Profile Comparison between https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs vs https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs

Left:基因資訊-Observation TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs)
Right:基因資訊-Observation TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs)

Messages

ErrorStructureDefinition.versionValues for version differ: '1.0.0' vs '1.0.1'
InformationStructureDefinition.dateValues for date differ: '2025-07-22T15:53:57+08:00' vs '2026-10-14T06:34:12+00:00'
InformationStructureDefinition.jurisdictionAdded the item 'null#null'
InformationObservation.languageExample/preferred bindings differ at Observation.language using binding from ObservationTWNGS
InformationStructureDefinition.shortValues for short differ: 'NGS檢測編號(VPN取號),編號由「適用癌別+取號西元年+流水號5碼」組成。' vs '流水號,編號由「院所代碼(10碼)+醫事類別(2碼)+費用年月(yyyymm01,8碼)+申報類別(1送核/2補報)+申報日期(yyyymmdd,8碼,填寫為補報時才會有這個日期)」組成。'
InformationObservation.categoryExample/preferred bindings differ at Observation.category using binding from ObservationTWNGS
InformationObservation.referenceRange.typeExample/preferred bindings differ at Observation.referenceRange.type using binding from ObservationTWNGS

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Observation
      copyright
        date2025-07-22T15:53:57+08:002026-10-14T06:34:12+00:00
        • Values Differ
        description此基因資訊-Observation TWNGS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現次世代基因定序檢測之基因資訊
          experimental
            fhirVersion4.0.1
              jurisdiction
                jurisdiction / jurisdiction[0]null#null
                • Added the item 'null#null'
                kindresource
                  nameObservationTWNGS
                    publisher衛生福利部中央健康保險署
                      purpose
                        statusactive
                          title基因資訊-Observation TWNGS
                            typeObservation
                              urlhttps://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs
                                version1.0.01.0.1
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                Observation C0..*ObservationMeasurements and simple assertions
                                C0..*ObservationMeasurements and simple assertions
                                  Observation.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                                    Observation.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                                      Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                                        Observation.language 0..1codeLanguage of the resource content
                                        Binding: ?? (preferred): A human language.
                                        Additional BindingsPurpose
                                        ??Max Binding
                                        0..1codeLanguage of the resource content
                                        Binding: ?? (preferred): A human language.
                                        Additional BindingsPurpose
                                        ??Max Binding
                                        • Example/preferred bindings differ at Observation.language using binding from ObservationTWNGS
                                        Observation.text 0..1NarrativeText summary of the resource, for human interpretation
                                        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                        0..1NarrativeText summary of the resource, for human interpretation
                                        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                          Observation.contained 0..*ResourceContained, inline Resources
                                          0..*ResourceContained, inline Resources
                                            Observation.extension 0..*ExtensionAdditional content defined by implementations
                                            0..*ExtensionAdditional content defined by implementations
                                              Observation.modifierExtension This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                              This element is a modifier element. 0..*ExtensionExtensions that cannot be ignored
                                                Observation.identifier This element must be supported. This element is included in summaries. 1..1IdentifierNGS檢測編號(VPN取號),編號由「適用癌別+取號西元年+流水號5碼」組成。
                                                This element must be supported. This element is included in summaries. 1..1Identifier流水號,編號由「院所代碼(10碼)+醫事類別(2碼)+費用年月(yyyymm01,8碼)+申報類別(1送核/2補報)+申報日期(yyyymmdd,8碼,填寫為補報時才會有這個日期)」組成。
                                                  Observation.identifier.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                    Observation.identifier.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                    Slice: Unordered, Open by value:url
                                                    0..*ExtensionAdditional content defined by implementations
                                                    Slice: Unordered, Open by value:url
                                                      Observation.identifier.use This element is a modifier element. This element is included in summaries. 0..1codeusual | official | temp | secondary | old (If known)
                                                      Binding: ?? (required): Identifies the purpose for this identifier, if known .
                                                      This element is a modifier element. This element is included in summaries. 0..1codeusual | official | temp | secondary | old (If known)
                                                      Binding: ?? (required): Identifies the purpose for this identifier, if known .
                                                        Observation.identifier.type This element is included in summaries. 0..1CodeableConceptDescription of identifier
                                                        Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
                                                        This element is included in summaries. 0..1CodeableConceptDescription of identifier
                                                        Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
                                                          Observation.identifier.system This element is included in summaries. 0..1uriThe namespace for the identifier value
                                                          Example General: http://www.acme.com/identifiers/patient
                                                          This element is included in summaries. 0..1uriThe namespace for the identifier value
                                                          Example General: http://www.acme.com/identifiers/patient
                                                            Observation.identifier.value This element must be supported. This element is included in summaries. 0..1stringThe value that is unique
                                                            Example General: 123456
                                                            This element must be supported. This element is included in summaries. 0..1stringThe value that is unique
                                                            Example General: 123456
                                                              Observation.identifier.period This element is included in summaries. 0..1PeriodTime period when id is/was valid for use This element is included in summaries. 0..1PeriodTime period when id is/was valid for use
                                                                Observation.identifier.assigner This element is included in summaries. 0..1Reference(Organization)Organization that issued id (may be just text) This element is included in summaries. 0..1Reference(Organization)Organization that issued id (may be just text)
                                                                  Observation.basedOn This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                                  This element is included in summaries. 0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
                                                                    Observation.partOf This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                                    This element is included in summaries. 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
                                                                      Observation.status This element is a modifier element. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                                      Binding: ?? (required): Codes providing the status of an observation.
                                                                      This element is a modifier element. This element is included in summaries. 1..1coderegistered | preliminary | final | amended +
                                                                      Binding: ?? (required): Codes providing the status of an observation.
                                                                        Observation.category 0..*CodeableConceptClassification of type of observation
                                                                        Binding: ?? (preferred): Codes for high level observation categories.
                                                                        0..*CodeableConceptClassification of type of observation
                                                                        Binding: ?? (preferred): Codes for high level observation categories.
                                                                        • Example/preferred bindings differ at Observation.category using binding from ObservationTWNGS
                                                                        Observation.code This element is included in summaries. 1..1CodeableConceptType of observation (code / type)
                                                                        Binding: ?? (example): Codes identifying names of simple observations.
                                                                        This element is included in summaries. 1..1CodeableConceptType of observation (code / type)
                                                                        Binding: ?? (example): Codes identifying names of simple observations.
                                                                          Observation.code.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                            Observation.code.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                            Slice: Unordered, Open by value:url
                                                                            0..*ExtensionAdditional content defined by implementations
                                                                            Slice: Unordered, Open by value:url
                                                                              Observation.code.coding This element is included in summaries. 1..1CodingCode defined by a terminology system
                                                                              This element is included in summaries. 1..1CodingCode defined by a terminology system
                                                                                Observation.code.coding.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                  Observation.code.coding.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                  0..*ExtensionAdditional content defined by implementations
                                                                                  Slice: Unordered, Open by value:url
                                                                                    Observation.code.coding.system This element is included in summaries. 0..1uriIdentity of the terminology system
                                                                                    Required Pattern: http://loinc.org
                                                                                    This element is included in summaries. 0..1uriIdentity of the terminology system
                                                                                    Required Pattern: http://loinc.org
                                                                                      Observation.code.coding.version This element is included in summaries. 0..1stringVersion of the system - if relevant This element is included in summaries. 0..1stringVersion of the system - if relevant
                                                                                        Observation.code.coding.code This element must be supported. This element is included in summaries. 1..1codeSymbol in syntax defined by the system
                                                                                        Required Pattern: 69548-6
                                                                                        This element must be supported. This element is included in summaries. 1..1codeSymbol in syntax defined by the system
                                                                                        Required Pattern: 69548-6
                                                                                          Observation.code.coding.display This element is included in summaries. 0..1stringRepresentation defined by the system This element is included in summaries. 0..1stringRepresentation defined by the system
                                                                                            Observation.code.coding.userSelected This element is included in summaries. 0..1booleanIf this coding was chosen directly by the user This element is included in summaries. 0..1booleanIf this coding was chosen directly by the user
                                                                                              Observation.code.text This element is included in summaries. 0..1stringPlain text representation of the concept This element is included in summaries. 0..1stringPlain text representation of the concept
                                                                                                Observation.subject This element must be supported. This element is included in summaries. 1..1Reference(病人資訊-Patient TWNGS)病人資訊 This element must be supported. This element is included in summaries. 1..1Reference(病人資訊-Patient TWNGS)病人資訊
                                                                                                  Observation.focus This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                                                  This element is included in summaries. 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
                                                                                                    Observation.encounter This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made This element is included in summaries. 0..1Reference(Encounter)Healthcare event during which this observation is made
                                                                                                      Observation.effective[x] This element must be supported. This element is included in summaries. 1..1dateTime基因檢測日期 This element must be supported. This element is included in summaries. 1..1dateTime基因檢測日期
                                                                                                        Observation.issued This element is included in summaries. 0..1instantDate/Time this version was made available This element is included in summaries. 0..1instantDate/Time this version was made available
                                                                                                          Observation.performer This element must be supported. This element is included in summaries. 1..1Reference(基因檢測機構-Organization Gene TWNGS)基因檢測機構,衛福部公告名冊或LDTs核定函上之「案件編號」
                                                                                                          This element must be supported. This element is included in summaries. 1..1Reference(基因檢測機構-Organization Gene TWNGS)基因檢測機構,衛福部公告名冊或LDTs核定函上之「案件編號」
                                                                                                            Observation.value[x] This element must be supported. This element is included in summaries. C1..1CodeableConcept基因檢測分析結果 This element must be supported. This element is included in summaries. C1..1CodeableConcept基因檢測分析結果
                                                                                                              Observation.value[x].id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                Observation.value[x].Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                Slice: Unordered, Open by value:url
                                                                                                                0..*ExtensionAdditional content defined by implementations
                                                                                                                Slice: Unordered, Open by value:url
                                                                                                                  Observation.value[x].coding This element must be supported. This element is included in summaries. 1..1CodingCode defined by a terminology system
                                                                                                                  This element must be supported. This element is included in summaries. 1..1CodingCode defined by a terminology system
                                                                                                                    Observation.value[x].coding.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                      Observation.value[x].coding.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                      Slice: Unordered, Open by value:url
                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                      Slice: Unordered, Open by value:url
                                                                                                                        Observation.value[x].coding.system This element is included in summaries. 0..1uriIdentity of the terminology system This element is included in summaries. 0..1uriIdentity of the terminology system
                                                                                                                          Observation.value[x].coding.version This element is included in summaries. 0..1stringVersion of the system - if relevant This element is included in summaries. 0..1stringVersion of the system - if relevant
                                                                                                                            Observation.value[x].coding.code This element must be supported. This element is included in summaries. 1..1codeSymbol in syntax defined by the system This element must be supported. This element is included in summaries. 1..1codeSymbol in syntax defined by the system
                                                                                                                              Observation.value[x].coding.display This element is included in summaries. 0..1stringRepresentation defined by the system This element is included in summaries. 0..1stringRepresentation defined by the system
                                                                                                                                Observation.value[x].coding.userSelected This element is included in summaries. 0..1booleanIf this coding was chosen directly by the user This element is included in summaries. 0..1booleanIf this coding was chosen directly by the user
                                                                                                                                  Observation.value[x].text This element is included in summaries. 0..1stringPlain text representation of the concept This element is included in summaries. 0..1stringPlain text representation of the concept
                                                                                                                                    Observation.dataAbsentReason C0..1CodeableConceptWhy the result is missing
                                                                                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                                    C0..1CodeableConceptWhy the result is missing
                                                                                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                                      Observation.interpretation This element must be supported. 1..*CodeableConcept基因臨床判讀結果,醫師判讀結果
                                                                                                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                                      This element must be supported. 1..*CodeableConcept基因臨床判讀結果,醫師判讀結果
                                                                                                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                                        Observation.note 0..*AnnotationComments about the observation
                                                                                                                                        0..*AnnotationComments about the observation
                                                                                                                                          Observation.bodySite 0..1CodeableConceptObserved body part
                                                                                                                                          Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                                                                                          0..1CodeableConceptObserved body part
                                                                                                                                          Binding: ?? (example): Codes describing anatomical locations. May include laterality.
                                                                                                                                            Observation.method This element must be supported. 1..1CodeableConcept基因檢測方法
                                                                                                                                            Binding: ?? (example): Methods for simple observations.
                                                                                                                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"LA26398-0","display":"Sequencing"}]}
                                                                                                                                            This element must be supported. 1..1CodeableConcept基因檢測方法
                                                                                                                                            Binding: ?? (example): Methods for simple observations.
                                                                                                                                            Required Pattern: {"coding":[{"system":"http://loinc.org","code":"LA26398-0","display":"Sequencing"}]}
                                                                                                                                              Observation.specimen This element must be supported. 1..1Reference(基因檢測檢體-Specimen TWNGS)基因檢測檢體類型 This element must be supported. 1..1Reference(基因檢測檢體-Specimen TWNGS)基因檢測檢體類型
                                                                                                                                                Observation.device This element must be supported. 1..1Reference(基因定序檢測裝置-Device TWNGS)基因定序儀型號,檢體病理編號 This element must be supported. 1..1Reference(基因定序檢測裝置-Device TWNGS)基因定序儀型號,檢體病理編號
                                                                                                                                                  Observation.referenceRange C0..*BackboneElementProvides guide for interpretation
                                                                                                                                                  C0..*BackboneElementProvides guide for interpretation
                                                                                                                                                    Observation.referenceRange.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                      Observation.referenceRange.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                        Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                        This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                          Observation.referenceRange.low C0..1??Low Range, if relevantC0..1??Low Range, if relevant
                                                                                                                                                            Observation.referenceRange.high C0..1??High Range, if relevantC0..1??High Range, if relevant
                                                                                                                                                              Observation.referenceRange.type 0..1CodeableConceptReference range qualifier
                                                                                                                                                              Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                                                                              0..1CodeableConceptReference range qualifier
                                                                                                                                                              Binding: ?? (preferred): Code for the meaning of a reference range.
                                                                                                                                                              • Example/preferred bindings differ at Observation.referenceRange.type using binding from ObservationTWNGS
                                                                                                                                                              Observation.referenceRange.appliesTo 0..*CodeableConceptReference range population
                                                                                                                                                              Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                                                                              0..*CodeableConceptReference range population
                                                                                                                                                              Binding: ?? (example): Codes identifying the population the reference range applies to.
                                                                                                                                                                Observation.referenceRange.age 0..1RangeApplicable age range, if relevant0..1RangeApplicable age range, if relevant
                                                                                                                                                                  Observation.referenceRange.text 0..1stringText based reference range in an observation0..1stringText based reference range in an observation
                                                                                                                                                                    Observation.hasMember This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                                                                                    This element is included in summaries. 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
                                                                                                                                                                      Observation.derivedFrom This element must be supported. This element is included in summaries. 1..*Reference(基因報告-DocumentReference TWNGS)基因報告
                                                                                                                                                                      This element must be supported. This element is included in summaries. 1..*Reference(基因報告-DocumentReference TWNGS)基因報告
                                                                                                                                                                        Observation.Slices for component This element is included in summaries. 3..*BackboneElementComponent results
                                                                                                                                                                        Slice: Unordered, Open by value:code

                                                                                                                                                                        Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                                                                                                                        This element is included in summaries. 3..*BackboneElementComponent results
                                                                                                                                                                        Slice: Unordered, Open by value:code

                                                                                                                                                                        Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                                                                                                                          Observation.Slices for component.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                            Observation.Slices for component.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                              Observation.Slices for component.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                              This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                Observation.Slices for component.code This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                                                                                Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                                                                                                This element is included in summaries. 1..1CodeableConceptType of component observation (code / type)
                                                                                                                                                                                Binding: ?? (example): Codes identifying names of simple observations.
                                                                                                                                                                                  Observation.Slices for component.value[x] This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result This element is included in summaries. 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual component result
                                                                                                                                                                                    Observation.Slices for component.dataAbsentReason C0..1CodeableConceptWhy the component result is missing
                                                                                                                                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                                                                                    C0..1CodeableConceptWhy the component result is missing
                                                                                                                                                                                    Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
                                                                                                                                                                                      Observation.Slices for component.interpretation 0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                                                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                                                                                      0..*CodeableConceptHigh, low, normal, etc.
                                                                                                                                                                                      Binding: ?? (extensible): Codes identifying interpretations of observations.
                                                                                                                                                                                        Observation.Slices for component.referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
                                                                                                                                                                                        0..*See referenceRange (Observation)Provides guide for interpretation of component result

                                                                                                                                                                                          doco Documentation for this format