臺灣電子處方箋與調劑單張實作指引(TW EMPD IG)
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臺灣電子處方箋與調劑單張實作指引(TW EMPD IG) - Downloaded Version 0.1.0 See the Directory of published versions

## Resource Profile: MedicationDispenseDS - Detailed Descriptions

Active as of 2024-01-13

Definitions for the MedicationDispense-DS resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. MedicationDispense
Definition | 表明將為或已為指定人員/病人配藥/調劑藥品。這包括所提供藥品（供應品）的描述和給藥說明。配藥/調劑藥品是藥局系統回應藥品請求的結果。 Indicates that a medication product is to be or has been dispensed for a named person/patient. This includes a description of the medication product (supply) provided and the instructions for administering the medication. The medication dispense is the result of a pharmacy system responding to a medication order.
Short | 為指定病人配藥/調劑藥品Dispensing a medication to a named patient
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) mdd-1: whenHandedOver cannot be before whenPrepared (`whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`) mdd-1: whenHandedOver cannot be before whenPrepared (whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared)
2. MedicationDispense.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 創建此內容所依據的一組規則A set of rules under which this content was created
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationDispense.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. MedicationDispense.identifier
Definition | 與此配藥/調劑藥品相關的識別碼，由業務流程定義，和/或在直接使用 URL 參照resource本身不適當時用來表示它。這些是執行者或其他系統分配給此resource的業務識別碼，隨著resource更新和從伺服器到伺服器的傳送，這些識別碼保持不變。 Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Short | External identifier.[應填入項次 Item/藥品批號]。至少需填入項次 Item
Comments | 這是配藥/調劑藥品的業務識別碼，不是resource識別碼。 This is a business identifier, not a resource identifier.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 10..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. MedicationDispense.identifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. MedicationDispense.identifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. MedicationDispense.status
Definition | 指定配藥/調劑藥品事件集狀態的代碼 A code specifying the state of the set of dispense events.
Short | preparation | in-progress | cancelled | on-hold | completed +preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Comments | 此資料項目被標記為修飾用(modifier)，因為其中的狀態代碼也包含表示此 resource 目前無效的代碼。 This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from MedicationDispense Status Codes http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1` ) 一個編碼概念，用以具體說明配藥/藥品調劑事件的狀態；應填入所綁定值集中的其中一個代碼 A coded concept specifying the state of the dispense event.
Type | code
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. MedicationDispense.category
Definition | 表明配藥/調劑藥品類型（例如：預計在哪用藥或給藥（如住院病人或門診病人））。 Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Short | 配藥/調劑藥品的類型。[應填入醫令類別]Type of medication dispense
Comments | 類型可用於包含藥品的預期用藥地點或其他類型的配藥/調劑藥品。在建立Profile時，一組規則或條件(Invariant)可用於綁定到不同的值集，例如：可用來確保特定類型的配藥總是與特定的值集代碼關聯，從而保確資料的一致性和準確性。 The category can be used to include where the medication is expected to be consumed or other types of dispenses. Invariants can be used to bind to different value sets when profiling to bind.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from MedicationDispense Category Codes http://hl7.org/fhir/ValueSet/medicationdispense-category|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/medicationdispense-category` ) 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 A code describing where the dispensed medication is expected to be consumed or administered.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. MedicationDispense.medication[x]
Definition | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource，或者是一個帶有代碼的簡單屬性，從已知藥品清單中表明藥品的代碼。 Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Short | 所提供的藥品What medication was supplied
Comments | 如果只指定了一個代碼，則此代碼必須是特定產品的代碼。如果需要更多資訊，則建議使用medication resource。例如：如果需要藥品的劑型(form)或批號(lot number)，則必須參照Medication resource。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Control | 1..1
Binding | For example codes, see SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) A coded concept identifying which substance or product can be dispensed.
Type | Choice of: CodeableConcept(TW CodeableConcept), Reference(調劑單張-藥物處方內容(Medication), Medication)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `MedicationDispense.medication[x]`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: type @ $this
18. MedicationDispense.medication[x]:medicationReference
Slice Name | medicationReference
Definition | Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Short | What medication was supplied
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Control | 01..1
Type | Reference(調劑單張-藥物處方內容(Medication), Medication), CodeableConcept
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationDispense.medication[x]:medicationCodeableConcept
Slice Name | medicationCodeableConcept
Definition | 指明所提供的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。 商品名稱Brand Name，此為用於調製之藥品名稱 Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Short | 所提供的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。[應填入健保代碼與藥品商品名稱Brand Name]。健保代碼(code)；藥品商品名稱Brand Name(display)，至少需填入藥品商品名稱Brand Name。What medication was supplied
Comments | 如果只具體說明一個代碼，那麼它需要是一個特定產品的代碼。如果需要更多資訊，那麼建議使用Medication resource。例如：如果您需要劑型或批號，或者如果藥品是複方或臨場調製（extemporaneously prepared）的，那麼您必須參考Medication resource。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Control | 01..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) A coded concept identifying which substance or product can be dispensed.
Type | CodeableConcept(TW CodeableConcept), Reference(Medication)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. MedicationDispense.medication[x]:medicationCodeableConcept.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `MedicationDispense.medication[x].coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
24. MedicationDispense.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
Slice Name | fda-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣食藥署藥品及醫療器材代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. MedicationDispense.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
Slice Name | nhi-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為中央健康保險署(NHI)維護之藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署用藥品項代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. MedicationDispense.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw
Slice Name | nhi-medication-ch-herb-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署中藥用藥品項值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. MedicationDispense.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
Slice Name | rxnorm-medication-us-core
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | RxNorm為美國Unified Medical Language System®中的藥品代碼，取得UMLS®授權即可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see RxNorm藥品代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. MedicationDispense.medication[x]:medicationCodeableConcept.coding:atc-medication-code
Slice Name | atc-medication-code
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | ATC代碼的版權為世界衛生組織（WHO）Collaborating Centre for Drug Statistics Methodology，可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. MedicationDispense.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
Slice Name | snomedct-medication-codes
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see SNOMEDCTMedicationCodes (required to `http://hl7.org/fhir/ValueSet/medication-codes` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. MedicationDispense.medication[x]:medicationCodeableConcept.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字表示法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. MedicationDispense.subject
Definition | 一個指向resource的連結，代表接受藥物治療的個人或團體。 A link to a resource representing the person or the group to whom the medication will be given.
Short | 配藥/調劑藥品的對象，意即為誰配藥/調劑藥品。Who the dispense is for
Comments | 給藥->對象->病人 SubstanceAdministration->subject->Patient.
Control | 10..1
Type | Reference(Group, 調劑單張-病人基本資料, Patient, Group)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. MedicationDispense.context
Definition | 描述此事件發生時所處的醫療環境或治療階段，例如：此事件是在某次就醫或某照護病程中發生的。 The encounter or episode of care that establishes the context for this event.
Short | 與此配藥/調劑藥品相關的就醫事件(Encounter/Episode)Encounter / Episode associated with event
Control | 0..1
Type | Reference(TW Core Encounter, Encounter, EpisodeOfCare)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. MedicationDispense.performer
Definition | 表明由誰或由什麼執行了此事件 Indicates who or what performed the event.
Short | 執行此配藥/藥品調劑的人員。Who performed event
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. MedicationDispense.performer.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
46. MedicationDispense.performer.actor
Definition | 執行此動作的設備、健康照護服務提供者等。應假設行為人是配藥/調劑藥品人員。 The device, practitioner, etc. who performed the action. It should be assumed that the actor is the dispenser of the medication.
Short | 執行此操作的個人Individual who was performing
Control | 1..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, TW Core RelatedPerson, Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. MedicationDispense.authorizingPrescription
Definition | 表明配藥/調劑藥品所依據的藥品請求 Indicates the medication order that is being dispensed against.
Short | 授權此配藥/調劑藥品的處方Medication order that authorizes the dispense
Comments | 對應至事件邏輯模型中的 basedOn Maps to basedOn in Event logical model.
Control | 0..*
Type | Reference(TW Core MedicationRequest, MedicationRequest)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. MedicationDispense.type
Definition | 表明執行的配藥/調劑藥品事件類型。例如：試用分裝、試用完成、部分分裝、緊急分裝、樣品等。 Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
Short | 配藥/調劑藥品類型。例如：試用分裝、部分分裝、緊急分裝等Trial fill, partial fill, emergency fill, etc.
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see ActPharmacySupplyType http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType (example to `http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. MedicationDispense.quantity
Definition | 已配發的藥量。包括藥品的計量單位。 The amount of medication that has been dispensed. Includes unit of measure.
Short | 配藥/調劑藥品的量Amount dispensed
Control | 10..1
Type | Quantity(SimpleQuantity, SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. MedicationDispense.quantity.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 10..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. MedicationDispense.quantity.comparator
Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Short | < | <= | >= | > - how to understand the value
Control | 0..01
Binding | The codes SHALL be taken from QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. MedicationDispense.quantity.unit
Definition | A human-readable form of the unit.
Short | Unit representation.[應填入給藥總量單位 Total Units]。如：顆、CC、瓶等
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. MedicationDispense.daysSupply
Definition | 藥品的劑量，以時間為單位來表示。 The amount of medication expressed as a timing amount.
Short | Amount of medication expressed as a timing amount.[應填入給藥日數 Medication Days]
Control | 10..1
Type | Quantity(SimpleQuantity, SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. MedicationDispense.daysSupply.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | Numerical value (with implicit precision)
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 10..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. MedicationDispense.daysSupply.comparator
Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Short | < | <= | >= | > - how to understand the value
Control | 0..01
Binding | The codes SHALL be taken from QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. MedicationDispense.daysSupply.unit
Definition | A human-readable form of the unit.
Short | Unit representation
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. MedicationDispense.whenHandedOver
Definition | 病人或其代理人收到配製藥品的時間 The time the dispensed product was provided to the patient or their representative.
Short | 藥品發放的時間When product was given out
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. MedicationDispense.receiver
Definition | 識別誰領藥。通常是病人或其照護者，但在某些情況下也可能是醫護專業人員。 Identifies the person who picked up the medication. This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.
Short | 誰領取了藥品Who collected the medication
Control | 0..*
Type | Reference(調劑單張-病人基本資料, 調劑單張-醫事人員基本資料, Patient, Practitioner)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. MedicationDispense.note
Definition | Extra information about the dispense that could not be conveyed in the other attributes. [處方疑義樣態註記]：預設為「無」 填寫說明： 處方有疑義樣態時請填寫「有」 處方無疑義樣態請填寫「無」 Extra information about the dispense that could not be conveyed in the other attributes.
Short | Information about the dispense.[應填入調劑之核種名稱/調劑之放射活度/完成調劑之放射活度/完成調劑之核醫放射性藥品數量/處方疑義樣態註記]。至少需填入處方疑義樣態註記
Control | 10..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. MedicationDispense.note.text
Definition | The text of the annotation in markdown format.
Short | The annotation - text content (as markdown)
Control | 1..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. MedicationDispense.dosageInstruction
Definition | 指明病人如何使用藥品 Indicates how the medication is to be used by the patient.
Short | 病人如何使用藥品或者照護者如何給藥How the medication is to be used by the patient or administered by the caregiver
Comments | 當劑量或給藥速度在整個給藥期間預計要變化時（例如：逐漸降低劑量處方），需要提供多個劑量指示的說明，以表達不同的劑量/給藥速度。藥劑師在配藥/調劑藥品前會審核藥品醫令，並根據實際配藥更新dosageInstruction。 When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates. The pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.
Control | 10..*
Type | Dosage
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. MedicationDispense.dosageInstruction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
80. MedicationDispense.dosageInstruction.sequence
Definition | 表明使用或解釋劑量指示的順序 Indicates the order in which the dosage instructions should be applied or interpreted.
Short | 劑量指示的順序The order of the dosage instructions
Control | 0..1
Type | integer
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 如果多個劑量的序號是相同的，那麼就意味著這些指示將被視為同時進行。如果序號不同，那麼這些劑量將是依續使用。 If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. MedicationDispense.dosageInstruction.text
Definition | 純文字表述的劑量指示，例如：SIG。 Free text dosage instructions e.g. SIG.
Short | 純文字表述的劑量指示，例如：SIG。Free text dosage instructions e.g. SIG
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示，純文字表述說明可能仍然存在，以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入，那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。 Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. MedicationDispense.dosageInstruction.patientInstruction
Definition | 用病人或消費者能理解的術語提供指示 Instructions in terms that are understood by the patient or consumer.
Short | 以病人或消費者為導向的指示Patient or consumer oriented instructions
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. MedicationDispense.dosageInstruction.timing
Definition | 應該何時給藥 When medication should be administered.
Short | 應該何時給藥；時間的寫法請參照Timimg datatype。When medication should be administered
Comments | 這個屬性可能並不總是被填入，而Dosage.text預計會被填入。如果兩者都被填入，那麼Dosage.text應反映Dosage.timing的內容。 This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Control | 10..1
Type | Timing
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如：「每8小時一次」；「一天三次」；「從2011年12月23日開始的10天裡，早餐前半小時」；「2013年10月15日、2013年10月17日和2013年11月1日」。有時，當率值（rate）為總容量／期間，其「期間」意指（例如：500mL／2小時）之持續期間為2小時。但當率值非意指「持續期間」時（例如：250mL／小時），則需要timing.repeat.duration來表達輸液的時間區間。 The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. MedicationDispense.dosageInstruction.timing.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
90. MedicationDispense.dosageInstruction.timing.repeat
Definition | 一組描述事件何時被安排的規則 A set of rules that describe when the event is scheduled.
Short | 事件定期重複發生的時間When the event is to occur
Control | 10..1
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Requirements | 定期重複的時間安排 Many timing schedules are determined by regular repetitions.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`) tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
92. MedicationDispense.dosageInstruction.timing.repeat.count
Definition | 在整個持續期間內，期望重複的總次數。如果countMax這個資料項目存在，此count資料項目表示允許次數範圍的下限。 A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.
Short | 重複的次數Number of times to repeat
Comments | 如果你同時擁有bounds和count這兩個資料項目，那麼這應該被理解為在bounds期間，發生count的次數。 If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 重複次數可透過設定結束時間或總發生次數作限制 Repetitions may be limited by end time or total occurrences.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. MedicationDispense.dosageInstruction.timing.repeat.duration
Definition | 這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在，則此duration資料項目表示持續時間的允許範圍之下限。 How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.
Short | 此事件持續多久時間How long when it happens
Comments | 對於一些事件，持續時間是事件定義的一部分（例如：靜脈輸液，持續時間隱含於特定輸液量及速度）。對於其他事件，它是時間規範的一部分（例如：運動持續時間）。 For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有些活動不是立即發生，需要維持一段時間。 Some activities are not instantaneous and need to be maintained for a period of time.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. MedicationDispense.dosageInstruction.timing.repeat.durationUnit
Definition | 持續時間的單位，以UCUM為單位。 The units of time for the duration, in UCUM units.
Short | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM）s | min | h | d | wk | mo | a - unit of time (UCUM)
Control | 0..1
Binding | The codes SHALL be taken from UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼 A unit of time (units from UCUM).
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. MedicationDispense.dosageInstruction.timing.repeat.frequency
Definition | 在特定期間內重複動作的次數。如果frequencyMax存在，此frequency資料項目表示頻率的允許範圍的下限。 The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.
Short | Event occurs frequency times per period.[應填入頻率 Frequency]
Control | 10..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. MedicationDispense.dosageInstruction.timing.repeat.period
Definition | 表示重複發生的時間區間；例如：為了表示「每天3次」，3次是頻率（frequency），1天是週期（period）。如果存在periodMax資料項目，此period資料項目表示時間區間長度的允許範圍的下限。 Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.
Short | 此事件於特定時間區間所發生的頻率Event occurs frequency times per period
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. MedicationDispense.dosageInstruction.timing.repeat.periodUnit
Definition | 持續時間的單位，以UCUM為單位。 The units of time for the period in UCUM units.
Short | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM）s | min | h | d | wk | mo | a - unit of time (UCUM)
Control | 0..1
Binding | The codes SHALL be taken from UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼 A unit of time (units from UCUM).
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek
Definition | 如果提供的資訊為一星期中的一天或多天，那麼此活動只發生在這特定的幾天。 If one or more days of week is provided, then the action happens only on the specified day(s).
Short | mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sunmon | tue | wed | thu | fri | sat | sun
Comments | 如果沒有指定天數，則假定該活動每天都會發生，否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。 If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
Control | 0..*
Binding | The codes SHALL be taken from DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` ) 應填入DaysOfWeek值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. MedicationDispense.dosageInstruction.timing.repeat.timeOfDay
Definition | 具體說明一天中活動進行的時間 Specified time of day for action to take place.
Short | 一天中的活動時間Time of day for action
Comments | 當指定了一天中的時間時，就會推斷出該活動每天都會在指定的時間發生（由dayofWeek篩選）。資料項目when、frequency和period不能和timeOfDay一起使用。 When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
Control | 0..*
Type | time
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. MedicationDispense.dosageInstruction.timing.code
Definition | 活動發生時機之代碼（或只是code.text中的文字）。像是BID的一些代碼到處都有，但許多機構定義它們自己的額外代碼。如果提供了一個代碼，此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述，代碼或資料都可用於解釋時機（Timing），但.repeat.bounds適用於代碼（且不包含在代碼中）的例外。 A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Short | BID | TID | QID | AM | PM | QD | QOD | +[應填入使用時間]。如：飯前後
Comments | BID等被定義為「在機構特定的時間」。例如：一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的，就不應該使用代碼BID。反之，應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和／或使用一個結構化表示法（在這種情況下，具體說明兩個事件時間）。 BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Control | 0..1
Binding | The codes SHOULD be taken from TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/timing-abbreviation` ) 已知／確定的時間模式之代碼；鼓勵使用TimingAbbreviation值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Code for a known / defined timing pattern.
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. MedicationDispense.dosageInstruction.timing.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from For codes, see HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. MedicationDispense.dosageInstruction.timing.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字標記法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. MedicationDispense.dosageInstruction.route
Definition | 藥品應如何進入體內 How drug should enter body.
Short | How drug should enter body.[應填入給藥途徑 Route of Administration]
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 10..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/route-codes` ) A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼 A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. MedicationDispense.dosageInstruction.route.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from For codes, see SNOMED CT + 臺灣健保署給藥途徑值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. MedicationDispense.dosageInstruction.route.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字標記法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. MedicationDispense.dosageInstruction.doseAndRate
Definition | 用藥量 The amount of medication administered.
Short | 用藥量Amount of medication administered
Control | 10..*
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. MedicationDispense.dosageInstruction.doseAndRate.dose[x]
Definition | 每一劑量的藥量 Amount of medication per dose.
Short | 每一劑量的藥量Amount of medication per dose
Comments | 請注意這是指特定藥品量，而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如：如果想表達一錠375毫克的藥錠，劑量是一錠，你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者，如果劑量是375毫克，那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射，例如：多巴胺，你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中，那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的（速率是存在的，或者時間是有期限的），這可具體說明以傳達在時間表所指示的時段之總用藥量，例如：500毫升的劑量應該在4小時內完成。 Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Control | 10..1
Type | Quantity(SimpleQuantity, SimpleQuantity), Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 在一次用藥事件中給予的治療用或其他的物質量 The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.doseAndRate.dose[x]`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: type @ $this
124. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity
Slice Name | doseQuantity
Definition | 每一劑量的藥量 Amount of medication per dose.
Short | 每一劑量的藥量Amount of medication per dose
Comments | 請注意這是指特定藥品量，而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如：如果想表達一錠375毫克的藥錠，劑量是一錠，你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者，如果劑量是375毫克，那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射，例如：多巴胺，你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中，那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的（速率是存在的，或者時間是有期限的），這可具體說明以傳達在時間表所指示的時段之總用藥量，例如：500毫升的劑量應該在4小時內完成。 Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Control | 10..1
Type | Quantity(SimpleQuantity, SimpleQuantity), Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 在一次用藥事件中給予的治療用或其他的物質量 The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | Numerical value (with implicit precision).[應填入劑量]
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 10..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
128. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator
Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Short | < | <= | >= | > - how to understand the value
Control | 0..01
Binding | The codes SHALL be taken from QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
130. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit
Definition | A human-readable form of the unit.
Short | Unit representation.[應填入劑量單位 Dose Units]。如：顆、CC等
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. MedicationDispense.dosageInstruction.doseAndRate.rate[x]
Definition | 每時間單位內的用藥量 Amount of medication per unit of time.
Short | 每時間單位內的用藥量Amount of medication per unit of time
Comments | 可同時提供rate和doseQuantity，以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變，根據當地的規則／法規，每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉，或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率（例如：100毫升／小時）。rateQuantity的方式要求系統有能力解析包含毫升／小時的UCUM語法，而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值，使用rateRatio可能比使用rateQuantity指定250毫克／小時在語義上更正確。 It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Control | 0..1
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity, SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 指明藥品引入病人體內的速度。通常是指輸液的速度，例如：每1小時100毫升或100毫升／小時。也可表示為每單位時間的速度，例如：每2小時500毫升，其他例子如200微克／分鐘或200微克／1分鐘；1升／8小時。有時，當表示為總容量／持續時間時，速率可以隱喻持續時間（例如：500毫升／2小時隱喻持續時間為2小時）。然而，當速率未隱喻持續時間時（例如：250毫升／小時），則需要timing.repeat.duration來表達輸液的時間區間。 Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. MedicationDispense.substitution
Definition | 表示配藥/調劑藥品過程中是否進行了藥品替代。在某些情況下，替代是預料之中的，但卻沒有發生；在另一些情況下，替代是預料之外的，但卻發生了。這一部分解釋了替代是否發生或未發生的情況及原因。如果沒有說明，則表示沒有進行替代。 Indicates whether or not substitution was made as part of the dispense. In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen. This block explains what substitution did or did not happen and why. If nothing is specified, substitution was not done.
Short | 配藥/調劑藥品時是否進行了藥品替代Whether a substitution was performed on the dispense
Control | 0..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. MedicationDispense.substitution.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
138. MedicationDispense.substitution.wasSubstituted
Definition | True if the dispenser dispensed a different drug or product from what was prescribed. 預設為「無」 填寫說明： 有更換藥品時請填寫「有」 無有更換藥品請填寫「無」 True if the dispenser dispensed a different drug or product from what was prescribed.
Short | Whether a substitution was or was not performed on the dispense.[應填入有更換藥品註記]
Control | 1..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
140. MedicationDispense.substitution.reason
Definition | 表明替代（或不替代）處方的原因 Indicates the reason for the substitution (or lack of substitution) from what was prescribed.
Short | Why was substitution made.[應填入不得以其他廠牌藥品替代之理由]。填寫說明：有特殊情況時才填寫不可替代時始需註明
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | For example codes, see SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason (example to `http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. MedicationDispense
2. MedicationDispense.identifier
Short | External identifier.[應填入項次 Item/藥品批號]。至少需填入項次 Item
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..?
4. MedicationDispense.identifier.value
Must Support | true
6. MedicationDispense.category
Short | 配藥/調劑藥品的類型。[應填入醫令類別]
8. MedicationDispense.medication[x]
Type | Choice of: CodeableConcept(TW CodeableConcept), Reference(調劑單張-藥物處方內容(Medication))
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
10. MedicationDispense.medication[x]:medicationReference
Slice Name | medicationReference
Type | Reference(調劑單張-藥物處方內容(Medication))
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
12. MedicationDispense.medication[x]:medicationCodeableConcept
Slice Name | medicationCodeableConcept
Definition | 指明所提供的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。 商品名稱Brand Name，此為用於調製之藥品名稱
Short | 所提供的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。[應填入健保代碼與藥品商品名稱Brand Name]。健保代碼(code)；藥品商品名稱Brand Name(display)，至少需填入藥品商品名稱Brand Name。
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
14. MedicationDispense.subject
Type | Reference(Group, 調劑單張-病人基本資料)
16. MedicationDispense.quantity
Control | 1..?
18. MedicationDispense.quantity.value
Short | Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
Control | 1..?
Must Support | true
20. MedicationDispense.quantity.unit
Short | Unit representation.[應填入給藥總量單位 Total Units]。如：顆、CC、瓶等
Control | 1..?
Must Support | true
22. MedicationDispense.daysSupply
Short | Amount of medication expressed as a timing amount.[應填入給藥日數 Medication Days]
Control | 1..?
24. MedicationDispense.daysSupply.value
Control | 1..?
Must Support | true
26. MedicationDispense.daysSupply.unit
Must Support | true
28. MedicationDispense.receiver
Type | Reference(調劑單張-病人基本資料, 調劑單張-醫事人員基本資料)
30. MedicationDispense.note
Definition | Extra information about the dispense that could not be conveyed in the other attributes. [處方疑義樣態註記]：預設為「無」 填寫說明： 處方有疑義樣態時請填寫「有」 處方無疑義樣態請填寫「無」
Short | Information about the dispense.[應填入調劑之核種名稱/調劑之放射活度/完成調劑之放射活度/完成調劑之核醫放射性藥品數量/處方疑義樣態註記]。至少需填入處方疑義樣態註記
Control | 1..?
Must Support | true
32. MedicationDispense.note.text
Must Support | true
34. MedicationDispense.dosageInstruction
Control | 1..?
36. MedicationDispense.dosageInstruction.timing
Control | 1..?
38. MedicationDispense.dosageInstruction.timing.repeat
Control | 1..?
40. MedicationDispense.dosageInstruction.timing.repeat.frequency
Short | Event occurs frequency times per period.[應填入頻率 Frequency]
Control | 1..?
42. MedicationDispense.dosageInstruction.timing.code
Short | BID | TID | QID | AM | PM | QD | QOD | +[應填入使用時間]。如：飯前後
44. MedicationDispense.dosageInstruction.timing.code.coding
Must Support | true
46. MedicationDispense.dosageInstruction.route
Short | How drug should enter body.[應填入給藥途徑 Route of Administration]
Control | 1..?
48. MedicationDispense.dosageInstruction.doseAndRate
Control | 1..?
50. MedicationDispense.dosageInstruction.doseAndRate.dose[x]
Control | 1..?
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.doseAndRate.dose[x]`. The slices areUnordered and Open, and can be differentiated using the following discriminators: type @ $this
52. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity
Slice Name | doseQuantity
Control | 1..1
Type | Quantity(SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
54. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value
Short | Numerical value (with implicit precision).[應填入劑量]
Control | 1..?
Must Support | true
56. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit
Short | Unit representation.[應填入劑量單位 Dose Units]。如：顆、CC等
Control | 1..?
Must Support | true
58. MedicationDispense.substitution
Must Support | true
60. MedicationDispense.substitution.wasSubstituted
Definition | True if the dispenser dispensed a different drug or product from what was prescribed. 預設為「無」 填寫說明： 有更換藥品時請填寫「有」 無有更換藥品請填寫「無」
Short | Whether a substitution was or was not performed on the dispense.[應填入有更換藥品註記]
Must Support | true
62. MedicationDispense.substitution.reason
Short | Why was substitution made.[應填入不得以其他廠牌藥品替代之理由]。填寫說明：有特殊情況時才填寫不可替代時始需註明
Must Support | true

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

0. MedicationDispense
Definition | 表明將為或已為指定人員/病人配藥/調劑藥品。這包括所提供藥品（供應品）的描述和給藥說明。配藥/調劑藥品是藥局系統回應藥品請求的結果。
Short | 為指定病人配藥/調劑藥品
Control | 0..*
Is Modifier | false
Summary | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) mdd-1: whenHandedOver cannot be before whenPrepared (`whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared`)
2. MedicationDispense.id
Definition | resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。
Short | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationDispense紀錄，通常又稱為邏輯性ID。
Comments | 一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. MedicationDispense.meta
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。
Short | 此MedicationDispense Resource的metadata
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. MedicationDispense.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。
Short | 創建此內容所依據的一組規則
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. MedicationDispense.language
Definition | 編寫此resource的語言
Short | 用以表述MedicationDispense Resource內容的語言。
Comments | 提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Example | Value: zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. MedicationDispense.text
Definition | 人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。
Short | MedicationDispense Resource之內容摘要以供人閱讀
Comments | 內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. MedicationDispense.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. MedicationDispense.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. MedicationDispense.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. MedicationDispense.identifier
Definition | 與此配藥/調劑藥品相關的識別碼，由業務流程定義，和/或在直接使用 URL 參照resource本身不適當時用來表示它。這些是執行者或其他系統分配給此resource的業務識別碼，隨著resource更新和從伺服器到伺服器的傳送，這些識別碼保持不變。
Short | External identifier.[應填入項次 Item/藥品批號]。至少需填入項次 Item
Comments | 這是配藥/調劑藥品的業務識別碼，不是resource識別碼。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. MedicationDispense.identifier.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
22. MedicationDispense.identifier.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.identifier.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. MedicationDispense.identifier.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. MedicationDispense.identifier.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. MedicationDispense.identifier.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. MedicationDispense.identifier.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. MedicationDispense.identifier.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. MedicationDispense.identifier.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. MedicationDispense.partOf
Definition | 觸發配藥/調劑藥品的程序
Short | 配藥/調劑藥品事件的一部分
Control | 0..*
Type | Reference(TW Core Procedure)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. MedicationDispense.status
Definition | 指定配藥/調劑藥品事件集狀態的代碼
Short | preparation | in-progress | cancelled | on-hold | completed +
Comments | 此資料項目被標記為修飾用(modifier)，因為其中的狀態代碼也包含表示此 resource 目前無效的代碼。
Control | 1..1
Binding | The codes SHALL be taken from MedicationDispense Status Codes (required to `http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1` ) 一個編碼概念，用以具體說明配藥/藥品調劑事件的狀態；應填入所綁定值集中的其中一個代碼
Type | code
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. MedicationDispense.statusReason[x]
Definition | 表明為何未執行配藥/調劑藥品的原因
Short | 未進行配藥/調劑藥品的原因 Binding：可參考Medication dispense status reason codes代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see MedicationDispense Status Reason Codes (example to `http://hl7.org/fhir/ValueSet/medicationdispense-status-reason` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. MedicationDispense.category
Definition | 表明配藥/調劑藥品類型（例如：預計在哪用藥或給藥（如住院病人或門診病人））。
Short | 配藥/調劑藥品的類型。[應填入醫令類別]
Comments | 類型可用於包含藥品的預期用藥地點或其他類型的配藥/調劑藥品。在建立Profile時，一組規則或條件(Invariant)可用於綁定到不同的值集，例如：可用來確保特定類型的配藥總是與特定的值集代碼關聯，從而保確資料的一致性和準確性。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHOULD be taken from MedicationDispense Category Codes (preferred to `http://hl7.org/fhir/ValueSet/medicationdispense-category` ) 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. MedicationDispense.medication[x]
Definition | 指明目前正在使用的藥品。這可能是一個連結到代表藥品詳細資訊的resource，或者是一個帶有代碼的簡單屬性，從已知藥品清單中表明藥品的代碼。
Short | 所提供的藥品
Comments | 如果只指定了一個代碼，則此代碼必須是特定產品的代碼。如果需要更多資訊，則建議使用medication resource。例如：如果需要藥品的劑型(form)或批號(lot number)，則必須參照Medication resource。
Control | 1..1
Binding | For example codes, see SNOMEDCTMedicationCodes (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) A coded concept identifying which substance or product can be dispensed.
Type | Choice of: CodeableConcept(TW CodeableConcept), Reference(調劑單張-藥物處方內容(Medication))
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `MedicationDispense.medication[x]`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: type @ $this
46. MedicationDispense.medication[x]:medicationReference
Slice Name | medicationReference
Definition | Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.
Short | What medication was supplied
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
Control | 0..1
Type | Reference(調劑單張-藥物處方內容(Medication))
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. MedicationDispense.medication[x]:medicationCodeableConcept
Slice Name | medicationCodeableConcept
Definition | 指明所提供的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。 商品名稱Brand Name，此為用於調製之藥品名稱
Short | 所提供的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。[應填入健保代碼與藥品商品名稱Brand Name]。健保代碼(code)；藥品商品名稱Brand Name(display)，至少需填入藥品商品名稱Brand Name。
Comments | 如果只具體說明一個代碼，那麼它需要是一個特定產品的代碼。如果需要更多資訊，那麼建議使用Medication resource。例如：如果您需要劑型或批號，或者如果藥品是複方或臨場調製（extemporaneously prepared）的，那麼您必須參考Medication resource。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see SNOMEDCTMedicationCodes (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) A coded concept identifying which substance or product can be dispensed.
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. MedicationDispense.medication[x]:medicationCodeableConcept.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
52. MedicationDispense.medication[x]:medicationCodeableConcept.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.medication[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. MedicationDispense.medication[x]:medicationCodeableConcept.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `MedicationDispense.medication[x].coding`. The slices areUnordered and Open, and can be differentiated using the following discriminators: pattern @ $this
56. MedicationDispense.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
Slice Name | fda-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣食藥署藥品及醫療器材代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. MedicationDispense.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
Slice Name | nhi-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為中央健康保險署(NHI)維護之藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署用藥品項代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. MedicationDispense.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw
Slice Name | nhi-medication-ch-herb-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署中藥用藥品項值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. MedicationDispense.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
Slice Name | rxnorm-medication-us-core
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | RxNorm為美國Unified Medical Language System®中的藥品代碼，取得UMLS®授權即可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from RxNorm藥品代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. MedicationDispense.medication[x]:medicationCodeableConcept.coding:atc-medication-code
Slice Name | atc-medication-code
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | ATC代碼的版權為世界衛生組織（WHO）Collaborating Centre for Drug Statistics Methodology，可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. MedicationDispense.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
Slice Name | snomedct-medication-codes
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from SNOMEDCTMedicationCodes (required to `http://hl7.org/fhir/ValueSet/medication-codes` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. MedicationDispense.medication[x]:medicationCodeableConcept.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字表示法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. MedicationDispense.subject
Definition | 一個指向resource的連結，代表接受藥物治療的個人或團體。
Short | 配藥/調劑藥品的對象，意即為誰配藥/調劑藥品。
Comments | 給藥->對象->病人
Control | 1..1
Type | Reference(Group, 調劑單張-病人基本資料)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. MedicationDispense.context
Definition | 描述此事件發生時所處的醫療環境或治療階段，例如：此事件是在某次就醫或某照護病程中發生的。
Short | 與此配藥/調劑藥品相關的就醫事件(Encounter/Episode)
Control | 0..1
Type | Reference(TW Core Encounter)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. MedicationDispense.supportingInformation
Definition | 支持配藥/調劑藥品的其他資訊
Short | 支持配藥/調劑藥品的資訊
Control | 0..*
Type | Reference(Resource)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. MedicationDispense.performer
Definition | 表明由誰或由什麼執行了此事件
Short | 執行此配藥/藥品調劑的人員。
Control | 0..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. MedicationDispense.performer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
80. MedicationDispense.performer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
82. MedicationDispense.performer.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
84. MedicationDispense.performer.function
Definition | 區分配藥中的執行者類型。例如：資料輸入員、包裝藥品人員、最終核對者。
Short | 誰進行了配藥/藥品調劑以及他們做了什麼
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see MedicationDispense Performer Function Codes (example to `http://hl7.org/fhir/ValueSet/medicationdispense-performer-function` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 允許對不同執行者參與類型進行明確區分
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. MedicationDispense.performer.actor
Definition | 執行此動作的設備、健康照護服務提供者等。應假設行為人是配藥/調劑藥品人員。
Short | 執行此操作的個人
Control | 1..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, TW Core RelatedPerson)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. MedicationDispense.location
Definition | 進行配藥/調劑藥品的主要實體位置
Short | 配藥/調劑藥品的位置
Control | 0..1
Type | Reference(Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. MedicationDispense.authorizingPrescription
Definition | 表明配藥/調劑藥品所依據的藥品請求
Short | 授權此配藥/調劑藥品的處方
Comments | 對應至事件邏輯模型中的 basedOn
Control | 0..*
Type | Reference(TW Core MedicationRequest)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. MedicationDispense.type
Definition | 表明執行的配藥/調劑藥品事件類型。例如：試用分裝、試用完成、部分分裝、緊急分裝、樣品等。
Short | 配藥/調劑藥品類型。例如：試用分裝、部分分裝、緊急分裝等
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see ActPharmacySupplyType (example to `http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. MedicationDispense.quantity
Definition | 已配發的藥量。包括藥品的計量單位。
Short | 配藥/調劑藥品的量
Control | 1..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. MedicationDispense.quantity.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
98. MedicationDispense.quantity.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.quantity.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
100. MedicationDispense.quantity.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | Numerical value (with implicit precision).[應填入給藥總量 Total Amount]
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 1..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. MedicationDispense.quantity.comparator
Definition | Not allowed to be used in this context
Short | < | <= | >= | > - how to understand the value
Control | 0..0
Binding | The codes SHALL be taken from QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. MedicationDispense.quantity.unit
Definition | A human-readable form of the unit.
Short | Unit representation.[應填入給藥總量單位 Total Units]。如：顆、CC、瓶等
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. MedicationDispense.quantity.system
Definition | The identification of the system that provides the coded form of the unit.
Short | System that defines coded unit form
Control | 0..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. MedicationDispense.quantity.code
Definition | A computer processable form of the unit in some unit representation system.
Short | Coded form of the unit
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 0..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. MedicationDispense.daysSupply
Definition | 藥品的劑量，以時間為單位來表示。
Short | Amount of medication expressed as a timing amount.[應填入給藥日數 Medication Days]
Control | 1..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. MedicationDispense.daysSupply.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
114. MedicationDispense.daysSupply.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.daysSupply.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. MedicationDispense.daysSupply.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | Numerical value (with implicit precision)
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 1..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. MedicationDispense.daysSupply.comparator
Definition | Not allowed to be used in this context
Short | < | <= | >= | > - how to understand the value
Control | 0..0
Binding | The codes SHALL be taken from QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. MedicationDispense.daysSupply.unit
Definition | A human-readable form of the unit.
Short | Unit representation
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. MedicationDispense.daysSupply.system
Definition | The identification of the system that provides the coded form of the unit.
Short | System that defines coded unit form
Control | 0..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. MedicationDispense.daysSupply.code
Definition | A computer processable form of the unit in some unit representation system.
Short | Coded form of the unit
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 0..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. MedicationDispense.whenPrepared
Definition | 配製藥品的包裝和審核時間
Short | 產品包裝和審核時間
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. MedicationDispense.whenHandedOver
Definition | 病人或其代理人收到配製藥品的時間
Short | 藥品發放的時間
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. MedicationDispense.destination
Definition | 作為配藥/調劑藥品事件的一部分，識別藥品送達的機構/位置。
Short | 藥品被送往何處
Control | 0..1
Type | Reference(TW Core Location)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. MedicationDispense.receiver
Definition | 識別誰領藥。通常是病人或其照護者，但在某些情況下也可能是醫護專業人員。
Short | 誰領取了藥品
Control | 0..*
Type | Reference(調劑單張-病人基本資料, 調劑單張-醫事人員基本資料)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. MedicationDispense.note
Definition | Extra information about the dispense that could not be conveyed in the other attributes. [處方疑義樣態註記]：預設為「無」 填寫說明： 處方有疑義樣態時請填寫「有」 處方無疑義樣態請填寫「無」
Short | Information about the dispense.[應填入調劑之核種名稱/調劑之放射活度/完成調劑之放射活度/完成調劑之核醫放射性藥品數量/處方疑義樣態註記]。至少需填入處方疑義樣態註記
Control | 1..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. MedicationDispense.note.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
138. MedicationDispense.note.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.note.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
140. MedicationDispense.note.author[x]
Definition | The individual responsible for making the annotation.
Short | Individual responsible for the annotation
Comments | Organization is used when there's no need for specific attribution as to who made the comment.
Control | 0..1
Type | Choice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. MedicationDispense.note.time
Definition | Indicates when this particular annotation was made.
Short | When the annotation was made
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. MedicationDispense.note.text
Definition | The text of the annotation in markdown format.
Short | The annotation - text content (as markdown)
Control | 1..1
Type | markdown
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. MedicationDispense.dosageInstruction
Definition | 指明病人如何使用藥品
Short | 病人如何使用藥品或者照護者如何給藥
Comments | 當劑量或給藥速度在整個給藥期間預計要變化時（例如：逐漸降低劑量處方），需要提供多個劑量指示的說明，以表達不同的劑量/給藥速度。藥劑師在配藥/調劑藥品前會審核藥品醫令，並根據實際配藥更新dosageInstruction。
Control | 1..*
Type | Dosage
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. MedicationDispense.dosageInstruction.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
150. MedicationDispense.dosageInstruction.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
152. MedicationDispense.dosageInstruction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
154. MedicationDispense.dosageInstruction.sequence
Definition | 表明使用或解釋劑量指示的順序
Short | 劑量指示的順序
Control | 0..1
Type | integer
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 如果多個劑量的序號是相同的，那麼就意味著這些指示將被視為同時進行。如果序號不同，那麼這些劑量將是依續使用。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. MedicationDispense.dosageInstruction.text
Definition | 純文字表述的劑量指示，例如：SIG。
Short | 純文字表述的劑量指示，例如：SIG。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示，純文字表述說明可能仍然存在，以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入，那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. MedicationDispense.dosageInstruction.additionalInstruction
Definition | 向病人提供關於如何服藥的補充指示（例如 「隨餐服用」或「在進食前半小時服用」）或給病人的藥品警告（例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈（日曬用）下」）。
Short | 對病人的補充指示或警告－例如：「隨餐服用」，「可能引起嗜睡」
Comments | 應在dosage.text中填入關於用藥或準備藥品的資訊（例如： 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」）。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | For example codes, see SNOMEDCTAdditionalDosageInstructions (example to `http://hl7.org/fhir/ValueSet/additional-instruction-codes` ) 一個編碼的概念，確定額外的指示，如「與水一起服用」或「避免操作重型機器」；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 附加指示是要編碼的，但在沒有編碼的情況下，此資料項目可以包括文字。例如，「用大量的水吞咽」，這可能編碼也可能不編碼。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. MedicationDispense.dosageInstruction.patientInstruction
Definition | 用病人或消費者能理解的術語提供指示
Short | 以病人或消費者為導向的指示
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. MedicationDispense.dosageInstruction.timing
Definition | 應該何時給藥
Short | 應該何時給藥；時間的寫法請參照Timimg datatype。
Comments | 這個屬性可能並不總是被填入，而Dosage.text預計會被填入。如果兩者都被填入，那麼Dosage.text應反映Dosage.timing的內容。
Control | 1..1
Type | Timing
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如：「每8小時一次」；「一天三次」；「從2011年12月23日開始的10天裡，早餐前半小時」；「2013年10月15日、2013年10月17日和2013年11月1日」。有時，當率值（rate）為總容量／期間，其「期間」意指（例如：500mL／2小時）之持續期間為2小時。但當率值非意指「持續期間」時（例如：250mL／小時），則需要timing.repeat.duration來表達輸液的時間區間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. MedicationDispense.dosageInstruction.timing.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
166. MedicationDispense.dosageInstruction.timing.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.timing.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
168. MedicationDispense.dosageInstruction.timing.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
170. MedicationDispense.dosageInstruction.timing.event
Definition | 指明事件發生的特定時間
Short | 事件發生的時間
Control | 0..*
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 例如：在一份用藥記錄中，你需要把一個一般的規範變成一個精確的規範。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. MedicationDispense.dosageInstruction.timing.repeat
Definition | 一組描述事件何時被安排的規則
Short | 事件定期重複發生的時間
Control | 1..1
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Requirements | 定期重複的時間安排
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`)
174. MedicationDispense.dosageInstruction.timing.repeat.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
176. MedicationDispense.dosageInstruction.timing.repeat.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.timing.repeat.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
178. MedicationDispense.dosageInstruction.timing.repeat.bounds[x]
Definition | 時間長度或可能的時間長度範圍，或開始和／或結束時間。
Short | 時間或期間長度／長度範圍，或（開始和／或結束）限制
Control | 0..1
Type | Choice of: Duration, Range, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. MedicationDispense.dosageInstruction.timing.repeat.count
Definition | 在整個持續期間內，期望重複的總次數。如果countMax這個資料項目存在，此count資料項目表示允許次數範圍的下限。
Short | 重複的次數
Comments | 如果你同時擁有bounds和count這兩個資料項目，那麼這應該被理解為在bounds期間，發生count的次數。
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 重複次數可透過設定結束時間或總發生次數作限制
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. MedicationDispense.dosageInstruction.timing.repeat.countMax
Definition | 如果countMax存在，表示count是一個範圍，如此可在［count］和［countMax］之間的重複次數執行動作。
Short | 重複的最大次數
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. MedicationDispense.dosageInstruction.timing.repeat.duration
Definition | 這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在，則此duration資料項目表示持續時間的允許範圍之下限。
Short | 此事件持續多久時間
Comments | 對於一些事件，持續時間是事件定義的一部分（例如：靜脈輸液，持續時間隱含於特定輸液量及速度）。對於其他事件，它是時間規範的一部分（例如：運動持續時間）。
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 有些活動不是立即發生，需要維持一段時間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. MedicationDispense.dosageInstruction.timing.repeat.durationMax
Definition | 如果durationMax這個資料項目存在，表示duration資料項目是一個範圍的下限 — 所以要在［duration］和［durationMax］之間執行此活動。
Short | 此事件持續多久時間 （最長時間／最大值）
Comments | 對於一些事件，持續時間是事件定義的一部分（例如：靜脈輸液，持續時間隱含於特定輸液量及速度）。對於其他事件，它是時間規範的一部分（例如：運動持續時間）。
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 有些活動不是立即發生，需要維持一段時間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. MedicationDispense.dosageInstruction.timing.repeat.durationUnit
Definition | 持續時間的單位，以UCUM為單位。
Short | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM）
Control | 0..1
Binding | The codes SHALL be taken from UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. MedicationDispense.dosageInstruction.timing.repeat.frequency
Definition | 在特定期間內重複動作的次數。如果frequencyMax存在，此frequency資料項目表示頻率的允許範圍的下限。
Short | Event occurs frequency times per period.[應填入頻率 Frequency]
Control | 1..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. MedicationDispense.dosageInstruction.timing.repeat.frequencyMax
Definition | 如果frequencyMax存在，frequency資料項目表示頻率範圍的下限 – 所以要在［frequency］和［frequencyMax］之間重複執行此活動。
Short | 此事件於每一期間的最大發生頻率
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. MedicationDispense.dosageInstruction.timing.repeat.period
Definition | 表示重複發生的時間區間；例如：為了表示「每天3次」，3次是頻率（frequency），1天是週期（period）。如果存在periodMax資料項目，此period資料項目表示時間區間長度的允許範圍的下限。
Short | 此事件於特定時間區間所發生的頻率
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. MedicationDispense.dosageInstruction.timing.repeat.periodMax
Definition | 如果periodMax存在，表示時間區間是一個從［period］到［periodMax］的範圍，允許表達像是「每3至5天一次」的概念。
Short | 時間區間的上限（3-4小時）
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. MedicationDispense.dosageInstruction.timing.repeat.periodUnit
Definition | 持續時間的單位，以UCUM為單位。
Short | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM）
Control | 0..1
Binding | The codes SHALL be taken from UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. MedicationDispense.dosageInstruction.timing.repeat.dayOfWeek
Definition | 如果提供的資訊為一星期中的一天或多天，那麼此活動只發生在這特定的幾天。
Short | mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sun
Comments | 如果沒有指定天數，則假定該活動每天都會發生，否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。
Control | 0..*
Binding | The codes SHALL be taken from DaysOfWeek (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` ) 應填入DaysOfWeek值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. MedicationDispense.dosageInstruction.timing.repeat.timeOfDay
Definition | 具體說明一天中活動進行的時間
Short | 一天中的活動時間
Comments | 當指定了一天中的時間時，就會推斷出該活動每天都會在指定的時間發生（由dayofWeek篩選）。資料項目when、frequency和period不能和timeOfDay一起使用。
Control | 0..*
Type | time
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. MedicationDispense.dosageInstruction.timing.repeat.when
Definition | 一天中的一個大致時段，可能與日常生活中的某一事件有關，表明該活動應在何時發生。
Short | 事件發生的時間區間之代碼
Comments | 當一個以上的事件被列出，則此事件被綁定至合併的數個特定事件。
Control | 0..*
Binding | The codes SHALL be taken from EventTiming (required to `http://hl7.org/fhir/ValueSet/event-timing|4.0.1` ) 與時程表有關的真實世界事件；應填入EventTiming值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 時間經常由特定事件的發生所決定，例如：起床、吃飯和睡覺。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. MedicationDispense.dosageInstruction.timing.repeat.offset
Definition | 距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後，則假定該offset是指特定事件發生後的分鐘數。
Short | 事件的分鐘數（之前或之後）
Control | 0..1
Type | unsignedInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. MedicationDispense.dosageInstruction.timing.code
Definition | 活動發生時機之代碼（或只是code.text中的文字）。像是BID的一些代碼到處都有，但許多機構定義它們自己的額外代碼。如果提供了一個代碼，此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述，代碼或資料都可用於解釋時機（Timing），但.repeat.bounds適用於代碼（且不包含在代碼中）的例外。
Short | BID | TID | QID | AM | PM | QD | QOD | +[應填入使用時間]。如：飯前後
Comments | BID等被定義為「在機構特定的時間」。例如：一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的，就不應該使用代碼BID。反之，應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和／或使用一個結構化表示法（在這種情況下，具體說明兩個事件時間）。
Control | 0..1
Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to `http://hl7.org/fhir/ValueSet/timing-abbreviation` ) 已知／確定的時間模式之代碼；鼓勵使用TimingAbbreviation值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. MedicationDispense.dosageInstruction.timing.code.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
212. MedicationDispense.dosageInstruction.timing.code.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.timing.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
214. MedicationDispense.dosageInstruction.timing.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. MedicationDispense.dosageInstruction.timing.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字標記法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. MedicationDispense.dosageInstruction.asNeeded[x]
Definition | 表明此藥品是否只在需要時在特定的用法（Boolean選項）服用，或者表明服用此藥品（CodeableConcept）的前提條件。
Short | 「根據（對x的）需要」服用 Binding：一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；可參考SNOMEDCTMedicationAsNeededReasonCodes值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Comments | 可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下，CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下，Boolean值被假定為True。如果您將Boolean值設置為「False」，那麼該劑量是根據時間表給予的，而不是 「prn」或 「根據需要」。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTMedicationAsNeededReasonCodes (extensible to `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` ) 一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. MedicationDispense.dosageInstruction.site
Definition | 用藥的身體部位
Short | 用藥之身體部位
Comments | 如果使用案例需要BodySite resource的屬性（例如：分別識別和追蹤），那麼就使用標準extension bodySite。可以是一個摘要代碼，也可以是對一個非常精確的位置定義的參照，或者兩者都是。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible to `http://hl7.org/fhir/ValueSet/approach-site-codes` ) 一個編碼概念，描述藥品進入或在身體上的位置；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 對藥品首次進入之人體解剖部位的編碼說明
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. MedicationDispense.dosageInstruction.route
Definition | 藥品應如何進入體內
Short | How drug should enter body.[應填入給藥途徑 Route of Administration]
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see SNOMEDCTRouteCodes (example to `http://hl7.org/fhir/ValueSet/route-codes` ) A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. MedicationDispense.dosageInstruction.route.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
226. MedicationDispense.dosageInstruction.route.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.route.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
228. MedicationDispense.dosageInstruction.route.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMED CT + 臺灣健保署給藥途徑值集 (extensible to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. MedicationDispense.dosageInstruction.route.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字標記法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. MedicationDispense.dosageInstruction.method
Definition | 用藥的技術
Short | 用藥的技術
Comments | 使用的專門術語通常先組合配對（pre-coordinate）用藥途徑和／或劑型。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdministrationMethodCodes (extensible to `http://hl7.org/fhir/ValueSet/administration-method-codes` ) 一個編碼概念，描述用藥的技術；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如：慢推、深靜脈。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. MedicationDispense.dosageInstruction.doseAndRate
Definition | 用藥量
Short | 用藥量
Control | 1..*
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. MedicationDispense.dosageInstruction.doseAndRate.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
238. MedicationDispense.dosageInstruction.doseAndRate.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.doseAndRate.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
240. MedicationDispense.dosageInstruction.doseAndRate.type
Definition | 特定劑量或比率種類，例如：依處方或計算而來。
Short | 特定劑量或比率種類
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see DoseAndRateType (example to `http://hl7.org/fhir/ValueSet/dose-rate-type` ) 可參考DoseAndRateType值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 如果此type資料項目沒有被填入，則假定為「依處方（ordered）」。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
242. MedicationDispense.dosageInstruction.doseAndRate.dose[x]
Definition | 每一劑量的藥量
Short | 每一劑量的藥量
Comments | 請注意這是指特定藥品量，而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如：如果想表達一錠375毫克的藥錠，劑量是一錠，你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者，如果劑量是375毫克，那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射，例如：多巴胺，你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中，那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的（速率是存在的，或者時間是有期限的），這可具體說明以傳達在時間表所指示的時段之總用藥量，例如：500毫升的劑量應該在4小時內完成。
Control | 1..1
Type | Quantity(SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 在一次用藥事件中給予的治療用或其他的物質量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.doseAndRate.dose[x]`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: type @ $this
244. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity
Slice Name | doseQuantity
Definition | 每一劑量的藥量
Short | 每一劑量的藥量
Comments | 請注意這是指特定藥品量，而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如：如果想表達一錠375毫克的藥錠，劑量是一錠，你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者，如果劑量是375毫克，那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射，例如：多巴胺，你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中，那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的（速率是存在的，或者時間是有期限的），這可具體說明以傳達在時間表所指示的時段之總用藥量，例如：500毫升的劑量應該在4小時內完成。
Control | 1..1
Type | Quantity(SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 在一次用藥事件中給予的治療用或其他的物質量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
248. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationDispense.dosageInstruction.doseAndRate.dose[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
250. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | Numerical value (with implicit precision).[應填入劑量]
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 1..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator
Definition | Not allowed to be used in this context
Short | < | <= | >= | > - how to understand the value
Control | 0..0
Binding | The codes SHALL be taken from QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
254. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit
Definition | A human-readable form of the unit.
Short | Unit representation.[應填入劑量單位 Dose Units]。如：顆、CC等
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
256. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system
Definition | The identification of the system that provides the coded form of the unit.
Short | System that defines coded unit form
Control | 0..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. MedicationDispense.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code
Definition | A computer processable form of the unit in some unit representation system.
Short | Coded form of the unit
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 0..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
260. MedicationDispense.dosageInstruction.doseAndRate.rate[x]
Definition | 每時間單位內的用藥量
Short | 每時間單位內的用藥量
Comments | 可同時提供rate和doseQuantity，以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變，根據當地的規則／法規，每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉，或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率（例如：100毫升／小時）。rateQuantity的方式要求系統有能力解析包含毫升／小時的UCUM語法，而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值，使用rateRatio可能比使用rateQuantity指定250毫克／小時在語義上更正確。
Control | 0..1
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Requirements | 指明藥品引入病人體內的速度。通常是指輸液的速度，例如：每1小時100毫升或100毫升／小時。也可表示為每單位時間的速度，例如：每2小時500毫升，其他例子如200微克／分鐘或200微克／1分鐘；1升／8小時。有時，當表示為總容量／持續時間時，速率可以隱喻持續時間（例如：500毫升／2小時隱喻持續時間為2小時）。然而，當速率未隱喻持續時間時（例如：250毫升／小時），則需要timing.repeat.duration來表達輸液的時間區間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
262. MedicationDispense.dosageInstruction.maxDosePerPeriod
Definition | 每時間單位內用藥的上限
Short | 每時間單位內用藥的上限
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如：「每4小時2錠，一天最多8錠」。
Control | 0..1
Type | Ratio
Is Modifier | false
Summary | true
Requirements | 在一段時間區間用於某一對象的治療用物質之最大總量。例如：24小時內1,000毫克。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
264. MedicationDispense.dosageInstruction.maxDosePerAdministration
Definition | 每次用藥的上限
Short | 每次用藥的上限
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如：與體表面積有關的劑量有一個上限，如在5至10分鐘內靜脈注射1.5毫克／平方米（最多2毫克），其doseQuantity為1.5毫克／平方米，maxDosePerAdministration為2毫克。
Control | 0..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Summary | true
Requirements | 每次用於某一對象治療用物質的最大總量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. MedicationDispense.dosageInstruction.maxDosePerLifetime
Definition | 病人一生中用藥的上限
Short | 病人一生中用藥的上限
Control | 0..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Summary | true
Requirements | 用於某一對象的治療用物質於其一生的最大總數量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. MedicationDispense.substitution
Definition | 表示配藥/調劑藥品過程中是否進行了藥品替代。在某些情況下，替代是預料之中的，但卻沒有發生；在另一些情況下，替代是預料之外的，但卻發生了。這一部分解釋了替代是否發生或未發生的情況及原因。如果沒有說明，則表示沒有進行替代。
Short | 配藥/調劑藥品時是否進行了藥品替代
Control | 0..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
270. MedicationDispense.substitution.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
272. MedicationDispense.substitution.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
274. MedicationDispense.substitution.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
276. MedicationDispense.substitution.wasSubstituted
Definition | True if the dispenser dispensed a different drug or product from what was prescribed. 預設為「無」 填寫說明： 有更換藥品時請填寫「有」 無有更換藥品請填寫「無」
Short | Whether a substitution was or was not performed on the dispense.[應填入有更換藥品註記]
Control | 1..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
278. MedicationDispense.substitution.type
Definition | 表示是否配製與處方不同藥品的代碼
Short | 代碼表示配藥是否與處方要求不同
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see ActSubstanceAdminSubstitutionCode (example to `http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
280. MedicationDispense.substitution.reason
Definition | 表明替代（或不替代）處方的原因
Short | Why was substitution made.[應填入不得以其他廠牌藥品替代之理由]。填寫說明：有特殊情況時才填寫不可替代時始需註明
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | For example codes, see SubstanceAdminSubstitutionReason (example to `http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. MedicationDispense.substitution.responsibleParty
Definition | 對替代負有主要責任的個人或機構
Short | 誰對藥品替代負責
Control | 0..*
Type | Reference(TW Core Practitioner, TW Core PractitionerRole)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
284. MedicationDispense.detectedIssue
Definition | 表明病人的一項或多項實際或潛在的臨床行動之間存在的臨床問題，例如：藥品交互作用、重複治療、劑量警示等。
Short | 臨床問題與行動
Comments | 此資料項目可包括決策支援系統或臨床醫生發現的問題，也可包括解決問題所採取步驟資訊。
Control | 0..*
Type | Reference(DetectedIssue)
Is Modifier | false
Summary | false
Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
286. MedicationDispense.eventHistory
Definition | 已發生的相關事件摘要，例如：配藥/調劑藥品是否已審核。
Short | 相關生命周期事件的清單
Comments | 這可能不包括請求的所有版本的出處(Provenances) - 只包括那些被認為 「相關 」或重要的版本。 必須沒有(SHALL NOT) 包括與當前版本 resource 相關的 Provenance。(如果該Provenance被視為「相關 」的變更，則需要作為後續更新的一部分添加。在此之前，可以使用 _revinclude 直接查詢該版本的Provenance（所有Provenance都應以此請求的某個歷史版本作為其查詢對象）。
Control | 0..*
Type | Reference(TW Core Provenance)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)