time.

          Short每時間單位內的用藥量Amount of medication per unit of time
          Comments

          可同時提供rate和doseQuantity,以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變,根據當地的規則/法規,每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉,或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率(例如:100毫升/小時)。rateQuantity的方式要求系統有能力解析包含毫升/小時的UCUM語法,而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值,使用rateRatio可能比使用rateQuantity指定250毫克/小時在語義上更正確。


          It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.

          It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.

          Control0..1
          TypeChoice of: Ratio, Range, Quantity(SimpleQuantity)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Summarytrue
          Requirements

          指明藥品引入病人體內的速度。通常是指輸液的速度,例如:每1小時100毫升或100毫升/小時。也可表示為每單位時間的速度,例如:每2小時500毫升,其他例子如200微克/分鐘或200微克/1分鐘;1升/8小時。有時,當表示為總容量/持續時間時,速率可以隱喻持續時間(例如:500毫升/2小時隱喻持續時間為2小時)。然而,當速率未隱喻持續時間時(例如:250毫升/小時),則需要timing.repeat.duration來表達輸液的時間區間。


          Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          162. MedicationRequest.dosageInstruction.maxDosePerPeriod
          Definition

          每時間單位內用藥的上限


          Upper limit on medication per unit of time.

          Short每時間單位內用藥的上限Upper limit on medication per unit of time
          Comments

          這是為了在有上限的情況下作為劑量的輔助說明。例如:「每4小時2錠,一天最多8錠」。


          This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".

          Control0..1
          TypeRatio
          Is Modifierfalse
          Summarytrue
          Requirements

          在一段時間區間用於某一對象的治療用物質之最大總量。例如:24小時內1,000毫克。


          The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          164. MedicationRequest.dosageInstruction.maxDosePerAdministration
          Definition

          每次用藥的上限


          Upper limit on medication per administration.

          Short每次用藥的上限Upper limit on medication per administration
          Comments

          這是為了在有上限的情況下作為劑量的輔助說明。例如:與體表面積有關的劑量有一個上限,如在5至10分鐘內靜脈注射1.5毫克/平方米(最多2毫克),其doseQuantity為1.5毫克/平方米,maxDosePerAdministration為2毫克。


          This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.

          Control0..1
          TypeQuantity(SimpleQuantity)
          Is Modifierfalse
          Summarytrue
          Requirements

          每次用於某一對象治療用物質的最大總量


          The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          166. MedicationRequest.dosageInstruction.maxDosePerLifetime
          Definition

          病人一生中用藥的上限


          Upper limit on medication per lifetime of the patient.

          Short病人一生中用藥的上限Upper limit on medication per lifetime of the patient
          Control0..1
          TypeQuantity(SimpleQuantity)
          Is Modifierfalse
          Summarytrue
          Requirements

          用於某一對象的治療用物質於其一生的最大總數量


          The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          168. MedicationRequest.dispenseRequest
          Definition

          這表示在藥品請求(亦稱作藥品處方或藥品醫令)中,關於調劑或提供藥品部分的特定詳情。注意:這些資訊不總是與醫令一同發送的。在某些機構(如醫院),可能會有機構或系統上的支援,允許藥局完成調劑的詳細資訊。


          Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.

          Short藥品供應授權Medication supply authorization
          Control0..1
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          170. MedicationRequest.dispenseRequest.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())
          172. MedicationRequest.dispenseRequest.initialFill
          Definition

          表明第一次配藥的數量或時間


          Indicates the quantity or duration for the first dispense of the medication.

          Short首次依照處方配藥的細節First fill details
          Comments

          如果填入此資料項目,必須包括數量或期間。


          If populating this element, either the quantity or the duration must be included.

          Control0..1
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          174. MedicationRequest.dispenseRequest.initialFill.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())
          176. MedicationRequest.dispenseRequest.initialFill.quantity
          Definition

          首次配藥量


          The amount or quantity to provide as part of the first dispense.

          Short首次配藥的數量First fill quantity
          Control0..1
          TypeQuantity(SimpleQuantity)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          178. MedicationRequest.dispenseRequest.initialFill.duration
          Definition

          預計首次配藥的時間持續長度


          The length of time that the first dispense is expected to last.

          Short首次配藥的持續時間First fill duration
          Control0..1
          TypeDuration
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          180. MedicationRequest.dispenseRequest.dispenseInterval
          Definition

          前後兩次配藥必須間隔的最短時間


          The minimum period of time that must occur between dispenses of the medication.

          Short前後兩次配藥的最短時間間隔Minimum period of time between dispenses
          Control0..1
          TypeDuration
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          182. MedicationRequest.dispenseRequest.validityPeriod
          Definition

          表明處方的有效期(處方的過期日期)


          This indicates the validity period of a prescription (stale dating the Prescription).

          Short處方可用以配藥的有效期限Time period supply is authorized for
          Comments

          它反映了處方開立者對處方的有效性的看法。在此期限之外,不得根據處方進行配藥。配藥視窗的下限標誌處方可以首次配藥的開始日期。如果沒有指定上限,那麼處方是無期限的,或者將默認為基於法規的過期日期。


          It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.

          Control0..1
          TypePeriod
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          表明處方何時有效,何時處方無法再被拿來配藥。


          Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          184. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
          Definition

          一個整數,表示除了最初的配藥外,病人可以取得處方藥的次數【又稱連續處方/補藥(refills)或重複】。使用注意事項:這個整數不包括原始醫令的配藥,意即如果一個醫令顯示配藥30錠加上「3次重複」,那麼此醫令總共可以配藥4次,病人總共可以得到120片。開立處方者可明確說,在初次配藥後允許零次補藥。


          An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.

          Short可重複領藥的次數Number of refills authorized
          Comments

          如果顯示的是「授權的開藥次數」,則在這個數字上加1。


          If displaying "number of authorized fills", add 1 to this number.

          Control0..1
          TypeunsignedInt
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          186. MedicationRequest.dispenseRequest.quantity
          Definition

          一次裝藥所需的(數)量


          The amount that is to be dispensed for one fill.

          Short每次配藥的藥品(數)量Amount of medication to supply per dispense
          Control0..1
          TypeQuantity(SimpleQuantity)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          188. MedicationRequest.dispenseRequest.expectedSupplyDuration
          Definition

          指明預期使用供應產品的時間區間,或預期配藥可持續的時間長度。


          Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.

          Short每次配藥可持續的天數Number of days supply per dispense
          Comments

          在某些情況下,這個屬性可以用來代替數量,透過預期持續的時間長度來確定供應的數量,而不是發放的實際數量,例如:90天的用藥供應(基於一個醫令的劑量)。在可能的情況下,指定數量總是更好的,因為這往往是更精確的。預期供應時間長度將總是一個估計值,可能受到外部因素的影響。


          In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.

          Control0..1
          TypeDuration
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          190. MedicationRequest.dispenseRequest.performer
          Definition

          表明開立處方者指定的預定配藥機構(Organization)。


          Indicates the intended dispensing Organization specified by the prescriber.

          Short預定的配藥人員Intended dispenser
          Control0..1
          TypeReference(TW Core Organization, Organization)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          192. MedicationRequest.substitution
          Definition

          表示替代藥品是否可以或應該成為配藥的一部分。在某些情況下,替代藥品必須發生,在其他情況下,替代藥品必須不發生。此區塊解釋開立處方者的意圖。如果沒有指定,可以進行替換。


          Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.

          Short對替代藥品的任何限制Any restrictions on medication substitution
          Control0..1
          TypeBackboneElement
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          194. MedicationRequest.substitution.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())
          196. MedicationRequest.substitution.allowed[x]
          Definition

          如果處方開立者允許與處方不同的藥物配藥,則為真。


          True if the prescriber allows a different drug to be dispensed from what was prescribed.

          Short是否允許替換Whether substitution is allowed or not
          Comments

          這個資料項目被標記為修飾用,因為無論是否允許替換,它都不能被忽略。


          This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.

          Control1..1
          BindingFor example codes, see ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
          (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode)

          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。


          Identifies the type of substitution allowed.

          TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          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()))
          198. MedicationRequest.substitution.reason
          Definition

          表示替換的原因,或為什麼必須或不必須進行替換。


          Indicates the reason for the substitution, or why substitution must or must not be performed.

          Short為什麼要(不)進行替換Why should (not) substitution be made
          Comments

          Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason
          (example to http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason)

          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。


          A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          200. MedicationRequest.priorPrescription
          Definition

          連結至與代表早期醫令相關的醫令或處方的resource


          A link to a resource representing an earlier order related order or prescription.

          Short正被替換的醫令/處方An order/prescription that is being replaced
          Control0..1
          TypeReference(TW Core MedicationRequest, MedicationRequest)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          202. MedicationRequest.detectedIssue
          Definition

          表明一個或多個針對病人的較積極的或提議的臨床活動之間的實際或潛在的臨床問題;例如:藥物交互作用、重複治療、劑量警訊等。


          Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.

          Short活動的臨床問題Clinical Issue with action
          Comments

          此資料項目可包括由決策支援系統或臨床醫生發現的問題,及可能包括解決問題所採取步驟的資訊。


          This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.

          Control0..*
          TypeReference(DetectedIssue)
          Is Modifierfalse
          Summaryfalse
          Alternate NamesContraindication, Drug Utilization Review (DUR), Alert
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          204. MedicationRequest.eventHistory
          Definition

          連結至Provenance resource的過去版本,或履行請求或事件resource的Provenance紀錄,其指明可能與查看當前版本resource的使用者相關的關鍵狀態之轉換或更新。


          Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.

          Short生命週期中感興趣的事件清單A list of events of interest in the lifecycle
          Comments

          這可能不包括請求的所有版本的出處–只包括那些被認為「相關」或重要的版本。這 必須沒有(SHALL NOT) 包括與此resource的當前版本相關的出處。(如果此出處被認為是一個「相關」的變化,它將需要作為後續更新的一部分。在此之前,可使用_revinclude直接查詢指向此版本的出處。 所有出處(Provenances)都應有這個藥品請求請求的一些歷史版本作為對象。)


          This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).

          Control0..*
          TypeReference(Provenance)
          Is Modifierfalse
          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. MedicationRequest
          Definition

          關於藥品供應和對病人用藥指導的醫令或請求。此resource被稱為 「MedicationRequest」,而不是 「MedicationPrescription 」或「MedicationOrder」,以便與在住院病人和門診病人的環境中通用,包括照護計畫等,並與工作流程模式相協調。

          Short為病人或實體集合(例如:特定的一群人)開立的藥品請求
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Alternate NamesPrescription, Order
          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. MedicationRequest.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MedicationRequest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. MedicationRequest.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MedicationRequest 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. MedicationRequest.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. MedicationRequest.language
          Definition

          編寫此resource的語言

          Short用以表述MedicationRequest 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. MedicationRequest.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。

          ShortMedicationRequest 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. MedicationRequest.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. MedicationRequest.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. MedicationRequest.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. MedicationRequest.identifier
          Definition

          與此藥品請求相關的識別碼,這些識別碼是由業務流程定義的,並且/或者在對resource本身的直接URL參照不合適的情況下用來參照它。它們是由執行者或其他系統指定給此resource的業務用識別碼,並隨著resource的更新和從伺服器到伺服器的傳播而保持不變。

          Short此藥品請求的外部識別碼
          Comments

          這是一個業務用識別碼,而不是一個resource識別碼。

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

          一個指定醫令當前狀態的代碼。一般來說,它是有效或完成的狀態。

          Shortactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
          Comments

          這個資料項目被標記為修飾用,因為此狀態亦包含標記resource當前為無效的代碼。

          Control1..1
          BindingThe codes SHALL be taken from medicationrequest Status
          (required to http://hl7.org/fhir/ValueSet/medicationrequest-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 is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. MedicationRequest.statusReason
          Definition

          捕捉MedicationRequest當前狀態的原因

          Short當前狀態的原因
          Comments

          這通常只用於 「例外」狀態,例如:「暫停」或 「取消」。MedicationRequest的原因是在reasonCode中描述,而不是在這裡。

          Control0..1
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see medicationRequest Status Reason Codes
          (example to http://hl7.org/fhir/ValueSet/medicationrequest-status-reason)

          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。

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. MedicationRequest.intent
          Definition

          請求是提案、計畫、還是原始醫令?

          Shortproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
          Comments

          預期服務請求者的型別將在MedicationRequest的不同階段受到限制。例如:提案可由病人(Patient)、相關人士(relatedPerson)、健康照護服務提供者(Practitioner)或設備(Device)建立。照護計畫可由健康照護服務提供者、病人、相關人士和設備建立。原始醫令只能由健康照護服務提供者建立。

          實例醫令(an instance-order)是請求或醫令的實例,可用於填充給藥紀錄。

          這個資料項目被標記為修飾用,因為其意圖改變resource實際適用的時間和方式。

          Control1..1
          BindingThe codes SHALL be taken from medicationRequest Intent
          (required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|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. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. MedicationRequest.category
          Definition

          表示藥品請求的型別(例如:預計用藥或給藥的地方(即住院病人或門診病人))。

          Short用藥型別
          Comments

          此類別可用於包括預期的藥品使用地點或其他型別的請求

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see medicationRequest Category Codes
          (example to http://hl7.org/fhir/ValueSet/medicationrequest-category)

          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。

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

          表示相對於其他請求而言,此藥品請求應如何快速得到處理。

          Shortroutine | urgent | asap | stat
          Control0..1
          BindingThe codes SHALL be taken from RequestPriority
          (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

          應填入RequestPriority值集中的其中一個代碼

          Typecode
          Is Modifierfalse
          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()))
          30. MedicationRequest.doNotPerform
          Definition

          如果為真,表示健康照護服務提供者要求不發生藥品請求。

          Short如果藥品請求是禁止活動,則為真。
          Comments

          如果沒有具體說明不執行,則該藥品請求是一個正向的請求,例如:「執行」。

          Control0..1
          Typeboolean
          Is Modifiertrue because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
          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()))
          32. MedicationRequest.reported[x]
          Definition

          表明此記錄是否為次級的 「報告 」紀錄,而不是作為原始的主要真實來源紀錄,它也可用以表明報告的來源。

          Short被報告的而不是主要的紀錄
          Control0..1
          TypeChoice of: boolean, Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          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()))
          34. MedicationRequest.medication[x]
          Definition

          指明被請求的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。

          Short服用的藥品。
          Comments

          如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。

          Control1..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。

          TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication)
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesNo must-support rules about the choice of types/profiles
          Summarytrue
          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 MedicationRequest.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
          • type @ $this
          • 36. MedicationRequest.medication[x]:medicationReference
            Slice NamemedicationReference
            Definition

            Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.

            ShortMedication to be taken
            Comments

            If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

            Control0..1
            TypeReference(TW Core Medication)
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. MedicationRequest.medication[x]:medicationCodeableConcept
            Slice NamemedicationCodeableConcept
            Definition

            指明被開立的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。

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

            如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。

            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)
            TypeCodeableConcept(TW CodeableConcept)
            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. MedicationRequest.medication[x]:medicationCodeableConcept.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
            42. MedicationRequest.medication[x]:medicationCodeableConcept.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 MedicationRequest.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 44. MedicationRequest.medication[x]:medicationCodeableConcept.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
              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 MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • pattern @ $this
              • 46. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
                48. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
                50. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
                52. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
                54. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
                56. MedicationRequest.medication[x]:medicationCodeableConcept.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()))
                58. MedicationRequest.medication[x]:medicationCodeableConcept.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. MedicationRequest.subject
                Definition

                連結至一個或一組即將給予藥品的人

                Short為誰或哪個實體集合(例如:特定的一群人)所開立的藥品請求
                Comments

                藥品請求的對像是必填的。對於不提供實際對象的次級使用案例,仍然必須指定一個匿名對象。

                Control1..1
                TypeReference(TW Core Patient, Group)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. MedicationRequest.encounter
                Definition

                建立此[x]的就醫(Encounter),或與此藥品請求紀錄密切相關的就醫。

                Short連結至一個或一組即將給予藥品的人
                Comments

                這通常是事件發生的就醫(Encounter),但有些活動可能是在就醫完成之前或之後發生,但仍與就醫的情境相關。如果需要與照護事件相聯繫,它們將用一個擴充資料項目來處理。

                Control0..1
                TypeReference(TW Core Encounter)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. MedicationRequest.supportingInformation
                Definition

                任何與藥品請求相關的補充資訊(例如:病人身高及體重)

                Short任何與藥品請求相關的補充資訊
                Control0..*
                TypeReference(Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. MedicationRequest.authoredOn
                Definition

                處方最初書寫或撰寫的日期(或許也有時間)。

                Short藥品請求請求最初何時被撰寫?
                Control0..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. MedicationRequest.requester
                Definition

                發起藥品請求並對其有效負責的個人、組織或設備。

                Short誰/什麼提出藥品請求請求?
                Control0..1
                TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, TW Core RelatedPerson, Device)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. MedicationRequest.performer
                Definition

                具體說明的藥物治療執行者(例如:給藥的執行者)。

                Short預期的給藥執行者
                Control0..1
                TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, TW Core RelatedPerson, TW Core CareTeam)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. MedicationRequest.performerType
                Definition

                表明給藥的執行者的型別

                Short所需的給藥執行者種類
                Comments

                如果具體說明中未表明執行者,則表明執行者必須是具體的型別。如果具體說明有執行者,那麼如果指定的執行無法獲得則需說明指定執行者的要求條件。

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingUnless not suitable, these codes SHALL be taken from ProcedurePerformerRoleCodes
                (extensible to http://hl7.org/fhir/ValueSet/performer-role)

                應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                TypeCodeableConcept(TW CodeableConcept)
                Is Modifierfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. MedicationRequest.recorder
                Definition

                代表另一個人輸入醫令的人,例如:在口頭或電話指示下的情況。

                Short輸入藥品請求請求的人
                Control0..1
                TypeReference(TW Core Practitioner, TW Core PractitionerRole)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. MedicationRequest.reasonCode
                Definition

                開立或不開立藥品醫令的原因或指示

                Short開立醫令或不開立醫令的原因或指示
                Comments

                這可能是一個診斷代碼。如果存在完整的病情、問題或診斷(condition)紀錄或需要附加的細節,請使用 reasonReference。

                Control0..*
                BindingUnless not suitable, these codes SHALL be taken from Condition/Problem/DiagnosisCodes
                (extensible to http://hl7.org/fhir/ValueSet/condition-code)

                應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                TypeCodeableConcept
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. MedicationRequest.reasonReference
                Definition

                開立藥品醫令的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)。

                Short開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)
                Comments

                藥品醫令開立的原因參照,例如:病情、問題或診斷(condition)或者檢驗檢查(observation)。如果只能有一個代碼存在,則使用reasonCode。

                Control0..*
                TypeReference(TW Core Condition, TW Core Observation Laboratory Result)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. MedicationRequest.instantiatesCanonical
                Definition

                指向此藥品請求全部或部分遵守的計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。

                Short實例化FHIR計畫書(protocol)或定義
                Control0..*
                Typecanonical
                Is Modifierfalse
                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()))
                82. MedicationRequest.instantiatesUri
                Definition

                指向此藥品請求全部或部分的外部維護之計畫書(protocol)、指南(guideline)、醫令集(orderset)或其他定義的URL。

                Short實例化外部計畫書(protocol)或定義
                Control0..*
                Typeuri
                Is Modifierfalse
                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()))
                84. MedicationRequest.basedOn
                Definition

                透過藥品請求,一項計畫或請求已全部或部分被履行

                Short此MedicationRquest是基於什麼而履行?
                Control0..*
                TypeReference(TW Core CarePlan, TW Core MedicationRequest, TW Core ServiceRequest, ImmunizationRecommendation)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. MedicationRequest.groupIdentifier
                Definition

                由單一作者或多或少同時授權之所有服務請求的共用識別碼,代表一個藥品請求的群組識別碼

                Short此為綜合請求的一部分
                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Requirements

                請求之間的連接可以透過「基於」(basedOn) 關係實現(即一個請求是為了完成另一個請求),或者是它們有一個共同的申請單 (requisition)。那些屬於同一申請單的請求,在改變它們的狀態或在最初創建後進行維護的過程中,通常被視為各自獨立的。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                88. MedicationRequest.courseOfTherapyType
                Definition

                給病人的給藥整體模型描述

                Short給藥的整體模式
                Comments

                這個屬性不應與藥物治療計畫(protocol)混淆

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingFor example codes, see medicationRequest Course of Therapy Codes
                (example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy)

                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。

                TypeCodeableConcept(TW CodeableConcept)
                Is Modifierfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                90. MedicationRequest.insurance
                Definition

                提供此請求服務可能需要的保險計畫、擴大承保範圍、預先授權和/或預先決定。

                Short相關的保險承保範圍
                Control0..*
                TypeReference(Coverage, ClaimResponse)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                92. MedicationRequest.note
                Definition

                關於處方的附加資訊,不能由其他屬性來傳達。

                Short關於處方的資訊
                Control0..*
                TypeAnnotation
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                94. MedicationRequest.dosageInstruction
                Definition

                表明病人的用藥方式

                Short應該如何用藥
                Comments

                在一些例子中,藥品請求可包括口服劑量或靜脈注射或肌肉注射劑量的選擇。例如:「昂丹司瓊(Ondansetron)8毫克口服或靜脈注射,每天兩次,治療噁心」或 「康帕辛® (Compazine®)【丙氯拉嗪(prochlorperazine)】5-10毫克口服(PO)或25毫克經直腸給藥(PR) 每天早、晚(飯後)1次(bid) 需要時使用(prn)噁心或嘔吐 」。在這些情況下,這兩個醫令的建立可歸為一組藥品醫令,基於病人在需要用藥時的情況決定使用哪種劑量和給藥途徑。

                Control0..*
                TypeDosage
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                96. MedicationRequest.dosageInstruction.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
                98. MedicationRequest.dosageInstruction.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())
                SlicingThis element introduces a set of slices on MedicationRequest.dosageInstruction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 100. MedicationRequest.dosageInstruction.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())
                  102. MedicationRequest.dosageInstruction.sequence
                  Definition

                  表明使用或解釋劑量指示的順序

                  Short劑量指示的順序
                  Control0..1
                  Typeinteger
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  如果多個劑量的序號是相同的,那麼就意味著這些指示將被視為同時進行。如果序號不同,那麼這些劑量將是依續使用。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  104. MedicationRequest.dosageInstruction.text
                  Definition

                  純文字表述的劑量指示,例如:SIG。

                  Short純文字表述的劑量指示,例如:SIG。
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示,純文字表述說明可能仍然存在,以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入,那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  106. MedicationRequest.dosageInstruction.additionalInstruction
                  Definition

                  向病人提供關於如何服藥的補充指示(例如 「隨餐服用」或「在進食前半小時服用」)或給病人的藥品警告(例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈(日曬用)下」)。

                  Short對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」
                  Comments

                  應在dosage.text中填入關於用藥或準備藥品的資訊(例如: 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」)。

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions
                  (extensible to http://hl7.org/fhir/ValueSet/additional-instruction-codes)

                  一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Requirements

                  附加指示是要編碼的,但在沒有編碼的情況下,此資料項目可以包括文字。例如,「用大量的水吞咽」,這可能編碼也可能不編碼。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  108. MedicationRequest.dosageInstruction.patientInstruction
                  Definition

                  用病人或消費者能理解的術語提供指示

                  Short以病人或消費者為導向的指示
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  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()))
                  110. MedicationRequest.dosageInstruction.timing
                  Definition

                  應該何時給藥

                  Short應該何時給藥;時間的寫法請參照Timimg datatype。
                  Comments

                  這個屬性可能並不總是被填入,而Dosage.text預計會被填入。如果兩者都被填入,那麼Dosage.text應反映Dosage.timing的內容。

                  Control0..1
                  TypeTiming
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  病人用藥的時間安排。這種data type允許許多不同的表達方式。例如:「每8小時一次」;「一天三次」;「從2011年12月23日開始的10天裡,早餐前半小時」;「2013年10月15日、2013年10月17日和2013年11月1日」。有時,當率值(rate)為總容量/期間,其「期間」意指(例如:500mL/2小時)之持續期間為2小時。但當率值非意指「持續期間」時(例如:250mL/小時),則需要timing.repeat.duration來表達輸液的時間區間。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  112. MedicationRequest.dosageInstruction.timing.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
                  114. MedicationRequest.dosageInstruction.timing.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())
                  SlicingThis element introduces a set of slices on MedicationRequest.dosageInstruction.timing.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 116. MedicationRequest.dosageInstruction.timing.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())
                    118. MedicationRequest.dosageInstruction.timing.event
                    Definition

                    指明事件發生的特定時間

                    Short事件發生的時間
                    Control0..*
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    例如:在一份用藥記錄中,你需要把一個一般的規範變成一個精確的規範。

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    120. MedicationRequest.dosageInstruction.timing.repeat
                    Definition

                    一組描述事件何時被安排的規則

                    Short事件定期重複發生的時間
                    Control0..1
                    TypeElement
                    Is Modifierfalse
                    Summarytrue
                    Requirements

                    定期重複的時間安排

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists())
                    tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists())
                    tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0)
                    tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0)
                    tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists())
                    tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists())
                    tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists())
                    tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())))
                    tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
                    122. MedicationRequest.dosageInstruction.timing.repeat.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
                    124. MedicationRequest.dosageInstruction.timing.repeat.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())
                    SlicingThis element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 126. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
                      Definition

                      時間長度或可能的時間長度範圍,或開始和/或結束時間。

                      Short時間或期間長度/長度範圍,或(開始和/或結束)限制
                      Control0..1
                      TypeChoice of: Duration, Range, Period
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      128. MedicationRequest.dosageInstruction.timing.repeat.count
                      Definition

                      在整個持續期間內,期望重複的總次數。如果countMax這個資料項目存在,此count資料項目表示允許次數範圍的下限。

                      Short重複的次數
                      Comments

                      如果你同時擁有bounds和count這兩個資料項目,那麼這應該被理解為在bounds期間,發生count的次數。

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

                      重複次數可透過設定結束時間或總發生次數作限制

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      130. MedicationRequest.dosageInstruction.timing.repeat.countMax
                      Definition

                      如果countMax存在,表示count是一個範圍,如此可在[count]和[countMax]之間的重複次數執行動作。

                      Short重複的最大次數
                      Control0..1
                      TypepositiveInt
                      Is Modifierfalse
                      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()))
                      132. MedicationRequest.dosageInstruction.timing.repeat.duration
                      Definition

                      這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在,則此duration資料項目表示持續時間的允許範圍之下限。

                      Short此事件持續多久時間
                      Comments

                      對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。

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

                      有些活動不是立即發生,需要維持一段時間。

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      134. MedicationRequest.dosageInstruction.timing.repeat.durationMax
                      Definition

                      如果durationMax這個資料項目存在,表示duration資料項目是一個範圍的下限 — 所以要在[duration]和[durationMax]之間執行此活動。

                      Short此事件持續多久時間 (最長時間/最大值)
                      Comments

                      對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。

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

                      有些活動不是立即發生,需要維持一段時間。

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      136. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
                      Definition

                      持續時間的單位,以UCUM為單位。

                      Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)
                      Control0..1
                      BindingThe codes SHALL be taken from UnitsOfTime
                      (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

                      時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼

                      Typecode
                      Is Modifierfalse
                      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()))
                      138. MedicationRequest.dosageInstruction.timing.repeat.frequency
                      Definition

                      在特定期間內重複動作的次數。如果frequencyMax存在,此frequency資料項目表示頻率的允許範圍的下限。

                      Short此事件於每一期間的發生頻率
                      Control0..1
                      TypepositiveInt
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      140. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
                      Definition

                      如果frequencyMax存在,frequency資料項目表示頻率範圍的下限 – 所以要在[frequency]和[frequencyMax]之間重複執行此活動。

                      Short此事件於每一期間的最大發生頻率
                      Control0..1
                      TypepositiveInt
                      Is Modifierfalse
                      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()))
                      142. MedicationRequest.dosageInstruction.timing.repeat.period
                      Definition

                      表示重複發生的時間區間;例如:為了表示「每天3次」,3次是頻率(frequency),1天是週期(period)。如果存在periodMax資料項目,此period資料項目表示時間區間長度的允許範圍的下限。

                      Short此事件於特定時間區間所發生的頻率
                      Control0..1
                      Typedecimal
                      Is Modifierfalse
                      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()))
                      144. MedicationRequest.dosageInstruction.timing.repeat.periodMax
                      Definition

                      如果periodMax存在,表示時間區間是一個從[period]到[periodMax]的範圍,允許表達像是「每3至5天一次」的概念。

                      Short時間區間的上限(3-4小時)
                      Control0..1
                      Typedecimal
                      Is Modifierfalse
                      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()))
                      146. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
                      Definition

                      持續時間的單位,以UCUM為單位。

                      Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)
                      Control0..1
                      BindingThe codes SHALL be taken from UnitsOfTime
                      (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)

                      時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼

                      Typecode
                      Is Modifierfalse
                      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()))
                      148. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
                      Definition

                      如果提供的資訊為一星期中的一天或多天,那麼此活動只發生在這特定的幾天。

                      Shortmon | tue | wed | thu | fri | sat | sun
                      Comments

                      如果沒有指定天數,則假定該活動每天都會發生,否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。

                      Control0..*
                      BindingThe codes SHALL be taken from DaysOfWeek
                      (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                      應填入DaysOfWeek值集中的其中一個代碼

                      Typecode
                      Is Modifierfalse
                      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()))
                      150. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
                      Definition

                      具體說明一天中活動進行的時間

                      Short一天中的活動時間
                      Comments

                      當指定了一天中的時間時,就會推斷出該活動每天都會在指定的時間發生(由dayofWeek篩選)。資料項目when、frequency和period不能和timeOfDay一起使用。

                      Control0..*
                      Typetime
                      Is Modifierfalse
                      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()))
                      152. MedicationRequest.dosageInstruction.timing.repeat.when
                      Definition

                      一天中的一個大致時段,可能與日常生活中的某一事件有關,表明該活動應在何時發生。

                      Short事件發生的時間區間之代碼
                      Comments

                      當一個以上的事件被列出,則此事件被綁定至合併的數個特定事件。

                      Control0..*
                      BindingThe codes SHALL be taken from EventTiming
                      (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)

                      與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      時間經常由特定事件的發生所決定,例如:起床、吃飯和睡覺。

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      154. MedicationRequest.dosageInstruction.timing.repeat.offset
                      Definition

                      距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後,則假定該offset是指特定事件發生後的分鐘數。

                      Short事件的分鐘數(之前或之後)
                      Control0..1
                      TypeunsignedInt
                      Is Modifierfalse
                      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()))
                      156. MedicationRequest.dosageInstruction.timing.code
                      Definition

                      活動發生時機之代碼(或只是code.text中的文字)。像是BID的一些代碼到處都有,但許多機構定義它們自己的額外代碼。如果提供了一個代碼,此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述,代碼或資料都可用於解釋時機(Timing),但.repeat.bounds適用於代碼(且不包含在代碼中)的例外。

                      ShortBID | TID | QID | AM | PM | QD | QOD | + 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

                      BID等被定義為「在機構特定的時間」。例如:一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的,就不應該使用代碼BID。反之,應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和/或使用一個結構化表示法(在這種情況下,具體說明兩個事件時間)。

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      BindingUnless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集
                      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw)

                      已知/確定的時間模式之代碼;鼓勵使用TimingAbbreviation值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                      TypeCodeableConcept(TW CodeableConcept)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      158. MedicationRequest.dosageInstruction.timing.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
                      160. MedicationRequest.dosageInstruction.timing.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 MedicationRequest.dosageInstruction.timing.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 162. MedicationRequest.dosageInstruction.timing.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
                        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()))
                        164. MedicationRequest.dosageInstruction.timing.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概念的文字標記法
                        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()))
                        166. MedicationRequest.dosageInstruction.asNeeded[x]
                        Definition

                        表明此藥品是否只在需要時在特定的用法(Boolean選項)服用,或者表明服用此藥品(CodeableConcept)的前提條件。

                        Short「根據(對x的)需要」服用 Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。
                        Comments

                        可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下,CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下,Boolean值被假定為True。如果您將Boolean值設置為「False」,那麼該劑量是根據時間表給予的,而不是 「prn」或 「根據需要」。

                        Control0..1
                        BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTMedicationAsNeededReasonCodes
                        (extensible to http://hl7.org/fhir/ValueSet/medication-as-needed-reason)

                        一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                        TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        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()))
                        168. MedicationRequest.dosageInstruction.site
                        Definition

                        用藥的身體部位

                        Short用藥之身體部位
                        Comments

                        如果使用案例需要BodySite resource的屬性(例如:分別識別和追蹤),那麼就使用標準extension bodySite。可以是一個摘要代碼,也可以是對一個非常精確的位置定義的參照,或者兩者都是。

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
                        (extensible to http://hl7.org/fhir/ValueSet/approach-site-codes)

                        一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                        TypeCodeableConcept(TW CodeableConcept)
                        Is Modifierfalse
                        Requirements

                        對藥品首次進入之人體解剖部位的編碼說明

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        170. MedicationRequest.dosageInstruction.route
                        Definition

                        藥品應如何進入體內

                        Short藥品應如何進入體內
                        Comments

                        Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

                        一個編碼概念,描述治療劑進入或在受試者體內的用藥途徑或生理途徑;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
                        Requirements

                        具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        172. MedicationRequest.dosageInstruction.route.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
                        174. MedicationRequest.dosageInstruction.route.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 MedicationRequest.dosageInstruction.route.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 176. MedicationRequest.dosageInstruction.route.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
                          BindingUnless not suitable, these codes SHALL be taken from SNOMED CT + 臺灣健保署給藥途徑值集
                          (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw)
                          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()))
                          178. MedicationRequest.dosageInstruction.route.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概念的文字標記法
                          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()))
                          180. MedicationRequest.dosageInstruction.method
                          Definition

                          用藥的技術

                          Short用藥的技術
                          Comments

                          使用的專門術語通常先組合配對(pre-coordinate)用藥途徑和/或劑型。

                          Control0..1
                          This element is affected by the following invariants: ele-1
                          BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTAdministrationMethodCodes
                          (extensible to http://hl7.org/fhir/ValueSet/administration-method-codes)

                          一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                          TypeCodeableConcept(TW CodeableConcept)
                          Is Modifierfalse
                          Requirements

                          表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如:慢推、深靜脈。

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          182. MedicationRequest.dosageInstruction.doseAndRate
                          Definition

                          用藥量

                          Short用藥量
                          Control0..*
                          TypeElement
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          184. MedicationRequest.dosageInstruction.doseAndRate.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
                          186. MedicationRequest.dosageInstruction.doseAndRate.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())
                          SlicingThis element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 188. MedicationRequest.dosageInstruction.doseAndRate.type
                            Definition

                            特定劑量或比率種類,例如:依處方或計算而來。

                            Short特定劑量或比率種類
                            Comments

                            Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

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

                            可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

                            TypeCodeableConcept(TW CodeableConcept)
                            Is Modifierfalse
                            Requirements

                            如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            190. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
                            Definition

                            每一劑量的藥量

                            Short每一劑量的藥量
                            Comments

                            請注意這是指特定藥品量,而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如:如果想表達一錠375毫克的藥錠,劑量是一錠,你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者,如果劑量是375毫克,那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射,例如:多巴胺,你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中,那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的(速率是存在的,或者時間是有期限的),這可具體說明以傳達在時間表所指示的時段之總用藥量,例如:500毫升的劑量應該在4小時內完成。

                            Control0..1
                            TypeChoice of: Range, Quantity(SimpleQuantity)
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            在一次用藥事件中給予的治療用或其他的物質量

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            192. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
                            Definition

                            每時間單位內的用藥量

                            Short每時間單位內的用藥量
                            Comments

                            可同時提供rate和doseQuantity,以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變,根據當地的規則/法規,每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉,或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率(例如:100毫升/小時)。rateQuantity的方式要求系統有能力解析包含毫升/小時的UCUM語法,而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值,使用rateRatio可能比使用rateQuantity指定250毫克/小時在語義上更正確。

                            Control0..1
                            TypeChoice of: Ratio, Range, Quantity(SimpleQuantity)
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            指明藥品引入病人體內的速度。通常是指輸液的速度,例如:每1小時100毫升或100毫升/小時。也可表示為每單位時間的速度,例如:每2小時500毫升,其他例子如200微克/分鐘或200微克/1分鐘;1升/8小時。有時,當表示為總容量/持續時間時,速率可以隱喻持續時間(例如:500毫升/2小時隱喻持續時間為2小時)。然而,當速率未隱喻持續時間時(例如:250毫升/小時),則需要timing.repeat.duration來表達輸液的時間區間。

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            194. MedicationRequest.dosageInstruction.maxDosePerPeriod
                            Definition

                            每時間單位內用藥的上限

                            Short每時間單位內用藥的上限
                            Comments

                            這是為了在有上限的情況下作為劑量的輔助說明。例如:「每4小時2錠,一天最多8錠」。

                            Control0..1
                            TypeRatio
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            在一段時間區間用於某一對象的治療用物質之最大總量。例如:24小時內1,000毫克。

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            196. MedicationRequest.dosageInstruction.maxDosePerAdministration
                            Definition

                            每次用藥的上限

                            Short每次用藥的上限
                            Comments

                            這是為了在有上限的情況下作為劑量的輔助說明。例如:與體表面積有關的劑量有一個上限,如在5至10分鐘內靜脈注射1.5毫克/平方米(最多2毫克),其doseQuantity為1.5毫克/平方米,maxDosePerAdministration為2毫克。

                            Control0..1
                            TypeQuantity(SimpleQuantity)
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            每次用於某一對象治療用物質的最大總量

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            198. MedicationRequest.dosageInstruction.maxDosePerLifetime
                            Definition

                            病人一生中用藥的上限

                            Short病人一生中用藥的上限
                            Control0..1
                            TypeQuantity(SimpleQuantity)
                            Is Modifierfalse
                            Summarytrue
                            Requirements

                            用於某一對象的治療用物質於其一生的最大總數量

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            200. MedicationRequest.dispenseRequest
                            Definition

                            這表示在藥品請求(亦稱作藥品處方或藥品醫令)中,關於調劑或提供藥品部分的特定詳情。注意:這些資訊不總是與醫令一同發送的。在某些機構(如醫院),可能會有機構或系統上的支援,允許藥局完成調劑的詳細資訊。

                            Short藥品供應授權
                            Control0..1
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            202. MedicationRequest.dispenseRequest.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
                            204. MedicationRequest.dispenseRequest.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())
                            206. MedicationRequest.dispenseRequest.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())
                            208. MedicationRequest.dispenseRequest.initialFill
                            Definition

                            表明第一次配藥的數量或時間

                            Short首次依照處方配藥的細節
                            Comments

                            如果填入此資料項目,必須包括數量或期間。

                            Control0..1
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            210. MedicationRequest.dispenseRequest.initialFill.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
                            212. MedicationRequest.dispenseRequest.initialFill.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())
                            214. MedicationRequest.dispenseRequest.initialFill.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())
                            216. MedicationRequest.dispenseRequest.initialFill.quantity
                            Definition

                            首次配藥量

                            Short首次配藥的數量
                            Control0..1
                            TypeQuantity(SimpleQuantity)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            218. MedicationRequest.dispenseRequest.initialFill.duration
                            Definition

                            預計首次配藥的時間持續長度

                            Short首次配藥的持續時間
                            Control0..1
                            TypeDuration
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            220. MedicationRequest.dispenseRequest.dispenseInterval
                            Definition

                            前後兩次配藥必須間隔的最短時間

                            Short前後兩次配藥的最短時間間隔
                            Control0..1
                            TypeDuration
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            222. MedicationRequest.dispenseRequest.validityPeriod
                            Definition

                            表明處方的有效期(處方的過期日期)

                            Short處方可用以配藥的有效期限
                            Comments

                            它反映了處方開立者對處方的有效性的看法。在此期限之外,不得根據處方進行配藥。配藥視窗的下限標誌處方可以首次配藥的開始日期。如果沒有指定上限,那麼處方是無期限的,或者將默認為基於法規的過期日期。

                            Control0..1
                            TypePeriod
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Requirements

                            表明處方何時有效,何時處方無法再被拿來配藥。

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            224. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
                            Definition

                            一個整數,表示除了最初的配藥外,病人可以取得處方藥的次數【又稱連續處方/補藥(refills)或重複】。使用注意事項:這個整數不包括原始醫令的配藥,意即如果一個醫令顯示配藥30錠加上「3次重複」,那麼此醫令總共可以配藥4次,病人總共可以得到120片。開立處方者可明確說,在初次配藥後允許零次補藥。

                            Short可重複領藥的次數
                            Comments

                            如果顯示的是「授權的開藥次數」,則在這個數字上加1。

                            Control0..1
                            TypeunsignedInt
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            226. MedicationRequest.dispenseRequest.quantity
                            Definition

                            一次裝藥所需的(數)量

                            Short每次配藥的藥品(數)量
                            Control0..1
                            TypeQuantity(SimpleQuantity)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            228. MedicationRequest.dispenseRequest.expectedSupplyDuration
                            Definition

                            指明預期使用供應產品的時間區間,或預期配藥可持續的時間長度。

                            Short每次配藥可持續的天數
                            Comments

                            在某些情況下,這個屬性可以用來代替數量,透過預期持續的時間長度來確定供應的數量,而不是發放的實際數量,例如:90天的用藥供應(基於一個醫令的劑量)。在可能的情況下,指定數量總是更好的,因為這往往是更精確的。預期供應時間長度將總是一個估計值,可能受到外部因素的影響。

                            Control0..1
                            TypeDuration
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            230. MedicationRequest.dispenseRequest.performer
                            Definition

                            表明開立處方者指定的預定配藥機構(Organization)。

                            Short預定的配藥人員
                            Control0..1
                            TypeReference(TW Core Organization)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            232. MedicationRequest.substitution
                            Definition

                            表示替代藥品是否可以或應該成為配藥的一部分。在某些情況下,替代藥品必須發生,在其他情況下,替代藥品必須不發生。此區塊解釋開立處方者的意圖。如果沒有指定,可以進行替換。

                            Short對替代藥品的任何限制
                            Control0..1
                            TypeBackboneElement
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            234. MedicationRequest.substitution.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
                            236. MedicationRequest.substitution.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())
                            238. MedicationRequest.substitution.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())
                            240. MedicationRequest.substitution.allowed[x]
                            Definition

                            如果處方開立者允許與處方不同的藥物配藥,則為真。

                            Short是否允許替換
                            Comments

                            這個資料項目被標記為修飾用,因為無論是否允許替換,它都不能被忽略。

                            Control1..1
                            BindingFor example codes, see ActSubstanceAdminSubstitutionCode
                            (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode)

                            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。

                            TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            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()))
                            242. MedicationRequest.substitution.reason
                            Definition

                            表示替換的原因,或為什麼必須或不必須進行替換。

                            Short為什麼要(不)進行替換
                            Comments

                            Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                            Control0..1
                            This element is affected by the following invariants: ele-1
                            BindingFor example codes, see SubstanceAdminSubstitutionReason
                            (example to http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason)

                            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。

                            TypeCodeableConcept(TW CodeableConcept)
                            Is Modifierfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            244. MedicationRequest.priorPrescription
                            Definition

                            連結至與代表早期醫令相關的醫令或處方的resource

                            Short正被替換的醫令/處方
                            Control0..1
                            TypeReference(TW Core MedicationRequest)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            246. MedicationRequest.detectedIssue
                            Definition

                            表明一個或多個針對病人的較積極的或提議的臨床活動之間的實際或潛在的臨床問題;例如:藥物交互作用、重複治療、劑量警訊等。

                            Short活動的臨床問題
                            Comments

                            此資料項目可包括由決策支援系統或臨床醫生發現的問題,及可能包括解決問題所採取步驟的資訊。

                            Control0..*
                            TypeReference(DetectedIssue)
                            Is Modifierfalse
                            Summaryfalse
                            Alternate NamesContraindication, Drug Utilization Review (DUR), Alert
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            248. MedicationRequest.eventHistory
                            Definition

                            連結至Provenance resource的過去版本,或履行請求或事件resource的Provenance紀錄,其指明可能與查看當前版本resource的使用者相關的關鍵狀態之轉換或更新。

                            Short生命週期中感興趣的事件清單
                            Comments

                            這可能不包括請求的所有版本的出處–只包括那些被認為「相關」或重要的版本。這 必須沒有(SHALL NOT) 包括與此resource的當前版本相關的出處。(如果此出處被認為是一個「相關」的變化,它將需要作為後續更新的一部分。在此之前,可使用_revinclude直接查詢指向此版本的出處。 所有出處(Provenances)都應有這個藥品請求請求的一些歷史版本作為對象。)

                            Control0..*
                            TypeReference(Provenance)
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))