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

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TWCoreServiceRequest - Detailed Descriptions

Active as of 2024-11-11

Definitions for the ServiceRequest-twcore resource profile.

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

0. ServiceRequest
2. ServiceRequest.basedOn
TypeReference(TW Core CarePlan, TW Core ServiceRequest, TW Core MedicationRequest)
4. ServiceRequest.replaces
TypeReference(TW Core ServiceRequest)
6. ServiceRequest.status
Must Supporttrue
8. ServiceRequest.intent
Must Supporttrue
10. ServiceRequest.category
TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
SlicingThis element introduces a set of slices on ServiceRequest.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ $this
  • 12. ServiceRequest.category:twcore
    Slice Nametwcore
    Control0..*
    BindingThe codes SHALL be taken from 臺灣衛福部資訊處ServiceRequest類型值集
    (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category)

    此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。

    Must Supporttrue
    14. ServiceRequest.code
    Control1..?
    BindingFor example codes, see ProcedureCodes(SNOMEDCT)
    (example to http://hl7.org/fhir/ValueSet/procedure-code)

    此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。

    TypeCodeableConcept(TW CodeableConcept)
    Must Supporttrue
    16. ServiceRequest.code.coding
    SlicingThis element introduces a set of slices on ServiceRequest.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 18. ServiceRequest.code.coding:icd10-pcs-2023
      Slice Nameicd10-pcs-2023
      Control0..1
      BindingThe codes SHALL be taken from 臺灣健保署2023年中文版ICD-10-PCS值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)
      Must Supporttrue
      20. ServiceRequest.code.coding:icd10-pcs-2021
      Slice Nameicd10-pcs-2021
      Control0..1
      BindingThe codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-PCS值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)
      Must Supporttrue
      22. ServiceRequest.code.coding:icd10-pcs-2014
      Slice Nameicd10-pcs-2014
      Control0..1
      BindingThe codes SHALL be taken from 臺灣健保署2014年中文版ICD-10-PCS值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw)
      Must Supporttrue
      24. ServiceRequest.code.coding:medical-service-payment
      Slice Namemedical-service-payment
      Control0..1
      BindingThe codes SHALL be taken from 臺灣健保署醫療服務給付項目-處置或手術值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw)
      Must Supporttrue
      26. ServiceRequest.code.coding:sct-procedures
      Slice Namesct-procedures
      Control0..1
      BindingThe codes SHALL be taken from ProcedureCodes(SNOMEDCT)
      (required to http://hl7.org/fhir/ValueSet/procedure-code)
      Must Supporttrue
      28. ServiceRequest.code.coding:loinc-procedures
      Slice Nameloinc-procedures
      Control0..1
      BindingThe codes SHALL be taken from LOINCCodes
      (required to http://hl7.org/fhir/ValueSet/observation-codes)
      Must Supporttrue
      30. ServiceRequest.subject
      TypeReference(TW Core Patient, Group, TW Core Location, TW Core Implantable Device)
      Must Supporttrue
      Must Support TypesReference(TW Core Patient)
      32. ServiceRequest.encounter
      TypeReference(TW Core Encounter)
      34. ServiceRequest.occurrence[x]
      TypeChoice of: dateTime, Period, Timing
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesdateTime
      36. ServiceRequest.authoredOn
      Must Supporttrue
      38. ServiceRequest.requester
      TypeReference(TW Core Practitioner, TW Core Organization, TW Core Patient, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Implantable Device)
      Must Supporttrue
      Must Support TypesReference(TW Core Practitioner)
      40. ServiceRequest.locationReference
      TypeReference(TW Core Location)
      42. ServiceRequest.reasonCode
      BindingUnless not suitable, these codes SHALL be taken from SNOMED CT診斷代碼值集
      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw)
      44. ServiceRequest.reasonReference
      TypeReference(TW Core Condition, TW Core Observation Clinical Result, TW Core DiagnosticReport, TW Core DocumentReference)
      46. ServiceRequest.insurance
      TypeReference(TW Core Coverage, ClaimResponse)
      48. ServiceRequest.specimen
      TypeReference(TW Core Specimen)

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

      0. ServiceRequest
      Definition

      A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.

      ShortA request for a service to be performed
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate Namesdiagnostic request, referral, referral request, transfer of care request
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
      prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
      2. ServiceRequest.implicitRules
      Definition

      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.

      ShortA set of rules under which this content was created
      Comments

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

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

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

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

      ShortExtensions that cannot be ignored
      Comments

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

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

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

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

      Plan/proposal/order fulfilled by this request.

      ShortWhat request fulfills
      Control0..*
      TypeReference(TW Core CarePlan, TW Core ServiceRequest, TW Core MedicationRequest, CarePlan, ServiceRequest, MedicationRequest)
      Is Modifierfalse
      Summarytrue
      Alternate Namesfulfills
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. ServiceRequest.replaces
      Definition

      The request takes the place of the referenced completed or terminated request(s).

      ShortWhat request replaces
      Control0..*
      TypeReference(TW Core ServiceRequest, ServiceRequest)
      Is Modifierfalse
      Summarytrue
      Alternate Namessupersedes, prior, renewed order
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. ServiceRequest.status
      Definition

      The status of the order.

      Shortdraft | active | on-hold | revoked | completed | entered-in-error | unknown
      Comments

      The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource.


      The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource.

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

      The status of a service order.

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

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

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

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

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

      The kind of service request.

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

      A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

      ShortClassification of service
      Comments

      There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

      Control0..*
      BindingFor example codes, see ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-category
      (example to http://hl7.org/fhir/ValueSet/servicerequest-category)

      Classification of the requested service.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Used for filtering what service request are retrieved and displayed.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on ServiceRequest.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ $this
      • 16. ServiceRequest.category:twcore
        Slice Nametwcore
        Definition

        A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

        ShortClassification of service
        Comments

        There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

        Control0..*
        BindingThe codes SHALL be taken from For example codes, see 臺灣衛福部資訊處ServiceRequest類型值集http://hl7.org/fhir/ValueSet/servicerequest-category
        (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category)

        此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。


        Classification of the requested service.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        Used for filtering what service request are retrieved and displayed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        18. ServiceRequest.doNotPerform
        Definition

        Set this to true if the record is saying that the service/procedure should NOT be performed.

        ShortTrue if service/procedure should not be performed
        Comments

        In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.

        Control0..1
        Typeboolean
        Is Modifiertrue because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.

        Meaning if MissingIf missing, the request is a positive request e.g. "do perform"
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. ServiceRequest.code
        Definition

        A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


        A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.

        Short概念(Concept)— 參照一個專門術語或只是文字表述What is being requested/ordered
        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.


        Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.

        Control10..1
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-code
        (example to http://hl7.org/fhir/ValueSet/procedure-code)

        此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。


        Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.

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

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


        A reference to a code defined by a terminology system.

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

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


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

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

        允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on ServiceRequest.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 24. ServiceRequest.code.coding:icd10-pcs-2023
          Slice Nameicd10-pcs-2023
          Definition

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


          A reference to a code defined by a terminology system.

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

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


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

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see 臺灣健保署2023年中文版ICD-10-PCS值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. ServiceRequest.code.coding:icd10-pcs-2021
          Slice Nameicd10-pcs-2021
          Definition

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


          A reference to a code defined by a terminology system.

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

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


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

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see 臺灣健保署2021年中文版ICD-10-PCS值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. ServiceRequest.code.coding:icd10-pcs-2014
          Slice Nameicd10-pcs-2014
          Definition

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


          A reference to a code defined by a terminology system.

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

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


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

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see 臺灣健保署2014年中文版ICD-10-PCS值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. ServiceRequest.code.coding:medical-service-payment
          Slice Namemedical-service-payment
          Definition

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


          A reference to a code defined by a terminology system.

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

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


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

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see 臺灣健保署醫療服務給付項目-處置或手術值集
          (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. ServiceRequest.code.coding:sct-procedures
          Slice Namesct-procedures
          Definition

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


          A reference to a code defined by a terminology system.

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

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


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

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see ProcedureCodes(SNOMEDCT)
          (required to http://hl7.org/fhir/ValueSet/procedure-code)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          34. ServiceRequest.code.coding:loinc-procedures
          Slice Nameloinc-procedures
          Definition

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


          A reference to a code defined by a terminology system.

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

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


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

          Control0..1*
          This element is affected by the following invariants: ele-1
          BindingThe codes SHALL be taken from For codes, see LOINCCodes
          (required to http://hl7.org/fhir/ValueSet/observation-codes)
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。


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

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

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


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

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

          很多時候,此文字表述與其中一個代碼的顯示名稱相同。


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

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

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


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

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. ServiceRequest.subject
          Definition

          On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).

          ShortIndividual or Entity the service is ordered for
          Control1..1
          TypeReference(TW Core Patient, Group, TW Core Location, TW Core Implantable Device, Patient, Location, Device)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesReference(TW Core Patient)
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. ServiceRequest.encounter
          Definition

          An encounter that provides additional information about the healthcare context in which this request is made.

          ShortEncounter in which the request was created
          Control0..1
          TypeReference(TW Core Encounter, Encounter)
          Is Modifierfalse
          Summarytrue
          Alternate Namescontext
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. ServiceRequest.occurrence[x]
          Definition

          The date/time at which the requested service should occur.

          ShortWhen service should occur
          Control0..1
          TypeChoice of: dateTime, Period, Timing
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Must Support TypesdateTime
          Summarytrue
          Alternate Namesschedule
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. ServiceRequest.authoredOn
          Definition

          When the request transitioned to being actionable.

          ShortDate request signed
          Control0..1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Alternate NamesorderedOn
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. ServiceRequest.requester
          Definition

          The individual who initiated the request and has responsibility for its activation.

          ShortWho/what is requesting service
          Comments

          This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.

          Control0..1
          TypeReference(TW Core Practitioner, TW Core Organization, TW Core Patient, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Implantable Device, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
          Is Modifierfalse
          Must Supporttrue
          Must Support TypesReference(TW Core Practitioner)
          Summarytrue
          Alternate Namesauthor, orderer
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. ServiceRequest.locationReference
          Definition

          A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.

          ShortRequested location
          Control0..*
          TypeReference(TW Core Location, Location)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. ServiceRequest.reasonCode
          Definition

          An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInfo.

          ShortExplanation/Justification for procedure or service
          Comments

          This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use CodeableConcept.text element if the data is free (uncoded) text as shown in the CT Scan example.


          This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use CodeableConcept.text element if the data is free (uncoded) text as shown in the CT Scan example.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMED CT診斷代碼值集http://hl7.org/fhir/ValueSet/procedure-reason
          (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw)
          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. ServiceRequest.reasonReference
          Definition

          Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in supportingInfo.

          ShortExplanation/Justification for service or service
          Comments

          This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in DiagnosticReport.conclusion and/or DiagnosticReport.conclusionCode. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in ServiceRequest.reasonCode if the data is free (uncoded) text as shown in the CT Scan example.


          This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in DiagnosticReport.conclusion and/or DiagnosticReport.conclusionCode. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in ServiceRequest.reasonCode if the data is free (uncoded) text as shown in the CT Scan example.

          Control0..*
          TypeReference(TW Core Condition, TW Core Observation Clinical Result, TW Core DiagnosticReport, TW Core DocumentReference, Condition, Observation, DiagnosticReport, DocumentReference)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. ServiceRequest.insurance
          Definition

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

          ShortAssociated insurance coverage
          Control0..*
          TypeReference(TW Core Coverage, ClaimResponse, Coverage)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. ServiceRequest.specimen
          Definition

          One or more specimens that the laboratory procedure will use.

          ShortProcedure Samples
          Comments

          Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.


          Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.

          Control0..*
          TypeReference(TW Core Specimen, Specimen)
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

          0. ServiceRequest
          Definition

          A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.

          ShortA request for a service to be performed
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Alternate Namesdiagnostic request, referral, referral request, transfer of care request
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          prr-1: orderDetail SHALL only be present if code is present (orderDetail.empty() or code.exists())
          2. ServiceRequest.id
          Definition

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

          ShortLogical id of this artifact
          Comments

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

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

          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.

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

          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.

          ShortA set of rules under which this content was created
          Comments

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

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

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

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

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

          A human language.

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

          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.

          ShortText summary of the resource, for human interpretation
          Comments

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

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

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

          ShortContained, inline Resources
          Comments

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

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

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

          ShortAdditional content defined by implementations
          Comments

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

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

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

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

          ShortExtensions that cannot be ignored
          Comments

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

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

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

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

          Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.

          ShortIdentifiers assigned to this order
          Comments

          The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.

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

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

          ShortInstantiates FHIR protocol or definition
          Comments

          Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

          Control0..*
          Typecanonical(ActivityDefinition, PlanDefinition)
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. ServiceRequest.instantiatesUri
          Definition

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

          ShortInstantiates external protocol or definition
          Comments

          This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

          Control0..*
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          24. ServiceRequest.basedOn
          Definition

          Plan/proposal/order fulfilled by this request.

          ShortWhat request fulfills
          Control0..*
          TypeReference(TW Core CarePlan, TW Core ServiceRequest, TW Core MedicationRequest)
          Is Modifierfalse
          Summarytrue
          Alternate Namesfulfills
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. ServiceRequest.replaces
          Definition

          The request takes the place of the referenced completed or terminated request(s).

          ShortWhat request replaces
          Control0..*
          TypeReference(TW Core ServiceRequest)
          Is Modifierfalse
          Summarytrue
          Alternate Namessupersedes, prior, renewed order
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. ServiceRequest.requisition
          Definition

          A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.

          ShortComposite Request ID
          Comments

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

          Control0..1
          TypeIdentifier
          Is Modifierfalse
          Summarytrue
          Requirements

          Some business processes need to know if multiple items were ordered as part of the same "requisition" for billing or other purposes.

          Alternate NamesgrouperId, groupIdentifier
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. ServiceRequest.status
          Definition

          The status of the order.

          Shortdraft | active | on-hold | revoked | completed | entered-in-error | unknown
          Comments

          The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see Event Pattern for general discussion) or using the Task resource.

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

          The status of a service order.

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

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

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

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

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

          The kind of service request.

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

          A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

          ShortClassification of service
          Comments

          There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

          Control0..*
          BindingFor example codes, see ServiceRequestCategoryCodes
          (example to http://hl7.org/fhir/ValueSet/servicerequest-category)

          Classification of the requested service.

          TypeCodeableConcept(TW CodeableConcept)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Used for filtering what service request are retrieved and displayed.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on ServiceRequest.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • pattern @ $this
          • 36. ServiceRequest.category:twcore
            Slice Nametwcore
            Definition

            A code that classifies the service for searching, sorting and display purposes (e.g. "Surgical Procedure").

            ShortClassification of service
            Comments

            There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.

            Control0..*
            BindingThe codes SHALL be taken from 臺灣衛福部資訊處ServiceRequest類型值集
            (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category)

            此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            Used for filtering what service request are retrieved and displayed.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. ServiceRequest.priority
            Definition

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

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

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

            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Meaning if MissingIf missing, this task should be performed with normal priority
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. ServiceRequest.doNotPerform
            Definition

            Set this to true if the record is saying that the service/procedure should NOT be performed.

            ShortTrue if service/procedure should not be performed
            Comments

            In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.

            Control0..1
            Typeboolean
            Is Modifiertrue because If true this element negates the specified action. For Example, instead of a request for a procedure, it is a request for the procedure to not occur.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.

            Meaning if MissingIf missing, the request is a positive request e.g. "do perform"
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. ServiceRequest.code
            Definition

            A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

            Short概念(Concept)— 參照一個專門術語或只是文字表述
            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.

            Control1..1
            This element is affected by the following invariants: ele-1
            BindingFor example codes, see ProcedureCodes(SNOMEDCT)
            (example to http://hl7.org/fhir/ValueSet/procedure-code)

            此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。

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

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

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

            擴充的資料項目

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

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

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

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

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

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

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on ServiceRequest.code.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • pattern @ $this
              • 50. ServiceRequest.code.coding:icd10-pcs-2023
                Slice Nameicd10-pcs-2023
                Definition

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

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

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

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 臺灣健保署2023年中文版ICD-10-PCS值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                52. ServiceRequest.code.coding:icd10-pcs-2021
                Slice Nameicd10-pcs-2021
                Definition

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

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

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

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 臺灣健保署2021年中文版ICD-10-PCS值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. ServiceRequest.code.coding:icd10-pcs-2014
                Slice Nameicd10-pcs-2014
                Definition

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

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

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

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 臺灣健保署2014年中文版ICD-10-PCS值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. ServiceRequest.code.coding:medical-service-payment
                Slice Namemedical-service-payment
                Definition

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

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

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

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from 臺灣健保署醫療服務給付項目-處置或手術值集
                (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. ServiceRequest.code.coding:sct-procedures
                Slice Namesct-procedures
                Definition

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

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

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

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from ProcedureCodes(SNOMEDCT)
                (required to http://hl7.org/fhir/ValueSet/procedure-code)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. ServiceRequest.code.coding:loinc-procedures
                Slice Nameloinc-procedures
                Definition

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

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

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

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from LOINCCodes
                (required to http://hl7.org/fhir/ValueSet/observation-codes)
                TypeCoding(TW Coding)
                Is Modifierfalse
                Must Supporttrue
                Requirements

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

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

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

                Short概念的文字表示法
                Comments

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

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

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. ServiceRequest.orderDetail
                Definition

                Additional details and instructions about the how the services are to be delivered. For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.

                ShortAdditional order information
                Comments

                For information from the medical record intended to support the delivery of the requested services, use the supportingInformation element.

                Control0..*
                This element is affected by the following invariants: prr-1
                BindingFor example codes, see ServiceRequestOrderDetailsCodes
                (example to http://hl7.org/fhir/ValueSet/servicerequest-orderdetail)

                Codified order entry details which are based on order context.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Alternate Namesdetailed instructions
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. ServiceRequest.quantity[x]
                Definition

                An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).

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

                When ordering a service the number of service items may need to be specified separately from the the service item.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. ServiceRequest.subject
                Definition

                On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).

                ShortIndividual or Entity the service is ordered for
                Control1..1
                TypeReference(TW Core Patient, Group, TW Core Location, TW Core Implantable Device)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesReference(TW Core Patient)
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. ServiceRequest.encounter
                Definition

                An encounter that provides additional information about the healthcare context in which this request is made.

                ShortEncounter in which the request was created
                Control0..1
                TypeReference(TW Core Encounter)
                Is Modifierfalse
                Summarytrue
                Alternate Namescontext
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. ServiceRequest.occurrence[x]
                Definition

                The date/time at which the requested service should occur.

                ShortWhen service should occur
                Control0..1
                TypeChoice of: dateTime, Period, Timing
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Must Support TypesdateTime
                Summarytrue
                Alternate Namesschedule
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. ServiceRequest.asNeeded[x]
                Definition

                If a CodeableConcept is present, it indicates the pre-condition for performing the service. For example "pain", "on flare-up", etc.

                ShortPreconditions for service
                Control0..1
                BindingFor example codes, see SNOMEDCTMedicationAsNeededReasonCodes
                (example to http://hl7.org/fhir/ValueSet/medication-as-needed-reason)

                A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

                TypeChoice of: boolean, CodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. ServiceRequest.authoredOn
                Definition

                When the request transitioned to being actionable.

                ShortDate request signed
                Control0..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Alternate NamesorderedOn
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. ServiceRequest.requester
                Definition

                The individual who initiated the request and has responsibility for its activation.

                ShortWho/what is requesting service
                Comments

                This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.

                Control0..1
                TypeReference(TW Core Practitioner, TW Core Organization, TW Core Patient, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Implantable Device)
                Is Modifierfalse
                Must Supporttrue
                Must Support TypesReference(TW Core Practitioner)
                Summarytrue
                Alternate Namesauthor, orderer
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. ServiceRequest.performerType
                Definition

                Desired type of performer for doing the requested service.

                ShortPerformer role
                Comments

                This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.

                Control0..1
                BindingFor example codes, see ParticipantRoles
                (example to http://hl7.org/fhir/ValueSet/participant-role)

                Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Alternate Namesspecialty
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. ServiceRequest.performer
                Definition

                The desired performer for doing the requested service. For example, the surgeon, dermatopathologist, endoscopist, etc.

                ShortRequested performer
                Comments

                If multiple performers are present, it is interpreted as a list of alternative performers without any preference regardless of order. If order of preference is needed use the request-performerOrder extension. Use CareTeam to represent a group of performers (for example, Practitioner A and Practitioner B).

                Control0..*
                TypeReference(Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)
                Is Modifierfalse
                Summarytrue
                Alternate Namesrequest recipient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                84. ServiceRequest.locationCode
                Definition

                The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.

                ShortRequested location
                Control0..*
                BindingFor example codes, see ServiceDeliveryLocationRoleType
                (example to http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType)

                A location type where services are delivered.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. ServiceRequest.locationReference
                Definition

                A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.

                ShortRequested location
                Control0..*
                TypeReference(TW Core Location)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                88. ServiceRequest.reasonCode
                Definition

                An explanation or justification for why this service is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supportingInfo.

                ShortExplanation/Justification for procedure or service
                Comments

                This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use CodeableConcept.text element if the data is free (uncoded) text as shown in the CT Scan example.

                Control0..*
                BindingUnless not suitable, these codes SHALL be taken from SNOMED CT診斷代碼值集
                (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw)
                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                90. ServiceRequest.reasonReference
                Definition

                Indicates another resource that provides a justification for why this service is being requested. May relate to the resources referred to in supportingInfo.

                ShortExplanation/Justification for service or service
                Comments

                This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to Observation or Condition should be used if available. Otherwise when referencing DiagnosticReport it should contain a finding in DiagnosticReport.conclusion and/or DiagnosticReport.conclusionCode. When using a reference to DocumentReference, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in ServiceRequest.reasonCode if the data is free (uncoded) text as shown in the CT Scan example.

                Control0..*
                TypeReference(TW Core Condition, TW Core Observation Clinical Result, TW Core DiagnosticReport, TW Core DocumentReference)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                92. ServiceRequest.insurance
                Definition

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

                ShortAssociated insurance coverage
                Control0..*
                TypeReference(TW Core Coverage, ClaimResponse)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                94. ServiceRequest.supportingInfo
                Definition

                Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.

                ShortAdditional clinical information
                Comments

                To represent information about how the services are to be delivered use the instructions element.

                Control0..*
                TypeReference(Resource)
                Is Modifierfalse
                Summaryfalse
                Alternate NamesAsk at order entry question, AOE
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                96. ServiceRequest.specimen
                Definition

                One or more specimens that the laboratory procedure will use.

                ShortProcedure Samples
                Comments

                Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the Specimen resource points to the ServiceRequest.

                Control0..*
                TypeReference(TW Core Specimen)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                98. ServiceRequest.bodySite
                Definition

                Anatomic location where the procedure should be performed. This is the target site.

                ShortLocation on Body
                Comments

                Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension procedure-targetBodyStructure.

                Control0..*
                BindingFor example codes, see SNOMEDCTBodyStructures
                (example to http://hl7.org/fhir/ValueSet/body-site)

                Codes describing anatomical locations. May include laterality.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Requirements

                Knowing where the procedure is performed is important for tracking if multiple sites are possible.

                Alternate Nameslocation
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. ServiceRequest.note
                Definition

                Any other notes and comments made about the service request. For example, internal billing notes.

                ShortComments
                Control0..*
                TypeAnnotation
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. ServiceRequest.patientInstruction
                Definition

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

                ShortPatient or consumer-oriented instructions
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                104. ServiceRequest.relevantHistory
                Definition

                Key events in the history of the request.

                ShortRequest provenance
                Comments

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

                Control0..*
                TypeReference(Provenance)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))