臺灣中醫實作指引
0.1.0 - ci-build

臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions

Resource Profile: 服務請求(ServiceRequest TWCM)

Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm Version: 0.1.0
Draft as of 2026-08-31 Computable Name: ServiceRequestTWCM

此服務請求(ServiceRequest TWCM)Profile說明本IG如何進一步定義FHIR的 ServiceRequest Resource以呈現中醫門診單服務請求的詳細資料。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn Σ 0..* Reference(關懷計畫(CarePlan TWCM) | 服務請求(ServiceRequest TWCM) | 中醫-藥品請求(MedicationRequest TWCM)) What request fulfills
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: completed
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: order
... Slices for category SΣ 0..* CodeableConceptTW Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code S 1..1 CodeableConceptTW 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(病人資料(Patient TWCM)) Individual or Entity the service is ordered for
... encounter SΣ 1..1 Reference(就醫事件(Encounter TWCM)) Encounter in which the request was created
... Slices for occurrence[x] SΣ 1..1 dateTime S When service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(醫事機構(Organization TWCM)) [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name]
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | HealthcareService | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) Requested performer
... reasonReference Σ 0..* Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 檢驗檢查(Observation TWCM) | 診斷報告(DiagnosticReport TWCM) | 文件參照(DocumentReference TWCM)) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v0.3
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression

This structure is derived from TWCoreServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest TWCoreServiceRequest
... basedOn 0..* Reference(關懷計畫(CarePlan TWCM) | 服務請求(ServiceRequest TWCM) | 中醫-藥品請求(MedicationRequest TWCM)) What request fulfills
... replaces 0..* Reference(服務請求(ServiceRequest TWCM)) What request replaces
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Required Pattern: completed
... code 1..1 CodeableConceptTW 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。
.... Slices for coding Content/Rules for all slices
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
... subject 1..1 Reference(病人資料(Patient TWCM)) Individual or Entity the service is ordered for
... encounter S 1..1 Reference(就醫事件(Encounter TWCM)) Encounter in which the request was created
... Slices for occurrence[x] 1..1 dateTime When service should occur
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... requester 1..1 Reference(醫事機構(Organization TWCM)) [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name]
... performer 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | HealthcareService | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) Requested performer
... reasonReference 0..* Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 檢驗檢查(Observation TWCM) | 診斷報告(DiagnosticReport TWCM) | 文件參照(DocumentReference TWCM)) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code.​coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(關懷計畫(CarePlan TWCM) | 服務請求(ServiceRequest TWCM) | 中醫-藥品請求(MedicationRequest TWCM)) What request fulfills
... replaces Σ 0..* Reference(服務請求(ServiceRequest TWCM)) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: completed
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: order
... Slices for category SΣ 0..* CodeableConceptTW Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code S 1..1 CodeableConceptTW 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(病人資料(Patient TWCM)) Individual or Entity the service is ordered for
... encounter SΣ 1..1 Reference(就醫事件(Encounter TWCM)) Encounter in which the request was created
... Slices for occurrence[x] SΣ 1..1 dateTime S When service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(醫事機構(Organization TWCM)) [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name]
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | HealthcareService | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(TW Core Location) Requested location
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference Σ 0..* Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 檢驗檢查(Observation TWCM) | 診斷報告(DiagnosticReport TWCM) | 文件參照(DocumentReference TWCM)) Explanation/Justification for service or service
... insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(TW Core Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📦4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v0.3
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📦4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.3
ServiceRequest.reasonCode Base extensible SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v0.3
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from TWCoreServiceRequest

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.occurrence[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn Σ 0..* Reference(關懷計畫(CarePlan TWCM) | 服務請求(ServiceRequest TWCM) | 中醫-藥品請求(MedicationRequest TWCM)) What request fulfills
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: completed
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: order
... Slices for category SΣ 0..* CodeableConceptTW Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code S 1..1 CodeableConceptTW 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(病人資料(Patient TWCM)) Individual or Entity the service is ordered for
... encounter SΣ 1..1 Reference(就醫事件(Encounter TWCM)) Encounter in which the request was created
... Slices for occurrence[x] SΣ 1..1 dateTime S When service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(醫事機構(Organization TWCM)) [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name]
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | HealthcareService | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) Requested performer
... reasonReference Σ 0..* Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 檢驗檢查(Observation TWCM) | 診斷報告(DiagnosticReport TWCM) | 文件參照(DocumentReference TWCM)) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v0.3
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from TWCoreServiceRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest TWCoreServiceRequest
... basedOn 0..* Reference(關懷計畫(CarePlan TWCM) | 服務請求(ServiceRequest TWCM) | 中醫-藥品請求(MedicationRequest TWCM)) What request fulfills
... replaces 0..* Reference(服務請求(ServiceRequest TWCM)) What request replaces
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Required Pattern: completed
... code 1..1 CodeableConceptTW 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。
.... Slices for coding Content/Rules for all slices
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
... subject 1..1 Reference(病人資料(Patient TWCM)) Individual or Entity the service is ordered for
... encounter S 1..1 Reference(就醫事件(Encounter TWCM)) Encounter in which the request was created
... Slices for occurrence[x] 1..1 dateTime When service should occur
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... requester 1..1 Reference(醫事機構(Organization TWCM)) [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name]
... performer 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | HealthcareService | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) Requested performer
... reasonReference 0..* Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 檢驗檢查(Observation TWCM) | 診斷報告(DiagnosticReport TWCM) | 文件參照(DocumentReference TWCM)) Explanation/Justification for service or service

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
ServiceRequest.code.​coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
Constraints: prr-1
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(關懷計畫(CarePlan TWCM) | 服務請求(ServiceRequest TWCM) | 中醫-藥品請求(MedicationRequest TWCM)) What request fulfills
... replaces Σ 0..* Reference(服務請求(ServiceRequest TWCM)) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.
Required Pattern: completed
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.
Required Pattern: order
... Slices for category SΣ 0..* CodeableConceptTW Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code S 1..1 CodeableConceptTW 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。
Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Binding: LOINCCodes (required)
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
.... text SΣ 0..1 string 概念的文字表示法
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(病人資料(Patient TWCM)) Individual or Entity the service is ordered for
... encounter SΣ 1..1 Reference(就醫事件(Encounter TWCM)) Encounter in which the request was created
... Slices for occurrence[x] SΣ 1..1 dateTime S When service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 1..1 Reference(醫事機構(Organization TWCM)) [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name]
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
... performer Σ 0..* Reference(健康照護服務提供人員資料(Practitioner TWCM) | TW Core PractitionerRole | 醫事機構(Organization TWCM) | TW Core CareTeam | HealthcareService | 病人資料(Patient TWCM) | TW Core Implantable Device | TW Core RelatedPerson) Requested performer
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
... locationReference Σ 0..* Reference(TW Core Location) Requested location
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference Σ 0..* Reference(病情、問題或診斷(ConditionDiagnosis TWCM) | 檢驗檢查(Observation TWCM) | 診斷報告(DiagnosticReport TWCM) | 文件參照(DocumentReference TWCM)) Explanation/Justification for service or service
... insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(TW Core Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ServiceRequest.language Base preferred Common Languages 📦4.0.1 FHIR Std.
ServiceRequest.status Base required RequestStatus 📍4.0.1 FHIR Std.
ServiceRequest.intent Base required RequestIntent 📍4.0.1 FHIR Std.
ServiceRequest.category Base example Service Request Category Codes 📦4.0.1 FHIR Std.
ServiceRequest.category:twcore Base required 臺灣衛福部資訊處ServiceRequest類型值集 📦0.3.0 臺灣核心實作指引 v0.3
ServiceRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
ServiceRequest.code Base example Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:icd10-pcs-2023 Base required 臺灣健保署2023年中文版ICD-10-PCS值集 📦2024-11-18 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2021 Base required 臺灣健保署2021年中文版ICD-10-PCS值集 📦2022-07-29 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:icd10-pcs-2014 Base required 臺灣健保署2014年中文版ICD-10-PCS值集 📦2017-07-19 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:medical-service-payment Base required 臺灣健保署醫療服務給付項目-處置或手術值集 📦2024-05-27 臺灣核心實作指引 v0.3
ServiceRequest.code.​coding:sct-procedures Base required Procedure Codes (SNOMED CT) 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:loinc-procedures Base required LOINC Codes 📦4.0.1 FHIR Std.
ServiceRequest.code.​coding:TWLaboratoryCategory Base required 臺灣健保署醫療服務給付項目-檢驗值集 📦2022-07-01 臺灣核心實作指引 v0.3
ServiceRequest.orderDetail Base example Service Request Order Details Codes 📦4.0.1 FHIR Std.
ServiceRequest.asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
ServiceRequest.performerType Base example Participant Roles 📦4.0.1 FHIR Std.
ServiceRequest.locationCode Base example ServiceDeliveryLocationRoleType 📦3.0.0 THO v7.3
ServiceRequest.reasonCode Base extensible SNOMED CT診斷代碼值集 📦2022-07-31 臺灣核心實作指引 v0.3
ServiceRequest.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from TWCoreServiceRequest

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.occurrence[x]

 

Other representations of profile: CSV, Excel, Schematron