臺灣中醫實作指引
0.1.0 - ci-build
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
| Official URL: https://www.nricm.edu.tw/twcm/StructureDefinition/servicerequest-twcm | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | 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
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 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 Binding: RequestStatus (required): The status of a service order. Required Pattern: completed | |
| intent |
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 |
0..* | CodeableConceptTW  |
Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   category:twcore |
0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 | |
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |
 code |
1..1 | CodeableConceptTW |
應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | |
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |
 coding:icd10-pcs-2023 |
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 |
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 |
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 |
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 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |
| coding:TWLaboratoryCategory |
0..1 | Coding | 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 |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(病人資料(Patient TWCM)) | Individual or Entity the service is ordered for | |
| encounter |
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, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| occurrence[x]:occurrenceDateTime |
1..1 | dateTime | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] | |
| authoredOn |
0..1 | dateTime | Date request signed | |
| 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 | |
| Documentation for this format | ||||
| 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 |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from TWCoreServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
| 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 |
0..1 | Coding | 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 |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| occurrence[x]:occurrenceDateTime |
1..1 | dateTime | [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 | |
| Documentation for this format | ||||
| 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 |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 |
0..* | Identifier | Identifiers assigned to this order | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| 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 | |||||
| requisition |
0..1 | Identifier | Composite Request ID | |||||
| status |
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 |
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 |
0..* | CodeableConceptTW |
Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:twcore |
0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||
| code |
1..1 | CodeableConceptTW |
應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項，請填入該項目的對應代碼;若檢驗項目包含多個子項，請填入對應的大項代碼，使其涵蓋所有檢查內容。 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| Slices for coding |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
| coding:icd10-pcs-2023 |
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 |
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 |
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 |
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 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |||||
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |||||
| coding:TWLaboratoryCategory |
0..1 | Coding | 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 |
0..1 | string | 概念的文字表示法 | |||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
 quantity[x] |
0..1 | Service amount | ||||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
1..1 | Reference(病人資料(Patient TWCM)) | Individual or Entity the service is ordered for | |||||
| encounter |
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, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| occurrence[x]:occurrenceDateTime |
1..1 | dateTime | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] | |||||
| asNeeded[x] |
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 |
0..1 | dateTime | Date request signed | |||||
| 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] | |||||
| performerType |
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 |
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 |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||
| locationReference |
0..* | Reference(TW Core Location) | Requested location | |||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | |||||
| 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 | |||||
| insurance |
0..* | Reference(TW Core Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| specimen |
0..* | Reference(TW Core Specimen) | Procedure Samples | |||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| 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 v7.4 |
| 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. |
| 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:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| 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 Binding: RequestStatus (required): The status of a service order. Required Pattern: completed | |
| intent |
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 |
0..* | CodeableConceptTW |
Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:twcore |
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 |
0..1 | boolean | True if service/procedure should not be performed | |
| 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。 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 |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |
| coding:icd10-pcs-2023 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) | |
| coding:icd10-pcs-2021 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required) | |
| coding:icd10-pcs-2014 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) | |
| coding:medical-service-payment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) | |
| coding:sct-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |
| coding:TWLaboratoryCategory |
0..1 | Coding | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(病人資料(Patient TWCM)) | Individual or Entity the service is ordered for | |
| encounter |
1..1 | Reference(就醫事件(Encounter TWCM)) | Encounter in which the request was created | |
| Slices for occurrence[x] |
1..1 | dateTime | When service should occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| occurrence[x]:occurrenceDateTime |
1..1 | dateTime | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] | |
| authoredOn |
0..1 | dateTime | Date request signed | |
| 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 | |
| Documentation for this format | ||||
| 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 |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from TWCoreServiceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
| 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 |
0..1 | Coding | 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 |
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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| occurrence[x]:occurrenceDateTime |
1..1 | dateTime | [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 | |
| Documentation for this format | ||||
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| ServiceRequest |
C | 0..* | TWCoreServiceRequest | A request for a service to be performed Constraints: prr-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 |
0..* | Identifier | Identifiers assigned to this order | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| 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 | |||||
| requisition |
0..1 | Identifier | Composite Request ID | |||||
| status |
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 |
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 |
0..* | CodeableConceptTW |
Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:twcore |
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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if service/procedure should not be performed | |||||
| 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。 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 |
0..* | CodingTW |
由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this | |||||
| coding:icd10-pcs-2023 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) | |||||
| coding:icd10-pcs-2021 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required) | |||||
| coding:icd10-pcs-2014 |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) | |||||
| coding:medical-service-payment |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) | |||||
| coding:sct-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | |||||
| coding:loinc-procedures |
0..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required) | |||||
| coding:TWLaboratoryCategory |
0..1 | Coding | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| orderDetail |
C | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] |
0..1 | Service amount | ||||||
| quantityQuantity |
Quantity | |||||||
| quantityRatio |
Ratio | |||||||
| quantityRange |
Range | |||||||
| subject |
1..1 | Reference(病人資料(Patient TWCM)) | Individual or Entity the service is ordered for | |||||
| encounter |
1..1 | Reference(就醫事件(Encounter TWCM)) | Encounter in which the request was created | |||||
| Slices for occurrence[x] |
1..1 | dateTime | When service should occur Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| occurrence[x]:occurrenceDateTime |
1..1 | dateTime | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] | |||||
| asNeeded[x] |
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 |
0..1 | dateTime | Date request signed | |||||
| 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] | |||||
| performerType |
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 |
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 |
0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | |||||
| locationReference |
0..* | Reference(TW Core Location) | Requested location | |||||
| reasonCode |
0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | |||||
| 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 | |||||
| insurance |
0..* | Reference(TW Core Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| specimen |
0..* | Reference(TW Core Specimen) | Procedure Samples | |||||
| bodySite |
0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| note |
0..* | Annotation | Comments | |||||
| patientInstruction |
0..1 | string | Patient or consumer-oriented instructions | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| 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 v7.4 |
| 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. |
| 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:
Other representations of profile: CSV, Excel, Schematron