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Resource Profile: 基因定序檢測申請項目-ServiceRequest TWNGS

此基因定序檢測申請項目ServiceRequest TWNGS Profile說明本IG如何進一步定義臺灣核心-藥品請求(TW Core MedicationRequest) Profile以呈現次世代基因定序檢測中申請項目之基因定序檢測項目

Usage:

• Use this Resource Profile: 次世代基因定序檢測-Bundle TWNGS
• Refer to this Resource Profile: 基因定序檢測證明文件-Composition TWNGS and 基因定序檢測報告-DiagnosticReport TWNGS
• Examples for this Resource Profile: ServiceRequest/serReq-min

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated 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-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label 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	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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: active
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: plan
Slices for category	SΣN	0..*	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:All Slices				Content/Rules for all slices
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
category:twcore	SΣN	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣN	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣN	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices				Content/Rules for all slices
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2014	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:medical-service-payment	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:sct-procedures	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:loinc-procedures	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:nhi-ngs-payment	SΣN	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-NGS檢驗給付項目值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 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
orderDetail	ΣCN	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(TW Core Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
occurrence[x]	SΣN	0..1		When service should occur ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	0..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children
requester	SΣCN	0..1	Reference(TW Core Practitioner)	Who/what is requesting service ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://www.ghd.tw/cdm-fhir/ValueSet/nhi-ngs-payment from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
ref-1	error	ServiceRequest.subject, ServiceRequest.requester	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			TWCoreServiceRequest
status				Required Pattern: active
intent				Required Pattern: plan
code
coding		1..
Slices for coding				Content/Rules for all slices
coding:nhi-ngs-payment		1..1		基因定序檢測的申請項目醫令代碼 Binding: NHI-NGS檢驗給付項目值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://www.ghd.tw/cdm-fhir/ValueSet/nhi-ngs-payment from this IG

Name	Flags	Card.	Type	Description & Constraints
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	string	Logical id of this artifact
meta	ΣN	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 Bindings Purpose AllLanguages Max Binding
text	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	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	ΣCN	0..*	Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest)	What request fulfills ref-1: SHALL have a contained resource if a local reference is provided
replaces	ΣCN	0..*	Reference(TW Core ServiceRequest)	What request replaces ref-1: SHALL have a contained resource if a local reference is provided
requisition	ΣN	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: active
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: plan
Slices for category	SΣN	0..*	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:All Slices				Content/Rules for all slices
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
category:twcore	SΣN	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣN	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	SΣN	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2023	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2021	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2014	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:medical-service-payment	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:sct-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:loinc-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:nhi-ngs-payment	SΣN	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-NGS檢驗給付項目值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
orderDetail	ΣCN	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	ΣN	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣCN	1..1	Reference(TW Core Patient S | Group | TW Core Location | TW Core Implantable Device)	Individual or Entity the service is ordered for ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣCN	0..1	Reference(TW Core Encounter)	Encounter in which the request was created ref-1: SHALL have a contained resource if a local reference is provided
occurrence[x]	SΣN	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	ΣN	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	SΣCN	0..1	Reference(TW Core Practitioner S | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device)	Who/what is requesting service ref-1: SHALL have a contained resource if a local reference is provided
performerType	ΣN	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	ΣCN	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | HealthcareService | TW Core Patient | Device | TW Core RelatedPerson)	Requested performer ref-1: SHALL have a contained resource if a local reference is provided
locationCode	ΣN	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	ΣCN	0..*	Reference(TW Core Location)	Requested location ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	ΣN	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	ΣCN	0..*	Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference)	Explanation/Justification for service or service ref-1: SHALL have a contained resource if a local reference is provided
insurance	CN	0..*	Reference(TW Core Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
supportingInfo	CN	0..*	Reference(Resource)	Additional clinical information ref-1: SHALL have a contained resource if a local reference is provided
specimen	ΣCN	0..*	Reference(TW Core Specimen)	Procedure Samples ref-1: SHALL have a contained resource if a local reference is provided
bodySite	ΣN	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note	N	0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory	CN	0..*	Reference(Provenance)	Request provenance ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://www.ghd.tw/cdm-fhir/ValueSet/nhi-ngs-payment from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
ref-1	error	ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.subject, ServiceRequest.encounter, ServiceRequest.requester, ServiceRequest.performer, ServiceRequest.locationReference, ServiceRequest.reasonReference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.relevantHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreServiceRequest

Summary

Mandatory: 0 element(2 nested mandatory elements)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated 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-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label 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	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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: active
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: plan
Slices for category	SΣN	0..*	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. ele-1: All FHIR elements must have a @value or children
category:All Slices				Content/Rules for all slices
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼 ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	概念的文字表示法 ele-1: All FHIR elements must have a @value or children
category:twcore	SΣN	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。 ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed ele-1: All FHIR elements must have a @value or children
code	SΣN	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。 ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣN	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
coding:All Slices				Content/Rules for all slices
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2023	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2021	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:icd10-pcs-2014	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:medical-service-payment	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:sct-procedures	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:loinc-procedures	SΣN	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
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 ele-1: All FHIR elements must have a @value or children
coding:nhi-ngs-payment	SΣN	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-NGS檢驗給付項目值集 (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別 ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	系統定義的語法之符號 ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	由系統定義的表示法 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
orderDetail	ΣCN	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(TW Core Patient)	Individual or Entity the service is ordered for ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
occurrence[x]	SΣN	0..1		When service should occur ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	SΣ	0..1	dateTime	Date request signed ele-1: All FHIR elements must have a @value or children
requester	SΣCN	0..1	Reference(TW Core Practitioner)	Who/what is requesting service ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://www.ghd.tw/cdm-fhir/ValueSet/nhi-ngs-payment from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
ref-1	error	ServiceRequest.subject, ServiceRequest.requester	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from TWCoreServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest			TWCoreServiceRequest
status				Required Pattern: active
intent				Required Pattern: plan
code
coding		1..
Slices for coding				Content/Rules for all slices
coding:nhi-ngs-payment		1..1		基因定序檢測的申請項目醫令代碼 Binding: NHI-NGS檢驗給付項目值集 (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://www.ghd.tw/cdm-fhir/ValueSet/nhi-ngs-payment from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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	string	Logical id of this artifact
meta	ΣN	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 Bindings Purpose AllLanguages Max Binding
text	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	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	ΣCN	0..*	Reference(TW Core CarePlan | TW Core ServiceRequest | TW Core MedicationRequest)	What request fulfills ref-1: SHALL have a contained resource if a local reference is provided
replaces	ΣCN	0..*	Reference(TW Core ServiceRequest)	What request replaces ref-1: SHALL have a contained resource if a local reference is provided
requisition	ΣN	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: active
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: plan
Slices for category	SΣN	0..*	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:All Slices				Content/Rules for all slices
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣN	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
category:twcore	SΣN	0..*	CodeableConcept	Classification of service Binding: 臺灣衛福部資訊處ServiceRequest類型值集 (required): 此slice綁定的值集之綁定強度雖為最高強度「要求使用(Requird)」，但因slice之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	ΣN	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if service/procedure should not be performed
code	SΣN	1..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: ProcedureCodes(SNOMEDCT) (example): 此資料項目實作者可視實務專案需求只綁定以下slices中的任一值集。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
Slices for coding	SΣN	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2023	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2021	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:icd10-pcs-2014	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:medical-service-payment	SΣN	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)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:sct-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: ProcedureCodes(SNOMEDCT) (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:loinc-procedures	SΣN	0..1	CodingTW	由專門術語系統（terminology system）定義的代碼 Binding: LOINCCodes (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
coding:nhi-ngs-payment	SΣN	1..1	CodingTW	基因定序檢測的申請項目醫令代碼 Binding: NHI-NGS檢驗給付項目值集 (required)
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension	N	0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	0..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
orderDetail	ΣCN	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
quantity[x]	ΣN	0..1		Service amount
quantityQuantity			Quantity
quantityRatio			Ratio
quantityRange			Range
subject	SΣCN	1..1	Reference(TW Core Patient S | Group | TW Core Location | TW Core Implantable Device)	Individual or Entity the service is ordered for ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣCN	0..1	Reference(TW Core Encounter)	Encounter in which the request was created ref-1: SHALL have a contained resource if a local reference is provided
occurrence[x]	SΣN	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
asNeeded[x]	ΣN	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	SΣCN	0..1	Reference(TW Core Practitioner S | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core RelatedPerson | TW Core Implantable Device)	Who/what is requesting service ref-1: SHALL have a contained resource if a local reference is provided
performerType	ΣN	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	ΣCN	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam | HealthcareService | TW Core Patient | Device | TW Core RelatedPerson)	Requested performer ref-1: SHALL have a contained resource if a local reference is provided
locationCode	ΣN	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	ΣCN	0..*	Reference(TW Core Location)	Requested location ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	ΣN	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: SNOMED CT診斷代碼值集 (extensible): Diagnosis or problem codes justifying the reason for requesting the service investigation.
reasonReference	ΣCN	0..*	Reference(TW Core Condition | TW Core Observation Clinical Result | TW Core DiagnosticReport | TW Core DocumentReference)	Explanation/Justification for service or service ref-1: SHALL have a contained resource if a local reference is provided
insurance	CN	0..*	Reference(TW Core Coverage | ClaimResponse)	Associated insurance coverage ref-1: SHALL have a contained resource if a local reference is provided
supportingInfo	CN	0..*	Reference(Resource)	Additional clinical information ref-1: SHALL have a contained resource if a local reference is provided
specimen	ΣCN	0..*	Reference(TW Core Specimen)	Procedure Samples ref-1: SHALL have a contained resource if a local reference is provided
bodySite	ΣN	0..*	CodeableConcept	Location on Body Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
note	N	0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory	CN	0..*	Reference(Provenance)	Request provenance ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ServiceRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard
ServiceRequest.intent	required	Pattern: plan http://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard
ServiceRequest.category	example	ServiceRequestCategoryCodes http://hl7.org/fhir/ValueSet/servicerequest-category from the FHIR Standard
ServiceRequest.category:twcore	required	TWServiceRequestCategory https://twcore.mohw.gov.tw/ig/twcore/ValueSet/serviceRequest-category
ServiceRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
ServiceRequest.code	example	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:icd10-pcs-2023	required	TW2023ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw
ServiceRequest.code.coding:icd10-pcs-2021	required	TW2021ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw
ServiceRequest.code.coding:icd10-pcs-2014	required	TW2014ICD10PCS https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2014-tw
ServiceRequest.code.coding:medical-service-payment	required	TWMedicalServicePayment https://twcore.mohw.gov.tw/ig/twcore/ValueSet/procedure-tw
ServiceRequest.code.coding:sct-procedures	required	ProcedureCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
ServiceRequest.code.coding:loinc-procedures	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
ServiceRequest.code.coding:nhi-ngs-payment	required	NHINGSPayment https://www.ghd.tw/cdm-fhir/ValueSet/nhi-ngs-payment from this IG
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes http://hl7.org/fhir/ValueSet/servicerequest-orderdetail from the FHIR Standard
ServiceRequest.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
ServiceRequest.performerType	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	TWConditionCodeSCT https://twcore.mohw.gov.tw/ig/twcore/ValueSet/condition-code-sct-tw
ServiceRequest.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ServiceRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ServiceRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ServiceRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ServiceRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
prr-1	error	ServiceRequest	orderDetail SHALL only be present if code is present : orderDetail.empty() or code.exists()
ref-1	error	ServiceRequest.basedOn, ServiceRequest.replaces, ServiceRequest.subject, ServiceRequest.encounter, ServiceRequest.requester, ServiceRequest.performer, ServiceRequest.locationReference, ServiceRequest.reasonReference, ServiceRequest.insurance, ServiceRequest.supportingInfo, ServiceRequest.specimen, ServiceRequest.relevantHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from TWCoreServiceRequest

Summary

Mandatory: 0 element(2 nested mandatory elements)