臺灣健保事前審查實作指引, 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 1.2.8 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 影像報告-DiagnosticReport Image TWPAS

此影像報告-DiagnosticReport Image TWPAS Profile說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport) Profile以呈現事前審查之影像報告

Usages:

• Use this Profile: 免疫製劑事前審查-Bundle Immunologic Aagent TWPAS and 癌藥事前審查-Bundle TWPAS
• Refer to this Profile: 免疫製劑事前審查-Claim Immunologic Aagent TWPAS and 癌藥事前審查-Claim TWPAS
• Examples for this Profile: DiagnosticReport/diaRep-ima-loinc, DiagnosticReport/diaRep-ima-min, DiagnosticReport/inline-2-diaRep-ima-loinc and DiagnosticReport/inline-diaRep-ima-loinc
• CapabilityStatements using this Profile: 臺灣事前審查-用戶端(TWPAS Client) and 臺灣事前審查-伺服端(TWPAS Server)

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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
DiagnosticReport.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
DiagnosticReport.category.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.category.text		0..1	string	Plain text representation of the concept
DiagnosticReport.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.category.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
DiagnosticReport.category.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
DiagnosticReport.category.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2023年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2014年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: LOINC-健保事前審查-影像報告值集 (required)
DiagnosticReport.code.Slices for coding.coding:LOINC.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
DiagnosticReport.code.Slices for coding.coding:LOINC.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	影像檢查的身體部位
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
DiagnosticReport.Slices for effective[x]	Σ This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	影像報告日期，YYYY-MM-DD
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(醫事人員-Practitioner TWPAS)	簽發影像報告醫師身分證號
DiagnosticReport.imagingStudy	S This element must be supported. C	0..*	Reference(DICOM影像-ImagingStudy TWPAS)	DICOM影像，SNOMED CT
DiagnosticReport.media	S This element must be supported. Σ This element is included in summaries. C	0..*	BackboneElement	非DICOM影像
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(非DICOM影像-Media TWPAS)	Reference to the image source
DiagnosticReport.conclusion	S This element must be supported.	1..1	string	影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
DiagnosticReport.presentedForm	S This element must be supported. C	0..*	Attachment	報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。 Constraints: UploadContent
DiagnosticReport.presentedForm.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
DiagnosticReport.presentedForm.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	影像報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://ImagingDiagnosticReport01.pdf
DiagnosticReport.presentedForm.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	影像報告名稱 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2023ICD10PCS	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2014ICD10PCS	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:LOINC	Base	required	LOINC-健保事前審查-影像報告值集	📦1.2.8	This IG
DiagnosticReport.presentedForm.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DiagnosticReport.presentedForm	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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 DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
DiagnosticReport.meta		1..1	Meta	Metadata about the resource
DiagnosticReport.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
DiagnosticReport.category		1..1	CodeableConcept	Service category Required Pattern: At least the following
DiagnosticReport.category.coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
DiagnosticReport.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
DiagnosticReport.code		1..1	CodeableConcept	影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding		1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS	S This element must be supported.	0..1	Coding	2023年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS	S This element must be supported.	0..1	Coding	2014年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC	S This element must be supported.	0..1	Coding	外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: LOINC-健保事前審查-影像報告值集 (required)
DiagnosticReport.code.Slices for coding.coding:LOINC.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
DiagnosticReport.code.Slices for coding.coding:LOINC.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.text	S This element must be supported.	0..1	string	影像檢查的身體部位
DiagnosticReport.subject		1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
DiagnosticReport.Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported.	1..1	dateTime	影像報告日期，YYYY-MM-DD
DiagnosticReport.performer	S This element must be supported.	1..1	Reference(醫事人員-Practitioner TWPAS)	簽發影像報告醫師身分證號
DiagnosticReport.imagingStudy	S This element must be supported. C	0..*	Reference(DICOM影像-ImagingStudy TWPAS)	DICOM影像，SNOMED CT
DiagnosticReport.media	S This element must be supported. C	0..*	BackboneElement	非DICOM影像
DiagnosticReport.media.link		1..1	Reference(非DICOM影像-Media TWPAS)	Reference to the image source
DiagnosticReport.conclusion	S This element must be supported.	1..1	string	影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
DiagnosticReport.presentedForm	S This element must be supported. C	0..*	Attachment	報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。 Constraints: UploadContent
DiagnosticReport.presentedForm.contentType	S This element must be supported.	1..1	code	Mime type of the content, with charset etc.
DiagnosticReport.presentedForm.url	S This element must be supported.	1..1	url	影像報告（請填寫完整檔案路徑） Example General: file://ImagingDiagnosticReport01.pdf
DiagnosticReport.presentedForm.title	S This element must be supported.	1..1	string	影像報告名稱
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2023ICD10PCS	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2014ICD10PCS	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:LOINC	Base	required	LOINC-健保事前審查-影像報告值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DiagnosticReport.presentedForm	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DiagnosticReport.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
DiagnosticReport.meta.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
DiagnosticReport.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
DiagnosticReport.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
DiagnosticReport.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
DiagnosticReport.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DiagnosticReport.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier for report
DiagnosticReport.basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
DiagnosticReport.category.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.category.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
DiagnosticReport.category.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
DiagnosticReport.category.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2023年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2014年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.Slices for coding.coding:LOINC	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: LOINC-健保事前審查-影像報告值集 (required)
DiagnosticReport.code.Slices for coding.coding:LOINC.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.Slices for coding.coding:LOINC.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding.coding:LOINC.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
DiagnosticReport.code.Slices for coding.coding:LOINC.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
DiagnosticReport.code.Slices for coding.coding:LOINC.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	影像檢查的身體部位
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Health care event when test ordered
DiagnosticReport.Slices for effective[x]	Σ This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	影像報告日期，YYYY-MM-DD
DiagnosticReport.issued	Σ This element is included in summaries.	0..1	instant	DateTime this version was made
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(醫事人員-Practitioner TWPAS)	簽發影像報告醫師身分證號
DiagnosticReport.resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
DiagnosticReport.specimen		0..*	Reference(Specimen)	Specimens this report is based on
DiagnosticReport.result		0..*	Reference(Observation)	Observations
DiagnosticReport.imagingStudy	S This element must be supported. C	0..*	Reference(DICOM影像-ImagingStudy TWPAS)	DICOM影像，SNOMED CT
DiagnosticReport.media	S This element must be supported. Σ This element is included in summaries. C	0..*	BackboneElement	非DICOM影像
DiagnosticReport.media.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.media.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment		0..1	string	Comment about the image (e.g. explanation)
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(非DICOM影像-Media TWPAS)	Reference to the image source
DiagnosticReport.conclusion	S This element must be supported.	1..1	string	影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
DiagnosticReport.conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm	S This element must be supported. C	0..*	Attachment	報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。 Constraints: UploadContent
DiagnosticReport.presentedForm.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.presentedForm.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.presentedForm.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
DiagnosticReport.presentedForm.language	Σ This element is included in summaries.	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
DiagnosticReport.presentedForm.data		0..1	base64Binary	Data inline, base64ed
DiagnosticReport.presentedForm.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	影像報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://ImagingDiagnosticReport01.pdf
DiagnosticReport.presentedForm.size	Σ This element is included in summaries.	0..1	unsignedInt	Number of bytes of content (if url provided)
DiagnosticReport.presentedForm.hash	Σ This element is included in summaries.	0..1	base64Binary	Hash of the data (sha-1, base64ed)
DiagnosticReport.presentedForm.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	影像報告名稱 Example General: Official Corporate Logo
DiagnosticReport.presentedForm.creation	Σ This element is included in summaries.	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DiagnosticReport.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2023ICD10PCS	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2014ICD10PCS	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:LOINC	Base	required	LOINC-健保事前審查-影像報告值集	📦1.2.8	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.presentedForm.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DiagnosticReport.presentedForm.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DiagnosticReport.presentedForm	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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 DiagnosticReport

Summary

Mandatory: 10 elements(9 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
• DICOM影像-ImagingStudy TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas)
• 非DICOM影像-Media TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)
• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
DiagnosticReport.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
DiagnosticReport.category.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.category.text		0..1	string	Plain text representation of the concept
DiagnosticReport.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.category.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
DiagnosticReport.category.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
DiagnosticReport.category.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2023年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2014年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: LOINC-健保事前審查-影像報告值集 (required)
DiagnosticReport.code.Slices for coding.coding:LOINC.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
DiagnosticReport.code.Slices for coding.coding:LOINC.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	影像檢查的身體部位
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
DiagnosticReport.Slices for effective[x]	Σ This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	影像報告日期，YYYY-MM-DD
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(醫事人員-Practitioner TWPAS)	簽發影像報告醫師身分證號
DiagnosticReport.imagingStudy	S This element must be supported. C	0..*	Reference(DICOM影像-ImagingStudy TWPAS)	DICOM影像，SNOMED CT
DiagnosticReport.media	S This element must be supported. Σ This element is included in summaries. C	0..*	BackboneElement	非DICOM影像
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(非DICOM影像-Media TWPAS)	Reference to the image source
DiagnosticReport.conclusion	S This element must be supported.	1..1	string	影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
DiagnosticReport.presentedForm	S This element must be supported. C	0..*	Attachment	報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。 Constraints: UploadContent
DiagnosticReport.presentedForm.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
DiagnosticReport.presentedForm.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	影像報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://ImagingDiagnosticReport01.pdf
DiagnosticReport.presentedForm.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	影像報告名稱 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2023ICD10PCS	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2014ICD10PCS	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:LOINC	Base	required	LOINC-健保事前審查-影像報告值集	📦1.2.8	This IG
DiagnosticReport.presentedForm.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DiagnosticReport.presentedForm	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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 DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
DiagnosticReport.meta		1..1	Meta	Metadata about the resource
DiagnosticReport.meta.profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
DiagnosticReport.category		1..1	CodeableConcept	Service category Required Pattern: At least the following
DiagnosticReport.category.coding		1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
DiagnosticReport.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
DiagnosticReport.code		1..1	CodeableConcept	影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding		1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS	S This element must be supported.	0..1	Coding	2023年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS	S This element must be supported.	0..1	Coding	2014年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC	S This element must be supported.	0..1	Coding	外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: LOINC-健保事前審查-影像報告值集 (required)
DiagnosticReport.code.Slices for coding.coding:LOINC.system	S This element must be supported.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
DiagnosticReport.code.Slices for coding.coding:LOINC.code	S This element must be supported.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.text	S This element must be supported.	0..1	string	影像檢查的身體部位
DiagnosticReport.subject		1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
DiagnosticReport.Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported.	1..1	dateTime	影像報告日期，YYYY-MM-DD
DiagnosticReport.performer	S This element must be supported.	1..1	Reference(醫事人員-Practitioner TWPAS)	簽發影像報告醫師身分證號
DiagnosticReport.imagingStudy	S This element must be supported. C	0..*	Reference(DICOM影像-ImagingStudy TWPAS)	DICOM影像，SNOMED CT
DiagnosticReport.media	S This element must be supported. C	0..*	BackboneElement	非DICOM影像
DiagnosticReport.media.link		1..1	Reference(非DICOM影像-Media TWPAS)	Reference to the image source
DiagnosticReport.conclusion	S This element must be supported.	1..1	string	影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
DiagnosticReport.presentedForm	S This element must be supported. C	0..*	Attachment	報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。 Constraints: UploadContent
DiagnosticReport.presentedForm.contentType	S This element must be supported.	1..1	code	Mime type of the content, with charset etc.
DiagnosticReport.presentedForm.url	S This element must be supported.	1..1	url	影像報告（請填寫完整檔案路徑） Example General: file://ImagingDiagnosticReport01.pdf
DiagnosticReport.presentedForm.title	S This element must be supported.	1..1	string	影像報告名稱
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2023ICD10PCS	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2014ICD10PCS	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:LOINC	Base	required	LOINC-健保事前審查-影像報告值集	📦1.2.8	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DiagnosticReport.presentedForm	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DiagnosticReport.meta	Σ This element is included in summaries.	1..1	Meta	Metadata about the resource
DiagnosticReport.meta.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.meta.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
DiagnosticReport.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
DiagnosticReport.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
DiagnosticReport.meta.profile	Σ This element is included in summaries.	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-image-twpas
DiagnosticReport.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DiagnosticReport.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier for report
DiagnosticReport.basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
DiagnosticReport.category.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.category.coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.category.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.category.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type
DiagnosticReport.category.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: imagingReport
DiagnosticReport.category.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	影像報告，ICD-10-PCS。外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (preferred): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2023年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	2014年中文版ICD 10 PCS-影像報告值集 Binding: NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集 (extensible): 最新參考代碼清單請參考此檔案。
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2014-tw
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
DiagnosticReport.code.Slices for coding.coding:TW2014ICD10PCS.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.Slices for coding.coding:LOINC	S This element must be supported. Σ This element is included in summaries.	0..1	Coding	外院報告請依ICD-10-PCS填寫，若無法對應，可使用LOINC代碼呈現。 Binding: LOINC-健保事前審查-影像報告值集 (required)
DiagnosticReport.code.Slices for coding.coding:LOINC.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.Slices for coding.coding:LOINC.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding.coding:LOINC.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
DiagnosticReport.code.Slices for coding.coding:LOINC.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
DiagnosticReport.code.Slices for coding.coding:LOINC.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
DiagnosticReport.code.Slices for coding.coding:LOINC.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	影像檢查的身體部位
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Health care event when test ordered
DiagnosticReport.Slices for effective[x]	Σ This element is included in summaries.	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for effective[x].effective[x]:effectiveDateTime	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	影像報告日期，YYYY-MM-DD
DiagnosticReport.issued	Σ This element is included in summaries.	0..1	instant	DateTime this version was made
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(醫事人員-Practitioner TWPAS)	簽發影像報告醫師身分證號
DiagnosticReport.resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
DiagnosticReport.specimen		0..*	Reference(Specimen)	Specimens this report is based on
DiagnosticReport.result		0..*	Reference(Observation)	Observations
DiagnosticReport.imagingStudy	S This element must be supported. C	0..*	Reference(DICOM影像-ImagingStudy TWPAS)	DICOM影像，SNOMED CT
DiagnosticReport.media	S This element must be supported. Σ This element is included in summaries. C	0..*	BackboneElement	非DICOM影像
DiagnosticReport.media.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.media.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment		0..1	string	Comment about the image (e.g. explanation)
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(非DICOM影像-Media TWPAS)	Reference to the image source
DiagnosticReport.conclusion	S This element must be supported.	1..1	string	影像報告結果，請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。
DiagnosticReport.conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm	S This element must be supported. C	0..*	Attachment	報告結果-MIMEType。若需要，可上傳影像報告的PDF檔。 Constraints: UploadContent
DiagnosticReport.presentedForm.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.presentedForm.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.presentedForm.contentType	S This element must be supported. Σ This element is included in summaries.	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
DiagnosticReport.presentedForm.language	Σ This element is included in summaries.	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
DiagnosticReport.presentedForm.data		0..1	base64Binary	Data inline, base64ed
DiagnosticReport.presentedForm.url	S This element must be supported. Σ This element is included in summaries.	1..1	url	影像報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://ImagingDiagnosticReport01.pdf
DiagnosticReport.presentedForm.size	Σ This element is included in summaries.	0..1	unsignedInt	Number of bytes of content (if url provided)
DiagnosticReport.presentedForm.hash	Σ This element is included in summaries.	0..1	base64Binary	Hash of the data (sha-1, base64ed)
DiagnosticReport.presentedForm.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	影像報告名稱 Example General: Official Corporate Logo
DiagnosticReport.presentedForm.creation	Σ This element is included in summaries.	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DiagnosticReport.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2023ICD10PCS	Base	extensible	NHI-臺灣健保署2023年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:TW2014ICD10PCS	Base	extensible	NHI-臺灣健保署2014年中文版ICD 10 PCS-影像報告值集	📦1.2.8	This IG
DiagnosticReport.code.​coding:LOINC	Base	required	LOINC-健保事前審查-影像報告值集	📦1.2.8	This IG
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.
DiagnosticReport.presentedForm.​contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DiagnosticReport.presentedForm.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
UploadContent	error	DiagnosticReport.presentedForm	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf	url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	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	DiagnosticReport	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	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	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 DiagnosticReport

Summary

Mandatory: 10 elements(9 nested mandatory elements)
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)
• DICOM影像-ImagingStudy TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/ImagingStudy-twpas)
• 非DICOM影像-Media TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Media-twpas)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.code.coding (Closed)
• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Other representations of profile: CSV, Excel, Schematron