This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.4. For a full list of available versions, see the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 事前審查品項-MedicationRequest Apply TWPAS

此事前審查品項-MedicationRequest Apply TWPAS Profile說明本IG如何進一步定義臺灣核心-藥品請求(TW Core MedicationRequest) Profile以呈現癌藥事前審查中申請項目之事前審查品項

Usage:

• Use this Resource Profile: 事前審查-Bundle TWPAS
• Refer to this Resource Profile: RequestedService
• Examples for this Resource Profile: MedicationRequest/medReq-apply-2 and MedicationRequest/medReq-apply

Formal Views of Profile Content

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

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

This structure is derived from TWCoreMedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			TWCoreMedicationRequest
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: on-hold
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: plan
category		0..1	CodeableConceptTW	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-續用註記值集 (required)
medication[x]		1..1	CodeableConceptTW	事前審查品項代碼，事前審查醫令代碼
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference		0..0
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述
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:fda-medication-tw		0..0
Slices for coding				Content/Rules for all slices
coding:nhi-medication-tw		1..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:rxnorm-medication-us-core		0..0
Slices for coding				Content/Rules for all slices
coding:atc-medication-code		0..0
Slices for coding				Content/Rules for all slices
coding:snomedct-medication-codes		0..0
subject		1..1	Reference(病人資訊-Patient TWPAS)	為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求
dosageInstruction		1..1	Dosage	應該如何用藥
timing
repeat	S	0..1	Element	事件定期重複發生的時間
bounds[x]	S	0..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
start	S	0..1	dateTime	事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日，民國前為負數。
end	S	0..1	dateTime	事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日，民國前為負數。
code		1..1	CodeableConceptTW	BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (required)
coding		1..*	CodingTW	事前審查藥品每日處方頻次。請依規範填寫，併同使用兩代碼時，中間請不要有符號或空格
doseAndRate	S	1..1	Element	用藥量
dose[x]	S	1..1	SimpleQuantity	A fixed quantity (no comparator)
value	S	1..1	decimal	事前審查藥品每次處方劑量，數字。
code	S	1..1	code	事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
dispenseRequest		1..1	BackboneElement	藥品供應授權
quantity	S	1..1	SimpleQuantity	每次配藥的藥品（數）量
value	S	1..1	decimal	事前審查申請數量
code	S	1..1	code	事前審查申請數量單位
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category	required	NHIContinuationStatus (a valid code from NHI-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
MedicationRequest.dosageInstruction.timing.code	required	NHIMedicationFrequencyHL7 https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	TWCoreMedicationRequest	為病人或實體集合（例如：特定的一群人）開立的藥品請求
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	S	0..*	Identifier	此藥品請求的外部識別碼
status	?!SΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: on-hold
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: plan
category	S	0..1	CodeableConceptTW	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-續用註記值集 (required)
doNotPerform	?!Σ	0..1	boolean	如果藥品請求是禁止活動，則為真。
Slices for medication[x]	SΣ	1..1	CodeableConceptTW	事前審查品項代碼，事前審查醫令代碼 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
medication[x]:medicationCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: SNOMEDCTMedicationCodes (example)
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:nhi-medication-tw	S	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署健保用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求
encounter	S	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
authoredOn	SΣ	0..1	dateTime	藥品請求請求最初何時被撰寫？
requester	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | RelatedPerson | Device)	誰／什麼提出藥品請求請求？
reasonReference	S	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result)	開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）
note	S	0..*	Annotation	關於處方的資訊
dosageInstruction	S	1..1	Dosage	應該如何用藥
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	純文字表述的劑量指示，例如：SIG。
timing	SΣ	0..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	SΣC	0..1	Element	事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
bounds[x]	SΣ	0..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
start	SΣC	0..1	dateTime	事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日，民國前為負數。
end	SΣC	0..1	dateTime	事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日，民國前為負數。
code	S	1..1	CodeableConceptTW	BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (required)
coding	S	1..*	CodingTW	事前審查藥品每日處方頻次。請依規範填寫，併同使用兩代碼時，中間請不要有符號或空格 Binding: HL7 TimingAbbreviation + 臺灣健保署 + 臺灣衛福部統計處藥品使用頻率值集 (extensible): 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。
text	SΣ	0..1	string	概念的文字標記法
route	S	0..1	CodeableConceptTW	藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 一個編碼概念，描述治療劑進入或在受試者體內的用藥途徑或生理途徑；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。
coding	S	0..*	CodingTW	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。 Binding: SNOMED CT + 臺灣衛福部統計處給藥途徑值集 (extensible)
text	SΣ	0..1	string	概念的文字標記法
doseAndRate	SΣ	1..1	Element	用藥量
dose[x]	SC	1..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
value	SΣ	1..1	decimal	事前審查藥品每次處方劑量，數字。
code	SΣ	1..1	code	事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
dispenseRequest	S	1..1	BackboneElement	藥品供應授權
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod	S	0..1	Period	處方可用以配藥的有效期限
numberOfRepeatsAllowed	S	0..1	unsignedInt	可重複領藥的次數
quantity	S	1..1	SimpleQuantity	每次配藥的藥品（數）量
value	SΣ	1..1	decimal	事前審查申請數量
code	SΣ	1..1	code	事前審查申請數量單位
expectedSupplyDuration	S	0..1	Duration	每次配藥可持續的天數
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Pattern: on-hold http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	NHIContinuationStatus (a valid code from NHI-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw	required	TWMedicationNHI https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw
MedicationRequest.dosageInstruction.timing.code	required	NHIMedicationFrequencyHL7 https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi from this IG
MedicationRequest.dosageInstruction.timing.code.coding	extensible	TWMedicationFrequencyHL7 https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route.coding	extensible	TWMedicationPathSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	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	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	TWCoreMedicationRequest	為病人或實體集合（例如：特定的一群人）開立的藥品請求
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此MedicationRequest Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 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 Example Value: zh-TW
text		0..1	Narrative	MedicationRequest Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	S	0..*	Identifier	此藥品請求的外部識別碼
status	?!SΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: on-hold
statusReason		0..1	CodeableConceptTW	當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 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。
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: plan
category	S	0..1	CodeableConceptTW	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-續用註記值集 (required)
priority	Σ	0..1	code	routine ｜ urgent ｜ asap ｜ stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼
doNotPerform	?!Σ	0..1	boolean	如果藥品請求是禁止活動，則為真。
reported[x]	Σ	0..1		被報告的而不是主要的紀錄
reportedBoolean			boolean
reportedReference			Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | RelatedPerson | TW Core Organization)
Slices for medication[x]	SΣ	1..1	CodeableConceptTW	事前審查品項代碼，事前審查醫令代碼 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
medication[x]:medicationCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: SNOMEDCTMedicationCodes (example)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:nhi-medication-tw	S	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署健保用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求
encounter	S	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
supportingInformation		0..*	Reference(Resource)	任何與藥品請求相關的補充資訊
authoredOn	SΣ	0..1	dateTime	藥品請求請求最初何時被撰寫？
requester	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | RelatedPerson | Device)	誰／什麼提出藥品請求請求？
performer		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson | CareTeam)	預期的給藥執行者
performerType		0..1	CodeableConceptTW	所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 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。
recorder		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	輸入藥品請求請求的人
reasonCode		0..*	CodeableConcept	開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 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。
reasonReference	S	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result)	開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）
instantiatesCanonical	Σ	0..*	canonical()	實例化FHIR計畫書（protocol）或定義
instantiatesUri	Σ	0..*	uri	實例化外部計畫書（protocol）或定義
basedOn	Σ	0..*	Reference(CarePlan | TW Core MedicationRequest | ServiceRequest | ImmunizationRecommendation)	此MedicationRquest是基於什麼而履行？
groupIdentifier	Σ	0..1	Identifier	此為綜合請求的一部分
courseOfTherapyType		0..1	CodeableConceptTW	給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 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。
insurance		0..*	Reference(Coverage | ClaimResponse)	相關的保險承保範圍
note	S	0..*	Annotation	關於處方的資訊
dosageInstruction	S	1..1	Dosage	應該如何用藥
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	劑量指示的順序
text	SΣ	0..1	string	純文字表述的劑量指示，例如：SIG。
additionalInstruction		0..*	CodeableConceptTW	對病人的補充指示或警告－例如：「隨餐服用」，「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 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。
patientInstruction	Σ	0..1	string	以病人或消費者為導向的指示
timing	SΣ	0..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	事件發生的時間
repeat	SΣC	0..1	Element	事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	SΣ	0..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日，民國前為負數。
end	SΣC	0..1	dateTime	事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日，民國前為負數。
count	Σ	0..1	positiveInt	重複的次數
countMax	Σ	0..1	positiveInt	重複的最大次數
duration	Σ	0..1	decimal	此事件持續多久時間
durationMax	Σ	0..1	decimal	此事件持續多久時間 （最長時間／最大值）
durationUnit	Σ	0..1	code	s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
frequency	Σ	0..1	positiveInt	此事件於每一期間的發生頻率
frequencyMax	Σ	0..1	positiveInt	此事件於每一期間的最大發生頻率
period	Σ	0..1	decimal	此事件於特定時間區間所發生的頻率
periodMax	Σ	0..1	decimal	時間區間的上限（3-4小時）
periodUnit	Σ	0..1	code	s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
dayOfWeek	Σ	0..*	code	mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼
timeOfDay	Σ	0..*	time	一天中的活動時間
when	Σ	0..*	code	事件發生的時間區間之代碼 Binding: EventTiming (required): 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
offset	Σ	0..1	unsignedInt	事件的分鐘數（之前或之後）
code	S	1..1	CodeableConceptTW	BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (required)
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
coding	S	1..*	CodingTW	事前審查藥品每日處方頻次。請依規範填寫，併同使用兩代碼時，中間請不要有符號或空格 Binding: HL7 TimingAbbreviation + 臺灣健保署 + 臺灣衛福部統計處藥品使用頻率值集 (extensible): 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。
text	SΣ	0..1	string	概念的文字標記法
asNeeded[x]	Σ	0..1		「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。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 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。
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept(CodeableConceptTW)
site		0..1	CodeableConceptTW	用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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。
route	S	0..1	CodeableConceptTW	藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 一個編碼概念，描述治療劑進入或在受試者體內的用藥途徑或生理途徑；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。
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
coding	S	0..*	CodingTW	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。 Binding: SNOMED CT + 臺灣衛福部統計處給藥途徑值集 (extensible)
text	SΣ	0..1	string	概念的文字標記法
method		0..1	CodeableConceptTW	用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 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。
doseAndRate	SΣ	1..1	Element	用藥量
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		0..1	CodeableConceptTW	特定劑量或比率種類 Binding: DoseAndRateType (example): 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。
dose[x]	SC	1..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	事前審查藥品每次處方劑量，數字。
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	SΣ	1..1	code	事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
rate[x]	Σ	0..1		每時間單位內的用藥量
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	每時間單位內用藥的上限
maxDosePerAdministration	Σ	0..1	SimpleQuantity	每次用藥的上限
maxDosePerLifetime	Σ	0..1	SimpleQuantity	病人一生中用藥的上限
dispenseRequest	S	1..1	BackboneElement	藥品供應授權
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	首次依照處方配藥的細節
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	首次配藥的數量
duration		0..1	Duration	首次配藥的持續時間
dispenseInterval		0..1	Duration	前後兩次配藥的最短時間間隔
validityPeriod	S	0..1	Period	處方可用以配藥的有效期限
numberOfRepeatsAllowed	S	0..1	unsignedInt	可重複領藥的次數
quantity	S	1..1	SimpleQuantity	每次配藥的藥品（數）量
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	事前審查申請數量
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	SΣ	1..1	code	事前審查申請數量單位
expectedSupplyDuration	S	0..1	Duration	每次配藥可持續的天數
performer		0..1	Reference(TW Core Organization)	預定的配藥人員
substitution		0..1	BackboneElement	對替代藥品的任何限制
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 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。
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept(CodeableConceptTW)
reason		0..1	CodeableConceptTW	為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (example): 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。
priorPrescription		0..1	Reference(TW Core MedicationRequest)	正被替換的醫令／處方
detectedIssue		0..*	Reference(DetectedIssue)	活動的臨床問題
eventHistory		0..*	Reference(Provenance)	生命週期中感興趣的事件清單
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	Pattern: on-hold http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	NHIContinuationStatus (a valid code from NHI-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw	required	TWMedicationNHI https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw
MedicationRequest.performerType	extensible	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	extensible	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction	extensible	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	required	NHIMedicationFrequencyHL7 https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi from this IG
MedicationRequest.dosageInstruction.timing.code.coding	extensible	TWMedicationFrequencyHL7 https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw
MedicationRequest.dosageInstruction.asNeeded[x]	extensible	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.site	extensible	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route.coding	extensible	TWMedicationPathSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw
MedicationRequest.dosageInstruction.method	extensible	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	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	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from TWCoreMedicationRequest

Summary

Mandatory: 9 elements(4 nested mandatory elements)
Must-Support: 11 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
• TW Core Medication (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore)
• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Differential View

This structure is derived from TWCoreMedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			TWCoreMedicationRequest
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: on-hold
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: plan
category		0..1	CodeableConceptTW	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-續用註記值集 (required)
medication[x]		1..1	CodeableConceptTW	事前審查品項代碼，事前審查醫令代碼
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference		0..0
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述
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:fda-medication-tw		0..0
Slices for coding				Content/Rules for all slices
coding:nhi-medication-tw		1..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:rxnorm-medication-us-core		0..0
Slices for coding				Content/Rules for all slices
coding:atc-medication-code		0..0
Slices for coding				Content/Rules for all slices
coding:snomedct-medication-codes		0..0
subject		1..1	Reference(病人資訊-Patient TWPAS)	為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求
dosageInstruction		1..1	Dosage	應該如何用藥
timing
repeat	S	0..1	Element	事件定期重複發生的時間
bounds[x]	S	0..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
start	S	0..1	dateTime	事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日，民國前為負數。
end	S	0..1	dateTime	事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日，民國前為負數。
code		1..1	CodeableConceptTW	BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (required)
coding		1..*	CodingTW	事前審查藥品每日處方頻次。請依規範填寫，併同使用兩代碼時，中間請不要有符號或空格
doseAndRate	S	1..1	Element	用藥量
dose[x]	S	1..1	SimpleQuantity	A fixed quantity (no comparator)
value	S	1..1	decimal	事前審查藥品每次處方劑量，數字。
code	S	1..1	code	事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
dispenseRequest		1..1	BackboneElement	藥品供應授權
quantity	S	1..1	SimpleQuantity	每次配藥的藥品（數）量
value	S	1..1	decimal	事前審查申請數量
code	S	1..1	code	事前審查申請數量單位
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category	required	NHIContinuationStatus (a valid code from NHI-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
MedicationRequest.dosageInstruction.timing.code	required	NHIMedicationFrequencyHL7 https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	TWCoreMedicationRequest	為病人或實體集合（例如：特定的一群人）開立的藥品請求
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	S	0..*	Identifier	此藥品請求的外部識別碼
status	?!SΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: on-hold
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: plan
category	S	0..1	CodeableConceptTW	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-續用註記值集 (required)
doNotPerform	?!Σ	0..1	boolean	如果藥品請求是禁止活動，則為真。
Slices for medication[x]	SΣ	1..1	CodeableConceptTW	事前審查品項代碼，事前審查醫令代碼 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
medication[x]:medicationCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: SNOMEDCTMedicationCodes (example)
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:nhi-medication-tw	S	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署健保用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求
encounter	S	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
authoredOn	SΣ	0..1	dateTime	藥品請求請求最初何時被撰寫？
requester	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | RelatedPerson | Device)	誰／什麼提出藥品請求請求？
reasonReference	S	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result)	開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）
note	S	0..*	Annotation	關於處方的資訊
dosageInstruction	S	1..1	Dosage	應該如何用藥
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	純文字表述的劑量指示，例如：SIG。
timing	SΣ	0..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	SΣC	0..1	Element	事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
bounds[x]	SΣ	0..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
start	SΣC	0..1	dateTime	事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日，民國前為負數。
end	SΣC	0..1	dateTime	事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日，民國前為負數。
code	S	1..1	CodeableConceptTW	BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (required)
coding	S	1..*	CodingTW	事前審查藥品每日處方頻次。請依規範填寫，併同使用兩代碼時，中間請不要有符號或空格 Binding: HL7 TimingAbbreviation + 臺灣健保署 + 臺灣衛福部統計處藥品使用頻率值集 (extensible): 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。
text	SΣ	0..1	string	概念的文字標記法
route	S	0..1	CodeableConceptTW	藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 一個編碼概念，描述治療劑進入或在受試者體內的用藥途徑或生理途徑；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。
coding	S	0..*	CodingTW	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。 Binding: SNOMED CT + 臺灣衛福部統計處給藥途徑值集 (extensible)
text	SΣ	0..1	string	概念的文字標記法
doseAndRate	SΣ	1..1	Element	用藥量
dose[x]	SC	1..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
value	SΣ	1..1	decimal	事前審查藥品每次處方劑量，數字。
code	SΣ	1..1	code	事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
dispenseRequest	S	1..1	BackboneElement	藥品供應授權
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod	S	0..1	Period	處方可用以配藥的有效期限
numberOfRepeatsAllowed	S	0..1	unsignedInt	可重複領藥的次數
quantity	S	1..1	SimpleQuantity	每次配藥的藥品（數）量
value	SΣ	1..1	decimal	事前審查申請數量
code	SΣ	1..1	code	事前審查申請數量單位
expectedSupplyDuration	S	0..1	Duration	每次配藥可持續的天數
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Pattern: on-hold http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	NHIContinuationStatus (a valid code from NHI-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw	required	TWMedicationNHI https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw
MedicationRequest.dosageInstruction.timing.code	required	NHIMedicationFrequencyHL7 https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi from this IG
MedicationRequest.dosageInstruction.timing.code.coding	extensible	TWMedicationFrequencyHL7 https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route.coding	extensible	TWMedicationPathSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	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	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	TWCoreMedicationRequest	為病人或實體集合（例如：特定的一群人）開立的藥品請求
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此MedicationRequest Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述MedicationRequest Resource內容的語言。 Binding: CommonLanguages (preferred): 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 Example Value: zh-TW
text		0..1	Narrative	MedicationRequest Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	擴充的資料項目
modifierExtension	?!	0..*	Extension	此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
identifier	S	0..*	Identifier	此藥品請求的外部識別碼
status	?!SΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: on-hold
statusReason		0..1	CodeableConceptTW	當前狀態的原因 Binding: medicationRequest Status Reason Codes (example): 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。
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): 應填入所綁定值集中的其中一個代碼 Required Pattern: plan
category	S	0..1	CodeableConceptTW	續用註記，1:初次使用 | 2:申請再次使用 Binding: NHI-續用註記值集 (required)
priority	Σ	0..1	code	routine ｜ urgent ｜ asap ｜ stat Binding: RequestPriority (required): 應填入RequestPriority值集中的其中一個代碼
doNotPerform	?!Σ	0..1	boolean	如果藥品請求是禁止活動，則為真。
reported[x]	Σ	0..1		被報告的而不是主要的紀錄
reportedBoolean			boolean
reportedReference			Reference(TW Core Patient | TW Core Practitioner | TW Core PractitionerRole | RelatedPerson | TW Core Organization)
Slices for medication[x]	SΣ	1..1	CodeableConceptTW	事前審查品項代碼，事前審查醫令代碼 Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): 此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
medication[x]:medicationCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: SNOMEDCTMedicationCodes (example)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:nhi-medication-tw	S	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: 臺灣健保署健保用藥品項代碼值集 (required): 應填入所綁定值集中的其中一個代碼。
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	為誰或哪個實體集合（例如：特定的一群人）所開立的藥品請求
encounter	S	0..1	Reference(TW Core Encounter)	連結至一個或一組即將給予藥品的人
supportingInformation		0..*	Reference(Resource)	任何與藥品請求相關的補充資訊
authoredOn	SΣ	0..1	dateTime	藥品請求請求最初何時被撰寫？
requester	SΣ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | RelatedPerson | Device)	誰／什麼提出藥品請求請求？
performer		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | RelatedPerson | CareTeam)	預期的給藥執行者
performerType		0..1	CodeableConceptTW	所需的給藥執行者種類 Binding: ProcedurePerformerRoleCodes (extensible): 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。
recorder		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	輸入藥品請求請求的人
reasonCode		0..*	CodeableConcept	開立醫令或不開立醫令的原因或指示 Binding: Condition/Problem/DiagnosisCodes (extensible): 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。
reasonReference	S	0..*	Reference(TW Core Condition | TW Core Observation Laboratory Result)	開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）
instantiatesCanonical	Σ	0..*	canonical()	實例化FHIR計畫書（protocol）或定義
instantiatesUri	Σ	0..*	uri	實例化外部計畫書（protocol）或定義
basedOn	Σ	0..*	Reference(CarePlan | TW Core MedicationRequest | ServiceRequest | ImmunizationRecommendation)	此MedicationRquest是基於什麼而履行？
groupIdentifier	Σ	0..1	Identifier	此為綜合請求的一部分
courseOfTherapyType		0..1	CodeableConceptTW	給藥的整體模式 Binding: medicationRequest Course of Therapy Codes (example): 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。
insurance		0..*	Reference(Coverage | ClaimResponse)	相關的保險承保範圍
note	S	0..*	Annotation	關於處方的資訊
dosageInstruction	S	1..1	Dosage	應該如何用藥
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	劑量指示的順序
text	SΣ	0..1	string	純文字表述的劑量指示，例如：SIG。
additionalInstruction		0..*	CodeableConceptTW	對病人的補充指示或警告－例如：「隨餐服用」，「可能引起嗜睡」 Binding: SNOMEDCTAdditionalDosageInstructions (extensible): 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。
patientInstruction	Σ	0..1	string	以病人或消費者為導向的指示
timing	SΣ	0..1	Timing	應該何時給藥；時間的寫法請參照Timimg datatype。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	事件發生的時間
repeat	SΣC	0..1	Element	事件定期重複發生的時間 tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	SΣ	0..1	Period	時間或期間長度／長度範圍，或（開始和／或結束）限制
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日，民國前為負數。
end	SΣC	0..1	dateTime	事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日，民國前為負數。
count	Σ	0..1	positiveInt	重複的次數
countMax	Σ	0..1	positiveInt	重複的最大次數
duration	Σ	0..1	decimal	此事件持續多久時間
durationMax	Σ	0..1	decimal	此事件持續多久時間 （最長時間／最大值）
durationUnit	Σ	0..1	code	s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
frequency	Σ	0..1	positiveInt	此事件於每一期間的發生頻率
frequencyMax	Σ	0..1	positiveInt	此事件於每一期間的最大發生頻率
period	Σ	0..1	decimal	此事件於特定時間區間所發生的頻率
periodMax	Σ	0..1	decimal	時間區間的上限（3-4小時）
periodUnit	Σ	0..1	code	s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM） Binding: UnitsOfTime (required): 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
dayOfWeek	Σ	0..*	code	mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sun Binding: DaysOfWeek (required): 應填入DaysOfWeek值集中的其中一個代碼
timeOfDay	Σ	0..*	time	一天中的活動時間
when	Σ	0..*	code	事件發生的時間區間之代碼 Binding: EventTiming (required): 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
offset	Σ	0..1	unsignedInt	事件的分鐘數（之前或之後）
code	S	1..1	CodeableConceptTW	BID ｜ TID ｜ QID ｜ AM ｜ PM ｜ QD ｜ QOD ｜ + 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。 Binding: HL7 TimingAbbreviation + 臺灣健保署藥品使用頻率值集 (required)
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
coding	S	1..*	CodingTW	事前審查藥品每日處方頻次。請依規範填寫，併同使用兩代碼時，中間請不要有符號或空格 Binding: HL7 TimingAbbreviation + 臺灣健保署 + 臺灣衛福部統計處藥品使用頻率值集 (extensible): 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。
text	SΣ	0..1	string	概念的文字標記法
asNeeded[x]	Σ	0..1		「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。 Binding: SNOMEDCTMedicationAsNeededReasonCodes (extensible): 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。
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept(CodeableConceptTW)
site		0..1	CodeableConceptTW	用藥之身體部位 Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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。
route	S	0..1	CodeableConceptTW	藥品應如何進入體內 Binding: SNOMEDCTRouteCodes (example): 一個編碼概念，描述治療劑進入或在受試者體內的用藥途徑或生理途徑；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。
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
coding	S	0..*	CodingTW	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。 Binding: SNOMED CT + 臺灣衛福部統計處給藥途徑值集 (extensible)
text	SΣ	0..1	string	概念的文字標記法
method		0..1	CodeableConceptTW	用藥的技術 Binding: SNOMEDCTAdministrationMethodCodes (extensible): 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。
doseAndRate	SΣ	1..1	Element	用藥量
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type		0..1	CodeableConceptTW	特定劑量或比率種類 Binding: DoseAndRateType (example): 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。
dose[x]	SC	1..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	事前審查藥品每次處方劑量，數字。
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	SΣ	1..1	code	事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
rate[x]	Σ	0..1		每時間單位內的用藥量
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	每時間單位內用藥的上限
maxDosePerAdministration	Σ	0..1	SimpleQuantity	每次用藥的上限
maxDosePerLifetime	Σ	0..1	SimpleQuantity	病人一生中用藥的上限
dispenseRequest	S	1..1	BackboneElement	藥品供應授權
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	首次依照處方配藥的細節
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	首次配藥的數量
duration		0..1	Duration	首次配藥的持續時間
dispenseInterval		0..1	Duration	前後兩次配藥的最短時間間隔
validityPeriod	S	0..1	Period	處方可用以配藥的有效期限
numberOfRepeatsAllowed	S	0..1	unsignedInt	可重複領藥的次數
quantity	S	1..1	SimpleQuantity	每次配藥的藥品（數）量
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	事前審查申請數量
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	SΣ	1..1	code	事前審查申請數量單位
expectedSupplyDuration	S	0..1	Duration	每次配藥可持續的天數
performer		0..1	Reference(TW Core Organization)	預定的配藥人員
substitution		0..1	BackboneElement	對替代藥品的任何限制
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		是否允許替換 Binding: ActSubstanceAdminSubstitutionCode (example): 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。
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept(CodeableConceptTW)
reason		0..1	CodeableConceptTW	為什麼要（不）進行替換 Binding: SubstanceAdminSubstitutionReason (example): 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。
priorPrescription		0..1	Reference(TW Core MedicationRequest)	正被替換的醫令／處方
detectedIssue		0..*	Reference(DetectedIssue)	活動的臨床問題
eventHistory		0..*	Reference(Provenance)	生命週期中感興趣的事件清單
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	Pattern: on-hold http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	NHIContinuationStatus (a valid code from NHI-續用註記) https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-continuation-status from this IG
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw	required	TWMedicationNHI https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw
MedicationRequest.performerType	extensible	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	extensible	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstruction	extensible	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	required	NHIMedicationFrequencyHL7 https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi from this IG
MedicationRequest.dosageInstruction.timing.code.coding	extensible	TWMedicationFrequencyHL7 https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw
MedicationRequest.dosageInstruction.asNeeded[x]	extensible	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.site	extensible	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route.coding	extensible	TWMedicationPathSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw
MedicationRequest.dosageInstruction.method	extensible	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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	MedicationRequest	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	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	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()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	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	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from TWCoreMedicationRequest

Summary

Mandatory: 9 elements(4 nested mandatory elements)
Must-Support: 11 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• TW CodeableConcept (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CodeableConcept-tw)
• TW Core Medication (https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore)
• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)