This page is part of the 診所門診病摘實作指引 (v1.0.1: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: https://fhir.cohesiondata.com/clinemr/StructureDefinition/servicerequest-clinemr | Version: 1.0.1 | |||
| Active as of 2025-02-06 | Computable Name: ServiceRequestClinEMR | |||
此服務請求(ServiceRequest ClinEMR)Profile說明本IG如何進一步定義FHIR的 ServiceRequest Resource以呈現西醫/牙醫/中醫診所門診病摘服務請求的詳細資料。
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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C | 0..* | TWCoreServiceRequest | A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..* | Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) | What request fulfills ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(服務請求(ServiceRequest ClinEMR)) | What request replaces ele-1: All FHIR elements must have a @value or children |
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children Required Pattern: completed |
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children Required Pattern: order |
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SΣ | 0..* | CodeableConceptTW | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | boolean | True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children |
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S | 1..1 | CodeableConceptTW | 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項,請填入該項目的對應代碼;若檢驗項目包含多個子項,請填入對應的大項代碼,使其涵蓋所有檢查內容。 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: LOINCCodes (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,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。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | string | 概念的文字表示法 ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(病人資料(Patient ClinEMR)) | Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(就醫事件(Encounter ClinEMR)) | Encounter in which the request was created ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | dateTime | When service should occur Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | dateTime | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | dateTime | Date request signed ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Reference(醫事機構(Organization ClinEMR)) | [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name] ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core CareTeam | HealthcareService | 病人資料(Patient ClinEMR) | TW Core Implantable Device | TW Core RelatedPerson) | Requested performer ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR)) | Explanation/Justification for service or service ele-1: All FHIR elements must have a @value or children |
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.status | required | Pattern: completedhttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| ServiceRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | |
| ServiceRequest.category:twcore | required | TWServiceRequestCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category | |
| ServiceRequest.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | |
| ServiceRequest.code.coding:icd10-pcs-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw | |
| ServiceRequest.code.coding:icd10-pcs-2021 | required | TW2021ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw | |
| ServiceRequest.code.coding:icd10-pcs-2014 | required | TW2014ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw | |
| ServiceRequest.code.coding:medical-service-payment | required | TWMedicalServicePaymenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw | |
| ServiceRequest.code.coding:sct-procedures | required | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | |
| ServiceRequest.code.coding:loinc-procedures | required | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| ServiceRequest.code.coding:TWLaboratoryCategory | required | TWLaboratoryCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw |
This structure is derived from TWCoreServiceRequest
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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TWCoreServiceRequest | |||
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0..* | Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) | What request fulfills | |
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0..* | Reference(服務請求(ServiceRequest ClinEMR)) | What request replaces | |
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1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: completed | |
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1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
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1..1 | CodeableConceptTW | 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項,請填入該項目的對應代碼;若檢驗項目包含多個子項,請填入對應的大項代碼,使其涵蓋所有檢查內容。 | |
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Content/Rules for all slices | |||
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S | 0..1 | CodingTW | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,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。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) |
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1..1 | Reference(病人資料(Patient ClinEMR)) | Individual or Entity the service is ordered for | |
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S | 1..1 | Reference(就醫事件(Encounter ClinEMR)) | Encounter in which the request was created |
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1..1 | dateTime | When service should occur Slice: Unordered, Open by type:$this | |
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S | 1..1 | dateTime S | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] |
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0..1 | Reference(醫事機構(Organization ClinEMR)) | [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name] | |
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0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core CareTeam | HealthcareService | 病人資料(Patient ClinEMR) | TW Core Implantable Device | TW Core RelatedPerson) | Requested performer | |
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0..* | Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR)) | Explanation/Justification for service or service | |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.code.coding:TWLaboratoryCategory | required | TWLaboratoryCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw |
| Name | Flags | Card. | Type | Description & Constraints![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | TWCoreServiceRequest | A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Identifiers assigned to this order | ||||
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Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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Σ | 0..* | Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) | What request fulfills | ||||
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Σ | 0..* | Reference(服務請求(ServiceRequest ClinEMR)) | What request replaces | ||||
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Σ | 0..1 | Identifier | Composite Request ID | ||||
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: completed | ||||
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: order | ||||
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SΣ | 0..* | CodeableConceptTW | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
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SΣ | 0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 | ||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
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?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||
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S | 1..1 | CodeableConceptTW | 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項,請填入該項目的對應代碼;若檢驗項目包含多個子項,請填入對應的大項代碼,使其涵蓋所有檢查內容。 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | ||||
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0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
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0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
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S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: LOINCCodes (required) | ||||
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S | 0..1 | CodingTW | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,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。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) | ||||
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SΣ | 0..1 | string | 概念的文字表示法 | ||||
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ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
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Σ | 0..1 | Service amount | |||||
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Quantity | |||||||
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Ratio | |||||||
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Range | |||||||
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SΣ | 1..1 | Reference(病人資料(Patient ClinEMR)) | Individual or Entity the service is ordered for | ||||
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SΣ | 1..1 | Reference(就醫事件(Encounter ClinEMR)) | Encounter in which the request was created | ||||
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SΣ | 1..1 | dateTime S | When service should occur Slice: Unordered, Closed by type:$this | ||||
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SΣ | 1..1 | dateTime S | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] | ||||
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Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
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boolean | |||||||
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CodeableConcept | |||||||
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SΣ | 0..1 | dateTime | Date request signed | ||||
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SΣ | 0..1 | Reference(醫事機構(Organization ClinEMR)) | [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name] | ||||
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Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
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Σ | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core CareTeam | HealthcareService | 病人資料(Patient ClinEMR) | TW Core Implantable Device | TW Core RelatedPerson) | Requested performer | ||||
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Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
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Σ | 0..* | Reference(TW Core Location) | Requested location | ||||
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Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | ||||
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Σ | 0..* | Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR)) | Explanation/Justification for service or service | ||||
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0..* | Reference(TW Core Coverage | ClaimResponse) | Associated insurance coverage | |||||
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0..* | Reference(Resource) | Additional clinical information | |||||
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Σ | 0..* | Reference(TW Core Specimen) | Procedure Samples | ||||
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Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..* | Annotation | Comments | |||||
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Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
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0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| ServiceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| ServiceRequest.status | required | Pattern: completedhttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| ServiceRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | ||||
| ServiceRequest.category:twcore | required | TWServiceRequestCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| ServiceRequest.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| ServiceRequest.code.coding:icd10-pcs-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw | ||||
| ServiceRequest.code.coding:icd10-pcs-2021 | required | TW2021ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw | ||||
| ServiceRequest.code.coding:icd10-pcs-2014 | required | TW2014ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw | ||||
| ServiceRequest.code.coding:medical-service-payment | required | TWMedicalServicePaymenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw | ||||
| ServiceRequest.code.coding:sct-procedures | required | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| ServiceRequest.code.coding:loinc-procedures | required | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| ServiceRequest.code.coding:TWLaboratoryCategory | required | TWLaboratoryCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | extensible | TWConditionCodeSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard |
This structure is derived from TWCoreServiceRequest
Summary
Mandatory: 3 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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C | 0..* | TWCoreServiceRequest | A request for a service to be performed dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management prr-1: orderDetail SHALL only be present if code is present |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..* | Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) | What request fulfills ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(服務請求(ServiceRequest ClinEMR)) | What request replaces ele-1: All FHIR elements must have a @value or children |
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. ele-1: All FHIR elements must have a @value or children Required Pattern: completed |
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. ele-1: All FHIR elements must have a @value or children Required Pattern: order |
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SΣ | 0..* | CodeableConceptTW | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | boolean | True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children |
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S | 1..1 | CodeableConceptTW | 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項,請填入該項目的對應代碼;若檢驗項目包含多個子項,請填入對應的大項代碼,使其涵蓋所有檢查內容。 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: LOINCCodes (required) ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodingTW | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,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。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | string | 概念的文字表示法 ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(病人資料(Patient ClinEMR)) | Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(就醫事件(Encounter ClinEMR)) | Encounter in which the request was created ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | dateTime | When service should occur Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | dateTime | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | dateTime | Date request signed ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | Reference(醫事機構(Organization ClinEMR)) | [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name] ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core CareTeam | HealthcareService | 病人資料(Patient ClinEMR) | TW Core Implantable Device | TW Core RelatedPerson) | Requested performer ele-1: All FHIR elements must have a @value or children |
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Σ | 0..* | Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR)) | Explanation/Justification for service or service ele-1: All FHIR elements must have a @value or children |
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.status | required | Pattern: completedhttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| ServiceRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | |
| ServiceRequest.category:twcore | required | TWServiceRequestCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category | |
| ServiceRequest.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | |
| ServiceRequest.code.coding:icd10-pcs-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw | |
| ServiceRequest.code.coding:icd10-pcs-2021 | required | TW2021ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw | |
| ServiceRequest.code.coding:icd10-pcs-2014 | required | TW2014ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw | |
| ServiceRequest.code.coding:medical-service-payment | required | TWMedicalServicePaymenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw | |
| ServiceRequest.code.coding:sct-procedures | required | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | |
| ServiceRequest.code.coding:loinc-procedures | required | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| ServiceRequest.code.coding:TWLaboratoryCategory | required | TWLaboratoryCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw |
Differential View
This structure is derived from TWCoreServiceRequest
| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
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TWCoreServiceRequest | |||
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0..* | Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) | What request fulfills | |
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0..* | Reference(服務請求(ServiceRequest ClinEMR)) | What request replaces | |
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1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: completed | |
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1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
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1..1 | CodeableConceptTW | 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項,請填入該項目的對應代碼;若檢驗項目包含多個子項,請填入對應的大項代碼,使其涵蓋所有檢查內容。 | |
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Content/Rules for all slices | |||
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S | 0..1 | CodingTW | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,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。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) |
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1..1 | Reference(病人資料(Patient ClinEMR)) | Individual or Entity the service is ordered for | |
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S | 1..1 | Reference(就醫事件(Encounter ClinEMR)) | Encounter in which the request was created |
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1..1 | dateTime | When service should occur Slice: Unordered, Open by type:$this | |
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S | 1..1 | dateTime S | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] |
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0..1 | Reference(醫事機構(Organization ClinEMR)) | [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name] | |
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0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core CareTeam | HealthcareService | 病人資料(Patient ClinEMR) | TW Core Implantable Device | TW Core RelatedPerson) | Requested performer | |
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0..* | Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR)) | Explanation/Justification for service or service | |
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.code.coding:TWLaboratoryCategory | required | TWLaboratoryCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]() | ||||
|---|---|---|---|---|---|---|---|---|
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C | 0..* | TWCoreServiceRequest | A request for a service to be performed prr-1: orderDetail SHALL only be present if code is present | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Identifiers assigned to this order | ||||
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Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
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Σ | 0..* | uri | Instantiates external protocol or definition | ||||
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Σ | 0..* | Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) | What request fulfills | ||||
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Σ | 0..* | Reference(服務請求(ServiceRequest ClinEMR)) | What request replaces | ||||
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Σ | 0..1 | Identifier | Composite Request ID | ||||
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?!SΣ | 1..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. Required Pattern: completed | ||||
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?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: order | ||||
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SΣ | 0..* | CodeableConceptTW | Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. | ||||
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SΣ | 0..* | CodeableConcept | Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。 | ||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
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?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||
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S | 1..1 | CodeableConceptTW | 應填入門診病摘之檢驗檢查項目代碼。若檢驗項目為單一項,請填入該項目的對應代碼;若檢驗項目包含多個子項,請填入對應的大項代碼,使其涵蓋所有檢查內容。 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 | ||||
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0..1 | string | 唯一可識別ID,以供資料項目間相互參照。 | |||||
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0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
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S | 0..* | CodingTW | 由專門術語系統(terminology system)定義的代碼 Slice: Unordered, Open by pattern:$this | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required) | ||||
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S | 0..1 | CodingTW | 由專門術語系統(terminology system)定義的代碼 Binding: LOINCCodes (required) | ||||
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S | 0..1 | CodingTW | 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,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。 Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required) | ||||
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SΣ | 0..1 | string | 概念的文字表示法 | ||||
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ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
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Σ | 0..1 | Service amount | |||||
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Quantity | |||||||
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Ratio | |||||||
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Range | |||||||
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SΣ | 1..1 | Reference(病人資料(Patient ClinEMR)) | Individual or Entity the service is ordered for | ||||
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SΣ | 1..1 | Reference(就醫事件(Encounter ClinEMR)) | Encounter in which the request was created | ||||
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SΣ | 1..1 | dateTime S | When service should occur Slice: Unordered, Closed by type:$this | ||||
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SΣ | 1..1 | dateTime S | [應填入門診病摘之檢驗檢查開單日期Exam Order Date] | ||||
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Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
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boolean | |||||||
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CodeableConcept | |||||||
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SΣ | 0..1 | dateTime | Date request signed | ||||
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SΣ | 0..1 | Reference(醫事機構(Organization ClinEMR)) | [應填入門診病摘之檢驗檢查開單醫事機構代碼Order Hospital ID及檢驗檢查開單醫事機構名稱Order Hospital Name] | ||||
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Σ | 0..1 | CodeableConcept | Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
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Σ | 0..* | Reference(健康照護服務提供人員資料(Practitioner ClinEMR) | TW Core PractitionerRole | 醫事機構(Organization ClinEMR) | TW Core CareTeam | HealthcareService | 病人資料(Patient ClinEMR) | TW Core Implantable Device | TW Core RelatedPerson) | Requested performer | ||||
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Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
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Σ | 0..* | Reference(TW Core Location) | Requested location | ||||
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Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible) | ||||
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Σ | 0..* | Reference(病情、問題或診斷(ConditionDiagnosis ClinEMR) | 檢驗檢查(Observation ClinEMR) | 診斷報告(DiagnosticReport ClinEMR) | 文件參照(DocumentReference ClinEMR)) | Explanation/Justification for service or service | ||||
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0..* | Reference(TW Core Coverage | ClaimResponse) | Associated insurance coverage | |||||
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0..* | Reference(Resource) | Additional clinical information | |||||
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Σ | 0..* | Reference(TW Core Specimen) | Procedure Samples | ||||
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Σ | 0..* | CodeableConcept | Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
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0..* | Annotation | Comments | |||||
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Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
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0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| ServiceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| ServiceRequest.status | required | Pattern: completedhttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| ServiceRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | ||||
| ServiceRequest.category:twcore | required | TWServiceRequestCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| ServiceRequest.code | example | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| ServiceRequest.code.coding:icd10-pcs-2023 | required | TW2023ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw | ||||
| ServiceRequest.code.coding:icd10-pcs-2021 | required | TW2021ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw | ||||
| ServiceRequest.code.coding:icd10-pcs-2014 | required | TW2014ICD10PCShttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw | ||||
| ServiceRequest.code.coding:medical-service-payment | required | TWMedicalServicePaymenthttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw | ||||
| ServiceRequest.code.coding:sct-procedures | required | ProcedureCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-codefrom the FHIR Standard | ||||
| ServiceRequest.code.coding:loinc-procedures | required | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| ServiceRequest.code.coding:TWLaboratoryCategory | required | TWLaboratoryCategoryhttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| ServiceRequest.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | extensible | TWConditionCodeSCThttps://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw | ||||
| ServiceRequest.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard |
This structure is derived from TWCoreServiceRequest
Summary
Mandatory: 3 elements
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron