臺灣健保癌症用藥事前審查實作指引
1.0.8 - STU1.0.8

臺灣健保癌症用藥事前審查實作指引 - Downloaded Version 1.0.8 See the Directory of published versions

## Resource Profile: MedicationRequestTreatTWPAS - Detailed Descriptions

Active as of 2025-09-26

Definitions for the MedicationRequest-treat-twpas resource profile.

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

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

0. MedicationRequest
Definition | 關於藥品供應和對病人用藥指導的醫令或請求。此resource被稱為 「MedicationRequest」，而不是 「MedicationPrescription 」或「MedicationOrder」，以便與在住院病人和門診病人的環境中通用，包括照護計畫等，並與工作流程模式相協調。 An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
Short | 為病人或實體集合（例如：特定的一群人）開立的藥品請求Ordering of medication for patient or group
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Prescription, Order
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. MedicationRequest.meta
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。 The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | 此MedicationRequest Resource的metadataMetadata about the resource
Control | 10..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationRequest.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 10..1*
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. MedicationRequest.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。 A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 創建此內容所依據的一組規則A set of rules under which this content was created
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。 Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. MedicationRequest.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. MedicationRequest.identifier
Definition | 與此藥品請求相關的識別碼，這些識別碼是由業務流程定義的，並且/或者在對resource本身的直接URL參照不合適的情況下用來參照它。它們是由執行者或其他系統指定給此resource的業務用識別碼，並隨著resource的更新和從伺服器到伺服器的傳播而保持不變。 Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Short | 此藥品請求的外部識別碼External ids for this request
Comments | 這是一個業務用識別碼，而不是一個resource識別碼。 This is a business identifier, not a resource identifier.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. MedicationRequest.status
Definition | 一個指定醫令當前狀態的代碼。一般來說，它是有效或完成的狀態。 A code specifying the current state of the order. Generally, this will be active or completed state.
Short | 藥物使用狀態active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Comments | 這個資料項目被標記為修飾用，因為此狀態亦包含標記resource當前為無效的代碼。 This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` ) 應填入所綁定值集中的其中一個代碼 A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. MedicationRequest.statusReason
Definition | 捕捉MedicationRequest當前狀態的原因 Captures the reason for the current state of the MedicationRequest.
Short | 藥物處方終止原因Reason for current status
Comments | 這通常只用於 「例外」狀態，例如：「暫停」或 「取消」。MedicationRequest的原因是在reasonCode中描述，而不是在這裡。 This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。 Identifies the reasons for a given status.
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. MedicationRequest.intent
Definition | 請求是提案、計畫、還是原始醫令？ Whether the request is a proposal, plan, or an original order.
Short | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Comments | 預期服務請求者的型別將在MedicationRequest的不同階段受到限制。例如：提案可由病人（Patient）、相關人士（relatedPerson）、健康照護服務提供者（Practitioner）或設備（Device）建立。照護計畫可由健康照護服務提供者、病人、相關人士和設備建立。原始醫令只能由健康照護服務提供者建立。 實例醫令（an instance-order）是請求或醫令的實例，可用於填充給藥紀錄。 這個資料項目被標記為修飾用，因為其意圖改變resource實際適用的時間和方式。 It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Control | 1..1
Binding | The codes SHALL be taken from medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` ) 應填入所綁定值集中的其中一個代碼 The kind of medication order.
Type | code
Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Pattern Value | `order`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. MedicationRequest.category
Definition | 表示藥品請求的型別（例如：預計用藥或給藥的地方（即住院病人或門診病人））。 Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Short | 自費註記Type of medication usage
Comments | 此類別可用於包括預期的藥品使用地點或其他型別的請求 The category can be used to include where the medication is expected to be consumed or other types of requests.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For example codes, see NHI-健保事前審查-藥物類型值集 http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-drug-category` )
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationRequest.doNotPerform
Definition | 如果為真，表示健康照護服務提供者要求不發生藥品請求。 If true indicates that the provider is asking for the medication request not to occur.
Short | 如果藥品請求是禁止活動，則為真。True if request is prohibiting action
Comments | 如果沒有具體說明不執行，則該藥品請求是一個正向的請求，例如：「執行」。 If do not perform is not specified, the request is a positive request e.g. "do perform".
Control | 0..1
Type | boolean
Is Modifier | true because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. MedicationRequest.medication[x]
Definition | 指明被請求的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。 Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Short | 藥品代碼Medication to be taken
Comments | 如果只具體說明一個代碼，那麼它需要是一個特定產品的代碼。如果需要更多資訊，那麼建議使用Medication resource。例如：如果您需要劑型或批號，或者如果藥品是複方或臨場調製（extemporaneously prepared）的，那麼您必須參考Medication resource。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Control | 1..1
Binding | For example codes, see NHI-健保事前審查-用藥品項值集 http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | CodeableConcept(TW CodeableConcept), Reference(Medication)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `MedicationRequest.medication[x]`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: type @ $this
24. MedicationRequest.medication[x]:medicationReference
Slice Name | medicationReference
Definition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Short | Medication to be taken
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Control | 01..01
Type | Reference(TW Core Medication, Medication), CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. MedicationRequest.medication[x]:medicationCodeableConcept
Slice Name | medicationCodeableConcept
Definition | 指明被開立的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。 Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Short | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。Medication to be taken
Comments | 如果只具體說明一個代碼，那麼它需要是一個特定產品的代碼。如果需要更多資訊，那麼建議使用Medication resource。例如：如果您需要劑型或批號，或者如果藥品是複方或臨場調製（extemporaneously prepared）的，那麼您必須參考Medication resource。 If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see NHI-健保事前審查-用藥品項值集 http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | CodeableConcept(TW CodeableConcept), Reference(Medication)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. MedicationRequest.medication[x]:medicationCodeableConcept.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..1* This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `MedicationRequest.medication[x].coding`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: pattern @ $this
30. MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
Slice Name | fda-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication-fda` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
Slice Name | nhi-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為中央健康保險署(NHI)維護之藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..0* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署用藥品項代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw
Slice Name | nhi-medication-ch-herb-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..0* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣健保署中藥用藥品項值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
Slice Name | rxnorm-medication-us-core
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | RxNorm為美國Unified Medical Language System®中的藥品代碼，取得UMLS®授權即可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..0* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see RxNorm藥品代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code
Slice Name | atc-medication-code
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | ATC代碼的版權為世界衛生組織（WHO）Collaborating Centre for Drug Statistics Methodology，可免費使用，可依情境選用此代碼。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..0* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
Slice Name | snomedct-medication-codes
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。 A reference to a code defined by a terminology system.
Short | 此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..0* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see SNOMEDCTMedicationCodes (required to `http://hl7.org/fhir/ValueSet/medication-codes` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication
Slice Name | nhi-medication
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 由專門術語系統（terminology system）定義的代碼Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see NHI-健保事前審查-用藥品項值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. MedicationRequest.medication[x]:medicationCodeableConcept.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字表示法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. MedicationRequest.subject
Definition | 連結至一個或一組即將給予藥品的人 A link to a resource representing the person or set of individuals to whom the medication will be given.
Short | 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Who or group medication request is for
Comments | 藥品請求的對像是必填的。對於不提供實際對象的次級使用案例，仍然必須指定一個匿名對象。 The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
Control | 1..1
Type | Reference(病人資訊-Patient TWPAS, Patient, Group)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. MedicationRequest.encounter
Definition | 建立此[x]的就醫（Encounter），或與此藥品請求紀錄密切相關的就醫。 The Encounter during which this [x] was created or to which the creation of this record is tightly associated.
Short | 連結至一個或一組即將給予藥品的人Encounter created as part of encounter/admission/stay
Comments | 這通常是事件發生的就醫（Encounter），但有些活動可能是在就醫完成之前或之後發生，但仍與就醫的情境相關。如果需要與照護事件相聯繫，它們將用一個擴充資料項目來處理。 This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
Control | 0..1
Type | Reference(TW Core Encounter, Encounter)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. MedicationRequest.authoredOn
Definition | 處方最初書寫或撰寫的日期（或許也有時間）。 The date (and perhaps time) when the prescription was initially written or authored on.
Short | 藥品請求請求最初何時被撰寫？When request was initially authored
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. MedicationRequest.requester
Definition | 發起藥品請求並對其有效負責的個人、組織或設備。 The individual, organization, or device that initiated the request and has responsibility for its activation.
Short | 誰／什麼提出藥品請求請求？Who/What requested the Request
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, TW Core RelatedPerson, Device, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. MedicationRequest.reasonReference
Definition | 開立藥品醫令的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）。 Condition or observation that supports why the medication was ordered.
Short | 開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）Condition or observation that supports why the prescription is being written
Comments | 藥品醫令開立的原因參照，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）。如果只能有一個代碼存在，則使用reasonCode。 This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.
Control | 0..*
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result, Condition, Observation)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. MedicationRequest.note
Definition | 關於處方的附加資訊，不能由其他屬性來傳達。 Extra information about the prescription that could not be conveyed by the other attributes.
Short | 關於處方的資訊Information about the prescription
Control | 0..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. MedicationRequest.dosageInstruction
Definition | 表明病人的用藥方式 Indicates how the medication is to be used by the patient.
Short | 應該如何用藥How the medication should be taken
Comments | 在一些例子中，藥品請求可包括口服劑量或靜脈注射或肌肉注射劑量的選擇。例如：「昂丹司瓊（Ondansetron）8毫克口服或靜脈注射，每天兩次，治療噁心」或 「康帕辛® （Compazine®）【丙氯拉嗪（prochlorperazine）】5-10毫克口服（PO）或25毫克經直腸給藥（PR） 每天早、晚（飯後）1次（bid） 需要時使用（prn）噁心或嘔吐 」。在這些情況下，這兩個醫令的建立可歸為一組藥品醫令，基於病人在需要用藥時的情況決定使用哪種劑量和給藥途徑。 There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
Control | 10..*
Type | Dosage
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. MedicationRequest.dosageInstruction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
62. MedicationRequest.dosageInstruction.text
Definition | 純文字表述的劑量指示，例如：SIG。 Free text dosage instructions e.g. SIG.
Short | 純文字表述的劑量指示，例如：SIG。Free text dosage instructions e.g. SIG
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示，純文字表述說明可能仍然存在，以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入，那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。 Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. MedicationRequest.dosageInstruction.timing
Definition | 應該何時給藥 When medication should be administered.
Short | 應該何時給藥；時間的寫法請參照Timimg datatype。When medication should be administered
Comments | 這個屬性可能並不總是被填入，而Dosage.text預計會被填入。如果兩者都被填入，那麼Dosage.text應反映Dosage.timing的內容。 This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Control | 10..1
Type | Timing
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如：「每8小時一次」；「一天三次」；「從2011年12月23日開始的10天裡，早餐前半小時」；「2013年10月15日、2013年10月17日和2013年11月1日」。有時，當率值（rate）為總容量／期間，其「期間」意指（例如：500mL／2小時）之持續期間為2小時。但當率值非意指「持續期間」時（例如：250mL／小時），則需要timing.repeat.duration來表達輸液的時間區間。 The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. MedicationRequest.dosageInstruction.timing.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
68. MedicationRequest.dosageInstruction.timing.repeat
Definition | 一組描述事件何時被安排的規則 A set of rules that describe when the event is scheduled.
Short | 事件定期重複發生的時間When the event is to occur
Control | 10..1
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Requirements | 定期重複的時間安排 Many timing schedules are determined by regular repetitions.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`) tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
70. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Definition | 時間長度或可能的時間長度範圍，或開始和／或結束時間。 Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
Short | 時間或期間長度／長度範圍，或（開始和／或結束）限制Length/Range of lengths, or (Start and/or end) limits
Control | 10..1
Type | Period, Duration, Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start
Definition | The start of the period. The boundary is inclusive.
Short | 藥物處方起始日期，YYYY-MM-DD。Starting time with inclusive boundary
Comments | If the low element is missing, the meaning is that the low boundary is not known.
Control | 10..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Short | 藥物處方終止日期，YYYY-MM-DD。End time with inclusive boundary, if not ongoing
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Control | 10..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. MedicationRequest.dosageInstruction.timing.code
Definition | 活動發生時機之代碼（或只是code.text中的文字）。像是BID的一些代碼到處都有，但許多機構定義它們自己的額外代碼。如果提供了一個代碼，此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述，代碼或資料都可用於解釋時機（Timing），但.repeat.bounds適用於代碼（且不包含在代碼中）的例外。 A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Short | 藥品使用頻率及服用時間。BID | TID | QID | AM | PM | QD | QOD | +
Comments | BID等被定義為「在機構特定的時間」。例如：一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的，就不應該使用代碼BID。反之，應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和／或使用一個結構化表示法（在這種情況下，具體說明兩個事件時間）。 BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Control | 10..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1 (extensible to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi` )
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. MedicationRequest.dosageInstruction.timing.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 藥品使用頻率及服用時間。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. MedicationRequest.dosageInstruction.timing.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 藥品使用頻率及服用時間。Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. MedicationRequest.dosageInstruction.route
Definition | 藥品應如何進入體內 How drug should enter body.
Short | 給藥途徑／作用部位。How drug should enter body
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 10..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For example codes, see SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 http://hl7.org/fhir/ValueSet/route-codes|4.0.1 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw` )
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼 A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. MedicationRequest.dosageInstruction.route.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照 A reference to a code defined by a terminology system.
Short | 給藥途徑／作用部位。Code defined by a terminology system
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。 Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 10..1* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from For codes, see SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。 Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. MedicationRequest.dosageInstruction.route.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。 A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 概念的文字標記法Plain text representation of the concept
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。 Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。 The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. MedicationRequest.dosageInstruction.doseAndRate
Definition | 用藥量 The amount of medication administered.
Short | 用藥量Amount of medication administered
Control | 10..1*
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Definition | 每一劑量的藥量 Amount of medication per dose.
Short | 每一劑量的藥量Amount of medication per dose
Comments | 請注意這是指特定藥品量，而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如：如果想表達一錠375毫克的藥錠，劑量是一錠，你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者，如果劑量是375毫克，那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射，例如：多巴胺，你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中，那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的（速率是存在的，或者時間是有期限的），這可具體說明以傳達在時間表所指示的時段之總用藥量，例如：500毫升的劑量應該在4小時內完成。 Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Control | 10..1
Type | Quantity(SimpleQuantity, SimpleQuantity), Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 在一次用藥事件中給予的治療用或其他的物質量 The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. MedicationRequest.dosageInstruction.doseAndRate.dose[x].value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | 藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。Numerical value (with implicit precision)
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 10..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator
Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Short | < | <= | >= | > - how to understand the value
Control | 0..01
Binding | The codes SHALL be taken from QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system
Definition | The identification of the system that provides the coded form of the unit.
Short | 藥物每次處方劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。System that defines coded unit form
Control | 10..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Pattern Value | `http://unitsofmeasure.org`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code
Definition | A computer processable form of the unit in some unit representation system.
Short | 藥物每次處方劑量單位Coded form of the unit
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 10..1
Binding | The codes SHALL be taken from For codes, see UCUMCodes (required to `http://hl7.org/fhir/ValueSet/ucum-units` ) 用藥單位的代碼範圍請參考Common UCUM units。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. MedicationRequest.dispenseRequest
Definition | 這表示在藥品請求（亦稱作藥品處方或藥品醫令）中，關於調劑或提供藥品部分的特定詳情。注意：這些資訊不總是與醫令一同發送的。在某些機構（如醫院），可能會有機構或系統上的支援，允許藥局完成調劑的詳細資訊。 Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
Short | 藥品供應授權Medication supply authorization
Control | 0..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. MedicationRequest.dispenseRequest.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
104. MedicationRequest.dispenseRequest.validityPeriod
Definition | 表明處方的有效期（處方的過期日期） This indicates the validity period of a prescription (stale dating the Prescription).
Short | 處方可用以配藥的有效期限Time period supply is authorized for
Comments | 它反映了處方開立者對處方的有效性的看法。在此期限之外，不得根據處方進行配藥。配藥視窗的下限標誌處方可以首次配藥的開始日期。如果沒有指定上限，那麼處方是無期限的，或者將默認為基於法規的過期日期。 It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Requirements | 表明處方何時有效，何時處方無法再被拿來配藥。 Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Definition | 一個整數，表示除了最初的配藥外，病人可以取得處方藥的次數【又稱連續處方／補藥（refills）或重複】。使用注意事項：這個整數不包括原始醫令的配藥，意即如果一個醫令顯示配藥30錠加上「3次重複」，那麼此醫令總共可以配藥4次，病人總共可以得到120片。開立處方者可明確說，在初次配藥後允許零次補藥。 An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.
Short | 可重複領藥的次數Number of refills authorized
Comments | 如果顯示的是「授權的開藥次數」，則在這個數字上加1。 If displaying "number of authorized fills", add 1 to this number.
Control | 0..1
Type | unsignedInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. MedicationRequest.dispenseRequest.expectedSupplyDuration
Definition | 指明預期使用供應產品的時間區間，或預期配藥可持續的時間長度。 Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.
Short | 每次配藥可持續的天數Number of days supply per dispense
Comments | 在某些情況下，這個屬性可以用來代替數量，透過預期持續的時間長度來確定供應的數量，而不是發放的實際數量，例如：90天的用藥供應（基於一個醫令的劑量）。在可能的情況下，指定數量總是更好的，因為這往往是更精確的。預期供應時間長度將總是一個估計值，可能受到外部因素的影響。 In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.
Control | 0..1
Type | Duration
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. MedicationRequest
2. MedicationRequest.meta
Control | 1..?
4. MedicationRequest.meta.profile
Control | 1..1
Pattern Value | `https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas`
6. MedicationRequest.status
Short | 藥物使用狀態
8. MedicationRequest.statusReason
Short | 藥物處方終止原因
10. MedicationRequest.intent
Pattern Value | `order`
12. MedicationRequest.category
Short | 自費註記
Control | 0..1
Binding | The codes SHALL be taken from NHI-健保事前審查-藥物類型值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-drug-category` )
14. MedicationRequest.medication[x]
Short | 藥品代碼
Binding | For example codes, see NHI-健保事前審查-用藥品項值集 (example to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | CodeableConcept(TW CodeableConcept), Reference(TW Core Medication)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
16. MedicationRequest.medication[x]:medicationReference
Slice Name | medicationReference
Control | 0..0
Type | Reference(TW Core Medication)
18. MedicationRequest.medication[x]:medicationCodeableConcept
Slice Name | medicationCodeableConcept
Control | 1..?
Binding | For example codes, see NHI-健保事前審查-用藥品項值集 (example to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
20. MedicationRequest.medication[x]:medicationCodeableConcept.coding
Control | 1..1
Slicing | This element introduces a set of slices on `MedicationRequest.medication[x].coding`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: pattern @ $this
22. MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
Slice Name | fda-medication-tw
Binding | The codes SHALL be taken from NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication-fda` )
24. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
Slice Name | nhi-medication-tw
Control | 0..0
26. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw
Slice Name | nhi-medication-ch-herb-tw
Control | 0..0
28. MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
Slice Name | rxnorm-medication-us-core
Control | 0..0
30. MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code
Slice Name | atc-medication-code
Control | 0..0
32. MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
Slice Name | snomedct-medication-codes
Control | 0..0
34. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication
Slice Name | nhi-medication
Control | 0..1
Binding | The codes SHALL be taken from NHI-健保事前審查-用藥品項值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Must Support | true
36. MedicationRequest.subject
Type | Reference(病人資訊-Patient TWPAS)
38. MedicationRequest.dosageInstruction
Control | 1..?
40. MedicationRequest.dosageInstruction.timing
Control | 1..?
42. MedicationRequest.dosageInstruction.timing.repeat
Control | 1..?
Must Support | true
44. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Control | 1..?
Type | Period, Duration, Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
46. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start
Short | 藥物處方起始日期，YYYY-MM-DD。
Control | 1..?
Must Support | true
48. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end
Short | 藥物處方終止日期，YYYY-MM-DD。
Control | 1..?
Must Support | true
50. MedicationRequest.dosageInstruction.timing.code
Short | 藥品使用頻率及服用時間。
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi` )
52. MedicationRequest.dosageInstruction.timing.code.coding
Short | 藥品使用頻率及服用時間。
Binding | The codes SHALL be taken from HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi` )
54. MedicationRequest.dosageInstruction.timing.code.text
Short | 藥品使用頻率及服用時間。
56. MedicationRequest.dosageInstruction.route
Short | 給藥途徑／作用部位。
Control | 1..?
Binding | The codes SHALL be taken from SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw` )
58. MedicationRequest.dosageInstruction.route.coding
Short | 給藥途徑／作用部位。
Control | 1..1
Binding | The codes SHALL be taken from SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw` )
60. MedicationRequest.dosageInstruction.doseAndRate
Control | 1..1
Must Support | true
62. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Control | 1..?
Type | Quantity(SimpleQuantity), Range
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Must Support | true
64. MedicationRequest.dosageInstruction.doseAndRate.dose[x].value
Short | 藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
Control | 1..?
Must Support | true
66. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system
Short | 藥物每次處方劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。
Control | 1..?
Pattern Value | `http://unitsofmeasure.org`
68. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code
Short | 藥物每次處方劑量單位
Control | 1..?
Binding | The codes SHALL be taken from UCUMCodes (required to `http://hl7.org/fhir/ValueSet/ucum-units` ) 用藥單位的代碼範圍請參考Common UCUM units。
Must Support | true

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

0. MedicationRequest
Definition | 關於藥品供應和對病人用藥指導的醫令或請求。此resource被稱為 「MedicationRequest」，而不是 「MedicationPrescription 」或「MedicationOrder」，以便與在住院病人和門診病人的環境中通用，包括照護計畫等，並與工作流程模式相協調。
Short | 為病人或實體集合（例如：特定的一群人）開立的藥品請求
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Prescription, Order
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. MedicationRequest.id
Definition | resource的邏輯ID，在resource的URL中使用。一旦指定，這個值永遠不會改變。
Short | 不重複的ID用以識別儲存在特定FHIR Server中的MedicationRequest紀錄，通常又稱為邏輯性ID。
Comments | 一個resource使用新增操作（create operation）提交給伺服器時，此resource沒有id，它的id在resource被創建後由伺器分配/指定。
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. MedicationRequest.meta
Definition | 關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。
Short | 此MedicationRequest Resource的metadata
Control | 1..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. MedicationRequest.meta.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
8. MedicationRequest.meta.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.meta.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
10. MedicationRequest.meta.versionId
Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
Short | Version specific identifier
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
Control | 0..1
Type | id
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. MedicationRequest.meta.lastUpdated
Definition | When the resource last changed - e.g. when the version changed.
Short | When the resource version last changed
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
14. MedicationRequest.meta.source
Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
Short | Identifies where the resource comes from
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. MedicationRequest.meta.profile
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.
Short | Profiles this resource claims to conform to
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Control | 1..1
Type | canonical(StructureDefinition)
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-treat-twpas`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. MedicationRequest.meta.security
Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
Short | Security Labels applied to this resource
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. MedicationRequest.meta.tag
Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
Short | Tags applied to this resource
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Control | 0..*
Binding | For example codes, see CommonTags (example to `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` ) Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
Type | Coding
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. MedicationRequest.implicitRules
Definition | 構建resource時遵循的一系列規則的參照，在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。
Short | 創建此內容所依據的一組規則
Comments | 宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而，現有的健康生態體系高度分裂，還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能，實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時，此URL是對IG的參照，此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. MedicationRequest.language
Definition | 編寫此resource的語言
Short | 用以表述MedicationRequest Resource內容的語言。
Comments | 提供語言是為了支援索引和可存取性（通常，文字表述轉語音等服務使用此語言標籤）。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言，它也應該被指定在html中的div資料項目（關於xml:lang和html lang屬性之間的關係，見HTML5中的規則）。
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Example | Value: zh-TW
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. MedicationRequest.text
Definition | 人可讀的敘述，包含resource的摘要，可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼，但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示，以確保臨床安全。
Short | MedicationRequest Resource之內容摘要以供人閱讀
Comments | 內嵌（contained）的resource沒有敘述，非內嵌（contained）的resource則 建議應該（SHOULD） 有敘述。有時resource可能只有文字表述，很少或沒有額外的結構化資料（只要滿足所有minOccurs=1的資料項目）。這可能出現在舊系統的資料，當資訊以 「文字表述區塊（text blob） 」的形式被取得，或者文字表述是原始輸入或說明，而編碼資訊稍後再添加。
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. MedicationRequest.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
30. MedicationRequest.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. MedicationRequest.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. MedicationRequest.identifier
Definition | 與此藥品請求相關的識別碼，這些識別碼是由業務流程定義的，並且/或者在對resource本身的直接URL參照不合適的情況下用來參照它。它們是由執行者或其他系統指定給此resource的業務用識別碼，並隨著resource的更新和從伺服器到伺服器的傳播而保持不變。
Short | 此藥品請求的外部識別碼
Comments | 這是一個業務用識別碼，而不是一個resource識別碼。
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. MedicationRequest.status
Definition | 一個指定醫令當前狀態的代碼。一般來說，它是有效或完成的狀態。
Short | 藥物使用狀態
Comments | 這個資料項目被標記為修飾用，因為此狀態亦包含標記resource當前為無效的代碼。
Control | 1..1
Binding | The codes SHALL be taken from medicationrequest Status (required to `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` ) 應填入所綁定值集中的其中一個代碼
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. MedicationRequest.statusReason
Definition | 捕捉MedicationRequest當前狀態的原因
Short | 藥物處方終止原因
Comments | 這通常只用於 「例外」狀態，例如：「暫停」或 「取消」。MedicationRequest的原因是在reasonCode中描述，而不是在這裡。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see medicationRequest Status Reason Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. MedicationRequest.intent
Definition | 請求是提案、計畫、還是原始醫令？
Short | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Comments | 預期服務請求者的型別將在MedicationRequest的不同階段受到限制。例如：提案可由病人（Patient）、相關人士（relatedPerson）、健康照護服務提供者（Practitioner）或設備（Device）建立。照護計畫可由健康照護服務提供者、病人、相關人士和設備建立。原始醫令只能由健康照護服務提供者建立。 實例醫令（an instance-order）是請求或醫令的實例，可用於填充給藥紀錄。 這個資料項目被標記為修飾用，因為其意圖改變resource實際適用的時間和方式。
Control | 1..1
Binding | The codes SHALL be taken from medicationRequest Intent (required to `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` ) 應填入所綁定值集中的其中一個代碼
Type | code
Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Pattern Value | `order`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. MedicationRequest.category
Definition | 表示藥品請求的型別（例如：預計用藥或給藥的地方（即住院病人或門診病人））。
Short | 自費註記
Comments | 此類別可用於包括預期的藥品使用地點或其他型別的請求
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from NHI-健保事前審查-藥物類型值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-drug-category` )
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. MedicationRequest.priority
Definition | 表示相對於其他請求而言，此藥品請求應如何快速得到處理。
Short | routine ｜ urgent ｜ asap ｜ stat
Control | 0..1
Binding | The codes SHALL be taken from RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) 應填入RequestPriority值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. MedicationRequest.doNotPerform
Definition | 如果為真，表示健康照護服務提供者要求不發生藥品請求。
Short | 如果藥品請求是禁止活動，則為真。
Comments | 如果沒有具體說明不執行，則該藥品請求是一個正向的請求，例如：「執行」。
Control | 0..1
Type | boolean
Is Modifier | true because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. MedicationRequest.reported[x]
Definition | 表明此記錄是否為次級的 「報告 」紀錄，而不是作為原始的主要真實來源紀錄，它也可用以表明報告的來源。
Short | 被報告的而不是主要的紀錄
Control | 0..1
Type | Choice of: boolean, Reference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, TW Core Organization)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. MedicationRequest.medication[x]
Definition | 指明被請求的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。
Short | 藥品代碼
Comments | 如果只具體說明一個代碼，那麼它需要是一個特定產品的代碼。如果需要更多資訊，那麼建議使用Medication resource。例如：如果您需要劑型或批號，或者如果藥品是複方或臨場調製（extemporaneously prepared）的，那麼您必須參考Medication resource。
Control | 1..1
Binding | For example codes, see NHI-健保事前審查-用藥品項值集 (example to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `MedicationRequest.medication[x]`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: type @ $this
52. MedicationRequest.medication[x]:medicationReference
Slice Name | medicationReference
Definition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Short | Medication to be taken
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Control | 0..0
Type | Reference(TW Core Medication)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. MedicationRequest.medication[x]:medicationCodeableConcept
Slice Name | medicationCodeableConcept
Definition | 指明被開立的藥品，這是一個指向代表藥品的resource的連接，可以是藥品的細節，也可以是一個帶有代碼的屬性，從已知的藥品列表中指明此藥品。
Short | 服用的藥品。此資料項目為可擴充綁定預設國際標準值集，但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表，待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理，以利進行跨國與跨系統之資料交換。
Comments | 如果只具體說明一個代碼，那麼它需要是一個特定產品的代碼。如果需要更多資訊，那麼建議使用Medication resource。例如：如果您需要劑型或批號，或者如果藥品是複方或臨場調製（extemporaneously prepared）的，那麼您必須參考Medication resource。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see NHI-健保事前審查-用藥品項值集 (example to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. MedicationRequest.medication[x]:medicationCodeableConcept.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
58. MedicationRequest.medication[x]:medicationCodeableConcept.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.medication[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
60. MedicationRequest.medication[x]:medicationCodeableConcept.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..1 This element is affected by the following invariants: ele-1
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `MedicationRequest.medication[x].coding`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: pattern @ $this
62. MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
Slice Name | fda-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為臺灣食品藥物管理署(TFDA)維護之藥品代碼，涵蓋範圍相對完整，可免費使用，可優先選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from NHI-健保事前審查-臺灣食藥署藥品及醫療器材代碼值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication-fda` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
Slice Name | nhi-medication-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為中央健康保險署(NHI)維護之藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..0 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署用藥品項代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-nhi-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-ch-herb-tw
Slice Name | nhi-medication-ch-herb-tw
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為中央健康保險署(NHI)維護之中藥藥品代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..0 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣健保署中藥用藥品項值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/nhi-medication-ch-herb-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
Slice Name | rxnorm-medication-us-core
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | RxNorm為美國Unified Medical Language System®中的藥品代碼，取得UMLS®授權即可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..0 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from RxNorm藥品代碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-rxnorm-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code
Slice Name | atc-medication-code
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | ATC代碼的版權為世界衛生組織（WHO）Collaborating Centre for Drug Statistics Methodology，可免費使用，可依情境選用此代碼。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..0 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from 臺灣食藥署藥品藥理治療分類ATC碼值集 (required to `https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medcation-atc-tw` ) 應填入所綁定值集中的其中一個代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
Slice Name | snomedct-medication-codes
Definition | 由專門術語系統（terminology system）所定義之代碼的參照。
Short | 此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，如SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..0 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from SNOMEDCTMedicationCodes (required to `http://hl7.org/fhir/ValueSet/medication-codes` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication
Slice Name | nhi-medication
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 由專門術語系統（terminology system）定義的代碼
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from NHI-健保事前審查-用藥品項值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. MedicationRequest.medication[x]:medicationCodeableConcept.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字表示法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. MedicationRequest.subject
Definition | 連結至一個或一組即將給予藥品的人
Short | 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
Comments | 藥品請求的對像是必填的。對於不提供實際對象的次級使用案例，仍然必須指定一個匿名對象。
Control | 1..1
Type | Reference(病人資訊-Patient TWPAS)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. MedicationRequest.encounter
Definition | 建立此[x]的就醫（Encounter），或與此藥品請求紀錄密切相關的就醫。
Short | 連結至一個或一組即將給予藥品的人
Comments | 這通常是事件發生的就醫（Encounter），但有些活動可能是在就醫完成之前或之後發生，但仍與就醫的情境相關。如果需要與照護事件相聯繫，它們將用一個擴充資料項目來處理。
Control | 0..1
Type | Reference(TW Core Encounter)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. MedicationRequest.supportingInformation
Definition | 任何與藥品請求相關的補充資訊（例如：病人身高及體重）
Short | 任何與藥品請求相關的補充資訊
Control | 0..*
Type | Reference(Resource)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. MedicationRequest.authoredOn
Definition | 處方最初書寫或撰寫的日期（或許也有時間）。
Short | 藥品請求請求最初何時被撰寫？
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. MedicationRequest.requester
Definition | 發起藥品請求並對其有效負責的個人、組織或設備。
Short | 誰／什麼提出藥品請求請求？
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, TW Core RelatedPerson, Device)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. MedicationRequest.performer
Definition | 具體說明的藥物治療執行者（例如：給藥的執行者）。
Short | 預期的給藥執行者
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, TW Core Patient, Device, TW Core RelatedPerson, TW Core CareTeam)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. MedicationRequest.performerType
Definition | 表明給藥的執行者的型別
Short | 所需的給藥執行者種類
Comments | 如果具體說明中未表明執行者，則表明執行者必須是具體的型別。如果具體說明有執行者，那麼如果指定的執行無法獲得則需說明指定執行者的要求條件。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from ProcedurePerformerRoleCodes (extensible to `http://hl7.org/fhir/ValueSet/performer-role` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. MedicationRequest.recorder
Definition | 代表另一個人輸入醫令的人，例如：在口頭或電話指示下的情況。
Short | 輸入藥品請求請求的人
Control | 0..1
Type | Reference(TW Core Practitioner, TW Core PractitionerRole)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. MedicationRequest.reasonCode
Definition | 開立或不開立藥品醫令的原因或指示
Short | 開立醫令或不開立醫令的原因或指示
Comments | 這可能是一個診斷代碼。如果存在完整的病情、問題或診斷（condition）紀錄或需要附加的細節，請使用 reasonReference。
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from Condition/Problem/DiagnosisCodes (extensible to `http://hl7.org/fhir/ValueSet/condition-code` ) 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. MedicationRequest.reasonReference
Definition | 開立藥品醫令的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）。
Short | 開立處方的原因，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）
Comments | 藥品醫令開立的原因參照，例如：病情、問題或診斷（condition）或者檢驗檢查（observation）。如果只能有一個代碼存在，則使用reasonCode。
Control | 0..*
Type | Reference(TW Core Condition, TW Core Observation Laboratory Result)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. MedicationRequest.instantiatesCanonical
Definition | 指向此藥品請求全部或部分遵守的計畫書（protocol）、指南（guideline）、醫令集（orderset）或其他定義的URL。
Short | 實例化FHIR計畫書（protocol）或定義
Control | 0..*
Type | canonical
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. MedicationRequest.instantiatesUri
Definition | 指向此藥品請求全部或部分的外部維護之計畫書（protocol）、指南（guideline）、醫令集（orderset）或其他定義的URL。
Short | 實例化外部計畫書（protocol）或定義
Control | 0..*
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. MedicationRequest.basedOn
Definition | 透過藥品請求，一項計畫或請求已全部或部分被履行
Short | 此MedicationRquest是基於什麼而履行？
Control | 0..*
Type | Reference(TW Core CarePlan, TW Core MedicationRequest, TW Core ServiceRequest, ImmunizationRecommendation)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. MedicationRequest.groupIdentifier
Definition | 由單一作者或多或少同時授權之所有服務請求的共用識別碼，代表一個藥品請求的群組識別碼
Short | 此為綜合請求的一部分
Control | 0..1
Type | Identifier
Is Modifier | false
Summary | true
Requirements | 請求之間的連接可以透過「基於」(basedOn) 關係實現（即一個請求是為了完成另一個請求），或者是它們有一個共同的申請單 (requisition)。那些屬於同一申請單的請求，在改變它們的狀態或在最初創建後進行維護的過程中，通常被視為各自獨立的。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. MedicationRequest.courseOfTherapyType
Definition | 給病人的給藥整體模型描述
Short | 給藥的整體模式
Comments | 這個屬性不應與藥物治療計畫（protocol）混淆
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see medicationRequest Course of Therapy Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. MedicationRequest.insurance
Definition | 提供此請求服務可能需要的保險計畫、擴大承保範圍、預先授權和／或預先決定。
Short | 相關的保險承保範圍
Control | 0..*
Type | Reference(Coverage, ClaimResponse)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. MedicationRequest.note
Definition | 關於處方的附加資訊，不能由其他屬性來傳達。
Short | 關於處方的資訊
Control | 0..*
Type | Annotation
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. MedicationRequest.dosageInstruction
Definition | 表明病人的用藥方式
Short | 應該如何用藥
Comments | 在一些例子中，藥品請求可包括口服劑量或靜脈注射或肌肉注射劑量的選擇。例如：「昂丹司瓊（Ondansetron）8毫克口服或靜脈注射，每天兩次，治療噁心」或 「康帕辛® （Compazine®）【丙氯拉嗪（prochlorperazine）】5-10毫克口服（PO）或25毫克經直腸給藥（PR） 每天早、晚（飯後）1次（bid） 需要時使用（prn）噁心或嘔吐 」。在這些情況下，這兩個醫令的建立可歸為一組藥品醫令，基於病人在需要用藥時的情況決定使用哪種劑量和給藥途徑。
Control | 1..*
Type | Dosage
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. MedicationRequest.dosageInstruction.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
116. MedicationRequest.dosageInstruction.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
118. MedicationRequest.dosageInstruction.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
120. MedicationRequest.dosageInstruction.sequence
Definition | 表明使用或解釋劑量指示的順序
Short | 劑量指示的順序
Control | 0..1
Type | integer
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 如果多個劑量的序號是相同的，那麼就意味著這些指示將被視為同時進行。如果序號不同，那麼這些劑量將是依續使用。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. MedicationRequest.dosageInstruction.text
Definition | 純文字表述的劑量指示，例如：SIG。
Short | 純文字表述的劑量指示，例如：SIG。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 純文字表述劑量指示可用於說明太複雜而無法編碼的案例。此屬性的內容不包括藥品的名稱或描述。當有已編碼的指示，純文字表述說明可能仍然存在，以顯示給服用藥品或給藥的人。文字指示預計將始終被填入。如果dosage.timing屬性也被填入，那麼dosage.text應該反映與timing相同的資訊。關於給藥或準備藥品的附加資訊應作為文字包括在內。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. MedicationRequest.dosageInstruction.additionalInstruction
Definition | 向病人提供關於如何服藥的補充指示（例如 「隨餐服用」或「在進食前半小時服用」）或給病人的藥品警告（例如「可能導致嗜睡 」或「避免皮膚暴露於陽光直射或人工強光燈（日曬用）下」）。
Short | 對病人的補充指示或警告－例如：「隨餐服用」，「可能引起嗜睡」
Comments | 應在dosage.text中填入關於用藥或準備藥品的資訊（例如： 「盡可能快地透過腹膜內口輸液」或 「在用 x 藥後立即服用」）。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdditionalDosageInstructions (extensible to `http://hl7.org/fhir/ValueSet/additional-instruction-codes` ) 一個編碼的概念，確定額外的指示，如「與水一起服用」或「避免操作重型機器」；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 附加指示是要編碼的，但在沒有編碼的情況下，此資料項目可以包括文字。例如，「用大量的水吞咽」，這可能編碼也可能不編碼。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. MedicationRequest.dosageInstruction.patientInstruction
Definition | 用病人或消費者能理解的術語提供指示
Short | 以病人或消費者為導向的指示
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. MedicationRequest.dosageInstruction.timing
Definition | 應該何時給藥
Short | 應該何時給藥；時間的寫法請參照Timimg datatype。
Comments | 這個屬性可能並不總是被填入，而Dosage.text預計會被填入。如果兩者都被填入，那麼Dosage.text應反映Dosage.timing的內容。
Control | 1..1
Type | Timing
Is Modifier | false
Must Support | true
Summary | true
Requirements | 病人用藥的時間安排。這種data type允許許多不同的表達方式。例如：「每8小時一次」；「一天三次」；「從2011年12月23日開始的10天裡，早餐前半小時」；「2013年10月15日、2013年10月17日和2013年11月1日」。有時，當率值（rate）為總容量／期間，其「期間」意指（例如：500mL／2小時）之持續期間為2小時。但當率值非意指「持續期間」時（例如：250mL／小時），則需要timing.repeat.duration來表達輸液的時間區間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. MedicationRequest.dosageInstruction.timing.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
132. MedicationRequest.dosageInstruction.timing.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.timing.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
134. MedicationRequest.dosageInstruction.timing.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
136. MedicationRequest.dosageInstruction.timing.event
Definition | 指明事件發生的特定時間
Short | 事件發生的時間
Control | 0..*
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 例如：在一份用藥記錄中，你需要把一個一般的規範變成一個精確的規範。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. MedicationRequest.dosageInstruction.timing.repeat
Definition | 一組描述事件何時被安排的規則
Short | 事件定期重複發生的時間
Control | 1..1
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Requirements | 定期重複的時間安排
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`)
140. MedicationRequest.dosageInstruction.timing.repeat.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
142. MedicationRequest.dosageInstruction.timing.repeat.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.timing.repeat.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
144. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Definition | 時間長度或可能的時間長度範圍，或開始和／或結束時間。
Short | 時間或期間長度／長度範圍，或（開始和／或結束）限制
Control | 1..1
Type | Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
148. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
150. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].start
Definition | The start of the period. The boundary is inclusive.
Short | 藥物處方起始日期，YYYY-MM-DD。
Comments | If the low element is missing, the meaning is that the low boundary is not known.
Control | 1..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. MedicationRequest.dosageInstruction.timing.repeat.bounds[x].end
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
Short | 藥物處方終止日期，YYYY-MM-DD。
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
Control | 1..1 This element is affected by the following invariants: per-1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. MedicationRequest.dosageInstruction.timing.repeat.count
Definition | 在整個持續期間內，期望重複的總次數。如果countMax這個資料項目存在，此count資料項目表示允許次數範圍的下限。
Short | 重複的次數
Comments | 如果你同時擁有bounds和count這兩個資料項目，那麼這應該被理解為在bounds期間，發生count的次數。
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 重複次數可透過設定結束時間或總發生次數作限制
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. MedicationRequest.dosageInstruction.timing.repeat.countMax
Definition | 如果countMax存在，表示count是一個範圍，如此可在［count］和［countMax］之間的重複次數執行動作。
Short | 重複的最大次數
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. MedicationRequest.dosageInstruction.timing.repeat.duration
Definition | 這件事發生的時候會持續多久時間。如果durationMax這個資料項目存在，則此duration資料項目表示持續時間的允許範圍之下限。
Short | 此事件持續多久時間
Comments | 對於一些事件，持續時間是事件定義的一部分（例如：靜脈輸液，持續時間隱含於特定輸液量及速度）。對於其他事件，它是時間規範的一部分（例如：運動持續時間）。
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 有些活動不是立即發生，需要維持一段時間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. MedicationRequest.dosageInstruction.timing.repeat.durationMax
Definition | 如果durationMax這個資料項目存在，表示duration資料項目是一個範圍的下限 — 所以要在［duration］和［durationMax］之間執行此活動。
Short | 此事件持續多久時間 （最長時間／最大值）
Comments | 對於一些事件，持續時間是事件定義的一部分（例如：靜脈輸液，持續時間隱含於特定輸液量及速度）。對於其他事件，它是時間規範的一部分（例如：運動持續時間）。
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 有些活動不是立即發生，需要維持一段時間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
Definition | 持續時間的單位，以UCUM為單位。
Short | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM）
Control | 0..1
Binding | The codes SHALL be taken from UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. MedicationRequest.dosageInstruction.timing.repeat.frequency
Definition | 在特定期間內重複動作的次數。如果frequencyMax存在，此frequency資料項目表示頻率的允許範圍的下限。
Short | 此事件於每一期間的發生頻率
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
Definition | 如果frequencyMax存在，frequency資料項目表示頻率範圍的下限 – 所以要在［frequency］和［frequencyMax］之間重複執行此活動。
Short | 此事件於每一期間的最大發生頻率
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. MedicationRequest.dosageInstruction.timing.repeat.period
Definition | 表示重複發生的時間區間；例如：為了表示「每天3次」，3次是頻率（frequency），1天是週期（period）。如果存在periodMax資料項目，此period資料項目表示時間區間長度的允許範圍的下限。
Short | 此事件於特定時間區間所發生的頻率
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. MedicationRequest.dosageInstruction.timing.repeat.periodMax
Definition | 如果periodMax存在，表示時間區間是一個從［period］到［periodMax］的範圍，允許表達像是「每3至5天一次」的概念。
Short | 時間區間的上限（3-4小時）
Control | 0..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
Definition | 持續時間的單位，以UCUM為單位。
Short | s ｜ min ｜ h ｜ d ｜ wk ｜ mo ｜ a - 單位時間 （unit of time，UCUM）
Control | 0..1
Binding | The codes SHALL be taken from UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) 時間的單位（單位來自UCUM）；應填入UnitsOfTime值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
174. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
Definition | 如果提供的資訊為一星期中的一天或多天，那麼此活動只發生在這特定的幾天。
Short | mon ｜ tue ｜ wed ｜ thu ｜ fri ｜ sat ｜ sun
Comments | 如果沒有指定天數，則假定該活動每天都會發生，否則就會指定。資料項目frequency和period不能與dayOfWeek同時使用。
Control | 0..*
Binding | The codes SHALL be taken from DaysOfWeek (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` ) 應填入DaysOfWeek值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
Definition | 具體說明一天中活動進行的時間
Short | 一天中的活動時間
Comments | 當指定了一天中的時間時，就會推斷出該活動每天都會在指定的時間發生（由dayofWeek篩選）。資料項目when、frequency和period不能和timeOfDay一起使用。
Control | 0..*
Type | time
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
178. MedicationRequest.dosageInstruction.timing.repeat.when
Definition | 一天中的一個大致時段，可能與日常生活中的某一事件有關，表明該活動應在何時發生。
Short | 事件發生的時間區間之代碼
Comments | 當一個以上的事件被列出，則此事件被綁定至合併的數個特定事件。
Control | 0..*
Binding | The codes SHALL be taken from EventTiming (required to `http://hl7.org/fhir/ValueSet/event-timing|4.0.1` ) 與時程表有關的真實世界事件；應填入EventTiming值集中的其中一個代碼
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | 時間經常由特定事件的發生所決定，例如：起床、吃飯和睡覺。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. MedicationRequest.dosageInstruction.timing.repeat.offset
Definition | 距離特定事件發生的分鐘數。如果事件代碼沒有表明該分鐘是在事件之前還是之後，則假定該offset是指特定事件發生後的分鐘數。
Short | 事件的分鐘數（之前或之後）
Control | 0..1
Type | unsignedInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. MedicationRequest.dosageInstruction.timing.code
Definition | 活動發生時機之代碼（或只是code.text中的文字）。像是BID的一些代碼到處都有，但許多機構定義它們自己的額外代碼。如果提供了一個代碼，此代碼被理解為是結構化時間資料中規定的任何內容的完整陳述，代碼或資料都可用於解釋時機（Timing），但.repeat.bounds適用於代碼（且不包含在代碼中）的例外。
Short | 藥品使用頻率及服用時間。
Comments | BID等被定義為「在機構特定的時間」。例如：一個機構可以選擇BID是 「總是在早上7點和下午6點」。如果這種選項是不合適的，就不應該使用代碼BID。反之，應使用一個獨特的機構特定代碼來代替HL7定義的BID代碼和／或使用一個結構化表示法（在這種情況下，具體說明兩個事件時間）。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (extensible to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi` )
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
184. MedicationRequest.dosageInstruction.timing.code.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
186. MedicationRequest.dosageInstruction.timing.code.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.timing.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
188. MedicationRequest.dosageInstruction.timing.code.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 藥品使用頻率及服用時間。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 0..* This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from HL7 TimingAbbreviation + NHI-健保事前審查-藥品使用頻率值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. MedicationRequest.dosageInstruction.timing.code.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 藥品使用頻率及服用時間。
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. MedicationRequest.dosageInstruction.asNeeded[x]
Definition | 表明此藥品是否只在需要時在特定的用法（Boolean選項）服用，或者表明服用此藥品（CodeableConcept）的前提條件。
Short | 「根據（對x的）需要」服用 Binding：一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；可參考SNOMEDCTMedicationAsNeededReasonCodes值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Comments | 可以透過設定Boolean = True來表達不用填寫理由的「根據需要」。在這種情況下，CodeableConcept不會被填入任何值。或者你可以透過包括CodeableConcept來表達 「根據需要」的理由。在這種情況下，Boolean值被假定為True。如果您將Boolean值設置為「False」，那麼該劑量是根據時間表給予的，而不是 「prn」或 「根據需要」。
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTMedicationAsNeededReasonCodes (extensible to `http://hl7.org/fhir/ValueSet/medication-as-needed-reason` ) 一個編碼概念，指明在服用或用藥之前應滿足或評估的先決條件。例如：「疼痛」、「性行為前30分鐘」、「發作時」等；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | Choice of: boolean, CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
194. MedicationRequest.dosageInstruction.site
Definition | 用藥的身體部位
Short | 用藥之身體部位
Comments | 如果使用案例需要BodySite resource的屬性（例如：分別識別和追蹤），那麼就使用標準extension bodySite。可以是一個摘要代碼，也可以是對一個非常精確的位置定義的參照，或者兩者都是。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible to `http://hl7.org/fhir/ValueSet/approach-site-codes` ) 一個編碼概念，描述藥品進入或在身體上的位置；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 對藥品首次進入之人體解剖部位的編碼說明
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
196. MedicationRequest.dosageInstruction.route
Definition | 藥品應如何進入體內
Short | 給藥途徑／作用部位。
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw` )
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Must Support | true
Requirements | 具體說明治療劑進入或到達病人體內的途徑或生理途徑之代碼
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. MedicationRequest.dosageInstruction.route.id
Definition | resource中資料項目的唯一ID（用於內部參照）。這可以是任何不含空格的字串。
Short | 唯一可識別ID，以供資料項目間相互參照。
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
200. MedicationRequest.dosageInstruction.route.extension
Definition | 擴充的資料項目
Short | 擴充的資料項目
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.route.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
202. MedicationRequest.dosageInstruction.route.coding
Definition | 由專門術語系統（terminology system）所定義之代碼的參照
Short | 給藥途徑／作用部位。
Comments | 代碼可以在列舉清單（enumerations）或代碼清單（code lists）中非常隨意地定義，直至有非常正式的定義，例如：SNOMED CT—更多資訊見HL7 v3核心原則（Core Principles）。編碼的排序是未定義的因而 必須沒有（SHALL NOT） 被用來推斷意義。一般來說，最多只有一個編碼值（coding values）會被標記為UserSelected = true。
Control | 1..1 This element is affected by the following invariants: ele-1
Binding | The codes SHALL be taken from SNOMED CT + 臺灣健保署-健保事前審查-給藥途徑值集 (required to `https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw` )
Type | Coding(TW Coding)
Is Modifier | false
Must Support | true
Requirements | 允許代碼系統中的替代編碼，以及翻譯到其他編碼系統。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. MedicationRequest.dosageInstruction.route.text
Definition | 輸入資料的使用者所見／所選／所說的人類可讀文字表述，和（或）其代表使用者的預期含義。
Short | 概念的文字標記法
Comments | 很多時候，此文字表述與其中一個代碼的顯示名稱相同。
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | 專門術語中的代碼並不總是能捕捉人類使用的細微差別的正確意義，或者根本就沒有合適的代碼；這些情況下，文字表述被用來捕捉來源的全部意義。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. MedicationRequest.dosageInstruction.method
Definition | 用藥的技術
Short | 用藥的技術
Comments | 使用的專門術語通常先組合配對（pre-coordinate）用藥途徑和／或劑型。
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | Unless not suitable, these codes SHALL be taken from SNOMEDCTAdministrationMethodCodes (extensible to `http://hl7.org/fhir/ValueSet/administration-method-codes` ) 一個編碼概念，描述用藥的技術；可參考所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 表示藥品進入或進入身體的方法的一個編碼值。最常用的方法為注射。例如：慢推、深靜脈。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. MedicationRequest.dosageInstruction.doseAndRate
Definition | 用藥量
Short | 用藥量
Control | 1..1
Type | Element
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. MedicationRequest.dosageInstruction.doseAndRate.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
212. MedicationRequest.dosageInstruction.doseAndRate.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.doseAndRate.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
214. MedicationRequest.dosageInstruction.doseAndRate.type
Definition | 特定劑量或比率種類，例如：依處方或計算而來。
Short | 特定劑量或比率種類
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see DoseAndRateType (example to `http://hl7.org/fhir/ValueSet/dose-rate-type` ) 可參考DoseAndRateType值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Requirements | 如果此type資料項目沒有被填入，則假定為「依處方（ordered）」。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Definition | 每一劑量的藥量
Short | 每一劑量的藥量
Comments | 請注意這是指特定藥品量，而不是指每種有效成分量。每種成分量都可以在Medication resource中進行溝通。例如：如果想表達一錠375毫克的藥錠，劑量是一錠，你可以使用Medication resource來記錄此藥錠是由375毫克的藥物XYZ組成。或者，如果劑量是375毫克，那麼你可能只需要使用Medication resource來表明這是藥錠。如果是靜脈注射，例如：多巴胺，你想表明400毫克多巴胺被混合在500毫升的靜脈注射液中，那麼這些都將在Medication resource中呈現。如果用藥不打算是即時的（速率是存在的，或者時間是有期限的），這可具體說明以傳達在時間表所指示的時段之總用藥量，例如：500毫升的劑量應該在4小時內完成。
Control | 1..1
Type | Quantity(SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Must Support | true
Summary | true
Requirements | 在一次用藥事件中給予的治療用或其他的物質量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. MedicationRequest.dosageInstruction.doseAndRate.dose[x].id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
220. MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
222. MedicationRequest.dosageInstruction.doseAndRate.dose[x].value
Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Short | 藥物每次處方劑量，數字，每次使用之顆數、支數等，依產品規格。
Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Control | 1..1
Type | decimal
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Precision is handled implicitly in almost all cases of measurement.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator
Definition | Not allowed to be used in this context
Short | < | <= | >= | > - how to understand the value
Control | 0..0
Binding | The codes SHALL be taken from QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Meaning if Missing | If there is no comparator, then there is no modification of the value
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit
Definition | A human-readable form of the unit.
Short | Unit representation
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system
Definition | The identification of the system that provides the coded form of the unit.
Short | 藥物每次處方劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。
Control | 1..1 This element is affected by the following invariants: qty-3
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to know the system that defines the coded form of the unit.
Pattern Value | `http://unitsofmeasure.org`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code
Definition | A computer processable form of the unit in some unit representation system.
Short | 藥物每次處方劑量單位
Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Control | 1..1
Binding | The codes SHALL be taken from UCUMCodes (required to `http://hl7.org/fhir/ValueSet/ucum-units` ) 用藥單位的代碼範圍請參考Common UCUM units。
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Definition | 每時間單位內的用藥量
Short | 每時間單位內的用藥量
Comments | 可同時提供rate和doseQuantity，以提供關於如何用藥和供應藥品的全部細節。如果速率打算隨著時間的推移而改變，根據當地的規則／法規，每次改變都應作為帶有更新速率的新版MedicationRequest來捕捉，或者用帶有新速率的新的MedicationRequest來捕捉。可以使用rateRatio和rateQuantity來指定一段時間內的比率（例如：100毫升／小時）。rateQuantity的方式要求系統有能力解析包含毫升／小時的UCUM語法，而不是將時間指定為分母的特定比率。如果指定了一個2小時500毫升的率值，使用rateRatio可能比使用rateQuantity指定250毫克／小時在語義上更正確。
Control | 0..1
Type | Choice of: Ratio, Range, Quantity(SimpleQuantity)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Summary | true
Requirements | 指明藥品引入病人體內的速度。通常是指輸液的速度，例如：每1小時100毫升或100毫升／小時。也可表示為每單位時間的速度，例如：每2小時500毫升，其他例子如200微克／分鐘或200微克／1分鐘；1升／8小時。有時，當表示為總容量／持續時間時，速率可以隱喻持續時間（例如：500毫升／2小時隱喻持續時間為2小時）。然而，當速率未隱喻持續時間時（例如：250毫升／小時），則需要timing.repeat.duration來表達輸液的時間區間。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. MedicationRequest.dosageInstruction.maxDosePerPeriod
Definition | 每時間單位內用藥的上限
Short | 每時間單位內用藥的上限
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如：「每4小時2錠，一天最多8錠」。
Control | 0..1
Type | Ratio
Is Modifier | false
Summary | true
Requirements | 在一段時間區間用於某一對象的治療用物質之最大總量。例如：24小時內1,000毫克。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. MedicationRequest.dosageInstruction.maxDosePerAdministration
Definition | 每次用藥的上限
Short | 每次用藥的上限
Comments | 這是為了在有上限的情況下作為劑量的輔助說明。例如：與體表面積有關的劑量有一個上限，如在5至10分鐘內靜脈注射1.5毫克／平方米（最多2毫克），其doseQuantity為1.5毫克／平方米，maxDosePerAdministration為2毫克。
Control | 0..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Summary | true
Requirements | 每次用於某一對象治療用物質的最大總量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
238. MedicationRequest.dosageInstruction.maxDosePerLifetime
Definition | 病人一生中用藥的上限
Short | 病人一生中用藥的上限
Control | 0..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Summary | true
Requirements | 用於某一對象的治療用物質於其一生的最大總數量
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
240. MedicationRequest.dispenseRequest
Definition | 這表示在藥品請求（亦稱作藥品處方或藥品醫令）中，關於調劑或提供藥品部分的特定詳情。注意：這些資訊不總是與醫令一同發送的。在某些機構（如醫院），可能會有機構或系統上的支援，允許藥局完成調劑的詳細資訊。
Short | 藥品供應授權
Control | 0..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
242. MedicationRequest.dispenseRequest.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
244. MedicationRequest.dispenseRequest.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
246. MedicationRequest.dispenseRequest.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
248. MedicationRequest.dispenseRequest.initialFill
Definition | 表明第一次配藥的數量或時間
Short | 首次依照處方配藥的細節
Comments | 如果填入此資料項目，必須包括數量或期間。
Control | 0..1
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
250. MedicationRequest.dispenseRequest.initialFill.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
252. MedicationRequest.dispenseRequest.initialFill.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
254. MedicationRequest.dispenseRequest.initialFill.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
256. MedicationRequest.dispenseRequest.initialFill.quantity
Definition | 首次配藥量
Short | 首次配藥的數量
Control | 0..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. MedicationRequest.dispenseRequest.initialFill.duration
Definition | 預計首次配藥的時間持續長度
Short | 首次配藥的持續時間
Control | 0..1
Type | Duration
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
260. MedicationRequest.dispenseRequest.dispenseInterval
Definition | 前後兩次配藥必須間隔的最短時間
Short | 前後兩次配藥的最短時間間隔
Control | 0..1
Type | Duration
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
262. MedicationRequest.dispenseRequest.validityPeriod
Definition | 表明處方的有效期（處方的過期日期）
Short | 處方可用以配藥的有效期限
Comments | 它反映了處方開立者對處方的有效性的看法。在此期限之外，不得根據處方進行配藥。配藥視窗的下限標誌處方可以首次配藥的開始日期。如果沒有指定上限，那麼處方是無期限的，或者將默認為基於法規的過期日期。
Control | 0..1
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Requirements | 表明處方何時有效，何時處方無法再被拿來配藥。
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
264. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Definition | 一個整數，表示除了最初的配藥外，病人可以取得處方藥的次數【又稱連續處方／補藥（refills）或重複】。使用注意事項：這個整數不包括原始醫令的配藥，意即如果一個醫令顯示配藥30錠加上「3次重複」，那麼此醫令總共可以配藥4次，病人總共可以得到120片。開立處方者可明確說，在初次配藥後允許零次補藥。
Short | 可重複領藥的次數
Comments | 如果顯示的是「授權的開藥次數」，則在這個數字上加1。
Control | 0..1
Type | unsignedInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. MedicationRequest.dispenseRequest.quantity
Definition | 一次裝藥所需的（數）量
Short | 每次配藥的藥品（數）量
Control | 0..1
Type | Quantity(SimpleQuantity)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. MedicationRequest.dispenseRequest.expectedSupplyDuration
Definition | 指明預期使用供應產品的時間區間，或預期配藥可持續的時間長度。
Short | 每次配藥可持續的天數
Comments | 在某些情況下，這個屬性可以用來代替數量，透過預期持續的時間長度來確定供應的數量，而不是發放的實際數量，例如：90天的用藥供應（基於一個醫令的劑量）。在可能的情況下，指定數量總是更好的，因為這往往是更精確的。預期供應時間長度將總是一個估計值，可能受到外部因素的影響。
Control | 0..1
Type | Duration
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
270. MedicationRequest.dispenseRequest.performer
Definition | 表明開立處方者指定的預定配藥機構（Organization）。
Short | 預定的配藥人員
Control | 0..1
Type | Reference(TW Core Organization)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
272. MedicationRequest.substitution
Definition | 表示替代藥品是否可以或應該成為配藥的一部分。在某些情況下，替代藥品必須發生，在其他情況下，替代藥品必須不發生。此區塊解釋開立處方者的意圖。如果沒有指定，可以進行替換。
Short | 對替代藥品的任何限制
Control | 0..1
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
274. MedicationRequest.substitution.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
276. MedicationRequest.substitution.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
278. MedicationRequest.substitution.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
280. MedicationRequest.substitution.allowed[x]
Definition | 如果處方開立者允許與處方不同的藥物配藥，則為真。
Short | 是否允許替換
Comments | 這個資料項目被標記為修飾用，因為無論是否允許替換，它都不能被忽略。
Control | 1..1
Binding | For example codes, see ActSubstanceAdminSubstitutionCode (example to `http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | Choice of: boolean, CodeableConcept(TW CodeableConcept)
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. MedicationRequest.substitution.reason
Definition | 表示替換的原因，或為什麼必須或不必須進行替換。
Short | 為什麼要（不）進行替換
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Control | 0..1 This element is affected by the following invariants: ele-1
Binding | For example codes, see SubstanceAdminSubstitutionReason (example to `http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason` ) 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
Type | CodeableConcept(TW CodeableConcept)
Is Modifier | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
284. MedicationRequest.priorPrescription
Definition | 連結至與代表早期醫令相關的醫令或處方的resource
Short | 正被替換的醫令／處方
Control | 0..1
Type | Reference(TW Core MedicationRequest)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
286. MedicationRequest.detectedIssue
Definition | 表明一個或多個針對病人的較積極的或提議的臨床活動之間的實際或潛在的臨床問題；例如：藥物交互作用、重複治療、劑量警訊等。
Short | 活動的臨床問題
Comments | 此資料項目可包括由決策支援系統或臨床醫生發現的問題，及可能包括解決問題所採取步驟的資訊。
Control | 0..*
Type | Reference(DetectedIssue)
Is Modifier | false
Summary | false
Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
288. MedicationRequest.eventHistory
Definition | 連結至Provenance resource的過去版本，或履行請求或事件resource的Provenance紀錄，其指明可能與查看當前版本resource的使用者相關的關鍵狀態之轉換或更新。
Short | 生命週期中感興趣的事件清單
Comments | 這可能不包括請求的所有版本的出處–只包括那些被認為「相關」或重要的版本。這 必須沒有（SHALL NOT） 包括與此resource的當前版本相關的出處。（如果此出處被認為是一個「相關」的變化，它將需要作為後續更新的一部分。在此之前，可使用_revinclude直接查詢指向此版本的出處。 所有出處（Provenances）都應有這個藥品請求請求的一些歷史版本作為對象。）
Control | 0..*
Type | Reference(TW Core Provenance)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)