臺灣次世代基因定序檢測實作指引
1.0.1 - ci-build

臺灣次世代基因定序檢測實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/ngs/ and changes regularly. See the Directory of published versions

Resource Profile: 基因定序檢測證明文件-Composition TWNGS

Official URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Composition-twngs Version: 1.0.1
Active as of 2025-12-18 Computable Name: CompositionTWNGS

此基因定序檢測證明文件-Composition TWNGSS Profile說明本IG如何進一步定義FHIR的Condition Resource以呈現健保次世代基因定序檢測報告之證明文件

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... type S 1..1 CodeableConceptTW 申報類別
Binding: NHI-健保NGS-申報類別值集 (required)
... category S 1..1 CodeableConceptTW 案件分類
Binding: NHI-健保NGS-案件分類 (required)
... subject SΣ 1..1 Reference(TW Core Patient | Group | Device | Substance | TW Core Location) Composition是關於誰和/或什麼
... date SΣ 1..1 dateTime 申報日期
... author SΣ 1..1 Reference(醫事機構-Organization TWNGS) 誰和/或什麼創建了這個Composition
... title SΣ 1..1 string 人類可讀的名稱/標題
... attester S 0..* BackboneElement 證明Composition的準確性
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... section SC 1..* BackboneElement Composition被分成一個或數個小節
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
.... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... Slices for entry SC 8..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
Slice: Unordered, Open by profile:$this.resolve()
..... entry:diagnosticReport SC 1..1 Reference(基因定序檢測報告-DiagnosticReport TWNGS) 基因定序檢測報告-DiagnosticReport TWNGS
..... entry:condition SC 1..1 Reference(基因定序檢測報告之疾病資訊-Condition TWNGS) 基因定序檢測報告之疾病資訊-Condition TWNGS
..... entry:gene-organization SC 1..1 Reference(基因檢測機構-Organization Gene TWNGS) 基因檢測機構-Organization Gene TWNGS
..... entry:specimen SC 1..* Reference(基因檢測檢體-Specimen TWNGS) 基因檢測檢體-Specimen TWNGS
..... entry:device SC 1..* Reference(基因定序檢測裝置-Device TWNGS) 基因定序檢測裝置-Device TWNGS
..... entry:documentReference SC 1..* Reference(基因報告-DocumentReference TWNGS) 基因報告-DocumentReference TWNGS
..... entry:observation SC 1..* Reference(基因資訊-Observation TWNGS) 基因資訊-Observation TWNGS
..... entry:serviceRequest SC 1..* Reference(基因定序檢測申請項目-ServiceRequest TWNGS) 基因定序檢測申請項目-ServiceRequest TWNGS

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required NHI-健保NGS-申報類別值集 📦1.0.1 This IG
Composition.category Base required NHI-健保NGS-案件分類 📦1.0.1 This IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section.​code Base extensible LOINC Code Document Section值集 📦2.77 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

This structure is derived from TWCoreComposition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition TWCoreComposition
... type 1..1 CodeableConceptTW 申報類別
Binding: NHI-健保NGS-申報類別值集 (required)
... category S 1..1 CodeableConceptTW 案件分類
Binding: NHI-健保NGS-案件分類 (required)
... subject 1..1 Reference(TW Core Patient | Group | Device | Substance | TW Core Location) Composition是關於誰和/或什麼
... author 1..1 Reference(醫事機構-Organization TWNGS) 誰和/或什麼創建了這個Composition
... section 1..* BackboneElement Composition被分成一個或數個小節
.... Slices for entry 8..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
Slice: Unordered, Open by profile:$this.resolve()
..... entry:diagnosticReport S 1..1 Reference(基因定序檢測報告-DiagnosticReport TWNGS) 基因定序檢測報告-DiagnosticReport TWNGS
..... entry:condition S 1..1 Reference(基因定序檢測報告之疾病資訊-Condition TWNGS) 基因定序檢測報告之疾病資訊-Condition TWNGS
..... entry:gene-organization S 1..1 Reference(基因檢測機構-Organization Gene TWNGS) 基因檢測機構-Organization Gene TWNGS
..... entry:specimen S 1..* Reference(基因檢測檢體-Specimen TWNGS) 基因檢測檢體-Specimen TWNGS
..... entry:device S 1..* Reference(基因定序檢測裝置-Device TWNGS) 基因定序檢測裝置-Device TWNGS
..... entry:documentReference S 1..* Reference(基因報告-DocumentReference TWNGS) 基因報告-DocumentReference TWNGS
..... entry:observation S 1..* Reference(基因資訊-Observation TWNGS) 基因資訊-Observation TWNGS
..... entry:serviceRequest S 1..* Reference(基因定序檢測申請項目-ServiceRequest TWNGS) 基因定序檢測申請項目-ServiceRequest TWNGS

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.type Base required NHI-健保NGS-申報類別值集 📦1.0.1 This IG
Composition.category Base required NHI-健保NGS-案件分類 📦1.0.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Composition Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative Composition Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource 內嵌的(contained)、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected +
Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。
... type S 1..1 CodeableConceptTW 申報類別
Binding: NHI-健保NGS-申報類別值集 (required)
... category S 1..1 CodeableConceptTW 案件分類
Binding: NHI-健保NGS-案件分類 (required)
... subject SΣ 1..1 Reference(TW Core Patient | Group | Device | Substance | TW Core Location) Composition是關於誰和/或什麼
... encounter Σ 0..1 Reference(TW Core Encounter) Composition的情境
... date SΣ 1..1 dateTime 申報日期
... author SΣ 1..1 Reference(醫事機構-Organization TWNGS) 誰和/或什麼創建了這個Composition
... title SΣ 1..1 string 人類可讀的名稱/標題
... confidentiality Σ 0..1 code 根據特定技術領域的定義
Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
... attester S 0..* BackboneElement 證明Composition的準確性
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
.... time 0..1 dateTime 此Composition被證明的時間
.... party 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) 誰證明了此Composition
... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... relatesTo 0..* BackboneElement 與其他Composition/文件之間的關係
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
.... target[x] 1..1 此關係的目標文件
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement 正在記錄的臨床服務
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..* CodeableConceptTW 此代碼表代表了正在被記錄的主要臨床行為
Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
.... period Σ 0..1 Period 文件所涵蓋的時間區間
.... detail Σ 0..* Reference(Resource) 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
... section SC 1..* BackboneElement Composition被分成一個或數個小節
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string 小節標籤(例如：目錄ToC)
.... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
.... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
.... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
.... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
.... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
.... Slices for entry SC 8..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
Slice: Unordered, Open by profile:$this.resolve()
..... entry:diagnosticReport SC 1..1 Reference(基因定序檢測報告-DiagnosticReport TWNGS) 基因定序檢測報告-DiagnosticReport TWNGS
..... entry:condition SC 1..1 Reference(基因定序檢測報告之疾病資訊-Condition TWNGS) 基因定序檢測報告之疾病資訊-Condition TWNGS
..... entry:gene-organization SC 1..1 Reference(基因檢測機構-Organization Gene TWNGS) 基因檢測機構-Organization Gene TWNGS
..... entry:specimen SC 1..* Reference(基因檢測檢體-Specimen TWNGS) 基因檢測檢體-Specimen TWNGS
..... entry:device SC 1..* Reference(基因定序檢測裝置-Device TWNGS) 基因定序檢測裝置-Device TWNGS
..... entry:documentReference SC 1..* Reference(基因報告-DocumentReference TWNGS) 基因報告-DocumentReference TWNGS
..... entry:observation SC 1..* Reference(基因資訊-Observation TWNGS) 基因資訊-Observation TWNGS
..... entry:serviceRequest SC 1..* Reference(基因定序檢測申請項目-ServiceRequest TWNGS) 基因定序檢測申請項目-ServiceRequest TWNGS
.... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
.... section C 0..* See section (Composition) 嵌套的小節

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required NHI-健保NGS-申報類別值集 📦1.0.1 This IG
Composition.category Base required NHI-健保NGS-案件分類 📦1.0.1 This IG
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base extensible LOINC Code Document Section值集 📦2.77 臺灣核心實作指引 v0.3
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📦4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... type S 1..1 CodeableConceptTW 申報類別
Binding: NHI-健保NGS-申報類別值集 (required)
... category S 1..1 CodeableConceptTW 案件分類
Binding: NHI-健保NGS-案件分類 (required)
... subject SΣ 1..1 Reference(TW Core Patient | Group | Device | Substance | TW Core Location) Composition是關於誰和/或什麼
... date SΣ 1..1 dateTime 申報日期
... author SΣ 1..1 Reference(醫事機構-Organization TWNGS) 誰和/或什麼創建了這個Composition
... title SΣ 1..1 string 人類可讀的名稱/標題
... attester S 0..* BackboneElement 證明Composition的準確性
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... section SC 1..* BackboneElement Composition被分成一個或數個小節
Constraints: cmp-1, cmp-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
.... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... Slices for entry SC 8..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
Slice: Unordered, Open by profile:$this.resolve()
..... entry:diagnosticReport SC 1..1 Reference(基因定序檢測報告-DiagnosticReport TWNGS) 基因定序檢測報告-DiagnosticReport TWNGS
..... entry:condition SC 1..1 Reference(基因定序檢測報告之疾病資訊-Condition TWNGS) 基因定序檢測報告之疾病資訊-Condition TWNGS
..... entry:gene-organization SC 1..1 Reference(基因檢測機構-Organization Gene TWNGS) 基因檢測機構-Organization Gene TWNGS
..... entry:specimen SC 1..* Reference(基因檢測檢體-Specimen TWNGS) 基因檢測檢體-Specimen TWNGS
..... entry:device SC 1..* Reference(基因定序檢測裝置-Device TWNGS) 基因定序檢測裝置-Device TWNGS
..... entry:documentReference SC 1..* Reference(基因報告-DocumentReference TWNGS) 基因報告-DocumentReference TWNGS
..... entry:observation SC 1..* Reference(基因資訊-Observation TWNGS) 基因資訊-Observation TWNGS
..... entry:serviceRequest SC 1..* Reference(基因定序檢測申請項目-ServiceRequest TWNGS) 基因定序檢測申請項目-ServiceRequest TWNGS

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required NHI-健保NGS-申報類別值集 📦1.0.1 This IG
Composition.category Base required NHI-健保NGS-案件分類 📦1.0.1 This IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.section.​code Base extensible LOINC Code Document Section值集 📦2.77 臺灣核心實作指引 v0.3

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

Differential View

This structure is derived from TWCoreComposition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition TWCoreComposition
... type 1..1 CodeableConceptTW 申報類別
Binding: NHI-健保NGS-申報類別值集 (required)
... category S 1..1 CodeableConceptTW 案件分類
Binding: NHI-健保NGS-案件分類 (required)
... subject 1..1 Reference(TW Core Patient | Group | Device | Substance | TW Core Location) Composition是關於誰和/或什麼
... author 1..1 Reference(醫事機構-Organization TWNGS) 誰和/或什麼創建了這個Composition
... section 1..* BackboneElement Composition被分成一個或數個小節
.... Slices for entry 8..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
Slice: Unordered, Open by profile:$this.resolve()
..... entry:diagnosticReport S 1..1 Reference(基因定序檢測報告-DiagnosticReport TWNGS) 基因定序檢測報告-DiagnosticReport TWNGS
..... entry:condition S 1..1 Reference(基因定序檢測報告之疾病資訊-Condition TWNGS) 基因定序檢測報告之疾病資訊-Condition TWNGS
..... entry:gene-organization S 1..1 Reference(基因檢測機構-Organization Gene TWNGS) 基因檢測機構-Organization Gene TWNGS
..... entry:specimen S 1..* Reference(基因檢測檢體-Specimen TWNGS) 基因檢測檢體-Specimen TWNGS
..... entry:device S 1..* Reference(基因定序檢測裝置-Device TWNGS) 基因定序檢測裝置-Device TWNGS
..... entry:documentReference S 1..* Reference(基因報告-DocumentReference TWNGS) 基因報告-DocumentReference TWNGS
..... entry:observation S 1..* Reference(基因資訊-Observation TWNGS) 基因資訊-Observation TWNGS
..... entry:serviceRequest S 1..* Reference(基因定序檢測申請項目-ServiceRequest TWNGS) 基因定序檢測申請項目-ServiceRequest TWNGS

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Composition.type Base required NHI-健保NGS-申報類別值集 📦1.0.1 This IG
Composition.category Base required NHI-健保NGS-案件分類 📦1.0.1 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* TWCoreComposition 將一組resources組成一份連貫的臨床聲明，並附有臨床證明。
... id Σ 0..1 id 不重複的ID用以識別儲存在特定FHIR Server中的Composition紀錄，通常又稱為邏輯性ID。
... meta Σ 0..1 Meta 此Composition Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... text 0..1 Narrative Composition Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource 內嵌的(contained)、行內的Resources
... extension 0..* Extension 擴充的資料項目
... modifierExtension ?! 0..* Extension 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。
... identifier SΣ 0..1 Identifier 不分版本的臨床文件架構(Composition)識別碼。
... status ?!SΣ 1..1 code registered | partial | preliminary | final | amended | corrected +
Binding: CompositionStatus (required): Composition的工作流程/臨床狀態；應填入所綁定值集中的其中一個代碼。
... type S 1..1 CodeableConceptTW 申報類別
Binding: NHI-健保NGS-申報類別值集 (required)
... category S 1..1 CodeableConceptTW 案件分類
Binding: NHI-健保NGS-案件分類 (required)
... subject SΣ 1..1 Reference(TW Core Patient | Group | Device | Substance | TW Core Location) Composition是關於誰和/或什麼
... encounter Σ 0..1 Reference(TW Core Encounter) Composition的情境
... date SΣ 1..1 dateTime 申報日期
... author SΣ 1..1 Reference(醫事機構-Organization TWNGS) 誰和/或什麼創建了這個Composition
... title SΣ 1..1 string 人類可讀的名稱/標題
... confidentiality Σ 0..1 code 根據特定技術領域的定義
Binding: v3.ConfidentialityClassification (2014-03-26) (required): 應填入所綁定值集中的其中一個代碼。
... attester S 0..* BackboneElement 證明Composition的準確性
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): 認證者提供的認證類型；應填入所綁定值集中的其中一個代碼。
.... time 0..1 dateTime 此Composition被證明的時間
.... party 0..1 Reference(TW Core Patient | TW Core RelatedPerson | TW Core Practitioner | TW Core PractitionerRole | TW Core Organization) 誰證明了此Composition
... custodian SΣ 0..1 Reference(TW Core Organization) 維護Composition的機構
... relatesTo 0..* BackboneElement 與其他Composition/文件之間的關係
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): 檔案之間的關係型別；應填入所綁定值集中的其中一個代碼。
.... target[x] 1..1 此關係的目標文件
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event Σ 0..* BackboneElement 正在記錄的臨床服務
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..* CodeableConceptTW 此代碼表代表了正在被記錄的主要臨床行為
Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
.... period Σ 0..1 Period 文件所涵蓋的時間區間
.... detail Σ 0..* Reference(Resource) 在描述被記錄下來的事件，這些事件可以是以代碼的形式、參考資料的形式，或者兩者都有的形式來呈現。
... section SC 1..* BackboneElement Composition被分成一個或數個小節
Constraints: cmp-1, cmp-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... title 0..1 string 小節標籤(例如：目錄ToC)
.... code S 0..1 CodeableConceptTW 小節分類(建議)
Binding: LOINC Code Document Section值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
.... author 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core Patient | Device | TW Core RelatedPerson) 誰和/或什麼人撰寫了該小節
.... focus 0..1 Reference(Resource) 當小節與composition描述的對象無關時，此小節是關於誰/什麼。
.... text SC 0..1 Narrative 將文件中特定小節的內容簡化成容易理解的文字形式，便於人類閱讀和解釋。
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... mode 0..1 code 適用於此小節的處理模式
Binding: ListMode (required): 應填入所綁定值集中的其中一個代碼。
.... orderedBy 0..1 CodeableConceptTW 小節條目的順序
Binding: ListOrderCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
.... Slices for entry SC 8..* Reference(Resource) 提供一個連結用於參照或查看支持此小節內容的資料
Slice: Unordered, Open by profile:$this.resolve()
..... entry:diagnosticReport SC 1..1 Reference(基因定序檢測報告-DiagnosticReport TWNGS) 基因定序檢測報告-DiagnosticReport TWNGS
..... entry:condition SC 1..1 Reference(基因定序檢測報告之疾病資訊-Condition TWNGS) 基因定序檢測報告之疾病資訊-Condition TWNGS
..... entry:gene-organization SC 1..1 Reference(基因檢測機構-Organization Gene TWNGS) 基因檢測機構-Organization Gene TWNGS
..... entry:specimen SC 1..* Reference(基因檢測檢體-Specimen TWNGS) 基因檢測檢體-Specimen TWNGS
..... entry:device SC 1..* Reference(基因定序檢測裝置-Device TWNGS) 基因定序檢測裝置-Device TWNGS
..... entry:documentReference SC 1..* Reference(基因報告-DocumentReference TWNGS) 基因報告-DocumentReference TWNGS
..... entry:observation SC 1..* Reference(基因資訊-Observation TWNGS) 基因資訊-Observation TWNGS
..... entry:serviceRequest SC 1..* Reference(基因定序檢測申請項目-ServiceRequest TWNGS) 基因定序檢測申請項目-ServiceRequest TWNGS
.... emptyReason 0..1 CodeableConceptTW 為什麼此小節是空的原因
Binding: ListEmptyReasons (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
.... section C 0..* See section (Composition) 嵌套的小節

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Composition.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Composition.status Base required CompositionStatus 📍4.0.1 FHIR Std.
Composition.type Base required NHI-健保NGS-申報類別值集 📦1.0.1 This IG
Composition.category Base required NHI-健保NGS-案件分類 📦1.0.1 This IG
Composition.confidentiality Base required V3 Value SetConfidentialityClassification 📍2014-03-26 FHIR Std.
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 FHIR Std.
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.0
Composition.section.​code Base extensible LOINC Code Document Section值集 📦2.77 臺灣核心實作指引 v0.3
Composition.section.​mode Base required ListMode 📍4.0.1 FHIR Std.
Composition.section.​orderedBy Base preferred List Order Codes 📦4.0.1 FHIR Std.
Composition.section.​emptyReason Base preferred List Empty Reasons 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cmp-1 error Composition.section A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

 

Other representations of profile: CSV, Excel, Schematron