This page is part of the 臺灣次世代基因定序檢測實作指引 (v1.0.0: STU1.0.0) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: 基因定序檢測申請項目-ServiceRequest TWNGS

此基因定序檢測申請項目ServiceRequest TWNGS Profile說明本IG如何進一步定義臺灣核心-藥品請求(TW Core MedicationRequest) Profile以呈現次世代基因定序檢測中申請項目之基因定序檢測項目

Usages:

• Use this Profile: 次世代基因定序檢測-Bundle TWNGS
• Refer to this Profile: 基因定序檢測證明文件-Composition TWNGS and 基因定序檢測報告-DiagnosticReport TWNGS
• Examples for this Profile: ServiceRequest/serReq-min
• CapabilityStatements using this Profile: 臺灣次世代基因定序檢測-用戶端(TWNGS Client) and 臺灣次世代基因定序檢測-伺服端(TWNGS Server)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	TWCoreServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
Slices for category	SΣ	0..*	CodeableConceptTW	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:twcore	SΣ	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	S	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:icd10-pcs-2023	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2021	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2014	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
coding:medical-service-payment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
coding:sct-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required)
coding:loinc-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
coding:nhi-ngs-payment	S	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-健保NGS-NGS檢驗給付項目值集 (required)
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(TW Core Patient S | Group | TW Core Location | TW Core Implantable Device)	Individual or Entity the service is ordered for
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime S
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(TW Core Practitioner S | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device)	Who/what is requesting service
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	Pattern Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://nhicore.nhi.gov.tw/ngs/ValueSet/nhi-ngs-payment From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	error	ServiceRequest	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	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from TWCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			TWCoreServiceRequest
status		1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active
intent		1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: plan
code
coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
Slices for coding				Content/Rules for all slices
coding:nhi-ngs-payment	S	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-健保NGS-NGS檢驗給付項目值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://nhicore.nhi.gov.tw/ngs/ValueSet/nhi-ngs-payment From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	TWCoreServiceRequest	A request for a service to be performed Constraints: prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(TW Core ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
Slices for category	SΣ	0..*	CodeableConceptTW	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:twcore	SΣ	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	S	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:icd10-pcs-2023	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2021	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2014	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
coding:medical-service-payment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
coding:sct-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required)
coding:loinc-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
coding:nhi-ngs-payment	S	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-健保NGS-NGS檢驗給付項目值集 (required)
text	SΣ	0..1	string	概念的文字表示法
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(TW Core Patient S | Group | TW Core Location | TW Core Implantable Device)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(TW Core Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime S
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(TW Core Practitioner S | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | HealthcareService | TW Core Patient | Device | TW Core RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(TW Core Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible)
reasonReference	Σ	0..*	Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(TW Core Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(TW Core Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Pattern Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://nhicore.nhi.gov.tw/ngs/ValueSet/nhi-ngs-payment From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	error	ServiceRequest	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	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from TWCoreServiceRequest

Summary

Mandatory: 2 elements
Must-Support: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	TWCoreServiceRequest	A request for a service to be performed Constraints: prr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
Slices for category	SΣ	0..*	CodeableConceptTW	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:twcore	SΣ	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	S	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:icd10-pcs-2023	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2021	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2014	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
coding:medical-service-payment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
coding:sct-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required)
coding:loinc-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
coding:nhi-ngs-payment	S	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-健保NGS-NGS檢驗給付項目值集 (required)
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(TW Core Patient S | Group | TW Core Location | TW Core Implantable Device)	Individual or Entity the service is ordered for
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime S
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(TW Core Practitioner S | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device)	Who/what is requesting service
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	Pattern Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://nhicore.nhi.gov.tw/ngs/ValueSet/nhi-ngs-payment From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	error	ServiceRequest	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	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

Differential View

This structure is derived from TWCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest			TWCoreServiceRequest
status		1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active
intent		1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: plan
code
coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
Slices for coding				Content/Rules for all slices
coding:nhi-ngs-payment	S	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-健保NGS-NGS檢驗給付項目值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://nhicore.nhi.gov.tw/ngs/ValueSet/nhi-ngs-payment From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ServiceRequest	C	0..*	TWCoreServiceRequest	A request for a service to be performed Constraints: prr-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifiers assigned to this order
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest)	What request fulfills
replaces	Σ	0..*	Reference(TW Core ServiceRequest)	What request replaces
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: active
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: plan
Slices for category	SΣ	0..*	CodeableConceptTW	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:twcore	SΣ	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	S	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:icd10-pcs-2023	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2021	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
coding:icd10-pcs-2014	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
coding:medical-service-payment	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
coding:sct-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required)
coding:loinc-procedures	S	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
coding:nhi-ngs-payment	S	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-健保NGS-NGS檢驗給付項目值集 (required)
text	SΣ	0..1	string	概念的文字表示法
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	Σ	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣ	1..1	Reference(TW Core Patient S | Group | TW Core Location | TW Core Implantable Device)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(TW Core Encounter)	Encounter in which the request was created
occurrence[x]	SΣ	0..1		When service should occur
occurrenceDateTime			dateTime S
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	Σ	0..1		Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
authoredOn	SΣ	0..1	dateTime	Date request signed
requester	SΣ	0..1	Reference(TW Core Practitioner S | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
performer	Σ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | HealthcareService | TW Core Patient | Device | TW Core RelatedPerson)	Requested performer
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	Σ	0..*	Reference(TW Core Location)	Requested location
reasonCode	Σ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible)
reasonReference	Σ	0..*	Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference)	Explanation/Justification for service or service
insurance		0..*	Reference(TW Core Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
specimen	Σ	0..*	Reference(TW Core Specimen)	Procedure Samples
bodySite	Σ	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Pattern Value: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 From the FHIR Standard
ServiceRequest.intent	required	Pattern Value: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 From the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category From the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 From the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code From the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://nhicore.nhi.gov.tw/ngs/ValueSet/nhi-ngs-payment From this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail From the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason From the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role From the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	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	error	ServiceRequest	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	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()

This structure is derived from TWCoreServiceRequest

Summary

Mandatory: 2 elements
Must-Support: 1 element

Other representations of profile: CSV, Excel, Schematron