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
Official URL: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore | Version: 0.3.1 | |||
Active as of 2024-10-22 | Computable Name: TWCoreMedicationRequest |
此臺灣核心-藥品請求(TW Core MedicationRequest) Profile說明本IG如何進一步定義FHIR的MedicationRequest Resource以呈現藥品請求的詳細資料。
一份包含藥品供應和給病人使用藥品指示的醫令或請求稱為「藥品請求 (MedicationRequest)」。之所以選用「藥品請求」而不是「藥品處方 (MedicationPrescription)」或「藥品醫令 (MedicationOrder)」作為名稱,是為了讓這個resource能夠適用於更廣泛的場景,包括住院和門診環境、護理計畫等,同時也為了與現有的工作流程模式相協調。
這個resource是用來記錄針對病人的各種藥品醫令,包括住院和社區中的藥品醫令(不論是由開立處方醫生還是由藥局給藥),它不僅適用於處方藥,還包括非處方藥物如阿司匹林、全腸外營養和飲食/維他命補充品的醫令。此外,這個resource還可以用於藥品相關裝置的醫令,但是,它不用於開立特定飲食的醫令,或是非藥品相關項目(如眼鏡、耗材等)醫令。MedicationRequest還可以用來匯報來自外部系統的醫令/請求,這些只是作為資訊分享,並非正式執行的醫令(例如:不預期進行配藥或給藥)。
從FHIR工作流程的角度看,MedicationRequest是一個用於「請求」的resource,旨在協助處理藥品相關的工作流程需求——詳見工作流程請求。
如果需要一次開立多種藥品,則需使用MedicationRequest的多個實例來完成,並根據實際工作流程的需求將這些實例相互關聯。如需了解如何組織多個醫令,可以參考請求模式的指導。
MedicationRequest resource是用來為病人請求或開立藥品醫令的。此外,當需要在不同機構或來源之間交流有關藥品請求或醫令的資訊時,也可以使用此resource。如果要請求耗材或醫療裝置,且這些請求涉及到病人使用指示時,則應該選擇使用SupplyRequest或DeviceRequest。而當需要記錄和報告病人對藥品的使用情況時,則應該使用MedicationStatementt。這樣的安排確保了每種醫療需求都能通過最合適的resource來處理,從而提高了資訊交流的效率和準確性。
藥品領域包括多個相關resources
Resource | 說明 |
---|---|
MedicationRequest(藥品請求) | 一個關於供應藥品及病人服藥或用藥指示的醫令。 |
MedicationDispense(配藥或調劑藥品) | 提供一批藥品,旨在隨後由病人使用或服用(通常是回應處方)。 |
MedicationAdministration(給藥) | 當病人實際使用藥品或者以其他方式給予病人藥品時。 |
MedicationStatement (用藥聲明) | 這是一項紀錄,記錄了病人服用藥品或藥品已經給予病人,其中紀錄是基於病人或另一位臨床醫生的報告。藥品聲明不是「處方開立->配藥->給藥」過程中的一部分,而是一個報告,表明這樣的過程(或至少其一部分)確實發生了,從而認為病人已經接受了特定的藥品。 |
這個resource被多個其他resources參照,包括照護計畫(CarePlan)、理賠申請(Claim)、診斷報告(DiagnosticReport)、利益說明(ExplanationOfBenefit)、給藥(MedicationAdministration)、配藥或調劑藥品(MedicationDispense)、藥品請求(MedicationRequest)、用藥聲明(MedicationStatement)、檢驗檢查(Observation) 和服務請求(ServiceRequest)。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | 為病人或實體集合(例如:特定的一群人)開立的藥品請求 | |||||
id | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄,通常又稱為邏輯性ID。 | |||||
meta | 0..1 | Meta | 此MedicationRequest Resource的metadata | |||||
implicitRules | 0..1 | uri | 創建此內容所依據的一組規則 | |||||
language | 0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 | |||||
identifier | S | 0..* | Identifier | 此藥品請求的外部識別碼 | ||||
status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 | ||||
statusReason | 0..1 | CodeableConceptTW | 當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | ||||
category | S | 0..* | CodeableConceptTW | 用藥型別 Binding: medicationRequest Category Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
priority | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | |||||
doNotPerform | 0..1 | boolean | 如果藥品請求是禁止活動,則為真。 | |||||
reported[x] | 0..1 | 被報告的而不是主要的紀錄 | ||||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
Slices for medication[x] | S | 1..1 | 服用的藥品。 Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | |||||
medicationCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
medicationReference | Reference(TW Core Medication) | |||||||
medication[x]:medicationReference | 0..1 | Reference(TW Core Medication) | Medication to be taken | |||||
medication[x]:medicationCodeableConcept | 0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
Slices for coding | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
coding:fda-medication-tw | S | 0..1 | CodingTW | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣食藥署藥品及醫療器材代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-ch-herb-tw | 0..1 | CodingTW | 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。 Binding: 臺灣健保署中藥用藥品項值集 (required): 應填入所綁定值集中的其中一個代碼。 | |||||
coding:rxnorm-medication-us-core | S | 0..1 | CodingTW | RxNorm為美國Unified Medical Language System®中的藥品代碼,取得UMLS®授權即可免費使用,可依情境選用此代碼。 Binding: RxNorm藥品代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:atc-medication-code | S | 0..1 | CodingTW | ATC代碼的版權為世界衛生組織(WHO)Collaborating Centre for Drug Statistics Methodology,可免費使用,可依情境選用此代碼。 Binding: 臺灣食藥署藥品藥理治療分類ATC碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:snomedct-medication-codes | S | 0..1 | CodingTW | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMEDCTMedicationCodes (required): 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。 | ||||
subject | S | 1..1 | Reference(TW Core Patient | Group) | 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 | ||||
encounter | S | 0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | ||||
supportingInformation | 0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
authoredOn | S | 0..1 | dateTime | 藥品請求請求最初何時被撰寫? | ||||
requester | S | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰/什麼提出藥品請求請求? | ||||
performer | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
performerType | 0..1 | CodeableConceptTW | 所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
recorder | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
reasonCode | 0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
reasonReference | S | 0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation) | ||||
instantiatesCanonical | 0..* | canonical() | 實例化FHIR計畫書(protocol)或定義 | |||||
instantiatesUri | 0..* | uri | 實例化外部計畫書(protocol)或定義 | |||||
basedOn | 0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行? | |||||
groupIdentifier | 0..1 | Identifier | 此為綜合請求的一部分 | |||||
courseOfTherapyType | 0..1 | CodeableConceptTW | 給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | 相關的保險承保範圍 | |||||
note | S | 0..* | Annotation | 關於處方的資訊 | ||||
dosageInstruction | S | 0..* | Dosage | 應該如何用藥 | ||||
sequence | 0..1 | integer | 劑量指示的順序 | |||||
text | S | 0..1 | string | 純文字表述的劑量指示,例如:SIG。 | ||||
additionalInstruction | 0..* | CodeableConceptTW | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
patientInstruction | 0..1 | string | 以病人或消費者為導向的指示 | |||||
timing | S | 0..1 | Timing | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
event | 0..* | dateTime | 事件發生的時間 | |||||
repeat | 0..1 | Element | 事件定期重複發生的時間 | |||||
bounds[x] | 0..1 | Duration, Range, Period | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | |||||
count | 0..1 | positiveInt | 重複的次數 | |||||
countMax | 0..1 | positiveInt | 重複的最大次數 | |||||
duration | 0..1 | decimal | 此事件持續多久時間 | |||||
durationMax | 0..1 | decimal | 此事件持續多久時間 (最長時間/最大值) | |||||
durationUnit | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | |||||
frequency | 0..1 | positiveInt | 此事件於每一期間的發生頻率 | |||||
frequencyMax | 0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | |||||
period | 0..1 | decimal | 此事件於特定時間區間所發生的頻率 | |||||
periodMax | 0..1 | decimal | 時間區間的上限(3-4小時) | |||||
periodUnit | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | |||||
dayOfWeek | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | |||||
timeOfDay | 0..* | time | 一天中的活動時間 | |||||
when | 0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | |||||
offset | 0..1 | unsignedInt | 事件的分鐘數(之前或之後) | |||||
code | S | 0..1 | CodeableConceptTW | BID | 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible): 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。 | ||||
coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
text | S | 0..1 | string | 概念的文字標記法 | ||||
asNeeded[x] | 0..1 | 「根據(對x的)需要」服用
Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
site | 0..1 | CodeableConceptTW | 用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
route | S | 0..1 | CodeableConceptTW | 藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 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。 | ||||
coding | 0..* | CodingTW | 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。 Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |||||
text | S | 0..1 | string | 概念的文字標記法 | ||||
method | 0..1 | CodeableConceptTW | 用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
doseAndRate | 0..* | Element | 用藥量 | |||||
type | 0..1 | CodeableConceptTW | 特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
dose[x] | 0..1 | Range, SimpleQuantity | 每一劑量的藥量 | |||||
rate[x] | 0..1 | Ratio, Range, SimpleQuantity | 每時間單位內的用藥量 | |||||
maxDosePerPeriod | 0..1 | Ratio | 每時間單位內用藥的上限 | |||||
maxDosePerAdministration | 0..1 | SimpleQuantity | 每次用藥的上限 | |||||
maxDosePerLifetime | 0..1 | SimpleQuantity | 病人一生中用藥的上限 | |||||
dispenseRequest | S | 0..1 | BackboneElement | 藥品供應授權 | ||||
initialFill | 0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
quantity | 0..1 | SimpleQuantity | 首次配藥的數量 | |||||
duration | 0..1 | Duration | 首次配藥的持續時間 | |||||
dispenseInterval | 0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
validityPeriod | S | 0..1 | Period | 處方可用以配藥的有效期限 | ||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | 可重複領藥的次數 | ||||
quantity | 0..1 | SimpleQuantity | 每次配藥的藥品(數)量 | |||||
expectedSupplyDuration | S | 0..1 | Duration | 每次配藥可持續的天數 | ||||
performer | 0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
substitution | 0..1 | BackboneElement | 對替代藥品的任何限制 | |||||
allowed[x] | 1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
reason | 0..1 | CodeableConceptTW | 為什麼要(不)進行替換 Binding: SubstanceAdminSubstitutionReason (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
priorPrescription | 0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令/處方 | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
eventHistory | 0..* | Reference(Provenance) | 生命週期中感興趣的事件清單 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | required | TWMedicationFDAhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | required | TWMedicationNHI (a valid code from 臺灣健保署健保用藥品項代碼)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | required | TWCHHerbMedicationNHI (a valid code from 臺灣健保署中藥用藥品項)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | required | TWMedicationRXNORMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code | required | TWMedcationATChttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | required | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.performerType | extensible | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | extensible | TWMedicationFrequencyHL7https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw from this IG | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route.coding | extensible | TWMedicationPathSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw from this IG | ||||
MedicationRequest.dosageInstruction.method | extensible | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | 為病人或實體集合(例如:特定的一群人)開立的藥品請求 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此MedicationRequest Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | 此藥品請求的外部識別碼 | ||||
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 | ||||
statusReason | 0..1 | CodeableConceptTW | 當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | ||||
category | S | 0..* | CodeableConceptTW | 用藥型別 Binding: medicationRequest Category Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | ||||
doNotPerform | ?!Σ | 0..1 | boolean | 如果藥品請求是禁止活動,則為真。 | ||||
reported[x] | Σ | 0..1 | 被報告的而不是主要的紀錄 | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
Slices for medication[x] | SΣ | 1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | |||||
medicationCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
medicationReference | Reference(TW Core Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(TW Core Medication) | Medication to be taken | ||||
medication[x]:medicationCodeableConcept | 0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | ||||
coding:fda-medication-tw | S | 0..1 | CodingTW | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣食藥署藥品及醫療器材代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-ch-herb-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署中藥用藥品項值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:rxnorm-medication-us-core | S | 0..1 | CodingTW | RxNorm為美國Unified Medical Language System®中的藥品代碼,取得UMLS®授權即可免費使用,可依情境選用此代碼。 Binding: RxNorm藥品代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:atc-medication-code | S | 0..1 | CodingTW | ATC代碼的版權為世界衛生組織(WHO)Collaborating Centre for Drug Statistics Methodology,可免費使用,可依情境選用此代碼。 Binding: 臺灣食藥署藥品藥理治療分類ATC碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:snomedct-medication-codes | S | 0..1 | CodingTW | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMEDCTMedicationCodes (required): 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。 | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
subject | SΣ | 1..1 | Reference(TW Core Patient | Group) | 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 | ||||
encounter | S | 0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | ||||
supportingInformation | 0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
authoredOn | SΣ | 0..1 | dateTime | 藥品請求請求最初何時被撰寫? | ||||
requester | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰/什麼提出藥品請求請求? | ||||
performer | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
performerType | 0..1 | CodeableConceptTW | 所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
recorder | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
reasonCode | 0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
reasonReference | S | 0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation) | ||||
instantiatesCanonical | Σ | 0..* | canonical() | 實例化FHIR計畫書(protocol)或定義 | ||||
instantiatesUri | Σ | 0..* | uri | 實例化外部計畫書(protocol)或定義 | ||||
basedOn | Σ | 0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行? | ||||
groupIdentifier | Σ | 0..1 | Identifier | 此為綜合請求的一部分 | ||||
courseOfTherapyType | 0..1 | CodeableConceptTW | 給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | 相關的保險承保範圍 | |||||
note | S | 0..* | Annotation | 關於處方的資訊 | ||||
dosageInstruction | S | 0..* | Dosage | 應該如何用藥 | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | 劑量指示的順序 | ||||
text | SΣ | 0..1 | string | 純文字表述的劑量指示,例如:SIG。 | ||||
additionalInstruction | 0..* | CodeableConceptTW | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
patientInstruction | Σ | 0..1 | string | 以病人或消費者為導向的指示 | ||||
timing | SΣ | 0..1 | Timing | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | 事件發生的時間 | ||||
repeat | ΣC | 0..1 | Element | 事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
bounds[x] | Σ | 0..1 | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | 重複的次數 | ||||
countMax | Σ | 0..1 | positiveInt | 重複的最大次數 | ||||
duration | Σ | 0..1 | decimal | 此事件持續多久時間 | ||||
durationMax | Σ | 0..1 | decimal | 此事件持續多久時間 (最長時間/最大值) | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
frequency | Σ | 0..1 | positiveInt | 此事件於每一期間的發生頻率 | ||||
frequencyMax | Σ | 0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | ||||
period | Σ | 0..1 | decimal | 此事件於特定時間區間所發生的頻率 | ||||
periodMax | Σ | 0..1 | decimal | 時間區間的上限(3-4小時) | ||||
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | ||||
timeOfDay | Σ | 0..* | time | 一天中的活動時間 | ||||
when | Σ | 0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | ||||
offset | Σ | 0..1 | unsignedInt | 事件的分鐘數(之前或之後) | ||||
code | S | 0..1 | CodeableConceptTW | BID | 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible): 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。 | ||||
coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
asNeeded[x] | Σ | 0..1 | 「根據(對x的)需要」服用
Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
site | 0..1 | CodeableConceptTW | 用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
route | S | 0..1 | CodeableConceptTW | 藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 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。 | ||||
coding | S | 0..* | CodingTW | 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。 Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
method | 0..1 | CodeableConceptTW | 用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
doseAndRate | Σ | 0..* | Element | 用藥量 | ||||
type | 0..1 | CodeableConceptTW | 特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
dose[x] | Σ | 0..1 | 每一劑量的藥量 | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | 每時間單位內的用藥量 | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | 每時間單位內用藥的上限 | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | 每次用藥的上限 | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | 病人一生中用藥的上限 | ||||
dispenseRequest | S | 0..1 | BackboneElement | 藥品供應授權 | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
initialFill | 0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
quantity | 0..1 | SimpleQuantity | 首次配藥的數量 | |||||
duration | 0..1 | Duration | 首次配藥的持續時間 | |||||
dispenseInterval | 0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
validityPeriod | S | 0..1 | Period | 處方可用以配藥的有效期限 | ||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | 可重複領藥的次數 | ||||
quantity | 0..1 | SimpleQuantity | 每次配藥的藥品(數)量 | |||||
expectedSupplyDuration | S | 0..1 | Duration | 每次配藥可持續的天數 | ||||
performer | 0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
substitution | 0..1 | BackboneElement | 對替代藥品的任何限制 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
reason | 0..1 | CodeableConceptTW | 為什麼要(不)進行替換 Binding: SubstanceAdminSubstitutionReason (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
priorPrescription | 0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令/處方 | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
eventHistory | 0..* | Reference(Provenance) | 生命週期中感興趣的事件清單 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | required | TWMedicationFDAhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | required | TWMedicationNHI (a valid code from 臺灣健保署健保用藥品項代碼)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | required | TWCHHerbMedicationNHI (a valid code from 臺灣健保署中藥用藥品項)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | required | TWMedicationRXNORMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code | required | TWMedcationATChttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | required | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.performerType | extensible | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | extensible | TWMedicationFrequencyHL7https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw from this IG | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route.coding | extensible | TWMedicationPathSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw from this IG | ||||
MedicationRequest.dosageInstruction.method | extensible | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | 為病人或實體集合(例如:特定的一群人)開立的藥品請求 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此MedicationRequest Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | 此藥品請求的外部識別碼 | ||||
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 | ||||
statusReason | 0..1 | CodeableConceptTW | 當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | ||||
category | S | 0..* | CodeableConceptTW | 用藥型別 Binding: medicationRequest Category Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | ||||
doNotPerform | ?!Σ | 0..1 | boolean | 如果藥品請求是禁止活動,則為真。 | ||||
reported[x] | Σ | 0..1 | 被報告的而不是主要的紀錄 | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
Slices for medication[x] | SΣ | 1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | |||||
medicationCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
medicationReference | Reference(TW Core Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(TW Core Medication) | Medication to be taken | ||||
medication[x]:medicationCodeableConcept | 0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | ||||
coding:fda-medication-tw | S | 0..1 | CodingTW | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣食藥署藥品及醫療器材代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-ch-herb-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署中藥用藥品項值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:rxnorm-medication-us-core | S | 0..1 | CodingTW | RxNorm為美國Unified Medical Language System®中的藥品代碼,取得UMLS®授權即可免費使用,可依情境選用此代碼。 Binding: RxNorm藥品代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:atc-medication-code | S | 0..1 | CodingTW | ATC代碼的版權為世界衛生組織(WHO)Collaborating Centre for Drug Statistics Methodology,可免費使用,可依情境選用此代碼。 Binding: 臺灣食藥署藥品藥理治療分類ATC碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:snomedct-medication-codes | S | 0..1 | CodingTW | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMEDCTMedicationCodes (required): 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。 | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
subject | SΣ | 1..1 | Reference(TW Core Patient | Group) | 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 | ||||
encounter | S | 0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | ||||
supportingInformation | 0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
authoredOn | SΣ | 0..1 | dateTime | 藥品請求請求最初何時被撰寫? | ||||
requester | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰/什麼提出藥品請求請求? | ||||
performer | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
performerType | 0..1 | CodeableConceptTW | 所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
recorder | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
reasonCode | 0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
reasonReference | S | 0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation) | ||||
instantiatesCanonical | Σ | 0..* | canonical() | 實例化FHIR計畫書(protocol)或定義 | ||||
instantiatesUri | Σ | 0..* | uri | 實例化外部計畫書(protocol)或定義 | ||||
basedOn | Σ | 0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行? | ||||
groupIdentifier | Σ | 0..1 | Identifier | 此為綜合請求的一部分 | ||||
courseOfTherapyType | 0..1 | CodeableConceptTW | 給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | 相關的保險承保範圍 | |||||
note | S | 0..* | Annotation | 關於處方的資訊 | ||||
dosageInstruction | S | 0..* | Dosage | 應該如何用藥 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | 劑量指示的順序 | ||||
text | SΣ | 0..1 | string | 純文字表述的劑量指示,例如:SIG。 | ||||
additionalInstruction | 0..* | CodeableConceptTW | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
patientInstruction | Σ | 0..1 | string | 以病人或消費者為導向的指示 | ||||
timing | SΣ | 0..1 | Timing | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | 事件發生的時間 | ||||
repeat | ΣC | 0..1 | Element | 事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
bounds[x] | Σ | 0..1 | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | 重複的次數 | ||||
countMax | Σ | 0..1 | positiveInt | 重複的最大次數 | ||||
duration | Σ | 0..1 | decimal | 此事件持續多久時間 | ||||
durationMax | Σ | 0..1 | decimal | 此事件持續多久時間 (最長時間/最大值) | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
frequency | Σ | 0..1 | positiveInt | 此事件於每一期間的發生頻率 | ||||
frequencyMax | Σ | 0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | ||||
period | Σ | 0..1 | decimal | 此事件於特定時間區間所發生的頻率 | ||||
periodMax | Σ | 0..1 | decimal | 時間區間的上限(3-4小時) | ||||
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | ||||
timeOfDay | Σ | 0..* | time | 一天中的活動時間 | ||||
when | Σ | 0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | ||||
offset | Σ | 0..1 | unsignedInt | 事件的分鐘數(之前或之後) | ||||
code | S | 0..1 | CodeableConceptTW | BID | 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
asNeeded[x] | Σ | 0..1 | 「根據(對x的)需要」服用
Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
site | 0..1 | CodeableConceptTW | 用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
route | S | 0..1 | CodeableConceptTW | 藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 0..* | CodingTW | 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。 Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
method | 0..1 | CodeableConceptTW | 用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
doseAndRate | Σ | 0..* | Element | 用藥量 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | 0..1 | CodeableConceptTW | 特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
dose[x] | Σ | 0..1 | 每一劑量的藥量 | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | 每時間單位內的用藥量 | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | 每時間單位內用藥的上限 | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | 每次用藥的上限 | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | 病人一生中用藥的上限 | ||||
dispenseRequest | S | 0..1 | BackboneElement | 藥品供應授權 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
initialFill | 0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
quantity | 0..1 | SimpleQuantity | 首次配藥的數量 | |||||
duration | 0..1 | Duration | 首次配藥的持續時間 | |||||
dispenseInterval | 0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
validityPeriod | S | 0..1 | Period | 處方可用以配藥的有效期限 | ||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | 可重複領藥的次數 | ||||
quantity | 0..1 | SimpleQuantity | 每次配藥的藥品(數)量 | |||||
expectedSupplyDuration | S | 0..1 | Duration | 每次配藥可持續的天數 | ||||
performer | 0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
substitution | 0..1 | BackboneElement | 對替代藥品的任何限制 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
reason | 0..1 | CodeableConceptTW | 為什麼要(不)進行替換 Binding: SubstanceAdminSubstitutionReason (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
priorPrescription | 0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令/處方 | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
eventHistory | 0..* | Reference(Provenance) | 生命週期中感興趣的事件清單 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | required | TWMedicationFDAhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | required | TWMedicationNHI (a valid code from 臺灣健保署健保用藥品項代碼)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | required | TWCHHerbMedicationNHI (a valid code from 臺灣健保署中藥用藥品項)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | required | TWMedicationRXNORMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code | required | TWMedcationATChttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | required | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.performerType | extensible | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | extensible | TWMedicationFrequencyHL7https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw from this IG | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route.coding | extensible | TWMedicationPathSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw from this IG | ||||
MedicationRequest.dosageInstruction.method | extensible | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationRequest
Summary
Must-Support: 28 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | 為病人或實體集合(例如:特定的一群人)開立的藥品請求 | |||||
id | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄,通常又稱為邏輯性ID。 | |||||
meta | 0..1 | Meta | 此MedicationRequest Resource的metadata | |||||
implicitRules | 0..1 | uri | 創建此內容所依據的一組規則 | |||||
language | 0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 | |||||
identifier | S | 0..* | Identifier | 此藥品請求的外部識別碼 | ||||
status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 | ||||
statusReason | 0..1 | CodeableConceptTW | 當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | ||||
category | S | 0..* | CodeableConceptTW | 用藥型別 Binding: medicationRequest Category Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
priority | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | |||||
doNotPerform | 0..1 | boolean | 如果藥品請求是禁止活動,則為真。 | |||||
reported[x] | 0..1 | 被報告的而不是主要的紀錄 | ||||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
Slices for medication[x] | S | 1..1 | 服用的藥品。 Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | |||||
medicationCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
medicationReference | Reference(TW Core Medication) | |||||||
medication[x]:medicationReference | 0..1 | Reference(TW Core Medication) | Medication to be taken | |||||
medication[x]:medicationCodeableConcept | 0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
Slices for coding | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
coding:fda-medication-tw | S | 0..1 | CodingTW | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣食藥署藥品及醫療器材代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-ch-herb-tw | 0..1 | CodingTW | 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。 Binding: 臺灣健保署中藥用藥品項值集 (required): 應填入所綁定值集中的其中一個代碼。 | |||||
coding:rxnorm-medication-us-core | S | 0..1 | CodingTW | RxNorm為美國Unified Medical Language System®中的藥品代碼,取得UMLS®授權即可免費使用,可依情境選用此代碼。 Binding: RxNorm藥品代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:atc-medication-code | S | 0..1 | CodingTW | ATC代碼的版權為世界衛生組織(WHO)Collaborating Centre for Drug Statistics Methodology,可免費使用,可依情境選用此代碼。 Binding: 臺灣食藥署藥品藥理治療分類ATC碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:snomedct-medication-codes | S | 0..1 | CodingTW | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMEDCTMedicationCodes (required): 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。 | ||||
subject | S | 1..1 | Reference(TW Core Patient | Group) | 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 | ||||
encounter | S | 0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | ||||
supportingInformation | 0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
authoredOn | S | 0..1 | dateTime | 藥品請求請求最初何時被撰寫? | ||||
requester | S | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰/什麼提出藥品請求請求? | ||||
performer | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
performerType | 0..1 | CodeableConceptTW | 所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
recorder | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
reasonCode | 0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
reasonReference | S | 0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation) | ||||
instantiatesCanonical | 0..* | canonical() | 實例化FHIR計畫書(protocol)或定義 | |||||
instantiatesUri | 0..* | uri | 實例化外部計畫書(protocol)或定義 | |||||
basedOn | 0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行? | |||||
groupIdentifier | 0..1 | Identifier | 此為綜合請求的一部分 | |||||
courseOfTherapyType | 0..1 | CodeableConceptTW | 給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | 相關的保險承保範圍 | |||||
note | S | 0..* | Annotation | 關於處方的資訊 | ||||
dosageInstruction | S | 0..* | Dosage | 應該如何用藥 | ||||
sequence | 0..1 | integer | 劑量指示的順序 | |||||
text | S | 0..1 | string | 純文字表述的劑量指示,例如:SIG。 | ||||
additionalInstruction | 0..* | CodeableConceptTW | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
patientInstruction | 0..1 | string | 以病人或消費者為導向的指示 | |||||
timing | S | 0..1 | Timing | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
event | 0..* | dateTime | 事件發生的時間 | |||||
repeat | 0..1 | Element | 事件定期重複發生的時間 | |||||
bounds[x] | 0..1 | Duration, Range, Period | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | |||||
count | 0..1 | positiveInt | 重複的次數 | |||||
countMax | 0..1 | positiveInt | 重複的最大次數 | |||||
duration | 0..1 | decimal | 此事件持續多久時間 | |||||
durationMax | 0..1 | decimal | 此事件持續多久時間 (最長時間/最大值) | |||||
durationUnit | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | |||||
frequency | 0..1 | positiveInt | 此事件於每一期間的發生頻率 | |||||
frequencyMax | 0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | |||||
period | 0..1 | decimal | 此事件於特定時間區間所發生的頻率 | |||||
periodMax | 0..1 | decimal | 時間區間的上限(3-4小時) | |||||
periodUnit | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | |||||
dayOfWeek | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | |||||
timeOfDay | 0..* | time | 一天中的活動時間 | |||||
when | 0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | |||||
offset | 0..1 | unsignedInt | 事件的分鐘數(之前或之後) | |||||
code | S | 0..1 | CodeableConceptTW | BID | 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible): 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。 | ||||
coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
text | S | 0..1 | string | 概念的文字標記法 | ||||
asNeeded[x] | 0..1 | 「根據(對x的)需要」服用
Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
site | 0..1 | CodeableConceptTW | 用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
route | S | 0..1 | CodeableConceptTW | 藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 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。 | ||||
coding | 0..* | CodingTW | 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。 Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | |||||
text | S | 0..1 | string | 概念的文字標記法 | ||||
method | 0..1 | CodeableConceptTW | 用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
doseAndRate | 0..* | Element | 用藥量 | |||||
type | 0..1 | CodeableConceptTW | 特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
dose[x] | 0..1 | Range, SimpleQuantity | 每一劑量的藥量 | |||||
rate[x] | 0..1 | Ratio, Range, SimpleQuantity | 每時間單位內的用藥量 | |||||
maxDosePerPeriod | 0..1 | Ratio | 每時間單位內用藥的上限 | |||||
maxDosePerAdministration | 0..1 | SimpleQuantity | 每次用藥的上限 | |||||
maxDosePerLifetime | 0..1 | SimpleQuantity | 病人一生中用藥的上限 | |||||
dispenseRequest | S | 0..1 | BackboneElement | 藥品供應授權 | ||||
initialFill | 0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
quantity | 0..1 | SimpleQuantity | 首次配藥的數量 | |||||
duration | 0..1 | Duration | 首次配藥的持續時間 | |||||
dispenseInterval | 0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
validityPeriod | S | 0..1 | Period | 處方可用以配藥的有效期限 | ||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | 可重複領藥的次數 | ||||
quantity | 0..1 | SimpleQuantity | 每次配藥的藥品(數)量 | |||||
expectedSupplyDuration | S | 0..1 | Duration | 每次配藥可持續的天數 | ||||
performer | 0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
substitution | 0..1 | BackboneElement | 對替代藥品的任何限制 | |||||
allowed[x] | 1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
reason | 0..1 | CodeableConceptTW | 為什麼要(不)進行替換 Binding: SubstanceAdminSubstitutionReason (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
priorPrescription | 0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令/處方 | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
eventHistory | 0..* | Reference(Provenance) | 生命週期中感興趣的事件清單 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | required | TWMedicationFDAhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | required | TWMedicationNHI (a valid code from 臺灣健保署健保用藥品項代碼)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | required | TWCHHerbMedicationNHI (a valid code from 臺灣健保署中藥用藥品項)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | required | TWMedicationRXNORMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code | required | TWMedcationATChttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | required | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.performerType | extensible | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | extensible | TWMedicationFrequencyHL7https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw from this IG | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route.coding | extensible | TWMedicationPathSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw from this IG | ||||
MedicationRequest.dosageInstruction.method | extensible | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | 為病人或實體集合(例如:特定的一群人)開立的藥品請求 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此MedicationRequest Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | 此藥品請求的外部識別碼 | ||||
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 | ||||
statusReason | 0..1 | CodeableConceptTW | 當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | ||||
category | S | 0..* | CodeableConceptTW | 用藥型別 Binding: medicationRequest Category Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | ||||
doNotPerform | ?!Σ | 0..1 | boolean | 如果藥品請求是禁止活動,則為真。 | ||||
reported[x] | Σ | 0..1 | 被報告的而不是主要的紀錄 | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
Slices for medication[x] | SΣ | 1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | |||||
medicationCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
medicationReference | Reference(TW Core Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(TW Core Medication) | Medication to be taken | ||||
medication[x]:medicationCodeableConcept | 0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | ||||
coding:fda-medication-tw | S | 0..1 | CodingTW | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣食藥署藥品及醫療器材代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-ch-herb-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署中藥用藥品項值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:rxnorm-medication-us-core | S | 0..1 | CodingTW | RxNorm為美國Unified Medical Language System®中的藥品代碼,取得UMLS®授權即可免費使用,可依情境選用此代碼。 Binding: RxNorm藥品代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:atc-medication-code | S | 0..1 | CodingTW | ATC代碼的版權為世界衛生組織(WHO)Collaborating Centre for Drug Statistics Methodology,可免費使用,可依情境選用此代碼。 Binding: 臺灣食藥署藥品藥理治療分類ATC碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:snomedct-medication-codes | S | 0..1 | CodingTW | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMEDCTMedicationCodes (required): 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。 | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
subject | SΣ | 1..1 | Reference(TW Core Patient | Group) | 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 | ||||
encounter | S | 0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | ||||
supportingInformation | 0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
authoredOn | SΣ | 0..1 | dateTime | 藥品請求請求最初何時被撰寫? | ||||
requester | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰/什麼提出藥品請求請求? | ||||
performer | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
performerType | 0..1 | CodeableConceptTW | 所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
recorder | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
reasonCode | 0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
reasonReference | S | 0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation) | ||||
instantiatesCanonical | Σ | 0..* | canonical() | 實例化FHIR計畫書(protocol)或定義 | ||||
instantiatesUri | Σ | 0..* | uri | 實例化外部計畫書(protocol)或定義 | ||||
basedOn | Σ | 0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行? | ||||
groupIdentifier | Σ | 0..1 | Identifier | 此為綜合請求的一部分 | ||||
courseOfTherapyType | 0..1 | CodeableConceptTW | 給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | 相關的保險承保範圍 | |||||
note | S | 0..* | Annotation | 關於處方的資訊 | ||||
dosageInstruction | S | 0..* | Dosage | 應該如何用藥 | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | 劑量指示的順序 | ||||
text | SΣ | 0..1 | string | 純文字表述的劑量指示,例如:SIG。 | ||||
additionalInstruction | 0..* | CodeableConceptTW | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
patientInstruction | Σ | 0..1 | string | 以病人或消費者為導向的指示 | ||||
timing | SΣ | 0..1 | Timing | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | 事件發生的時間 | ||||
repeat | ΣC | 0..1 | Element | 事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
bounds[x] | Σ | 0..1 | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | 重複的次數 | ||||
countMax | Σ | 0..1 | positiveInt | 重複的最大次數 | ||||
duration | Σ | 0..1 | decimal | 此事件持續多久時間 | ||||
durationMax | Σ | 0..1 | decimal | 此事件持續多久時間 (最長時間/最大值) | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
frequency | Σ | 0..1 | positiveInt | 此事件於每一期間的發生頻率 | ||||
frequencyMax | Σ | 0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | ||||
period | Σ | 0..1 | decimal | 此事件於特定時間區間所發生的頻率 | ||||
periodMax | Σ | 0..1 | decimal | 時間區間的上限(3-4小時) | ||||
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | ||||
timeOfDay | Σ | 0..* | time | 一天中的活動時間 | ||||
when | Σ | 0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | ||||
offset | Σ | 0..1 | unsignedInt | 事件的分鐘數(之前或之後) | ||||
code | S | 0..1 | CodeableConceptTW | BID | 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible): 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。 | ||||
coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
asNeeded[x] | Σ | 0..1 | 「根據(對x的)需要」服用
Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
site | 0..1 | CodeableConceptTW | 用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
route | S | 0..1 | CodeableConceptTW | 藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 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。 | ||||
coding | S | 0..* | CodingTW | 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。 Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
method | 0..1 | CodeableConceptTW | 用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
doseAndRate | Σ | 0..* | Element | 用藥量 | ||||
type | 0..1 | CodeableConceptTW | 特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
dose[x] | Σ | 0..1 | 每一劑量的藥量 | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | 每時間單位內的用藥量 | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | 每時間單位內用藥的上限 | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | 每次用藥的上限 | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | 病人一生中用藥的上限 | ||||
dispenseRequest | S | 0..1 | BackboneElement | 藥品供應授權 | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
initialFill | 0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
quantity | 0..1 | SimpleQuantity | 首次配藥的數量 | |||||
duration | 0..1 | Duration | 首次配藥的持續時間 | |||||
dispenseInterval | 0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
validityPeriod | S | 0..1 | Period | 處方可用以配藥的有效期限 | ||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | 可重複領藥的次數 | ||||
quantity | 0..1 | SimpleQuantity | 每次配藥的藥品(數)量 | |||||
expectedSupplyDuration | S | 0..1 | Duration | 每次配藥可持續的天數 | ||||
performer | 0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
substitution | 0..1 | BackboneElement | 對替代藥品的任何限制 | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
reason | 0..1 | CodeableConceptTW | 為什麼要(不)進行替換 Binding: SubstanceAdminSubstitutionReason (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
priorPrescription | 0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令/處方 | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
eventHistory | 0..* | Reference(Provenance) | 生命週期中感興趣的事件清單 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | required | TWMedicationFDAhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | required | TWMedicationNHI (a valid code from 臺灣健保署健保用藥品項代碼)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | required | TWCHHerbMedicationNHI (a valid code from 臺灣健保署中藥用藥品項)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | required | TWMedicationRXNORMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code | required | TWMedcationATChttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | required | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.performerType | extensible | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | extensible | TWMedicationFrequencyHL7https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw from this IG | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route.coding | extensible | TWMedicationPathSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw from this IG | ||||
MedicationRequest.dosageInstruction.method | extensible | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | 為病人或實體集合(例如:特定的一群人)開立的藥品請求 | |||||
id | Σ | 0..1 | id | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄,通常又稱為邏輯性ID。 | ||||
meta | Σ | 0..1 | Meta | 此MedicationRequest Resource的metadata | ||||
implicitRules | ?!Σ | 0..1 | uri | 創建此內容所依據的一組規則 | ||||
language | 0..1 | code | 用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
Example Value: zh-TW | |||||
text | 0..1 | Narrative | MedicationRequest Resource之內容摘要以供人閱讀 | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | 此藥品請求的外部識別碼 | ||||
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 | ||||
statusReason | 0..1 | CodeableConceptTW | 當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 | ||||
category | S | 0..* | CodeableConceptTW | 用藥型別 Binding: medicationRequest Category Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼 | ||||
doNotPerform | ?!Σ | 0..1 | boolean | 如果藥品請求是禁止活動,則為真。 | ||||
reported[x] | Σ | 0..1 | 被報告的而不是主要的紀錄 | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Organization) | |||||||
Slices for medication[x] | SΣ | 1..1 | 服用的藥品。 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | |||||
medicationCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
medicationReference | Reference(TW Core Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(TW Core Medication) | Medication to be taken | ||||
medication[x]:medicationCodeableConcept | 0..1 | CodeableConceptTW | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 Binding: SNOMEDCTMedicationCodes (example) | |||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
Slices for coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | ||||
coding:fda-medication-tw | S | 0..1 | CodingTW | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 Binding: 臺灣食藥署藥品及醫療器材代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:nhi-medication-ch-herb-tw | S | 0..1 | CodingTW | 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。 Binding: 臺灣健保署中藥用藥品項值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:rxnorm-medication-us-core | S | 0..1 | CodingTW | RxNorm為美國Unified Medical Language System®中的藥品代碼,取得UMLS®授權即可免費使用,可依情境選用此代碼。 Binding: RxNorm藥品代碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:atc-medication-code | S | 0..1 | CodingTW | ATC代碼的版權為世界衛生組織(WHO)Collaborating Centre for Drug Statistics Methodology,可免費使用,可依情境選用此代碼。 Binding: 臺灣食藥署藥品藥理治療分類ATC碼值集 (required): 應填入所綁定值集中的其中一個代碼。 | ||||
coding:snomedct-medication-codes | S | 0..1 | CodingTW | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 Binding: SNOMEDCTMedicationCodes (required): 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。 | ||||
text | SΣ | 0..1 | string | 概念的文字表示法 | ||||
subject | SΣ | 1..1 | Reference(TW Core Patient | Group) | 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 | ||||
encounter | S | 0..1 | Reference(TW Core Encounter) | 連結至一個或一組即將給予藥品的人 | ||||
supportingInformation | 0..* | Reference(Resource) | 任何與藥品請求相關的補充資訊 | |||||
authoredOn | SΣ | 0..1 | dateTime | 藥品請求請求最初何時被撰寫? | ||||
requester | SΣ | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | TW Core RelatedPerson | Device) | 誰/什麼提出藥品請求請求? | ||||
performer | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson | TW Core CareTeam) | 預期的給藥執行者 | |||||
performerType | 0..1 | CodeableConceptTW | 所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
recorder | 0..1 | Reference(TW Core Practitioner | TW Core PractitionerRole) | 輸入藥品請求請求的人 | |||||
reasonCode | 0..* | CodeableConcept | 開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
reasonReference | S | 0..* | Reference(TW Core Condition | TW Core Observation Laboratory Result) | 開立處方的原因,例如:病情、問題或診斷(condition)或者檢驗檢查(observation) | ||||
instantiatesCanonical | Σ | 0..* | canonical() | 實例化FHIR計畫書(protocol)或定義 | ||||
instantiatesUri | Σ | 0..* | uri | 實例化外部計畫書(protocol)或定義 | ||||
basedOn | Σ | 0..* | Reference(TW Core CarePlan | TW Core MedicationRequest | TW Core ServiceRequest | ImmunizationRecommendation) | 此MedicationRquest是基於什麼而履行? | ||||
groupIdentifier | Σ | 0..1 | Identifier | 此為綜合請求的一部分 | ||||
courseOfTherapyType | 0..1 | CodeableConceptTW | 給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | 相關的保險承保範圍 | |||||
note | S | 0..* | Annotation | 關於處方的資訊 | ||||
dosageInstruction | S | 0..* | Dosage | 應該如何用藥 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | 劑量指示的順序 | ||||
text | SΣ | 0..1 | string | 純文字表述的劑量指示,例如:SIG。 | ||||
additionalInstruction | 0..* | CodeableConceptTW | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
patientInstruction | Σ | 0..1 | string | 以病人或消費者為導向的指示 | ||||
timing | SΣ | 0..1 | Timing | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | 事件發生的時間 | ||||
repeat | ΣC | 0..1 | Element | 事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
bounds[x] | Σ | 0..1 | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | 重複的次數 | ||||
countMax | Σ | 0..1 | positiveInt | 重複的最大次數 | ||||
duration | Σ | 0..1 | decimal | 此事件持續多久時間 | ||||
durationMax | Σ | 0..1 | decimal | 此事件持續多久時間 (最長時間/最大值) | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
frequency | Σ | 0..1 | positiveInt | 此事件於每一期間的發生頻率 | ||||
frequencyMax | Σ | 0..1 | positiveInt | 此事件於每一期間的最大發生頻率 | ||||
period | Σ | 0..1 | decimal | 此事件於特定時間區間所發生的頻率 | ||||
periodMax | Σ | 0..1 | decimal | 時間區間的上限(3-4小時) | ||||
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) Binding: UnitsOfTime (required): 時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼 | ||||
timeOfDay | Σ | 0..* | time | 一天中的活動時間 | ||||
when | Σ | 0..* | code | 事件發生的時間區間之代碼 Binding: EventTiming (required): 與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | ||||
offset | Σ | 0..1 | unsignedInt | 事件的分鐘數(之前或之後) | ||||
code | S | 0..1 | CodeableConceptTW | BID | 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
asNeeded[x] | Σ | 0..1 | 「根據(對x的)需要」服用
Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
site | 0..1 | CodeableConceptTW | 用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
route | S | 0..1 | CodeableConceptTW | 藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 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。 | ||||
id | 0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
extension | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
coding | S | 0..* | CodingTW | 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。 Binding: SNOMED CT + 臺灣健保署給藥途徑值集 (extensible) | ||||
text | SΣ | 0..1 | string | 概念的文字標記法 | ||||
method | 0..1 | CodeableConceptTW | 用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | |||||
doseAndRate | Σ | 0..* | Element | 用藥量 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | 0..1 | CodeableConceptTW | 特定劑量或比率種類 Binding: DoseAndRateType (example): 可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
dose[x] | Σ | 0..1 | 每一劑量的藥量 | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | 每時間單位內的用藥量 | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | 每時間單位內用藥的上限 | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | 每次用藥的上限 | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | 病人一生中用藥的上限 | ||||
dispenseRequest | S | 0..1 | BackboneElement | 藥品供應授權 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
initialFill | 0..1 | BackboneElement | 首次依照處方配藥的細節 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
quantity | 0..1 | SimpleQuantity | 首次配藥的數量 | |||||
duration | 0..1 | Duration | 首次配藥的持續時間 | |||||
dispenseInterval | 0..1 | Duration | 前後兩次配藥的最短時間間隔 | |||||
validityPeriod | S | 0..1 | Period | 處方可用以配藥的有效期限 | ||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | 可重複領藥的次數 | ||||
quantity | 0..1 | SimpleQuantity | 每次配藥的藥品(數)量 | |||||
expectedSupplyDuration | S | 0..1 | Duration | 每次配藥可持續的天數 | ||||
performer | 0..1 | Reference(TW Core Organization) | 預定的配藥人員 | |||||
substitution | 0..1 | BackboneElement | 對替代藥品的任何限制 | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | 是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept(CodeableConceptTW) | |||||||
reason | 0..1 | CodeableConceptTW | 為什麼要(不)進行替換 Binding: SubstanceAdminSubstitutionReason (example): 可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | |||||
priorPrescription | 0..1 | Reference(TW Core MedicationRequest) | 正被替換的醫令/處方 | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | 活動的臨床問題 | |||||
eventHistory | 0..* | Reference(Provenance) | 生命週期中感興趣的事件清單 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | required | TWMedicationFDAhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | required | TWMedicationNHI (a valid code from 臺灣健保署健保用藥品項代碼)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | required | TWCHHerbMedicationNHI (a valid code from 臺灣健保署中藥用藥品項)https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | required | TWMedicationRXNORMhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code | required | TWMedcationATChttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | required | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.performerType | extensible | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.additionalInstruction | extensible | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | extensible | TWMedicationFrequencyHL7https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw from this IG | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | extensible | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | extensible | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.route.coding | extensible | TWMedicationPathSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw from this IG | ||||
MedicationRequest.dosageInstruction.method | extensible | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationRequest
Summary
Must-Support: 28 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
以下概述了此Profile所需的RESTful FHIR互動功能。有關TW Core IG支援的RESTful互動功能的完整清單,請參閱TW Core Server能力聲明。
建議應該(SHOULD) 支援透過查詢參數 _id
查詢所有MedicationRequest:
(如何透過token查詢)
GET [base]/MedicationRequest?_id=[id]
GET [base]/MedicationRequest/[id]
例子:
(1) GET [base]/MedicationRequest?_id=med-req-ref-example
(2) GET [base]/MedicationRequest/med-req-ref-example
建議應該(SHOULD) 支援透過查詢參數 status
查詢所有MedicationRequest:
(如何透過token查詢)
GET [base]/MedicationRequest?status=[code]
例子:
(1) GET [base]/MedicationRequest?status=active
建議應該(SHOULD) 支援透過查詢參數 intent
查詢所有MedicationRequest:
(如何透過token查詢)
GET [base]/MedicationRequest?intent=[code]
例子:
(1) GET [base]/MedicationRequest?intent=order
建議應該(SHOULD) 支援透過查詢參數 subject
查詢所有MedicationRequest:
(如何透過reference查詢)
GET [base]/MedicationRequest?subject={Type/}[id]
例子:
(1) GET [base]/MedicationRequest?subject=Patient/pat-example
建議應該(SHOULD) 支援透過查詢參數 medication
查詢所有MedicationRequest:
(如何透過reference查詢)
GET [base]/MedicationRequest?medication={Type/}[id]
例子:
(1) GET [base]/MedicationRequest?medication=Medication/med-example
建議應該(SHOULD) 支援透過查詢參數 encounter
查詢所有MedicationRequest:
(如何透過reference查詢)
GET [base]/MedicationRequest?encounter={Type/}[id]
例子:
(1) GET [base]/MedicationRequest?encounter=Encounter/enc-example
建議應該(SHOULD) 支援透過查詢參數 authoredon
查詢所有MedicationRequest:
(如何透過date查詢)
GET [base]/MedicationRequest?authoredon={gt|lt|ge|le}[date]
例子:
(1) GET [base]/MedicationRequest?authoredon=gt2022-08-01
在劑量指示過於複雜,難以進行編碼時,可以採用純文字形式來進行說明。這個屬性的內容不會包含藥品的名稱或其描述。即便存在編碼化的指示,純文字形式的劑量指示仍可用於展示給服藥或給藥的人員。預計這些文字指示將始終被填寫完整。如果劑量的時間(dosage.timing
)也被提供,那麼劑量的純文字說明(dosage.text
)應該反映與劑量時間相同的資訊。