description: 此事前審查品項-MedicationRequest Apply TWPAS Profile說明本IG如何進一步定義臺灣核心-藥品請求(TW Core MedicationRequest) Profile以呈現癌藥事前審查中申請項目之事前審查品項
package_name: tw.gov.mohw.nhi.pas
derivation: constraint
name: MedicationRequestApplyTWPAS
type: MedicationRequest
elements:
  status:
    pattern: {type: code, value: on-hold}
    type: code
    index: 0
  intent:
    pattern: {type: code, value: plan}
    type: code
    index: 1
  medication:
    mustSupport: true
    choices: [medicationCodeableConcept]
    index: 9
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema:
            mustSupport: true
            choices: [medicationCodeableConcept]
            _required: true
            index: 9
          min: 1
  medicationCodeableConcept:
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 10
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, mustSupport: true, choiceOf: medication, _required: true, index: 10}
          min: 1
  medicationReference:
    type: Reference
    choiceOf: medication
    refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore']
    index: 7
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            type: Reference
            choiceOf: medication
            refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Medication-twcore']
            index: 7
          max: 0
  medication[x]:
    elements:
      coding:
        index: 11
        slicing:
          slices:
            fda-medication-tw:
              match: {}
              schema: {index: 12}
              max: 0
            nhi-medication-tw:
              match: {}
              schema: {index: 13}
              max: 0
            nhi-medication-ch-herb-tw:
              match: {}
              schema: {index: 14}
              max: 0
            rxnorm-medication-us-core:
              match: {}
              schema: {index: 15}
              max: 0
            atc-medication-code:
              match: {}
              schema: {index: 16}
              max: 0
            snomedct-medication-codes:
              match: {}
              schema: {index: 17}
              max: 0
            nhi-medication:
              match: {}
              schema:
                short: 事前審查品項代碼。
                binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-medication'}
                mustSupport: true
                _required: true
                index: 18
              min: 1
              max: 1
    required: [coding]
  subject:
    type: Reference
    refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas']
    index: 19
  dosageInstruction:
    index: 20
    elements:
      timing:
        index: 21
        elements:
          repeat:
            mustSupport: true
            index: 22
            elements:
              bounds:
                mustSupport: true
                choices: [boundsPeriod]
                index: 24
              boundsPeriod: {type: Period, mustSupport: true, choiceOf: bounds, index: 25}
              bounds[x]:
                elements:
                  start: {short: 事前審查藥物預定處方起始日期，YYYY-MM-DD，西元年月日。, mustSupport: true, index: 26}
                  end: {short: 事前審查藥物預定處方終止日期，YYYY-MM-DD，西元年月日。, mustSupport: true, index: 27}
                required: [end, start]
              count: {short: 事前審查藥品處方頻次(cycles)。, mustSupport: true, index: 28}
            required: [bounds, boundsPeriod, count]
          code:
            short: 事前審查藥品使用頻率及服用時間。
            binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi'}
            index: 29
            elements:
              coding:
                short: 事前審查藥品使用頻率及服用時間。
                binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/medication-frequency-hl7-nhi'}
                index: 30
            required: [coding]
        required: [code, repeat]
      route:
        short: 給藥途徑／作用部位。
        binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw'}
        index: 31
        elements:
          coding:
            short: 給藥途徑／作用部位。
            binding: {strength: required, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/medication-path-sct-tw'}
            index: 32
        required: [coding]
      doseAndRate:
        mustSupport: true
        index: 33
        elements:
          dose:
            mustSupport: true
            choices: [doseQuantity]
            index: 35
          doseQuantity: {type: Quantity, mustSupport: true, choiceOf: dose, index: 36}
          dose[x]:
            elements:
              value: {short: 事前審查藥品每次處方劑量，數字。, mustSupport: true, index: 37}
              system:
                short: 事前審查藥品每次處方劑量單位之代碼系統，固定為「http://unitsofmeasure.org」。
                pattern: {type: uri, value: 'http://unitsofmeasure.org'}
                type: uri
                index: 38
              code:
                short: 事前審查藥品每次處方劑量單位，每次使用之顆數、mL數、支數等。
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/ucum-common'}
                mustSupport: true
                index: 39
            required: [code, system, value]
        required: [dose, doseQuantity]
    required: [doseAndRate, route, timing]
package_version: 1.0.4
class: profile
kind: resource
url: https://nhicore.nhi.gov.tw/pas/StructureDefinition/MedicationRequest-apply-twpas
base: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore
version: 1.0.4
required: [dosageInstruction, medication, medicationCodeableConcept]