診所門診病摘實作指引
1.0.1 - CI Build

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

Resource Profile: 服務請求(ServiceRequest ClinEMR)

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:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 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
... implicitRules ?!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
... modifierExtension ?! 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
... basedOn 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
... status ?!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
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


ele-1: All FHIR elements must have a @value or children
Required Pattern: order
... Slices for category 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
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
ele-1: All FHIR elements must have a @value or children
... code 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
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
ele-1: All FHIR elements must have a @value or children
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ele-1: All FHIR elements must have a @value or children
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(病人資料(Patient ClinEMR)) Individual or Entity the service is ordered for
ele-1: All FHIR elements must have a @value or children
... encounter SΣ 1..1 Reference(就醫事件(Encounter ClinEMR)) Encounter in which the request was created
ele-1: All FHIR elements must have a @value or children
... Slices for occurrence[x] SΣ 1..1 dateTime When service should occur
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... occurrence[x]:occurrenceDateTime 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
... authoredOn SΣ 0..1 dateTime Date request signed
ele-1: All FHIR elements must have a @value or children
... requester 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
... performer 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
... reasonReference 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:twcorerequiredTWServiceRequestCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
ServiceRequest.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw

This structure is derived from TWCoreServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest TWCoreServiceRequest
... basedOn 0..* Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) What request fulfills
... replaces 0..* Reference(服務請求(ServiceRequest ClinEMR)) What request replaces
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Required Pattern: completed
... code 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。
.... Slices for coding Content/Rules for all slices
..... coding:TWLaboratoryCategory 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)
... subject 1..1 Reference(病人資料(Patient ClinEMR)) Individual or Entity the service is ordered for
... encounter S 1..1 Reference(就醫事件(Encounter ClinEMR)) Encounter in which the request was created
... Slices for occurrence[x] 1..1 dateTime When service should occur
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... requester 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]
... performer 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
... reasonReference 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) What request fulfills
... replaces Σ 0..* Reference(服務請求(ServiceRequest ClinEMR)) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


Required Pattern: completed
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: order
... Slices for category SΣ 0..* CodeableConceptTW Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code S 1..1 CodeableConceptTW 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。

.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
..... coding:TWLaboratoryCategory 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)
.... text SΣ 0..1 string 概念的文字表示法
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(病人資料(Patient ClinEMR)) Individual or Entity the service is ordered for
... encounter SΣ 1..1 Reference(就醫事件(Encounter ClinEMR)) Encounter in which the request was created
... Slices for occurrence[x] SΣ 1..1 dateTime S When service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(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]
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ 0..* Reference(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
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(TW Core Location) Requested location
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference Σ 0..* Reference(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
... insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(TW Core Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:twcorerequiredTWServiceRequestCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
ServiceRequest.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleTWConditionCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from 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:

  • The element 1 is sliced based on the value of ServiceRequest.occurrence[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 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
... implicitRules ?!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
... modifierExtension ?! 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
... basedOn 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
... status ?!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
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


ele-1: All FHIR elements must have a @value or children
Required Pattern: order
... Slices for category 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
.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
ele-1: All FHIR elements must have a @value or children
... code 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
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
ele-1: All FHIR elements must have a @value or children
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
ele-1: All FHIR elements must have a @value or children
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
ele-1: All FHIR elements must have a @value or children
..... coding:TWLaboratoryCategory S 0..1 CodingTW 此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼,主要針對申報使用,更新頻率相對頻繁,可免費使用,可依情境選用此代碼。
Binding: 臺灣健保署醫療服務給付項目-檢驗值集 (required)
ele-1: All FHIR elements must have a @value or children
.... text SΣ 0..1 string 概念的文字表示法
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(病人資料(Patient ClinEMR)) Individual or Entity the service is ordered for
ele-1: All FHIR elements must have a @value or children
... encounter SΣ 1..1 Reference(就醫事件(Encounter ClinEMR)) Encounter in which the request was created
ele-1: All FHIR elements must have a @value or children
... Slices for occurrence[x] SΣ 1..1 dateTime When service should occur
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
.... occurrence[x]:occurrenceDateTime 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
... authoredOn SΣ 0..1 dateTime Date request signed
ele-1: All FHIR elements must have a @value or children
... requester 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
... performer 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
... reasonReference 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:twcorerequiredTWServiceRequestCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
ServiceRequest.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw

Differential View

This structure is derived from TWCoreServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest TWCoreServiceRequest
... basedOn 0..* Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) What request fulfills
... replaces 0..* Reference(服務請求(ServiceRequest ClinEMR)) What request replaces
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Required Pattern: completed
... code 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。
.... Slices for coding Content/Rules for all slices
..... coding:TWLaboratoryCategory 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)
... subject 1..1 Reference(病人資料(Patient ClinEMR)) Individual or Entity the service is ordered for
... encounter S 1..1 Reference(就醫事件(Encounter ClinEMR)) Encounter in which the request was created
... Slices for occurrence[x] 1..1 dateTime When service should occur
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrenceDateTime S 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... requester 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]
... performer 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
... reasonReference 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* TWCoreServiceRequest A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifiers assigned to this order
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(關懷計畫(CarePlan ClinEMR) | 服務請求(ServiceRequest ClinEMR) | 藥品請求(MedicationRequest ClinEMR)) What request fulfills
... replaces Σ 0..* Reference(服務請求(ServiceRequest ClinEMR)) What request replaces
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


Required Pattern: completed
... intent ?!SΣ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: order
... Slices for category SΣ 0..* CodeableConceptTW Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:twcore SΣ 0..* CodeableConcept Classification of service
Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」,但因slice之特性,其不會限制僅能填此值集中的代碼,故在實作時也可使用其他值集的代碼。


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if service/procedure should not be performed
... code S 1..1 CodeableConceptTW 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。

.... id 0..1 string 唯一可識別ID,以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 0..* CodingTW 由專門術語系統(terminology system)定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:icd10-pcs-2023 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2023年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2021 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2021年中文版ICD-10-PCS值集 (required)
..... coding:icd10-pcs-2014 S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署2014年中文版ICD-10-PCS值集 (required)
..... coding:medical-service-payment S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: 臺灣健保署醫療服務給付項目-處置或手術值集 (required)
..... coding:sct-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: ProcedureCodes(SNOMEDCT) (required)
..... coding:loinc-procedures S 0..1 CodingTW 由專門術語系統(terminology system)定義的代碼
Binding: LOINCCodes (required)
..... coding:TWLaboratoryCategory 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)
.... text SΣ 0..1 string 概念的文字表示法
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ 0..1 Service amount
.... quantityQuantity Quantity
.... quantityRatio Ratio
.... quantityRange Range
... subject SΣ 1..1 Reference(病人資料(Patient ClinEMR)) Individual or Entity the service is ordered for
... encounter SΣ 1..1 Reference(就醫事件(Encounter ClinEMR)) Encounter in which the request was created
... Slices for occurrence[x] SΣ 1..1 dateTime S When service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrenceDateTime SΣ 1..1 dateTime S [應填入門診病摘之檢驗檢查開單日期Exam Order Date]
... asNeeded[x] Σ 0..1 Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBoolean boolean
.... asNeededCodeableConcept CodeableConcept
... authoredOn SΣ 0..1 dateTime Date request signed
... requester SΣ 0..1 Reference(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]
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ 0..* Reference(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
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ 0..* Reference(TW Core Location) Requested location
... reasonCode Σ 0..* CodeableConcept Explanation/Justification for procedure or service
Binding: SNOMED CT診斷代碼值集 (extensible)
... reasonReference Σ 0..* Reference(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
... insurance 0..* Reference(TW Core Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... specimen Σ 0..* Reference(TW Core Specimen) Procedure Samples
... bodySite Σ 0..* CodeableConcept Location on Body
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.statusrequiredPattern: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:twcorerequiredTWServiceRequestCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023requiredTW2023ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021requiredTW2021ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014requiredTW2014ICD10PCS
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-paymentrequiredTWMedicalServicePayment
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-proceduresrequiredProcedureCodes(SNOMEDCT)
http://hl7.org/fhir/ValueSet/procedure-code
from the FHIR Standard
ServiceRequest.code.coding:loinc-proceduresrequiredLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
ServiceRequest.code.coding:TWLaboratoryCategoryrequiredTWLaboratoryCategory
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleTWConditionCodeSCT
https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
ServiceRequest.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from 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:

  • The element 1 is sliced based on the value of ServiceRequest.occurrence[x]

 

Other representations of profile: CSV, Excel, Schematron