臺灣健保癌症用藥事前審查實作指引
1.0.8 - ci-build

臺灣健保癌症用藥事前審查實作指引, 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 1.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

: 基因資訊 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="obs-diagnostic-min"/>
  <meta>
    <profile
             value="https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-diagnostic-twpas.html">基因資訊-Observation Diagnostic TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>類型</b>：基因資訊<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-nhi-supporting-info-type.html/">NHI-補充資訊類別值集</a>#geneInfo)</span></p><p><b>code</b>：Genetic variant assessment<span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://loinc.org/">LOINC</a>#69548-6)</span></p><p><b>病人</b>：<a href="Patient-pat-min.html">Patient/pat-min</a></p><p><b>基因檢測日期</b>：2024-05-07</p><blockquote><p><b>基因檢測代碼</b>：KRAS gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">（ <a href="http://loinc.org/">LOINC-基因檢測代碼值集</a>#21702-6）</span><br/><b>基因檢測實際結果</b>：KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected<br/><b>基因突變類型</b>：Not detected <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">（ <a href="http://loinc.org/">LOINC-基因突變類型值集</a>#LA11883-8）</span></p></blockquote><p><b>基因檢測機構</b>：<a href="Organization-org-gene-example.html">Organization 2023LDTB0002</a></p><p><b>基因檢測分析結果</b>：基因檢測報告結果</p><p><b>基因臨床判讀結果</b>：Positive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/">ObservationInterpretationCodes </a>#POS)</span></p><p><b>基因檢測方法</b>：PCR <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://loinc.org/">LOINC Answer List LL4048-6 </a>#LA26418-6)</span></p><p><b>基因檢測檢體類型</b>：<a href="Specimen-spe-min.html">Specimen/spe-min</a></p><p><b>基因報告</b>：<a href="DocumentReference-doc-gene-min.html">DocumentReference/doc-gene-min</a></p></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type"/>
      <code value="geneInfo"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="69548-6"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/pat-min"/>
  </subject>
  <effectiveDateTime value="2024-05-07"/>
  <performer>🔗 
    <reference value="Organization/org-gene-example"/>
  </performer>
  <valueString value="基因檢測報告結果"/>
  <interpretation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="POS"/>
    </coding>
  </interpretation>
  <method>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA26418-6"/>
    </coding>
  </method>
  <specimen>🔗 
    <reference value="Specimen/spe-min"/>
  </specimen>
  <derivedFrom>🔗 
    <reference value="DocumentReference/doc-gene-min"/>
  </derivedFrom>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="21702-6"/>
      </coding>
    </code>
    <valueString
                 value="KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected"/>
    <interpretation>
      <coding>
        <system value="http://loinc.org"/>
        <code value="LA11883-8"/>
        <display value="Not detected"/>
      </coding>
      <text value="Not detected"/>
    </interpretation>
  </component>
</Observation>