醫查實作指引
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Resource Profile: MedicationRequestIMRI - Detailed Descriptions

Active as of 2024-08-12

Definitions for the medicationrequest-imri resource profile.

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

0. MedicationRequest
2. MedicationRequest.status
Pattern Valueactive
4. MedicationRequest.intent
Pattern Valueproposal
6. MedicationRequest.reported[x]
TypeChoice of: boolean, Reference(Patient IMRI, TW Core Practitioner, TW Core PractitionerRole, RelatedPerson, TW Core Organization)
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. MedicationRequest.subject
TypeReference(Patient IMRI)
10. MedicationRequest.encounter
TypeReference(Encounter IMRI)
12. MedicationRequest.requester
TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient IMRI, RelatedPerson, Device)
14. MedicationRequest.performer
TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient IMRI, Device, RelatedPerson, CareTeam)
16. MedicationRequest.basedOn
TypeReference(CarePlan IMRI, MedicationRequest IMRI, ServiceRequest, ImmunizationRecommendation)

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

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
Control0..*
Is Modifierfalse
Summaryfalse
Alternate NamesPrescription, Order
Invariantsdom-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.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.

Control0..1
Typeuri
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationRequest.modifierExtension
Definition

可以用來表示不屬於此resource的基本定義的額外資訊,並修改包含它所內嵌(contained)的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充,但在定義擴充時 必須(SHALL) 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。


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此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。Extensions that cannot be ignored
Comments

任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。


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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

修飾用的資料項目擴充允許將不能安全地忽略的擴充,與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性,因為無需禁止實作者使用擴充,想要瞭解更多資訊,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。


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 Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. 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.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. 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.

Shortactive | 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.

Control1..1
BindingThe codes SHALL be taken from medicationrequest Statushttp://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.

Typecode
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Pattern Valueactive
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. 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.

Shortproposal | 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)、相關人員(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、相關人員和設備建立。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.

Control1..1
BindingThe codes SHALL be taken from medicationRequest Intenthttp://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.

Typecode
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Pattern Valueproposal
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. 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用藥型別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.

Control0..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category
(example to http://hl7.org/fhir/ValueSet/medicationrequest-category)

可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.

TypeCodeableConcept(TW CodeableConcept)
Is Modifierfalse
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. 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".

Control0..1
Typeboolean
Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. 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。


Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.

Short被報告的而不是主要的紀錄Reported rather than primary record
Control0..1
TypeChoice of: boolean, Reference(Patient IMRI, TW Core Practitioner, TW Core PractitionerRole, RelatedPerson, TW Core Organization, Patient, Practitioner, PractitionerRole, Organization)
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. 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服用的藥品。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.

Control1..1
BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
(example to http://hl7.org/fhir/ValueSet/medication-codes)

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。


A coded concept identifying substance or product that can be ordered.

TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication, Medication)
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis 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
  • 20. MedicationRequest.medication[x]:medicationReference
    Slice NamemedicationReference
    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.

    ShortMedication 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.

    Control01..1
    TypeReference(TW Core Medication, Medication), CodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. MedicationRequest.medication[x]:medicationCodeableConcept
    Slice NamemedicationCodeableConcept
    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.

    Control01..1
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes
    (example to http://hl7.org/fhir/ValueSet/medication-codes)
    TypeCodeableConcept(TW CodeableConcept), Reference(Medication)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. 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.

    Control0..*
    This element is affected by the following invariants: ele-1
    TypeCoding(TW Coding)
    Is Modifierfalse
    Must Supporttrue
    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.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 26. MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
      Slice Namefda-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.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 臺灣食藥署藥品及醫療器材代碼值集
      (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw)

      應填入所綁定值集中的其中一個代碼。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
      Slice Namenhi-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.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For codes, see 臺灣健保署健保用藥品項代碼值集
      (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。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
      Slice Namerxnorm-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.

      ShortRxNorm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.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe 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。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code
      Slice Nameatc-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.

      ShortATC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.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe 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。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
      Slice Namesnomedct-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.

      Control0..1*
      This element is affected by the following invariants: ele-1
      BindingThe 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。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. 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.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. 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.

      Control1..1
      TypeReference(Patient IMRI, Patient, Group)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. 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.

      Control0..1
      TypeReference(Encounter IMRI, Encounter)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. 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
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. 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
      Control0..1
      TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient IMRI, RelatedPerson, Device, Practitioner, PractitionerRole, Organization, Patient)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. MedicationRequest.performer
      Definition

      具體說明的藥物治療執行者(例如:給藥的執行者)。


      The specified desired performer of the medication treatment (e.g. the performer of the medication administration).

      Short預期的給藥執行者Intended performer of administration
      Control0..1
      TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient IMRI, Device, RelatedPerson, CareTeam, Practitioner, PractitionerRole, Organization, Patient)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. 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.

      Control0..*
      TypeReference(TW Core Condition, TW Core Observation Laboratory Result, Condition, Observation)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. 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


      A plan or request that is fulfilled in whole or in part by this medication request.

      Short此MedicationRquest是基於什麼而履行?What request fulfills
      Control0..*
      TypeReference(CarePlan IMRI, MedicationRequest IMRI, ServiceRequest, ImmunizationRecommendation, CarePlan, MedicationRequest)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. 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
      Control0..*
      TypeAnnotation
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. 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.

      Control0..*
      TypeDosage
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. 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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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 Namesextensions, user content, modifiers
      Invariantsele-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())
      58. 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
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. 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.

      Control0..1
      TypeTiming
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. 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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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 Namesextensions, user content, modifiers
      Invariantsele-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())
      64. 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).

      ShortBID | TID | QID | AM | PM | QD | QOD | + 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。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).

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation
      (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)

      已知/確定的時間模式之代碼;鼓勵使用TimingAbbreviation值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。


      Code for a known / defined timing pattern.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. 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.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from For codes, see HL7 TimingAbbreviation + 臺灣健保署 + 臺灣衛福部統計處藥品使用頻率值集
      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. 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.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. MedicationRequest.dosageInstruction.route
      Definition

      藥品應如何進入體內


      How drug should enter body.

      Short藥品應如何進入體內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.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes
      (example to http://hl7.org/fhir/ValueSet/route-codes)

      一個編碼概念,描述治療劑進入或在受試者體內的用藥途徑或生理途徑;此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。


      A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. 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由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。Code defined by a terminology system
      Comments

      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。


      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from For codes, see SNOMED CT + 臺灣衛福部統計處給藥途徑值集
      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw)
      TypeCoding(TW Coding)
      Is Modifierfalse
      Must Supporttrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. 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.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. 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
      Control0..1
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. 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).

      ShortExtensions 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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      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 Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      80. 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.

      Control0..1
      TypePeriod
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      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.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. 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.

      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. 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.

      Control0..1
      TypeDuration
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-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 found here

      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
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Alternate NamesPrescription, Order
      Invariantsdom-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。

      Control0..1
      Typeid
      Is Modifierfalse
      Summarytrue
      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
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-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。

      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。

      Control0..1
      Typeuri
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. 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)。

      Control0..1
      BindingThe 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 BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Example<br/><b>Value</b>:zh-TW
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. 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。

      ShortMedicationRequest 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。

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. MedicationRequest.contained
      Definition

      這些resource內嵌(contains)的resource不會另外存於任何FHIR伺服器,意即它們無法在任何FHIR伺服器中被找到,也無法有自己獨立的資料異動/交易(transaction)範圍。

      Short內嵌的(contained)、行內的Resources
      Comments

      當內容可以從任何FHIR伺服器找到時,不應該以內嵌(contained)resource的方式呈現,因為一旦失去識別,再次恢復它是非常困難的(並且取決於情境)。內嵌(contained)的resource可在它們的meta資料項目中表述profiles和tag,但不應該有安全標號(security labels)。

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. MedicationRequest.extension
      Definition

      可用於表示不屬於此resource基本定義的額外資訊。為了擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。儘管任何實作者都可以定義一個擴充,但作為擴充定義的一部分,必須(SHALL) 滿足一系列要求。

      Short擴充的資料項目
      Comments

      任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. MedicationRequest.modifierExtension
      Definition

      可以用來表示不屬於此resource的基本定義的額外資訊,並修改包含它所內嵌(contained)的資料項目的理解和/或對包含資料項目之後續使用的理解。通常修飾用的資料項目提供否定或限定的資訊。為了使擴充的使用安全和可管理,對擴充的定義和使用有一套嚴格的管理。雖然任何實作者都可以定義一個擴充,但在定義擴充時 必須(SHALL) 滿足一組要求。處理resource的應用程式需要檢查修飾用的擴充資料項目。
      修飾用的擴充資料項目 必須沒有(SHALL NOT) 改變resource或DomainResource上任何資料項目的含義(包括不能改變modifierExtension本身的含義)。

      Short此擴充的資料項目可能會完全修正或改變其他資料項目的意涵,需特別留意。
      Comments

      任何應用程式、專案或標準使用擴充時,都不應該帶有任何負面的聯想。使用擴充是允許FHIR規範為每個人保留一個核心的簡易性。

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      修飾用的資料項目擴充允許將不能安全地忽略的擴充,與絕大多數可以安全地忽略的擴充明確區分開來。這樣做有助於促進可互操作性,因為無需禁止實作者使用擴充,想要瞭解更多資訊,請參見[修飾用的資料項目擴充之定義](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. 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。

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. 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。

      Shortactive | 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。

      Control1..1
      BindingThe 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

      Typecode
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Pattern Valueactive
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. MedicationRequest.statusReason
      Definition

      捕捉MedicationRequest當前狀態的原因

      Short當前狀態的原因
      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。

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor 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。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. MedicationRequest.intent
      Definition

      請求是提案、計畫、還是原始醫令?

      Shortproposal | 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)、相關人員(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、相關人員和設備建立。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。

      Control1..1
      BindingThe 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

      Typecode
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Pattern Valueproposal
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. 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用藥型別
      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

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see medicationRequest Category Codes
      (example to http://hl7.org/fhir/ValueSet/medicationrequest-category)

      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。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. 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。

      Shortroutine | urgent | asap | stat
      Control0..1
      BindingThe 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

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. 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」。

      Control0..1
      Typeboolean
      Is Modifiertrue 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 ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. 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
      Control0..1
      TypeChoice of: boolean, Reference(Patient IMRI, TW Core Practitioner, TW Core PractitionerRole, RelatedPerson, TW Core Organization)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. 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服用的藥品。
      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。

      Control1..1
      BindingFor example codes, see SNOMEDCTMedicationCodes
      (example to http://hl7.org/fhir/ValueSet/medication-codes)

      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。

      TypeChoice of: CodeableConcept(TW CodeableConcept), Reference(TW Core Medication)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis 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
      • 36. MedicationRequest.medication[x]:medicationReference
        Slice NamemedicationReference
        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.

        ShortMedication 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.

        Control0..1
        TypeReference(TW Core Medication)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. MedicationRequest.medication[x]:medicationCodeableConcept
        Slice NamemedicationCodeableConcept
        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。

        Control0..1
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see SNOMEDCTMedicationCodes
        (example to http://hl7.org/fhir/ValueSet/medication-codes)
        TypeCodeableConcept(TW CodeableConcept)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. 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。
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        42. MedicationRequest.medication[x]:medicationCodeableConcept.extension
        Definition

        擴充的資料項目

        Short擴充的資料項目
        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Invariantsele-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())
        SlicingThis 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
        • 44. 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。

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeCoding(TW Coding)
          Is Modifierfalse
          Must Supporttrue
          Requirements

          允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • pattern @ $this
          • 46. MedicationRequest.medication[x]:medicationCodeableConcept.coding:fda-medication-tw
            Slice Namefda-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。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from 臺灣食藥署藥品及醫療器材代碼值集
            (required to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-fda-tw)

            應填入所綁定值集中的其中一個代碼。

            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. MedicationRequest.medication[x]:medicationCodeableConcept.coding:nhi-medication-tw
            Slice Namenhi-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。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from 臺灣健保署健保用藥品項代碼值集
            (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。

            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. MedicationRequest.medication[x]:medicationCodeableConcept.coding:rxnorm-medication-us-core
            Slice Namerxnorm-medication-us-core
            Definition

            由專門術語系統(terminology system)所定義之代碼的參照。

            ShortRxNorm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。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe 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。

            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. MedicationRequest.medication[x]:medicationCodeableConcept.coding:atc-medication-code
            Slice Nameatc-medication-code
            Definition

            由專門術語系統(terminology system)所定義之代碼的參照。

            ShortATC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。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe 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。

            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. MedicationRequest.medication[x]:medicationCodeableConcept.coding:snomedct-medication-codes
            Slice Namesnomedct-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。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe 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。

            TypeCoding(TW Coding)
            Is Modifierfalse
            Must Supporttrue
            Requirements

            允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            56. 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。

            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            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。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            58. 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。

            Control1..1
            TypeReference(Patient IMRI)
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            60. 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。

            Control0..1
            TypeReference(Encounter IMRI)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            62. 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
            Control0..*
            TypeReference(Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            64. 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?
            Control0..1
            TypedateTime
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            66. 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?
            Control0..1
            TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient IMRI, RelatedPerson, Device)
            Is Modifierfalse
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            68. 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
            Control0..1
            TypeReference(TW Core Practitioner, TW Core PractitionerRole, TW Core Organization, Patient IMRI, Device, RelatedPerson, CareTeam)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            70. 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。

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingUnless 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。

            TypeCodeableConcept(TW CodeableConcept)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            72. 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
            Control0..1
            TypeReference(TW Core Practitioner, TW Core PractitionerRole)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            74. 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。

            Control0..*
            BindingUnless 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。

            TypeCodeableConcept
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            76. 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。

            Control0..*
            TypeReference(TW Core Condition, TW Core Observation Laboratory Result)
            Is Modifierfalse
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            78. 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
            Control0..*
            Typecanonical
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            80. 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
            Control0..*
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. 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?
            Control0..*
            TypeReference(CarePlan IMRI, MedicationRequest IMRI, ServiceRequest, ImmunizationRecommendation)
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            84. 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
            Control0..1
            TypeIdentifier
            Is Modifierfalse
            Summarytrue
            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。

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            86. 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

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingFor 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。

            TypeCodeableConcept(TW CodeableConcept)
            Is Modifierfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            88. 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
            Control0..*
            TypeReference(Coverage, ClaimResponse)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            90. 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
            Control0..*
            TypeAnnotation
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            92. 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。

            Control0..*
            TypeDosage
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            94. 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.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            96. 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.

            ShortAdditional 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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-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())
            SlicingThis 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
            • 98. 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).

              ShortExtensions 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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              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 Namesextensions, user content, modifiers
              Invariantsele-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())
              100. 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
              Control0..1
              Typeinteger
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              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。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              102. 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。
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              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。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              104. 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」)。

              Control0..*
              This element is affected by the following invariants: ele-1
              BindingUnless 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。

              TypeCodeableConcept(TW CodeableConcept)
              Is Modifierfalse
              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。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              106. 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
              Control0..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              108. 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。

              Control0..1
              TypeTiming
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              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。

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              110. 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.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              112. 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.

              ShortAdditional 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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis 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
              • 114. 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).

                ShortExtensions 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.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                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 Namesextensions, user content, modifiers
                Invariantsele-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())
                116. MedicationRequest.dosageInstruction.timing.event
                Definition

                指明事件發生的特定時間

                Short事件發生的時間
                Control0..*
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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。

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                118. 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
                Control0..1
                TypeElement
                Is Modifierfalse
                Summarytrue
                Requirements

                定期重複的時間安排

                Invariantsele-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())
                120. 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.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                122. 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.

                ShortAdditional 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.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-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())
                SlicingThis 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
                • 124. 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
                  Control0..1
                  TypeChoice of: Duration, Range, Period
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  126. 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。

                  Control0..1
                  TypepositiveInt
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  重複次數可透過設定結束時間或總發生次數作限制

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  128. 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
                  Control0..1
                  TypepositiveInt
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  130. 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)。

                  Control0..1
                  Typedecimal
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  有些活動不是立即發生,需要維持一段時間。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  132. 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)。

                  Control0..1
                  Typedecimal
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Requirements

                  有些活動不是立即發生,需要維持一段時間。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  134. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
                  Definition

                  持續時間的單位,以UCUM為單位。

                  Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)
                  Control0..1
                  BindingThe 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

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  136. 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
                  Control0..1
                  TypepositiveInt
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Meaning if MissingIf no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  138. 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
                  Control0..1
                  TypepositiveInt
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  140. 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
                  Control0..1
                  Typedecimal
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  142. 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)
                  Control0..1
                  Typedecimal
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  144. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
                  Definition

                  持續時間的單位,以UCUM為單位。

                  Shorts | min | h | d | wk | mo | a - 單位時間 (unit of time,UCUM)
                  Control0..1
                  BindingThe 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

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  146. 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。

                  Shortmon | 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。

                  Control0..*
                  BindingThe 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

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  148. 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。

                  Control0..*
                  Typetime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  150. 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。

                  Control0..*
                  BindingThe 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

                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  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。

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  152. 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)
                  Control0..1
                  TypeunsignedInt
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  154. 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。

                  ShortBID | TID | QID | AM | PM | QD | QOD | + 此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
                  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)。

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHOULD be taken from TimingAbbreviation
                  (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation)

                  已知/確定的時間模式之代碼;鼓勵使用TimingAbbreviation值集中的代碼,但不強制一定要使用此值集,你也可使用其他值集的代碼或單純以文字表示。

                  TypeCodeableConcept(TW CodeableConcept)
                  Is Modifierfalse
                  Must Supporttrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  156. 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。
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  158. MedicationRequest.dosageInstruction.timing.code.extension
                  Definition

                  擴充的資料項目

                  Short擴充的資料項目
                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-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())
                  SlicingThis 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
                  • 160. 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。

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    BindingUnless not suitable, these codes SHALL be taken from HL7 TimingAbbreviation + 臺灣健保署 + 臺灣衛福部統計處藥品使用頻率值集
                    (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-frequency-hl7-tw)

                    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

                    TypeCoding(TW Coding)
                    Is Modifierfalse
                    Must Supporttrue
                    Requirements

                    允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    162. 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。

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    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。

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    164. 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」。

                    Control0..1
                    BindingUnless 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。

                    TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    166. 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。

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    BindingUnless 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。

                    TypeCodeableConcept(TW CodeableConcept)
                    Is Modifierfalse
                    Requirements

                    對藥品首次進入之人體解剖部位的編碼說明

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    168. MedicationRequest.dosageInstruction.route
                    Definition

                    藥品應如何進入體內

                    Short藥品應如何進入體內
                    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.

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    BindingFor example codes, see SNOMEDCTRouteCodes
                    (example to http://hl7.org/fhir/ValueSet/route-codes)

                    一個編碼概念,描述治療劑進入或在受試者體內的用藥途徑或生理途徑;此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。

                    TypeCodeableConcept(TW CodeableConcept)
                    Is Modifierfalse
                    Must Supporttrue
                    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

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    170. 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。
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    172. MedicationRequest.dosageInstruction.route.extension
                    Definition

                    擴充的資料項目

                    Short擴充的資料項目
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-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())
                    SlicingThis 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
                    • 174. MedicationRequest.dosageInstruction.route.coding
                      Definition

                      由專門術語系統(terminology system)所定義之代碼的參照

                      Short由專門術語系統(terminology system)定義的代碼。此資料項目為可擴充綁定預設國際標準值集,但實作者可視實務專案需求只綁定以下slices中的任一值集。目前未只限定綁定預設值集是因為尚無slice值集與預設國際標準值集的代碼對應表,待後續有相對的代碼對應表後將建議採用國際標準值集作為唯一綁定值集並針對該值集進行擴充與管理,以利進行跨國與跨系統之資料交換。
                      Comments

                      代碼可以在列舉清單(enumerations)或代碼清單(code lists)中非常隨意地定義,直至有非常正式的定義,例如:SNOMED CT—更多資訊見HL7 v3核心原則(Core Principles)。編碼的排序是未定義的因而 必須沒有(SHALL NOT) 被用來推斷意義。一般來說,最多只有一個編碼值(coding values)會被標記為UserSelected = true。

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      BindingUnless not suitable, these codes SHALL be taken from SNOMED CT + 臺灣衛福部統計處給藥途徑值集
                      (extensible to https://twcore.mohw.gov.tw/ig/twcore/ValueSet/medication-path-sct-tw)
                      TypeCoding(TW Coding)
                      Is Modifierfalse
                      Must Supporttrue
                      Requirements

                      允許代碼系統中的替代編碼,以及翻譯到其他編碼系統。

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      176. 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。

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      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。

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      178. 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。

                      Control0..1
                      This element is affected by the following invariants: ele-1
                      BindingUnless 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。

                      TypeCodeableConcept(TW CodeableConcept)
                      Is Modifierfalse
                      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。

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      180. MedicationRequest.dosageInstruction.doseAndRate
                      Definition

                      用藥量

                      Short用藥量
                      Control0..*
                      TypeElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      182. 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.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      184. 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.

                      ShortAdditional 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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      SlicingThis 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
                      • 186. 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.

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        BindingFor 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。

                        TypeCodeableConcept(TW CodeableConcept)
                        Is Modifierfalse
                        Requirements

                        如果此type資料項目沒有被填入,則假定為「依處方(ordered)」。

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        188. 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。

                        Control0..1
                        TypeChoice of: Range, Quantity(SimpleQuantity)
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        在一次用藥事件中給予的治療用或其他的物質量

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        190. 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。

                        Control0..1
                        TypeChoice of: Ratio, Range, Quantity(SimpleQuantity)
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Summarytrue
                        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。

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        192. 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」。

                        Control0..1
                        TypeRatio
                        Is Modifierfalse
                        Summarytrue
                        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。

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        194. 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。

                        Control0..1
                        TypeQuantity(SimpleQuantity)
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        每次用於某一對象治療用物質的最大總量

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        196. 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
                        Control0..1
                        TypeQuantity(SimpleQuantity)
                        Is Modifierfalse
                        Summarytrue
                        Requirements

                        用於某一對象的治療用物質於其一生的最大總數量

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        198. 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
                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        200. 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.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        202. 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.

                        ShortAdditional 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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        204. 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).

                        ShortExtensions 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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        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 Namesextensions, user content, modifiers
                        Invariantsele-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())
                        206. 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。

                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        208. 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.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        210. 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.

                        ShortAdditional 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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        212. 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).

                        ShortExtensions 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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        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 Namesextensions, user content, modifiers
                        Invariantsele-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())
                        214. MedicationRequest.dispenseRequest.initialFill.quantity
                        Definition

                        首次配藥量

                        Short首次配藥的數量
                        Control0..1
                        TypeQuantity(SimpleQuantity)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        216. 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
                        Control0..1
                        TypeDuration
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        218. 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
                        Control0..1
                        TypeDuration
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        220. 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。

                        Control0..1
                        TypePeriod
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Requirements

                        表明處方何時有效,何時處方無法再被拿來配藥。

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        222. 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。

                        Control0..1
                        TypeunsignedInt
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        224. MedicationRequest.dispenseRequest.quantity
                        Definition

                        一次裝藥所需的(數)量

                        Short每次配藥的藥品(數)量
                        Control0..1
                        TypeQuantity(SimpleQuantity)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        226. 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。

                        Control0..1
                        TypeDuration
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        228. 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
                        Control0..1
                        TypeReference(TW Core Organization)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        230. 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
                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        232. 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.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        234. 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.

                        ShortAdditional 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.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-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())
                        236. 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).

                        ShortExtensions 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.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        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 Namesextensions, user content, modifiers
                        Invariantsele-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())
                        238. 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。

                        Control1..1
                        BindingFor 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。

                        TypeChoice of: boolean, CodeableConcept(TW CodeableConcept)
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        240. 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.

                        Control0..1
                        This element is affected by the following invariants: ele-1
                        BindingFor 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。

                        TypeCodeableConcept(TW CodeableConcept)
                        Is Modifierfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        242. 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
                        Control0..1
                        TypeReference(TW Core MedicationRequest)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        244. 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。

                        Control0..*
                        TypeReference(DetectedIssue)
                        Is Modifierfalse
                        Summaryfalse
                        Alternate NamesContraindication, Drug Utilization Review (DUR), Alert
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        246. 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。)

                        Control0..*
                        TypeReference(Provenance)
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))