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
Active as of 2024-10-22 |
Definitions for the MedicationStatement-twcore resource profile.
Guidance on how to interpret the contents of this table can be found here
0. MedicationStatement | |||||
Definition | 病人正在服藥的紀錄。一份 MedicationStatement(用藥聲明)可能表明病人目前正在、曾經或將來會服藥。此資訊的來源可能是病人、重要他人(如家庭成員或配偶)或臨床醫生。病人就診或住院期間的病史記錄過程是獲取此類資訊的常見場景。藥品資訊可能來自病人的記憶、處方瓶或病人、臨床醫師或其他方維護的藥品清單。 用藥聲明(medication statement)與給藥(medication administration)之間的主要區別在於:給藥具有完整的用藥資訊,並且基於實際由給藥者提供的用藥資訊為基礎。相對而言,用藥聲明通常較為籠統,不會具體記錄用藥的日期或時間,實際上,我們只知道有來源報告說病人目前正在服用這種藥品,但關於用藥的時間、劑量、比例甚至藥物產品的詳細資訊可能不完整、缺失或不太精確。正如前面所提到的,用藥聲明的資訊可能來自病人的記憶、處方瓶或病人、臨床醫生或其他人維護的藥品清單。相比之下,給藥紀錄則更為正式,包含了詳細的用藥資訊。 | ||||
Short | 病人正在服用的藥品紀錄 | ||||
Comments | 當解釋用藥聲明時,需要考慮「狀態(status)」和「未服用(NotTaken)」的值: MedicationStatement.status + MedicationStatement.wasNotTaken
| ||||
2. MedicationStatement.id | |||||
Definition | resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。 | ||||
Short | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationStatement紀錄,通常又稱為邏輯性ID。 | ||||
Comments | 一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。 | ||||
4. MedicationStatement.meta | |||||
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。 | ||||
Short | 此MedicationStatement Resource的metadata | ||||
6. MedicationStatement.implicitRules | |||||
Definition | 構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 | ||||
Short | 創建此內容所依據的一組規則 | ||||
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 | ||||
8. MedicationStatement.language | |||||
Definition | 編寫此resource的語言 | ||||
Short | 用以表述MedicationStatement Resource內容的語言。 | ||||
Comments | 提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
| ||||
Example | <br/><b>Value</b>:zh-TW | ||||
10. MedicationStatement.text | |||||
Definition | 人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。 | ||||
Short | MedicationStatement Resource之內容摘要以供人閱讀 | ||||
Comments | 內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。 | ||||
12. MedicationStatement.identifier | |||||
Definition | 與此 「用藥聲明」相關的識別碼,由業務流程定義,和/或在直接使用 URL 參照resource本身不適當時用來表示它。這些是執行者或其他系統分配給此resource的業務識別碼,隨著resource更新和從伺服器到伺服器的傳送,這些識別碼保持不變。 | ||||
Short | 用藥聲明的外部識別碼 | ||||
Comments | 這是用藥聲明的業務識別碼,不是resource識別碼。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Must Support | true | ||||
14. MedicationStatement.basedOn | |||||
Definition | 透過此用藥聲明而全部或部分達成或實現的計劃、提案或醫令 | ||||
Short | 此用藥聲明是為了達成或實現哪個計劃、提案或醫令 | ||||
Type | Reference(TW Core MedicationRequest, TW Core CarePlan, TW Core ServiceRequest) | ||||
Requirements | 允許追蹤事件的授權,並追蹤是否對提案採取行動。 | ||||
16. MedicationStatement.partOf | |||||
Definition | 此用藥聲明是一個更大事件的組成部分或步驟 | ||||
Short | 參照事件的一部分 | ||||
Type | Reference(MedicationAdministration, TW Core MedicationDispense, TW Core MedicationStatement, TW Core Procedure, TW Core Observation Laboratory Result) | ||||
Requirements | 這不該用於指明 MedicationStatement 是源自哪個resource。如果是這種情況,則應使用 MedicationStatement.divedFrom。 | ||||
18. MedicationStatement.status | |||||
Definition | 代表病人或其他來源對於此用藥聲明所涉及的藥品使用狀態的判斷的一個代碼。通常是目前正發生(active)或已完成(completed)。 | ||||
Comments | MedicationStatement 是一個時間點的聲明。狀態僅在聲明時具有代表性。MedicationStatement.status 的值集包含斷言病人用藥狀態的代碼(例如:已停止或暫停)以及斷言用藥聲明本身狀態的代碼(例如:輸入錯誤)。 此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。 | ||||
Binding | The codes SHALL be taken from Medication Status Codes (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 )指明用藥聲明的當前狀態;應填入所綁定值集中的其中一個代碼 | ||||
Must Support | true | ||||
20. MedicationStatement.statusReason | |||||
Definition | MedicationStatement 為當前狀態的原因 | ||||
Short | 當前狀態的原因 | ||||
Comments | 這通常僅用於「例外(exception)」狀態,例如「未服用(not-taken)」、「暫停(on-hold)」、「取消(cancelled)」或「錯誤輸入(entered-in-error)」。若是要查找執行此用藥聲明的原因則應從reasonCode中取得,而不是在此資料項目。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTDrugTherapyStatusCodes (extensible to http://hl7.org/fhir/ValueSet/reason-medication-status-codes )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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
22. MedicationStatement.category | |||||
Definition | 表明預期會在哪裡使用或給藥 | ||||
Short | 藥品使用的類型 | ||||
Binding | The codes SHOULD be taken from Medication usage category codes (preferred to http://hl7.org/fhir/ValueSet/medication-statement-category )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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
24. MedicationStatement.medication[x] | |||||
Definition | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 | ||||
Short | 所提供的藥品 | ||||
Comments | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 | ||||
Type | Choice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x] . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
26. MedicationStatement.medication[x]:medicationReference | |||||
Slice Name | medicationReference | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
28. MedicationStatement.medication[x]:medicationCodeableConcept | |||||
Slice Name | medicationCodeableConcept | ||||
Definition | 指明所提供的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。 | ||||
Short | 所提供的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | ||||
Comments | 如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。 | ||||
Control | 0..1 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
30. MedicationStatement.medication[x]:medicationCodeableConcept.coding | |||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x].coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
32. MedicationStatement.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | |||||
Slice Name | fda-medication-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from 臺灣食藥署藥品及醫療器材代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Must Support | true | ||||
34. MedicationStatement.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | |||||
Slice Name | nhi-medication-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為中央健康保險署(NHI)維護之藥品代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from 臺灣健保署用藥品項代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Must Support | true | ||||
36. MedicationStatement.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | |||||
Slice Name | nhi-medication-ch-herb-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from 臺灣健保署中藥用藥品項值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw )應填入所綁定值集中的其中一個代碼。 | ||||
38. MedicationStatement.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | |||||
Slice Name | rxnorm-medication-us-core | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 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。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from RxNorm藥品代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Must Support | true | ||||
40. MedicationStatement.medication[x]:medicationCodeableConcept.coding:atc-medication-code | |||||
Slice Name | atc-medication-code | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 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。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Must Support | true | ||||
42. MedicationStatement.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | |||||
Slice Name | snomedct-medication-codes | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from SNOMEDCTMedicationCodes (required to http://hl7.org/fhir/ValueSet/medication-codes )可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Must Support | true | ||||
44. MedicationStatement.subject | |||||
Definition | 目前正在/曾經用藥的人、動物或群體。 | ||||
Short | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 | ||||
Type | Reference(TW Core Patient, Group) | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
46. MedicationStatement.context | |||||
Definition | 描述此MedicationStatement發生時所處的醫療環境或治療階段,例如:此事件是在某次就醫或某照護病程中發生的。 | ||||
Short | 與此用藥聲明相關的就醫事件(Encounter / Episode) | ||||
Type | Reference(TW Core Encounter, EpisodeOfCare) | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
48. MedicationStatement.effective[x] | |||||
Definition | 病人目前正在/曾經/將會服用藥品(當 MedicationStatement.taken 資料項目為No時,表示未服用)的時間間隔 | ||||
Short | 用藥的日期/時間或間隔 | ||||
Comments | 此屬性反映病人用藥的時間區間,並預計會在大多數的用藥聲明(Medication Statements)中填寫。如果記錄聲明時仍在用藥,則省略 「結束 (end)」日期。日期/時間屬性支援多種日期 - 年、年/月和精確日期。如果需要更多資訊,則應以文字表述形式表達。 | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
50. MedicationStatement.dateAsserted | |||||
Definition | 資訊來源提出此用藥聲明的日期 | ||||
Short | 此聲明是何時提出的? | ||||
52. MedicationStatement.informationSource | |||||
Definition | 提供有關服用此藥品資訊的個人或機構。注意:當 MedicationStatement 是從其他 resources 衍生時,例如: Claim 或 MedicationRequest,請使用 derivedFrom。 | ||||
Short | 提供有關服用此藥品資訊的個人或機構 | ||||
Type | Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization) | ||||
54. MedicationStatement.derivedFrom | |||||
Definition | 允許將「用藥聲明(MedicationStatement)」連接到底層的「藥品請求(MedicationRequest)」,或連結到支持 「用藥聲明」或用於推導「用藥聲明」 的其他資訊。 | ||||
Short | 額外的補充資料 | ||||
Comments | 可能會引用到用藥請求(MedicationRequest)、配藥(MedicationDispense)、索賠(Claim)、觀察結果(Observation)或問卷答覆(QuestionnaireAnswers)。派生 MedicationStatement 的最常見用例是根據 MedicationRequest 或實驗室觀察結果或索賠申請創建 MedicationStatement。 | ||||
56. MedicationStatement.reasonCode | |||||
Definition | 正在/曾經服藥的原因。 | ||||
Short | 指明目前正在使用的藥品 | ||||
Comments | 可能的參照 resources 包括MedicationRequest、MedicationDispense、Claim、Observation或QuestionnaireAnswers。最常見的衍生 MedicationStatement案例是從MedicationRequest、Observation 或 Claim中創建MedicationStatement。需要注意的是,可用的資訊量取決於您從中衍生 MedicationStatement 的 resource類型。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Condition/Problem/DiagnosisCodes (extensible to http://hl7.org/fhir/ValueSet/condition-code )應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
58. MedicationStatement.reasonReference | |||||
Definition | 證明目前正在/曾經用藥原因之Condition或Observation | ||||
Short | 證明目前正在/曾經用藥原因之Condition或Observation | ||||
Comments | 這是對目前正在/曾經用藥原因是某種疾病的狀況(Condition),但如果只有一個代碼,則使用 reasonForUseCode。 | ||||
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result, TW Core DiagnosticReport) | ||||
60. MedicationStatement.note | |||||
Definition | 提供其他屬性無法傳達且有關用藥聲明的額外資訊 | ||||
Short | 有關此聲明的更多資訊 | ||||
62. MedicationStatement.dosage | |||||
Definition | 表明病人目前正在/曾經或應該如何服藥 | ||||
Short | 藥品目前正被/曾經被服用或應該如何服用的細節 | ||||
Comments | 用藥聲明(MedicationStatement)中包含的劑量日期反映了特定劑量的使用日期。例如:「從2016年11月1日到2016年11月3日,每天服一片,從2016年11月4日到2016年11月7日,每天服兩片。」 這種詳細資訊通常只在病人攜帶標有日期的藥品容器時 或MedicationStatement 是 從MedicationRequest中衍生而來時才會提供。 | ||||
Must Support | true | ||||
64. MedicationStatement.dosage.sequence | |||||
Definition | 表明使用或解釋劑量指示的順序 | ||||
Short | 劑量指示的順序 | ||||
Must Support | true | ||||
Requirements | 如果多個劑量的序號是相同的,那麼就意味著這些指示將被視為同時進行。如果序號不同,那麼這些劑量將是依續使用。 | ||||
66. MedicationStatement.dosage.text | |||||
Definition | 純文字表述的劑量指示,例如:SIG。 | ||||
Short | 純文字表述的劑量指示,例如:SIG。 | ||||
Must Support | true | ||||
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示,純文字表述說明可能仍然存在,以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入,那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。 | ||||
68. MedicationStatement.dosage.additionalInstruction | |||||
Definition | 向病人提供關於如何服藥的補充指示(例如 「隨餐服用」或「在進食前半小時服用」)或給病人的藥品警告(例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈(日曬用)下」)。 | ||||
Short | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 | ||||
Comments | 應在dosage.text中填入關於用藥或準備藥品的資訊(例如: 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」)。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions (extensible to http://hl7.org/fhir/ValueSet/additional-instruction-codes )一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Requirements | 附加指示是要編碼的,但在沒有編碼的情況下,此資料項目可以包括文字。例如,「用大量的水吞咽」,這可能編碼也可能不編碼。 | ||||
70. MedicationStatement.dosage.patientInstruction | |||||
Definition | 用病人或消費者能理解的術語提供指示 | ||||
Short | 以病人或消費者為導向的指示 | ||||
Must Support | true | ||||
72. MedicationStatement.dosage.timing | |||||
Definition | 應該何時給藥 | ||||
Short | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
Comments | 這個屬性可能並不總是被填入,而Dosage.text預計會被填入。如果兩者都被填入,那麼Dosage.text應反映Dosage.timing的內容。 | ||||
Must Support | true | ||||
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如:「每8小時一次」;「一天三次」;「從2011年12月23日開始的10天裡,早餐前半小時」;「2013年10月15日、2013年10月17日和2013年11月1日」。有時,當率值(rate)為總容量/期間,其「期間」意指(例如:500mL/2小時)之持續期間為2小時。但當率值非意指「持續期間」時(例如:250mL/小時),則需要timing.repeat.duration來表達輸液的時間區間。 | ||||
74. MedicationStatement.dosage.timing.event | |||||
Definition | 指明事件發生的特定時間 | ||||
Short | 事件發生的時間 | ||||
Requirements | 例如:在一份用藥記錄中,你需要把一個一般的規範變成一個精確的規範。 | ||||
76. MedicationStatement.dosage.timing.repeat | |||||
Definition | 一組描述事件何時被安排的規則 | ||||
Short | 事件定期重複發生的時間 | ||||
Must Support | true | ||||
Requirements | 定期重複的時間安排 | ||||
78. MedicationStatement.dosage.timing.repeat.bounds[x] | |||||
Definition | 時間長度或可能的時間長度範圍,或開始和/或結束時間。 | ||||
Short | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
80. MedicationStatement.dosage.timing.repeat.count | |||||
Definition | 在整個持續期間內,期望重複的總次數。如果countMax這個資料項目存在,此count資料項目表示允許次數範圍的下限。 | ||||
Short | 重複的次數 | ||||
Comments | 如果你同時擁有bounds和count這兩個資料項目,那麼這應該被理解為在bounds期間,發生count的次數。 | ||||
Must Support | true | ||||
Requirements | 重複次數可透過設定結束時間或總發生次數作限制 | ||||
82. MedicationStatement.dosage.timing.repeat.countMax | |||||
Definition | 如果countMax存在,表示count是一個範圍,如此可在[count]和[countMax]之間的重複次數執行動作。 | ||||
Short | 重複的最大次數 | ||||
84. MedicationStatement.dosage.timing.repeat.duration | |||||
Definition | 這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在,則此duration資料項目表示持續時間的允許範圍之下限。 | ||||
Short | 此事件持續多久時間 | ||||
Comments | 對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。 | ||||
Must Support | true | ||||
Requirements | 有些活動不是立即發生,需要維持一段時間。 | ||||
86. MedicationStatement.dosage.timing.repeat.durationMax | |||||
Definition | 如果durationMax這個資料項目存在,表示duration資料項目是一個範圍的下限 — 所以要在[duration]和[durationMax]之間執行此活動。 | ||||
Short | 此事件持續多久時間 (最長時間/最大值) | ||||
Comments | 對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。 | ||||
Requirements | 有些活動不是立即發生,需要維持一段時間。 | ||||
88. MedicationStatement.dosage.timing.repeat.durationUnit | |||||
Definition | 持續時間的單位,以UCUM為單位。 | ||||
Short | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
Must Support | true | ||||
90. MedicationStatement.dosage.timing.repeat.frequency | |||||
Definition | 在特定期間內重複動作的次數。如果frequencyMax存在,此frequency資料項目表示頻率的允許範圍的下限。 | ||||
Short | 此事件於每一期間的發生頻率 | ||||
Must Support | true | ||||
92. MedicationStatement.dosage.timing.repeat.frequencyMax | |||||
Definition | 如果frequencyMax存在,frequency資料項目表示頻率範圍的下限 – 所以要在[frequency]和[frequencyMax]之間重複執行此活動。 | ||||
Short | 此事件於每一期間的最大發生頻率 | ||||
94. MedicationStatement.dosage.timing.repeat.period | |||||
Definition | 表示重複發生的時間區間;例如:為了表示「每天3次」,3次是頻率(frequency),1天是週期(period)。如果存在periodMax資料項目,此period資料項目表示時間區間長度的允許範圍的下限。 | ||||
Short | 此事件於特定時間區間所發生的頻率 | ||||
Must Support | true | ||||
96. MedicationStatement.dosage.timing.repeat.periodMax | |||||
Definition | 如果periodMax存在,表示時間區間是一個從[period]到[periodMax]的範圍,允許表達像是「每3至5天一次」的概念。 | ||||
Short | 時間區間的上限(3-4小時) | ||||
98. MedicationStatement.dosage.timing.repeat.periodUnit | |||||
Definition | 持續時間的單位,以UCUM為單位。 | ||||
Short | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
Must Support | true | ||||
100. MedicationStatement.dosage.timing.repeat.dayOfWeek | |||||
Definition | 如果提供的資訊為一星期中的一天或多天,那麼此活動只發生在這特定的幾天。 | ||||
Short | mon | tue | wed | thu | fri | sat | sun | ||||
Comments | 如果沒有指定天數,則假定該活動每天都會發生,否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。 | ||||
Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 )應填入DaysOfWeek值集中的其中一個代碼 | ||||
Must Support | true | ||||
102. MedicationStatement.dosage.timing.repeat.timeOfDay | |||||
Definition | 具體說明一天中活動進行的時間 | ||||
Short | 一天中的活動時間 | ||||
Comments | 當指定了一天中的時間時,就會推斷出該活動每天都會在指定的時間發生(由dayofWeek篩選)。資料項目when、frequency和period不能和timeOfDay一起使用。 | ||||
Must Support | true | ||||
104. MedicationStatement.dosage.timing.repeat.when | |||||
Definition | 一天中的一個大致時段,可能與日常生活中的某一事件有關,表明該活動應在何時發生。 | ||||
Short | 事件發生的時間區間之代碼 | ||||
Comments | 當一個以上的事件被列出,則此事件被綁定至合併的數個特定事件。 | ||||
Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 )與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | ||||
Requirements | 時間經常由特定事件的發生所決定,例如:起床、吃飯和睡覺。 | ||||
106. MedicationStatement.dosage.timing.repeat.offset | |||||
Definition | 距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後,則假定該offset是指特定事件發生後的分鐘數。 | ||||
Short | 事件的分鐘數(之前或之後) | ||||
108. MedicationStatement.dosage.timing.code | |||||
Definition | 活動發生時機之代碼(或只是code.text中的文字)。像是BID的一些代碼到處都有,但許多機構定義它們自己的額外代碼。如果提供了一個代碼,此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述,代碼或資料都可用於解釋時機(Timing),但.repeat.bounds適用於代碼(且不包含在代碼中)的例外。 | ||||
Short | BID | TID | QID | AM | PM | QD | QOD | + | ||||
Comments | BID等被定義為「在機構特定的時間」。例如:一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的,就不應該使用代碼BID。反之,應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和/或使用一個結構化表示法(在這種情況下,具體說明兩個事件時間)。 | ||||
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation )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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
110. MedicationStatement.dosage.timing.code.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 | ||||
Short | 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw )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。 | ||||
Type | Coding(TW Coding) | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
112. MedicationStatement.dosage.timing.code.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 | ||||
Short | 概念的文字標記法 | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 | ||||
Must Support | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 | ||||
114. MedicationStatement.dosage.asNeeded[x] | |||||
Definition | 表明此藥品是否只在需要時在特定的用法(Boolean選項)服用,或者表明服用此藥品(CodeableConcept)的前提條件。 | ||||
Short | 「根據(對x的)需要」服用 Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Comments | 可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下,CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下,Boolean值被假定為True。如果您將Boolean值設置為「False」,那麼該劑量是根據時間表給予的,而不是 「prn」或 「根據需要」。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTMedicationAsNeededReasonCodes (extensible to http://hl7.org/fhir/ValueSet/medication-as-needed-reason )一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
116. MedicationStatement.dosage.site | |||||
Definition | 用藥的身體部位 | ||||
Short | 用藥之身體部位 | ||||
Comments | 如果使用案例需要BodySite resource的屬性(例如:分別識別和追蹤),那麼就使用標準extension bodySite。可以是一個摘要代碼,也可以是對一個非常精確的位置定義的參照,或者兩者都是。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible to http://hl7.org/fhir/ValueSet/approach-site-codes )一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Requirements | 對藥品首次進入之人體解剖部位的編碼說明 | ||||
118. MedicationStatement.dosage.route | |||||
Definition | 藥品應如何進入體內 | ||||
Short | 藥品應如何進入體內 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Must Support | true | ||||
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼 | ||||
120. MedicationStatement.dosage.route.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 | ||||
Short | 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMED CT + 臺灣健保署給藥途徑值集 (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw )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。 | ||||
Type | Coding(TW Coding) | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
122. MedicationStatement.dosage.route.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 | ||||
Short | 概念的文字標記法 | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 | ||||
Must Support | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 | ||||
124. MedicationStatement.dosage.method | |||||
Definition | 用藥的技術 | ||||
Short | 用藥的技術 | ||||
Comments | 使用的專門術語通常先組合配對(pre-coordinate)用藥途徑和/或劑型。 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdministrationMethodCodes (extensible to http://hl7.org/fhir/ValueSet/administration-method-codes )一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Requirements | 表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如:慢推、深靜脈。 | ||||
126. MedicationStatement.dosage.doseAndRate | |||||
Definition | 用藥量 | ||||
Short | 用藥量 | ||||
128. MedicationStatement.dosage.doseAndRate.type | |||||
Definition | 特定劑量或比率種類,例如:依處方或計算而來。 | ||||
Short | 特定劑量或比率種類 | ||||
Binding | For example codes, see DoseAndRateType (example to http://hl7.org/fhir/ValueSet/dose-rate-type )可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Requirements | 如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。 | ||||
130. MedicationStatement.dosage.doseAndRate.dose[x] | |||||
Definition | 每一劑量的藥量 | ||||
Short | 每一劑量的藥量 | ||||
Comments | 請注意這是指特定藥品量,而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如:如果想表達一錠375毫克的藥錠,劑量是一錠,你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者,如果劑量是375毫克,那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射,例如:多巴胺,你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中,那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的(速率是存在的,或者時間是有期限的),這可具體說明以傳達在時間表所指示的時段之總用藥量,例如:500毫升的劑量應該在4小時內完成。 | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
Requirements | 在一次用藥事件中給予的治療用或其他的物質量 | ||||
132. MedicationStatement.dosage.doseAndRate.rate[x] | |||||
Definition | 每時間單位內的用藥量 | ||||
Short | 每時間單位內的用藥量 | ||||
Comments | 可同時提供rate和doseQuantity,以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變,根據當地的規則/法規,每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉,或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率(例如:100毫升/小時)。rateQuantity的方式要求系統有能力解析包含毫升/小時的UCUM語法,而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值,使用rateRatio可能比使用rateQuantity指定250毫克/小時在語義上更正確。 | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
Requirements | 指明藥品引入病人體內的速度。通常是指輸液的速度,例如:每1小時100毫升或100毫升/小時。也可表示為每單位時間的速度,例如:每2小時500毫升,其他例子如200微克/分鐘或200微克/1分鐘;1升/8小時。有時,當表示為總容量/持續時間時,速率可以隱喻持續時間(例如:500毫升/2小時隱喻持續時間為2小時)。然而,當速率未隱喻持續時間時(例如:250毫升/小時),則需要timing.repeat.duration來表達輸液的時間區間。 | ||||
134. MedicationStatement.dosage.maxDosePerPeriod | |||||
Definition | 每時間單位內用藥的上限 | ||||
Short | 每時間單位內用藥的上限 | ||||
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如:「每4小時2錠,一天最多8錠」。 | ||||
Requirements | 在一段時間區間用於某一對象的治療用物質之最大總量。例如:24小時內1,000毫克。 | ||||
136. MedicationStatement.dosage.maxDosePerAdministration | |||||
Definition | 每次用藥的上限 | ||||
Short | 每次用藥的上限 | ||||
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如:與體表面積有關的劑量有一個上限,如在5至10分鐘內靜脈注射1.5毫克/平方米(最多2毫克),其doseQuantity為1.5毫克/平方米,maxDosePerAdministration為2毫克。 | ||||
Requirements | 每次用於某一對象治療用物質的最大總量 | ||||
138. MedicationStatement.dosage.maxDosePerLifetime | |||||
Definition | 病人一生中用藥的上限 | ||||
Short | 病人一生中用藥的上限 | ||||
Requirements | 用於某一對象的治療用物質於其一生的最大總數量 |
Guidance on how to interpret the contents of this table can be found here
0. MedicationStatement | |||||
Definition | 病人正在服藥的紀錄。一份 MedicationStatement(用藥聲明)可能表明病人目前正在、曾經或將來會服藥。此資訊的來源可能是病人、重要他人(如家庭成員或配偶)或臨床醫生。病人就診或住院期間的病史記錄過程是獲取此類資訊的常見場景。藥品資訊可能來自病人的記憶、處方瓶或病人、臨床醫師或其他方維護的藥品清單。 用藥聲明(medication statement)與給藥(medication administration)之間的主要區別在於:給藥具有完整的用藥資訊,並且基於實際由給藥者提供的用藥資訊為基礎。相對而言,用藥聲明通常較為籠統,不會具體記錄用藥的日期或時間,實際上,我們只知道有來源報告說病人目前正在服用這種藥品,但關於用藥的時間、劑量、比例甚至藥物產品的詳細資訊可能不完整、缺失或不太精確。正如前面所提到的,用藥聲明的資訊可能來自病人的記憶、處方瓶或病人、臨床醫生或其他人維護的藥品清單。相比之下,給藥紀錄則更為正式,包含了詳細的用藥資訊。 A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. The primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information. | ||||
Short | 病人正在服用的藥品紀錄Record of medication being taken by a patient | ||||
Comments | 當解釋用藥聲明時,需要考慮「狀態(status)」和「未服用(NotTaken)」的值: MedicationStatement.status + MedicationStatement.wasNotTaken
When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered: MedicationStatement.status + MedicationStatement.wasNotTaken Status=Active + NotTaken=T = Not currently taking Status=Completed + NotTaken=T = Not taken in the past Status=Intended + NotTaken=T = No intention of taking Status=Active + NotTaken=F = Taking, but not as prescribed Status=Active + NotTaken=F = Taking Status=Intended +NotTaken= F = Will be taking (not started) Status=Completed + NotTaken=F = Taken in past Status=In Error + NotTaken=N/A = In Error. | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | ||||
2. MedicationStatement.id | |||||
Definition | resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。 The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationStatement紀錄,通常又稱為邏輯性ID。Logical id of this artifact | ||||
Comments | 一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。 The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | idstring | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. MedicationStatement.meta | |||||
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。 The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | 此MedicationStatement Resource的metadataMetadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
6. MedicationStatement.implicitRules | |||||
Definition | 構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | 創建此內容所依據的一組規則A set of rules under which this content was created | ||||
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
8. MedicationStatement.language | |||||
Definition | 編寫此resource的語言 The base language in which the resource is written. | ||||
Short | 用以表述MedicationStatement Resource內容的語言。Language of the resource content | ||||
Comments | 提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。 Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages (preferred to http://hl7.org/fhir/ValueSet/languages )人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。 A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Example | <br/><b>Value</b>:zh-TW | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
10. MedicationStatement.text | |||||
Definition | 人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。 A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | MedicationStatement Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation | ||||
Comments | 內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。 Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
12. MedicationStatement.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
14. MedicationStatement.identifier | |||||
Definition | 與此 「用藥聲明」相關的識別碼,由業務流程定義,和/或在直接使用 URL 參照resource本身不適當時用來表示它。這些是執行者或其他系統分配給此resource的業務識別碼,隨著resource更新和從伺服器到伺服器的傳送,這些識別碼保持不變。 Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. | ||||
Short | 用藥聲明的外部識別碼External identifier | ||||
Comments | 這是用藥聲明的業務識別碼,不是resource識別碼。 This is a business identifier, not a resource identifier. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
16. MedicationStatement.basedOn | |||||
Definition | 透過此用藥聲明而全部或部分達成或實現的計劃、提案或醫令 A plan, proposal or order that is fulfilled in whole or in part by this event. | ||||
Short | 此用藥聲明是為了達成或實現哪個計劃、提案或醫令Fulfils plan, proposal or order | ||||
Control | 0..* | ||||
Type | Reference(TW Core MedicationRequest, TW Core CarePlan, TW Core ServiceRequest, MedicationRequest, CarePlan, ServiceRequest) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 允許追蹤事件的授權,並追蹤是否對提案採取行動。 Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
18. MedicationStatement.partOf | |||||
Definition | 此用藥聲明是一個更大事件的組成部分或步驟 A larger event of which this particular event is a component or step. | ||||
Short | 參照事件的一部分Part of referenced event | ||||
Control | 0..* | ||||
Type | Reference(MedicationAdministration, TW Core MedicationDispense, TW Core MedicationStatement, TW Core Procedure, TW Core Observation Laboratory Result, MedicationDispense, MedicationStatement, Procedure, Observation) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 這不該用於指明 MedicationStatement 是源自哪個resource。如果是這種情況,則應使用 MedicationStatement.divedFrom。 This should not be used when indicating which resource a MedicationStatement has been derived from. If that is the use case, then MedicationStatement.derivedFrom should be used. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
20. MedicationStatement.status | |||||
Definition | 代表病人或其他來源對於此用藥聲明所涉及的藥品使用狀態的判斷的一個代碼。通常是目前正發生(active)或已完成(completed)。 A code representing the patient or other source's judgment about the state of the medication used that this statement is about. Generally, this will be active or completed. | ||||
Short | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken | ||||
Comments | MedicationStatement 是一個時間點的聲明。狀態僅在聲明時具有代表性。MedicationStatement.status 的值集包含斷言病人用藥狀態的代碼(例如:已停止或暫停)以及斷言用藥聲明本身狀態的代碼(例如:輸入錯誤)。 此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。 MedicationStatement is a statement at a point in time. The status is only representative at the point when it was asserted. The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error). This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 )指明用藥聲明的當前狀態;應填入所綁定值集中的其中一個代碼 A coded concept indicating the current status of a MedicationStatement. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
22. MedicationStatement.statusReason | |||||
Definition | MedicationStatement 為當前狀態的原因 Captures the reason for the current state of the MedicationStatement. | ||||
Short | 當前狀態的原因Reason for current status | ||||
Comments | 這通常僅用於「例外(exception)」狀態,例如「未服用(not-taken)」、「暫停(on-hold)」、「取消(cancelled)」或「錯誤輸入(entered-in-error)」。若是要查找執行此用藥聲明的原因則應從reasonCode中取得,而不是在此資料項目。 This is generally only used for "exception" statuses such as "not-taken", "on-hold", "cancelled" or "entered-in-error". The reason for performing the event at all is captured in reasonCode, not here. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTDrugTherapyStatusCodeshttp://hl7.org/fhir/ValueSet/reason-medication-status-codes (extensible to http://hl7.org/fhir/ValueSet/reason-medication-status-codes )應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept indicating the reason for the status of the statement. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
24. MedicationStatement.category | |||||
Definition | 表明預期會在哪裡使用或給藥 Indicates where the medication is expected to be consumed or administered. | ||||
Short | 藥品使用的類型Type of medication usage | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHOULD be taken from Medication usage category codeshttp://hl7.org/fhir/ValueSet/medication-statement-category (preferred to http://hl7.org/fhir/ValueSet/medication-statement-category )應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
26. MedicationStatement.medication[x] | |||||
Definition | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | 所提供的藥品What medication was taken | ||||
Comments | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | ||||
Control | 1..1 | ||||
Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes (example to http://hl7.org/fhir/ValueSet/medication-codes )A coded concept identifying the substance or product being taken. | ||||
Type | Choice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication, Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
28. MedicationStatement.medication[x]:medicationReference | |||||
Slice Name | medicationReference | ||||
Definition | Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | What medication was taken | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | ||||
Control | 01..1 | ||||
Type | Reference(TW Core Medication, Medication), CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
30. MedicationStatement.medication[x]:medicationCodeableConcept | |||||
Slice Name | medicationCodeableConcept | ||||
Definition | 指明所提供的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。 Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | 所提供的藥品。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。What medication was taken | ||||
Comments | 如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | ||||
Control | 01..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes (example to http://hl7.org/fhir/ValueSet/medication-codes )A coded concept identifying the substance or product being taken. | ||||
Type | CodeableConcept(TW CodeableConcept), Reference(Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
32. MedicationStatement.medication[x]:medicationCodeableConcept.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 A reference to a code defined by a terminology system. | ||||
Short | 由專門術語系統(terminology system)定義的代碼Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x].coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
34. MedicationStatement.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | |||||
Slice Name | fda-medication-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 A reference to a code defined by a terminology system. | ||||
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see 臺灣食藥署藥品及醫療器材代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
36. MedicationStatement.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | |||||
Slice Name | nhi-medication-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 A reference to a code defined by a terminology system. | ||||
Short | 此為中央健康保險署(NHI)維護之藥品代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see 臺灣健保署用藥品項代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
38. MedicationStatement.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | |||||
Slice Name | nhi-medication-ch-herb-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 A reference to a code defined by a terminology system. | ||||
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see 臺灣健保署中藥用藥品項值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
40. MedicationStatement.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | |||||
Slice Name | rxnorm-medication-us-core | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 A reference to a code defined by a terminology system. | ||||
Short | 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。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see RxNorm藥品代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
42. MedicationStatement.medication[x]:medicationCodeableConcept.coding:atc-medication-code | |||||
Slice Name | atc-medication-code | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 A reference to a code defined by a terminology system. | ||||
Short | 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。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
44. MedicationStatement.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | |||||
Slice Name | snomedct-medication-codes | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 A reference to a code defined by a terminology system. | ||||
Short | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..1* This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from For codes, see SNOMEDCTMedicationCodes (required to http://hl7.org/fhir/ValueSet/medication-codes )可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
46. MedicationStatement.medication[x]:medicationCodeableConcept.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | 概念的文字表示法Plain text representation of the concept | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
48. MedicationStatement.subject | |||||
Definition | 目前正在/曾經用藥的人、動物或群體。 The person, animal or group who is/was taking the medication. | ||||
Short | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。Who is/was taking the medication | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Patient, Group, Patient) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
50. MedicationStatement.context | |||||
Definition | 描述此MedicationStatement發生時所處的醫療環境或治療階段,例如:此事件是在某次就醫或某照護病程中發生的。 The encounter or episode of care that establishes the context for this MedicationStatement. | ||||
Short | 與此用藥聲明相關的就醫事件(Encounter / Episode)Encounter / Episode associated with MedicationStatement | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Encounter, EpisodeOfCare, Encounter) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
52. MedicationStatement.effective[x] | |||||
Definition | 病人目前正在/曾經/將會服用藥品(當 MedicationStatement.taken 資料項目為No時,表示未服用)的時間間隔 The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No). | ||||
Short | 用藥的日期/時間或間隔The date/time or interval when the medication is/was/will be taken | ||||
Comments | 此屬性反映病人用藥的時間區間,並預計會在大多數的用藥聲明(Medication Statements)中填寫。如果記錄聲明時仍在用藥,則省略 「結束 (end)」日期。日期/時間屬性支援多種日期 - 年、年/月和精確日期。如果需要更多資訊,則應以文字表述形式表達。 This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the "end" date will be omitted. The date/time attribute supports a variety of dates - year, year/month and exact date. If something more than this is required, this should be conveyed as text. | ||||
Control | 0..1 | ||||
Type | Choice of: dateTime, Period | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
54. MedicationStatement.dateAsserted | |||||
Definition | 資訊來源提出此用藥聲明的日期 The date when the medication statement was asserted by the information source. | ||||
Short | 此聲明是何時提出的?When the statement was asserted? | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
56. MedicationStatement.informationSource | |||||
Definition | 提供有關服用此藥品資訊的個人或機構。注意:當 MedicationStatement 是從其他 resources 衍生時,例如: Claim 或 MedicationRequest,請使用 derivedFrom。 The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest. | ||||
Short | 提供有關服用此藥品資訊的個人或機構Person or organization that provided the information about the taking of this medication | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
58. MedicationStatement.derivedFrom | |||||
Definition | 允許將「用藥聲明(MedicationStatement)」連接到底層的「藥品請求(MedicationRequest)」,或連結到支持 「用藥聲明」或用於推導「用藥聲明」 的其他資訊。 Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement. | ||||
Short | 額外的補充資料Additional supporting information | ||||
Comments | 可能會引用到用藥請求(MedicationRequest)、配藥(MedicationDispense)、索賠(Claim)、觀察結果(Observation)或問卷答覆(QuestionnaireAnswers)。派生 MedicationStatement 的最常見用例是根據 MedicationRequest 或實驗室觀察結果或索賠申請創建 MedicationStatement。 Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers. The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from. | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
60. MedicationStatement.reasonCode | |||||
Definition | 正在/曾經服藥的原因。 A reason for why the medication is being/was taken. | ||||
Short | 指明目前正在使用的藥品Reason for why the medication is being/was taken | ||||
Comments | 可能的參照 resources 包括MedicationRequest、MedicationDispense、Claim、Observation或QuestionnaireAnswers。最常見的衍生 MedicationStatement案例是從MedicationRequest、Observation 或 Claim中創建MedicationStatement。需要注意的是,可用的資訊量取決於您從中衍生 MedicationStatement 的 resource類型。 This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code (extensible to http://hl7.org/fhir/ValueSet/condition-code )應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept identifying why the medication is being taken. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
62. MedicationStatement.reasonReference | |||||
Definition | 證明目前正在/曾經用藥原因之Condition或Observation Condition or observation that supports why the medication is being/was taken. | ||||
Short | 證明目前正在/曾經用藥原因之Condition或ObservationCondition or observation that supports why the medication is being/was taken | ||||
Comments | 這是對目前正在/曾經用藥原因是某種疾病的狀況(Condition),但如果只有一個代碼,則使用 reasonForUseCode。 This is a reference to a condition that is the reason why the medication is being/was taken. If only a code exists, use reasonForUseCode. | ||||
Control | 0..* | ||||
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result, TW Core DiagnosticReport, Condition, Observation, DiagnosticReport) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
64. MedicationStatement.note | |||||
Definition | 提供其他屬性無法傳達且有關用藥聲明的額外資訊 Provides extra information about the medication statement that is not conveyed by the other attributes. | ||||
Short | 有關此聲明的更多資訊Further information about the statement | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
66. MedicationStatement.dosage | |||||
Definition | 表明病人目前正在/曾經或應該如何服藥 Indicates how the medication is/was or should be taken by the patient. | ||||
Short | 藥品目前正被/曾經被服用或應該如何服用的細節Details of how medication is/was taken or should be taken | ||||
Comments | 用藥聲明(MedicationStatement)中包含的劑量日期反映了特定劑量的使用日期。例如:「從2016年11月1日到2016年11月3日,每天服一片,從2016年11月4日到2016年11月7日,每天服兩片。」 這種詳細資訊通常只在病人攜帶標有日期的藥品容器時 或MedicationStatement 是 從MedicationRequest中衍生而來時才會提供。 The dates included in the dosage on a Medication Statement reflect the dates for a given dose. For example, "from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily." It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest. | ||||
Control | 0..* | ||||
Type | Dosage | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
68. MedicationStatement.dosage.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
70. MedicationStatement.dosage.sequence | |||||
Definition | 表明使用或解釋劑量指示的順序 Indicates the order in which the dosage instructions should be applied or interpreted. | ||||
Short | 劑量指示的順序The order of the dosage instructions | ||||
Control | 0..1 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 如果多個劑量的序號是相同的,那麼就意味著這些指示將被視為同時進行。如果序號不同,那麼這些劑量將是依續使用。 If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
72. MedicationStatement.dosage.text | |||||
Definition | 純文字表述的劑量指示,例如:SIG。 Free text dosage instructions e.g. SIG. | ||||
Short | 純文字表述的劑量指示,例如:SIG。Free text dosage instructions e.g. SIG | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示,純文字表述說明可能仍然存在,以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入,那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。 Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
74. MedicationStatement.dosage.additionalInstruction | |||||
Definition | 向病人提供關於如何服藥的補充指示(例如 「隨餐服用」或「在進食前半小時服用」)或給病人的藥品警告(例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈(日曬用)下」)。 Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). | ||||
Short | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | ||||
Comments | 應在dosage.text中填入關於用藥或準備藥品的資訊(例如: 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」)。 Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes (extensible to http://hl7.org/fhir/ValueSet/additional-instruction-codes )一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 附加指示是要編碼的,但在沒有編碼的情況下,此資料項目可以包括文字。例如,「用大量的水吞咽」,這可能編碼也可能不編碼。 Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
76. MedicationStatement.dosage.patientInstruction | |||||
Definition | 用病人或消費者能理解的術語提供指示 Instructions in terms that are understood by the patient or consumer. | ||||
Short | 以病人或消費者為導向的指示Patient or consumer oriented instructions | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
78. MedicationStatement.dosage.timing | |||||
Definition | 應該何時給藥 When medication should be administered. | ||||
Short | 應該何時給藥;時間的寫法請參照Timimg datatype。When medication should be administered | ||||
Comments | 這個屬性可能並不總是被填入,而Dosage.text預計會被填入。如果兩者都被填入,那麼Dosage.text應反映Dosage.timing的內容。 This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing. | ||||
Control | 0..1 | ||||
Type | Timing | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如:「每8小時一次」;「一天三次」;「從2011年12月23日開始的10天裡,早餐前半小時」;「2013年10月15日、2013年10月17日和2013年11月1日」。有時,當率值(rate)為總容量/期間,其「期間」意指(例如:500mL/2小時)之持續期間為2小時。但當率值非意指「持續期間」時(例如:250mL/小時),則需要timing.repeat.duration來表達輸液的時間區間。 The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
80. MedicationStatement.dosage.timing.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||
82. MedicationStatement.dosage.timing.event | |||||
Definition | 指明事件發生的特定時間 Identifies specific times when the event occurs. | ||||
Short | 事件發生的時間When the event occurs | ||||
Control | 0..* | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 例如:在一份用藥記錄中,你需要把一個一般的規範變成一個精確的規範。 In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
84. MedicationStatement.dosage.timing.repeat | |||||
Definition | 一組描述事件何時被安排的規則 A set of rules that describe when the event is scheduled. | ||||
Short | 事件定期重複發生的時間When the event is to occur | ||||
Control | 0..1 | ||||
Type | Element | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 定期重複的時間安排 Many timing schedules are determined by regular repetitions. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists() )tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists() )tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0 )tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0 )tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists() )tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists() )tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists() )tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) )tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty() )tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty()) | ||||
86. MedicationStatement.dosage.timing.repeat.bounds[x] | |||||
Definition | 時間長度或可能的時間長度範圍,或開始和/或結束時間。 Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. | ||||
Short | 時間或期間長度/長度範圍,或(開始和/或結束)限制Length/Range of lengths, or (Start and/or end) limits | ||||
Control | 0..1 | ||||
Type | Choice of: Duration, Range, Period | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
88. MedicationStatement.dosage.timing.repeat.count | |||||
Definition | 在整個持續期間內,期望重複的總次數。如果countMax這個資料項目存在,此count資料項目表示允許次數範圍的下限。 A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. | ||||
Short | 重複的次數Number of times to repeat | ||||
Comments | 如果你同時擁有bounds和count這兩個資料項目,那麼這應該被理解為在bounds期間,發生count的次數。 If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 重複次數可透過設定結束時間或總發生次數作限制 Repetitions may be limited by end time or total occurrences. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
90. MedicationStatement.dosage.timing.repeat.countMax | |||||
Definition | 如果countMax存在,表示count是一個範圍,如此可在[count]和[countMax]之間的重複次數執行動作。 If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. | ||||
Short | 重複的最大次數Maximum number of times to repeat | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
92. MedicationStatement.dosage.timing.repeat.duration | |||||
Definition | 這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在,則此duration資料項目表示持續時間的允許範圍之下限。 How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. | ||||
Short | 此事件持續多久時間How long when it happens | ||||
Comments | 對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。 For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 有些活動不是立即發生,需要維持一段時間。 Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
94. MedicationStatement.dosage.timing.repeat.durationMax | |||||
Definition | 如果durationMax這個資料項目存在,表示duration資料項目是一個範圍的下限 — 所以要在[duration]和[durationMax]之間執行此活動。 If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. | ||||
Short | 此事件持續多久時間 (最長時間/最大值)How long when it happens (Max) | ||||
Comments | 對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。 For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 有些活動不是立即發生,需要維持一段時間。 Some activities are not instantaneous and need to be maintained for a period of time. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
96. MedicationStatement.dosage.timing.repeat.durationUnit | |||||
Definition | 持續時間的單位,以UCUM為單位。 The units of time for the duration, in UCUM units. | ||||
Short | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
98. MedicationStatement.dosage.timing.repeat.frequency | |||||
Definition | 在特定期間內重複動作的次數。如果frequencyMax存在,此frequency資料項目表示頻率的允許範圍的下限。 The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. | ||||
Short | 此事件於每一期間的發生頻率Event occurs frequency times per period | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
100. MedicationStatement.dosage.timing.repeat.frequencyMax | |||||
Definition | 如果frequencyMax存在,frequency資料項目表示頻率範圍的下限 – 所以要在[frequency]和[frequencyMax]之間重複執行此活動。 If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. | ||||
Short | 此事件於每一期間的最大發生頻率Event occurs up to frequencyMax times per period | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
102. MedicationStatement.dosage.timing.repeat.period | |||||
Definition | 表示重複發生的時間區間;例如:為了表示「每天3次」,3次是頻率(frequency),1天是週期(period)。如果存在periodMax資料項目,此period資料項目表示時間區間長度的允許範圍的下限。 Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. | ||||
Short | 此事件於特定時間區間所發生的頻率Event occurs frequency times per period | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
104. MedicationStatement.dosage.timing.repeat.periodMax | |||||
Definition | 如果periodMax存在,表示時間區間是一個從[period]到[periodMax]的範圍,允許表達像是「每3至5天一次」的概念。 If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. | ||||
Short | 時間區間的上限(3-4小時)Upper limit of period (3-4 hours) | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
106. MedicationStatement.dosage.timing.repeat.periodUnit | |||||
Definition | 持續時間的單位,以UCUM為單位。 The units of time for the period in UCUM units. | ||||
Short | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 A unit of time (units from UCUM). | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
108. MedicationStatement.dosage.timing.repeat.dayOfWeek | |||||
Definition | 如果提供的資訊為一星期中的一天或多天,那麼此活動只發生在這特定的幾天。 If one or more days of week is provided, then the action happens only on the specified day(s). | ||||
Short | mon | tue | wed | thu | fri | sat | sunmon | tue | wed | thu | fri | sat | sun | ||||
Comments | 如果沒有指定天數,則假定該活動每天都會發生,否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。 If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 )應填入DaysOfWeek值集中的其中一個代碼 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
110. MedicationStatement.dosage.timing.repeat.timeOfDay | |||||
Definition | 具體說明一天中活動進行的時間 Specified time of day for action to take place. | ||||
Short | 一天中的活動時間Time of day for action | ||||
Comments | 當指定了一天中的時間時,就會推斷出該活動每天都會在指定的時間發生(由dayofWeek篩選)。資料項目when、frequency和period不能和timeOfDay一起使用。 When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. | ||||
Control | 0..* | ||||
Type | time | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
112. MedicationStatement.dosage.timing.repeat.when | |||||
Definition | 一天中的一個大致時段,可能與日常生活中的某一事件有關,表明該活動應在何時發生。 An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. | ||||
Short | 事件發生的時間區間之代碼Code for time period of occurrence | ||||
Comments | 當一個以上的事件被列出,則此事件被綁定至合併的數個特定事件。 When more than one event is listed, the event is tied to the union of the specified events. | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 )與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 Real world event relating to the schedule. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 時間經常由特定事件的發生所決定,例如:起床、吃飯和睡覺。 Timings are frequently determined by occurrences such as waking, eating and sleep. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
114. MedicationStatement.dosage.timing.repeat.offset | |||||
Definition | 距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後,則假定該offset是指特定事件發生後的分鐘數。 The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. | ||||
Short | 事件的分鐘數(之前或之後)Minutes from event (before or after) | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
116. MedicationStatement.dosage.timing.code | |||||
Definition | 活動發生時機之代碼(或只是code.text中的文字)。像是BID的一些代碼到處都有,但許多機構定義它們自己的額外代碼。如果提供了一個代碼,此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述,代碼或資料都可用於解釋時機(Timing),但.repeat.bounds適用於代碼(且不包含在代碼中)的例外。 A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). | ||||
Short | BID | TID | QID | AM | PM | QD | QOD | +BID | TID | QID | AM | PM | QD | QOD | + | ||||
Comments | BID等被定義為「在機構特定的時間」。例如:一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的,就不應該使用代碼BID。反之,應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和/或使用一個結構化表示法(在這種情況下,具體說明兩個事件時間)。 BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHOULD be taken from TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation )已知/確定的時間模式之代碼;鼓勵使用TimingAbbreviation值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。 Code for a known / defined timing pattern. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
118. MedicationStatement.dosage.timing.code.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 A reference to a code defined by a terminology system. | ||||
Short | 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For codes, see HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw )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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
120. MedicationStatement.dosage.timing.code.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | 概念的文字標記法Plain text representation of the concept | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
122. MedicationStatement.dosage.asNeeded[x] | |||||
Definition | 表明此藥品是否只在需要時在特定的用法(Boolean選項)服用,或者表明服用此藥品(CodeableConcept)的前提條件。 Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). | ||||
Short | 「根據(對x的)需要」服用 Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。Take "as needed" (for x) | ||||
Comments | 可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下,CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下,Boolean值被假定為True。如果您將Boolean值設置為「False」,那麼該劑量是根據時間表給予的,而不是 「prn」或 「根據需要」。 Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason (extensible to http://hl7.org/fhir/ValueSet/medication-as-needed-reason )一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
Type | Choice of: boolean, CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
124. MedicationStatement.dosage.site | |||||
Definition | 用藥的身體部位 Body site to administer to. | ||||
Short | 用藥之身體部位Body site to administer to | ||||
Comments | 如果使用案例需要BodySite resource的屬性(例如:分別識別和追蹤),那麼就使用標準extension bodySite。可以是一個摘要代碼,也可以是對一個非常精確的位置定義的參照,或者兩者都是。 If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes (extensible to http://hl7.org/fhir/ValueSet/approach-site-codes )一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept describing the site location the medicine enters into or onto the body. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 對藥品首次進入之人體解剖部位的編碼說明 A coded specification of the anatomic site where the medication first enters the body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
126. MedicationStatement.dosage.route | |||||
Definition | 藥品應如何進入體內 How drug should enter body. | ||||
Short | 藥品應如何進入體內How drug should enter body | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes (example to http://hl7.org/fhir/ValueSet/route-codes )A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼 A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
128. MedicationStatement.dosage.route.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 A reference to a code defined by a terminology system. | ||||
Short | 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。Code defined by a terminology system | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For codes, see SNOMED CT + 臺灣健保署給藥途徑值集 (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw )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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
130. MedicationStatement.dosage.route.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | 概念的文字標記法Plain text representation of the concept | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
132. MedicationStatement.dosage.method | |||||
Definition | 用藥的技術 Technique for administering medication. | ||||
Short | 用藥的技術Technique for administering medication | ||||
Comments | 使用的專門術語通常先組合配對(pre-coordinate)用藥途徑和/或劑型。 Terminologies used often pre-coordinate this term with the route and or form of administration. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes (extensible to http://hl7.org/fhir/ValueSet/administration-method-codes )一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 A coded concept describing the technique by which the medicine is administered. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如:慢推、深靜脈。 A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
134. MedicationStatement.dosage.doseAndRate | |||||
Definition | 用藥量 The amount of medication administered. | ||||
Short | 用藥量Amount of medication administered | ||||
Control | 0..* | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
136. MedicationStatement.dosage.doseAndRate.type | |||||
Definition | 特定劑量或比率種類,例如:依處方或計算而來。 The kind of dose or rate specified, for example, ordered or calculated. | ||||
Short | 特定劑量或比率種類The kind of dose or rate specified | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type (example to http://hl7.org/fhir/ValueSet/dose-rate-type )可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 The kind of dose or rate specified. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。 If the type is not populated, assume to be "ordered". | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
138. MedicationStatement.dosage.doseAndRate.dose[x] | |||||
Definition | 每一劑量的藥量 Amount of medication per dose. | ||||
Short | 每一劑量的藥量Amount of medication per dose | ||||
Comments | 請注意這是指特定藥品量,而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如:如果想表達一錠375毫克的藥錠,劑量是一錠,你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者,如果劑量是375毫克,那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射,例如:多巴胺,你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中,那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的(速率是存在的,或者時間是有期限的),這可具體說明以傳達在時間表所指示的時段之總用藥量,例如:500毫升的劑量應該在4小時內完成。 Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours. | ||||
Control | 0..1 | ||||
Type | Choice of: Range, Quantity(SimpleQuantity) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Requirements | 在一次用藥事件中給予的治療用或其他的物質量 The amount of therapeutic or other substance given at one administration event. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
140. MedicationStatement.dosage.doseAndRate.rate[x] | |||||
Definition | 每時間單位內的用藥量 Amount of medication per unit of time. | ||||
Short | 每時間單位內的用藥量Amount of medication per unit of time | ||||
Comments | 可同時提供rate和doseQuantity,以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變,根據當地的規則/法規,每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉,或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率(例如:100毫升/小時)。rateQuantity的方式要求系統有能力解析包含毫升/小時的UCUM語法,而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值,使用rateRatio可能比使用rateQuantity指定250毫克/小時在語義上更正確。 It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour. | ||||
Control | 0..1 | ||||
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Requirements | 指明藥品引入病人體內的速度。通常是指輸液的速度,例如:每1小時100毫升或100毫升/小時。也可表示為每單位時間的速度,例如:每2小時500毫升,其他例子如200微克/分鐘或200微克/1分鐘;1升/8小時。有時,當表示為總容量/持續時間時,速率可以隱喻持續時間(例如:500毫升/2小時隱喻持續時間為2小時)。然而,當速率未隱喻持續時間時(例如:250毫升/小時),則需要timing.repeat.duration來表達輸液的時間區間。 Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
142. MedicationStatement.dosage.maxDosePerPeriod | |||||
Definition | 每時間單位內用藥的上限 Upper limit on medication per unit of time. | ||||
Short | 每時間單位內用藥的上限Upper limit on medication per unit of time | ||||
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如:「每4小時2錠,一天最多8錠」。 This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day". | ||||
Control | 0..1 | ||||
Type | Ratio | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 在一段時間區間用於某一對象的治療用物質之最大總量。例如:24小時內1,000毫克。 The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
144. MedicationStatement.dosage.maxDosePerAdministration | |||||
Definition | 每次用藥的上限 Upper limit on medication per administration. | ||||
Short | 每次用藥的上限Upper limit on medication per administration | ||||
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如:與體表面積有關的劑量有一個上限,如在5至10分鐘內靜脈注射1.5毫克/平方米(最多2毫克),其doseQuantity為1.5毫克/平方米,maxDosePerAdministration為2毫克。 This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg. | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 每次用於某一對象治療用物質的最大總量 The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
146. MedicationStatement.dosage.maxDosePerLifetime | |||||
Definition | 病人一生中用藥的上限 Upper limit on medication per lifetime of the patient. | ||||
Short | 病人一生中用藥的上限Upper limit on medication per lifetime of the patient | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 用於某一對象的治療用物質於其一生的最大總數量 The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. MedicationStatement | |||||
Definition | 病人正在服藥的紀錄。一份 MedicationStatement(用藥聲明)可能表明病人目前正在、曾經或將來會服藥。此資訊的來源可能是病人、重要他人(如家庭成員或配偶)或臨床醫生。病人就診或住院期間的病史記錄過程是獲取此類資訊的常見場景。藥品資訊可能來自病人的記憶、處方瓶或病人、臨床醫師或其他方維護的藥品清單。 用藥聲明(medication statement)與給藥(medication administration)之間的主要區別在於:給藥具有完整的用藥資訊,並且基於實際由給藥者提供的用藥資訊為基礎。相對而言,用藥聲明通常較為籠統,不會具體記錄用藥的日期或時間,實際上,我們只知道有來源報告說病人目前正在服用這種藥品,但關於用藥的時間、劑量、比例甚至藥物產品的詳細資訊可能不完整、缺失或不太精確。正如前面所提到的,用藥聲明的資訊可能來自病人的記憶、處方瓶或病人、臨床醫生或其他人維護的藥品清單。相比之下,給藥紀錄則更為正式,包含了詳細的用藥資訊。 | ||||
Short | 病人正在服用的藥品紀錄 | ||||
Comments | 當解釋用藥聲明時,需要考慮「狀態(status)」和「未服用(NotTaken)」的值: MedicationStatement.status + MedicationStatement.wasNotTaken
| ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() ) | ||||
2. MedicationStatement.id | |||||
Definition | resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。 | ||||
Short | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationStatement紀錄,通常又稱為邏輯性ID。 | ||||
Comments | 一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。 | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. MedicationStatement.meta | |||||
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。 | ||||
Short | 此MedicationStatement Resource的metadata | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. MedicationStatement.implicitRules | |||||
Definition | 構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 | ||||
Short | 創建此內容所依據的一組規則 | ||||
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. MedicationStatement.language | |||||
Definition | 編寫此resource的語言 | ||||
Short | 用以表述MedicationStatement Resource內容的語言。 | ||||
Comments | 提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。 | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Example | <br/><b>Value</b>:zh-TW | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. MedicationStatement.text | |||||
Definition | 人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。 | ||||
Short | MedicationStatement Resource之內容摘要以供人閱讀 | ||||
Comments | 內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。 | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. MedicationStatement.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. MedicationStatement.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. MedicationStatement.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. MedicationStatement.identifier | |||||
Definition | 與此 「用藥聲明」相關的識別碼,由業務流程定義,和/或在直接使用 URL 參照resource本身不適當時用來表示它。這些是執行者或其他系統分配給此resource的業務識別碼,隨著resource更新和從伺服器到伺服器的傳送,這些識別碼保持不變。 | ||||
Short | 用藥聲明的外部識別碼 | ||||
Comments | 這是用藥聲明的業務識別碼,不是resource識別碼。 | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. MedicationStatement.basedOn | |||||
Definition | 透過此用藥聲明而全部或部分達成或實現的計劃、提案或醫令 | ||||
Short | 此用藥聲明是為了達成或實現哪個計劃、提案或醫令 | ||||
Control | 0..* | ||||
Type | Reference(TW Core MedicationRequest, TW Core CarePlan, TW Core ServiceRequest) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 允許追蹤事件的授權,並追蹤是否對提案採取行動。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. MedicationStatement.partOf | |||||
Definition | 此用藥聲明是一個更大事件的組成部分或步驟 | ||||
Short | 參照事件的一部分 | ||||
Control | 0..* | ||||
Type | Reference(MedicationAdministration, TW Core MedicationDispense, TW Core MedicationStatement, TW Core Procedure, TW Core Observation Laboratory Result) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 這不該用於指明 MedicationStatement 是源自哪個resource。如果是這種情況,則應使用 MedicationStatement.divedFrom。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. MedicationStatement.status | |||||
Definition | 代表病人或其他來源對於此用藥聲明所涉及的藥品使用狀態的判斷的一個代碼。通常是目前正發生(active)或已完成(completed)。 | ||||
Short | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken | ||||
Comments | MedicationStatement 是一個時間點的聲明。狀態僅在聲明時具有代表性。MedicationStatement.status 的值集包含斷言病人用藥狀態的代碼(例如:已停止或暫停)以及斷言用藥聲明本身狀態的代碼(例如:輸入錯誤)。 此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。 | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from Medication Status Codes (required to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 )指明用藥聲明的當前狀態;應填入所綁定值集中的其中一個代碼 | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. MedicationStatement.statusReason | |||||
Definition | MedicationStatement 為當前狀態的原因 | ||||
Short | 當前狀態的原因 | ||||
Comments | 這通常僅用於「例外(exception)」狀態,例如「未服用(not-taken)」、「暫停(on-hold)」、「取消(cancelled)」或「錯誤輸入(entered-in-error)」。若是要查找執行此用藥聲明的原因則應從reasonCode中取得,而不是在此資料項目。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTDrugTherapyStatusCodes (extensible to http://hl7.org/fhir/ValueSet/reason-medication-status-codes )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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. MedicationStatement.category | |||||
Definition | 表明預期會在哪裡使用或給藥 | ||||
Short | 藥品使用的類型 | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHOULD be taken from Medication usage category codes (preferred to http://hl7.org/fhir/ValueSet/medication-statement-category )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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. MedicationStatement.medication[x] | |||||
Definition | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 | ||||
Short | 所提供的藥品 | ||||
Comments | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 | ||||
Control | 1..1 | ||||
Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes )A coded concept identifying the substance or product being taken. | ||||
Type | Choice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
32. MedicationStatement.medication[x]:medicationReference | |||||
Slice Name | medicationReference | ||||
Definition | Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | What medication was taken | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. MedicationStatement.medication[x]:medicationCodeableConcept | |||||
Slice Name | medicationCodeableConcept | ||||
Definition | 指明所提供的藥品,這是一個指向代表藥品的resource的連接,可以是藥品的細節,也可以是一個帶有代碼的屬性,從已知的藥品列表中指明此藥品。 | ||||
Short | 所提供的藥品。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | ||||
Comments | 如果只具體說明一個代碼,那麼它需要是一個特定產品的代碼。如果需要更多資訊,那麼建議使用Medication resource。例如:如果您需要劑型或批號,或者如果藥品是複方或臨場調製(extemporaneously prepared)的,那麼您必須參考Medication resource。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes )A coded concept identifying the substance or product being taken. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. MedicationStatement.medication[x]:medicationCodeableConcept.id | |||||
Definition | resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。 | ||||
Short | 唯一可識別ID,以供資料項目間相互參照。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
38. MedicationStatement.medication[x]:medicationCodeableConcept.extension | |||||
Definition | 擴充的資料項目 | ||||
Short | 擴充的資料項目 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x].extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
40. MedicationStatement.medication[x]:medicationCodeableConcept.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 | ||||
Short | 由專門術語系統(terminology system)定義的代碼 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.medication[x].coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
42. MedicationStatement.medication[x]:medicationCodeableConcept.coding:fda-medication-tw | |||||
Slice Name | fda-medication-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼,涵蓋範圍相對完整,可免費使用,可優先選用此代碼。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from 臺灣食藥署藥品及醫療器材代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. MedicationStatement.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw | |||||
Slice Name | nhi-medication-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為中央健康保險署(NHI)維護之藥品代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from 臺灣健保署用藥品項代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. MedicationStatement.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw | |||||
Slice Name | nhi-medication-ch-herb-tw | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from 臺灣健保署中藥用藥品項值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. MedicationStatement.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core | |||||
Slice Name | rxnorm-medication-us-core | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 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。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from RxNorm藥品代碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. MedicationStatement.medication[x]:medicationCodeableConcept.coding:atc-medication-code | |||||
Slice Name | atc-medication-code | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 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。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw )應填入所綁定值集中的其中一個代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. MedicationStatement.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes | |||||
Slice Name | snomedct-medication-codes | ||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照。 | ||||
Short | 此為SNOMED CT代碼,若機構已有購買相關授權,亦可使用。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,如SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHALL be taken from SNOMEDCTMedicationCodes (required to http://hl7.org/fhir/ValueSet/medication-codes )可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. MedicationStatement.medication[x]:medicationCodeableConcept.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 | ||||
Short | 概念的文字表示法 | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. MedicationStatement.subject | |||||
Definition | 目前正在/曾經用藥的人、動物或群體。 | ||||
Short | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource,或者是一個帶有代碼的簡單屬性,從已知藥品清單中表明藥品的代碼。 | ||||
Control | 1..1 | ||||
Type | Reference(TW Core Patient, Group) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. MedicationStatement.context | |||||
Definition | 描述此MedicationStatement發生時所處的醫療環境或治療階段,例如:此事件是在某次就醫或某照護病程中發生的。 | ||||
Short | 與此用藥聲明相關的就醫事件(Encounter / Episode) | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Encounter, EpisodeOfCare) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. MedicationStatement.effective[x] | |||||
Definition | 病人目前正在/曾經/將會服用藥品(當 MedicationStatement.taken 資料項目為No時,表示未服用)的時間間隔 | ||||
Short | 用藥的日期/時間或間隔 | ||||
Comments | 此屬性反映病人用藥的時間區間,並預計會在大多數的用藥聲明(Medication Statements)中填寫。如果記錄聲明時仍在用藥,則省略 「結束 (end)」日期。日期/時間屬性支援多種日期 - 年、年/月和精確日期。如果需要更多資訊,則應以文字表述形式表達。 | ||||
Control | 0..1 | ||||
Type | Choice of: dateTime, Period | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. MedicationStatement.dateAsserted | |||||
Definition | 資訊來源提出此用藥聲明的日期 | ||||
Short | 此聲明是何時提出的? | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. MedicationStatement.informationSource | |||||
Definition | 提供有關服用此藥品資訊的個人或機構。注意:當 MedicationStatement 是從其他 resources 衍生時,例如: Claim 或 MedicationRequest,請使用 derivedFrom。 | ||||
Short | 提供有關服用此藥品資訊的個人或機構 | ||||
Control | 0..1 | ||||
Type | Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. MedicationStatement.derivedFrom | |||||
Definition | 允許將「用藥聲明(MedicationStatement)」連接到底層的「藥品請求(MedicationRequest)」,或連結到支持 「用藥聲明」或用於推導「用藥聲明」 的其他資訊。 | ||||
Short | 額外的補充資料 | ||||
Comments | 可能會引用到用藥請求(MedicationRequest)、配藥(MedicationDispense)、索賠(Claim)、觀察結果(Observation)或問卷答覆(QuestionnaireAnswers)。派生 MedicationStatement 的最常見用例是根據 MedicationRequest 或實驗室觀察結果或索賠申請創建 MedicationStatement。 | ||||
Control | 0..* | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. MedicationStatement.reasonCode | |||||
Definition | 正在/曾經服藥的原因。 | ||||
Short | 指明目前正在使用的藥品 | ||||
Comments | 可能的參照 resources 包括MedicationRequest、MedicationDispense、Claim、Observation或QuestionnaireAnswers。最常見的衍生 MedicationStatement案例是從MedicationRequest、Observation 或 Claim中創建MedicationStatement。需要注意的是,可用的資訊量取決於您從中衍生 MedicationStatement 的 resource類型。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Condition/Problem/DiagnosisCodes (extensible to http://hl7.org/fhir/ValueSet/condition-code )應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. MedicationStatement.reasonReference | |||||
Definition | 證明目前正在/曾經用藥原因之Condition或Observation | ||||
Short | 證明目前正在/曾經用藥原因之Condition或Observation | ||||
Comments | 這是對目前正在/曾經用藥原因是某種疾病的狀況(Condition),但如果只有一個代碼,則使用 reasonForUseCode。 | ||||
Control | 0..* | ||||
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result, TW Core DiagnosticReport) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. MedicationStatement.note | |||||
Definition | 提供其他屬性無法傳達且有關用藥聲明的額外資訊 | ||||
Short | 有關此聲明的更多資訊 | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. MedicationStatement.dosage | |||||
Definition | 表明病人目前正在/曾經或應該如何服藥 | ||||
Short | 藥品目前正被/曾經被服用或應該如何服用的細節 | ||||
Comments | 用藥聲明(MedicationStatement)中包含的劑量日期反映了特定劑量的使用日期。例如:「從2016年11月1日到2016年11月3日,每天服一片,從2016年11月4日到2016年11月7日,每天服兩片。」 這種詳細資訊通常只在病人攜帶標有日期的藥品容器時 或MedicationStatement 是 從MedicationRequest中衍生而來時才會提供。 | ||||
Control | 0..* | ||||
Type | Dosage | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
76. MedicationStatement.dosage.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
78. MedicationStatement.dosage.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.dosage.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
80. MedicationStatement.dosage.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
82. MedicationStatement.dosage.sequence | |||||
Definition | 表明使用或解釋劑量指示的順序 | ||||
Short | 劑量指示的順序 | ||||
Control | 0..1 | ||||
Type | integer | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 如果多個劑量的序號是相同的,那麼就意味著這些指示將被視為同時進行。如果序號不同,那麼這些劑量將是依續使用。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. MedicationStatement.dosage.text | |||||
Definition | 純文字表述的劑量指示,例如:SIG。 | ||||
Short | 純文字表述的劑量指示,例如:SIG。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示,純文字表述說明可能仍然存在,以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入,那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. MedicationStatement.dosage.additionalInstruction | |||||
Definition | 向病人提供關於如何服藥的補充指示(例如 「隨餐服用」或「在進食前半小時服用」)或給病人的藥品警告(例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈(日曬用)下」)。 | ||||
Short | 對病人的補充指示或警告-例如:「隨餐服用」,「可能引起嗜睡」 | ||||
Comments | 應在dosage.text中填入關於用藥或準備藥品的資訊(例如: 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」)。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions (extensible to http://hl7.org/fhir/ValueSet/additional-instruction-codes )一個編碼的概念,確定額外的指示,如「與水一起服用」或「避免操作重型機器」;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 附加指示是要編碼的,但在沒有編碼的情況下,此資料項目可以包括文字。例如,「用大量的水吞咽」,這可能編碼也可能不編碼。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. MedicationStatement.dosage.patientInstruction | |||||
Definition | 用病人或消費者能理解的術語提供指示 | ||||
Short | 以病人或消費者為導向的指示 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. MedicationStatement.dosage.timing | |||||
Definition | 應該何時給藥 | ||||
Short | 應該何時給藥;時間的寫法請參照Timimg datatype。 | ||||
Comments | 這個屬性可能並不總是被填入,而Dosage.text預計會被填入。如果兩者都被填入,那麼Dosage.text應反映Dosage.timing的內容。 | ||||
Control | 0..1 | ||||
Type | Timing | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如:「每8小時一次」;「一天三次」;「從2011年12月23日開始的10天裡,早餐前半小時」;「2013年10月15日、2013年10月17日和2013年11月1日」。有時,當率值(rate)為總容量/期間,其「期間」意指(例如:500mL/2小時)之持續期間為2小時。但當率值非意指「持續期間」時(例如:250mL/小時),則需要timing.repeat.duration來表達輸液的時間區間。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. MedicationStatement.dosage.timing.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
94. MedicationStatement.dosage.timing.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
96. MedicationStatement.dosage.timing.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
98. MedicationStatement.dosage.timing.event | |||||
Definition | 指明事件發生的特定時間 | ||||
Short | 事件發生的時間 | ||||
Control | 0..* | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 例如:在一份用藥記錄中,你需要把一個一般的規範變成一個精確的規範。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. MedicationStatement.dosage.timing.repeat | |||||
Definition | 一組描述事件何時被安排的規則 | ||||
Short | 事件定期重複發生的時間 | ||||
Control | 0..1 | ||||
Type | Element | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 定期重複的時間安排 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )tim-1: if there's a duration, there needs to be duration units ( duration.empty() or durationUnit.exists() )tim-2: if there's a period, there needs to be period units ( period.empty() or periodUnit.exists() )tim-4: duration SHALL be a non-negative value ( duration.exists() implies duration >= 0 )tim-5: period SHALL be a non-negative value ( period.exists() implies period >= 0 )tim-6: If there's a periodMax, there must be a period ( periodMax.empty() or period.exists() )tim-7: If there's a durationMax, there must be a duration ( durationMax.empty() or duration.exists() )tim-8: If there's a countMax, there must be a count ( countMax.empty() or count.exists() )tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) ( offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) )tim-10: If there's a timeOfDay, there cannot be a when, or vice versa ( timeOfDay.empty() or when.empty() ) | ||||
102. MedicationStatement.dosage.timing.repeat.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
104. MedicationStatement.dosage.timing.repeat.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.repeat.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
106. MedicationStatement.dosage.timing.repeat.bounds[x] | |||||
Definition | 時間長度或可能的時間長度範圍,或開始和/或結束時間。 | ||||
Short | 時間或期間長度/長度範圍,或(開始和/或結束)限制 | ||||
Control | 0..1 | ||||
Type | Choice of: Duration, Range, Period | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
108. MedicationStatement.dosage.timing.repeat.count | |||||
Definition | 在整個持續期間內,期望重複的總次數。如果countMax這個資料項目存在,此count資料項目表示允許次數範圍的下限。 | ||||
Short | 重複的次數 | ||||
Comments | 如果你同時擁有bounds和count這兩個資料項目,那麼這應該被理解為在bounds期間,發生count的次數。 | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 重複次數可透過設定結束時間或總發生次數作限制 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. MedicationStatement.dosage.timing.repeat.countMax | |||||
Definition | 如果countMax存在,表示count是一個範圍,如此可在[count]和[countMax]之間的重複次數執行動作。 | ||||
Short | 重複的最大次數 | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. MedicationStatement.dosage.timing.repeat.duration | |||||
Definition | 這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在,則此duration資料項目表示持續時間的允許範圍之下限。 | ||||
Short | 此事件持續多久時間 | ||||
Comments | 對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。 | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 有些活動不是立即發生,需要維持一段時間。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. MedicationStatement.dosage.timing.repeat.durationMax | |||||
Definition | 如果durationMax這個資料項目存在,表示duration資料項目是一個範圍的下限 — 所以要在[duration]和[durationMax]之間執行此活動。 | ||||
Short | 此事件持續多久時間 (最長時間/最大值) | ||||
Comments | 對於一些事件,持續時間是事件定義的一部分(例如:靜脈輸液,持續時間隱含於特定輸液量及速度)。對於其他事件,它是時間規範的一部分(例如:運動持續時間)。 | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 有些活動不是立即發生,需要維持一段時間。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
116. MedicationStatement.dosage.timing.repeat.durationUnit | |||||
Definition | 持續時間的單位,以UCUM為單位。 | ||||
Short | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
118. MedicationStatement.dosage.timing.repeat.frequency | |||||
Definition | 在特定期間內重複動作的次數。如果frequencyMax存在,此frequency資料項目表示頻率的允許範圍的下限。 | ||||
Short | 此事件於每一期間的發生頻率 | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
120. MedicationStatement.dosage.timing.repeat.frequencyMax | |||||
Definition | 如果frequencyMax存在,frequency資料項目表示頻率範圍的下限 – 所以要在[frequency]和[frequencyMax]之間重複執行此活動。 | ||||
Short | 此事件於每一期間的最大發生頻率 | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
122. MedicationStatement.dosage.timing.repeat.period | |||||
Definition | 表示重複發生的時間區間;例如:為了表示「每天3次」,3次是頻率(frequency),1天是週期(period)。如果存在periodMax資料項目,此period資料項目表示時間區間長度的允許範圍的下限。 | ||||
Short | 此事件於特定時間區間所發生的頻率 | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
124. MedicationStatement.dosage.timing.repeat.periodMax | |||||
Definition | 如果periodMax存在,表示時間區間是一個從[period]到[periodMax]的範圍,允許表達像是「每3至5天一次」的概念。 | ||||
Short | 時間區間的上限(3-4小時) | ||||
Control | 0..1 | ||||
Type | decimal | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
126. MedicationStatement.dosage.timing.repeat.periodUnit | |||||
Definition | 持續時間的單位,以UCUM為單位。 | ||||
Short | s | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM) | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 )時間的單位(單位來自UCUM);應填入UnitsOfTime值集中的其中一個代碼 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
128. MedicationStatement.dosage.timing.repeat.dayOfWeek | |||||
Definition | 如果提供的資訊為一星期中的一天或多天,那麼此活動只發生在這特定的幾天。 | ||||
Short | mon | tue | wed | thu | fri | sat | sun | ||||
Comments | 如果沒有指定天數,則假定該活動每天都會發生,否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。 | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 )應填入DaysOfWeek值集中的其中一個代碼 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
130. MedicationStatement.dosage.timing.repeat.timeOfDay | |||||
Definition | 具體說明一天中活動進行的時間 | ||||
Short | 一天中的活動時間 | ||||
Comments | 當指定了一天中的時間時,就會推斷出該活動每天都會在指定的時間發生(由dayofWeek篩選)。資料項目when、frequency和period不能和timeOfDay一起使用。 | ||||
Control | 0..* | ||||
Type | time | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
132. MedicationStatement.dosage.timing.repeat.when | |||||
Definition | 一天中的一個大致時段,可能與日常生活中的某一事件有關,表明該活動應在何時發生。 | ||||
Short | 事件發生的時間區間之代碼 | ||||
Comments | 當一個以上的事件被列出,則此事件被綁定至合併的數個特定事件。 | ||||
Control | 0..* | ||||
Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 )與時程表有關的真實世界事件;應填入EventTiming值集中的其中一個代碼 | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | 時間經常由特定事件的發生所決定,例如:起床、吃飯和睡覺。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
134. MedicationStatement.dosage.timing.repeat.offset | |||||
Definition | 距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後,則假定該offset是指特定事件發生後的分鐘數。 | ||||
Short | 事件的分鐘數(之前或之後) | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
136. MedicationStatement.dosage.timing.code | |||||
Definition | 活動發生時機之代碼(或只是code.text中的文字)。像是BID的一些代碼到處都有,但許多機構定義它們自己的額外代碼。如果提供了一個代碼,此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述,代碼或資料都可用於解釋時機(Timing),但.repeat.bounds適用於代碼(且不包含在代碼中)的例外。 | ||||
Short | BID | TID | QID | AM | PM | QD | QOD | + | ||||
Comments | BID等被定義為「在機構特定的時間」。例如:一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的,就不應該使用代碼BID。反之,應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和/或使用一個結構化表示法(在這種情況下,具體說明兩個事件時間)。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation )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。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
138. MedicationStatement.dosage.timing.code.id | |||||
Definition | resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。 | ||||
Short | 唯一可識別ID,以供資料項目間相互參照。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
140. MedicationStatement.dosage.timing.code.extension | |||||
Definition | 擴充的資料項目 | ||||
Short | 擴充的資料項目 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.dosage.timing.code.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
142. MedicationStatement.dosage.timing.code.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 | ||||
Short | 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw )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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
144. MedicationStatement.dosage.timing.code.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 | ||||
Short | 概念的文字標記法 | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
146. MedicationStatement.dosage.asNeeded[x] | |||||
Definition | 表明此藥品是否只在需要時在特定的用法(Boolean選項)服用,或者表明服用此藥品(CodeableConcept)的前提條件。 | ||||
Short | 「根據(對x的)需要」服用 Binding:一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;可參考SNOMEDCTMedicationAsNeededReasonCodes值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Comments | 可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下,CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下,Boolean值被假定為True。如果您將Boolean值設置為「False」,那麼該劑量是根據時間表給予的,而不是 「prn」或 「根據需要」。 | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTMedicationAsNeededReasonCodes (extensible to http://hl7.org/fhir/ValueSet/medication-as-needed-reason )一個編碼概念,指明在服用或用藥之前應滿足或評估的先決條件。例如:「疼痛」、「性行為前30分鐘」、「發作時」等;應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | Choice of: boolean, CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
148. MedicationStatement.dosage.site | |||||
Definition | 用藥的身體部位 | ||||
Short | 用藥之身體部位 | ||||
Comments | 如果使用案例需要BodySite resource的屬性(例如:分別識別和追蹤),那麼就使用標準extension bodySite。可以是一個摘要代碼,也可以是對一個非常精確的位置定義的參照,或者兩者都是。 | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible to http://hl7.org/fhir/ValueSet/approach-site-codes )一個編碼概念,描述藥品進入或在身體上的位置;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 對藥品首次進入之人體解剖部位的編碼說明 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
150. MedicationStatement.dosage.route | |||||
Definition | 藥品應如何進入體內 | ||||
Short | 藥品應如何進入體內 | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see SNOMEDCTRouteCodes (example to http://hl7.org/fhir/ValueSet/route-codes )A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
152. MedicationStatement.dosage.route.id | |||||
Definition | resource中資料項目的唯一ID(用於內部參照)。這可以是任何不含空格的字串。 | ||||
Short | 唯一可識別ID,以供資料項目間相互參照。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
154. MedicationStatement.dosage.route.extension | |||||
Definition | 擴充的資料項目 | ||||
Short | 擴充的資料項目 | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.dosage.route.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
156. MedicationStatement.dosage.route.coding | |||||
Definition | 由專門術語系統(terminology system)所定義之代碼的參照 | ||||
Short | 由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。 | ||||
Comments | 代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。 | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMED CT + 臺灣健保署給藥途徑值集 (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw )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。 | ||||
Type | Coding(TW Coding) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Requirements | 允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
158. MedicationStatement.dosage.route.text | |||||
Definition | 輸入資料的使用者所見/所選/所說的人類可讀文字表述,和(或)其代表使用者的預期含義。 | ||||
Short | 概念的文字標記法 | ||||
Comments | 很多時候,此文字表述與其中一個代碼的顯示名稱相同。 | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義,或者根本就沒有合適的代碼;這些情況下,文字表述被用來捕捉來源的全部意義。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
160. MedicationStatement.dosage.method | |||||
Definition | 用藥的技術 | ||||
Short | 用藥的技術 | ||||
Comments | 使用的專門術語通常先組合配對(pre-coordinate)用藥途徑和/或劑型。 | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdministrationMethodCodes (extensible to http://hl7.org/fhir/ValueSet/administration-method-codes )一個編碼概念,描述用藥的技術;可參考所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如:慢推、深靜脈。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
162. MedicationStatement.dosage.doseAndRate | |||||
Definition | 用藥量 | ||||
Short | 用藥量 | ||||
Control | 0..* | ||||
Type | Element | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
164. MedicationStatement.dosage.doseAndRate.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
166. MedicationStatement.dosage.doseAndRate.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationStatement.dosage.doseAndRate.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
168. MedicationStatement.dosage.doseAndRate.type | |||||
Definition | 特定劑量或比率種類,例如:依處方或計算而來。 | ||||
Short | 特定劑量或比率種類 | ||||
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Binding | For example codes, see DoseAndRateType (example to http://hl7.org/fhir/ValueSet/dose-rate-type )可參考DoseAndRateType值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。 | ||||
Type | CodeableConcept(TW CodeableConcept) | ||||
Is Modifier | false | ||||
Requirements | 如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
170. MedicationStatement.dosage.doseAndRate.dose[x] | |||||
Definition | 每一劑量的藥量 | ||||
Short | 每一劑量的藥量 | ||||
Comments | 請注意這是指特定藥品量,而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如:如果想表達一錠375毫克的藥錠,劑量是一錠,你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者,如果劑量是375毫克,那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射,例如:多巴胺,你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中,那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的(速率是存在的,或者時間是有期限的),這可具體說明以傳達在時間表所指示的時段之總用藥量,例如:500毫升的劑量應該在4小時內完成。 | ||||
Control | 0..1 | ||||
Type | Choice of: Range, Quantity(SimpleQuantity) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Requirements | 在一次用藥事件中給予的治療用或其他的物質量 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
172. MedicationStatement.dosage.doseAndRate.rate[x] | |||||
Definition | 每時間單位內的用藥量 | ||||
Short | 每時間單位內的用藥量 | ||||
Comments | 可同時提供rate和doseQuantity,以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變,根據當地的規則/法規,每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉,或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率(例如:100毫升/小時)。rateQuantity的方式要求系統有能力解析包含毫升/小時的UCUM語法,而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值,使用rateRatio可能比使用rateQuantity指定250毫克/小時在語義上更正確。 | ||||
Control | 0..1 | ||||
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Must Support Types | No must-support rules about the choice of types/profiles | ||||
Summary | true | ||||
Requirements | 指明藥品引入病人體內的速度。通常是指輸液的速度,例如:每1小時100毫升或100毫升/小時。也可表示為每單位時間的速度,例如:每2小時500毫升,其他例子如200微克/分鐘或200微克/1分鐘;1升/8小時。有時,當表示為總容量/持續時間時,速率可以隱喻持續時間(例如:500毫升/2小時隱喻持續時間為2小時)。然而,當速率未隱喻持續時間時(例如:250毫升/小時),則需要timing.repeat.duration來表達輸液的時間區間。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. MedicationStatement.dosage.maxDosePerPeriod | |||||
Definition | 每時間單位內用藥的上限 | ||||
Short | 每時間單位內用藥的上限 | ||||
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如:「每4小時2錠,一天最多8錠」。 | ||||
Control | 0..1 | ||||
Type | Ratio | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 在一段時間區間用於某一對象的治療用物質之最大總量。例如:24小時內1,000毫克。 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
176. MedicationStatement.dosage.maxDosePerAdministration | |||||
Definition | 每次用藥的上限 | ||||
Short | 每次用藥的上限 | ||||
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如:與體表面積有關的劑量有一個上限,如在5至10分鐘內靜脈注射1.5毫克/平方米(最多2毫克),其doseQuantity為1.5毫克/平方米,maxDosePerAdministration為2毫克。 | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 每次用於某一對象治療用物質的最大總量 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
178. MedicationStatement.dosage.maxDosePerLifetime | |||||
Definition | 病人一生中用藥的上限 | ||||
Short | 病人一生中用藥的上限 | ||||
Control | 0..1 | ||||
Type | Quantity(SimpleQuantity) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | 用於某一對象的治療用物質於其一生的最大總數量 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |