臺灣健保事前審查實作指引
1.2.8 - ci-build
臺灣健保事前審查實作指引
1.2.8 - ci-build
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
| Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | Version: 1.2.8 | |||
| Active as of 2026-10-14 | Computable Name: DiagnosticReportTWPAS | |||
此檢查報告-DiagnosticReport 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以呈現事前審查中疾病資訊之檢查報告
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  meta |
1..1 | Meta | Metadata about the resource | |
   profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | |
 implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |
| category |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
 coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: examinationReport | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| code |
C | 1..1 | CodeableConcept | 報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`及`66121-5`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: speType |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 檢體種類 | |
 subject |
1..1 | Reference(病人資訊-Patient TWPAS) | The subject of the report - usually, but not always, the patient | |
| effective[x] |
1..1 | dateTime | 報告日期，YYYY-MM-DD | |
| performer |
1..1 | Reference(醫事人員-Practitioner TWPAS) | 檢查報告醫師 | |
| conclusion |
1..1 | string | 報告結果-文數字，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。 | |
| presentedForm |
C | 0..* | Attachment | 報告結果-MIMEType Constraints: UploadContent |
| contentType |
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 | |
| url |
1..1 | url | 檢查報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf | |
| title |
0..1 | string | 檢查報告名稱 Example General: Official Corporate Logo | |
| Documentation for this format | ||||
| 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 | extensible | LOINC-健保事前審查-報告類型值集 | 📦1.2.8 | This IG |
| DiagnosticReport.presentedForm.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| 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()
|
| speType | error | DiagnosticReport.code | 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 |
(coding.exists(code='47526-9')) implies (text.exists())
|
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReport | |||
 meta |
1..1 | Meta | Metadata about the resource | |
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | |
| category |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: examinationReport | |
| code |
C | 1..1 | CodeableConcept | 報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`及`66121-5`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: speType |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 檢體種類 | |
| subject |
1..1 | Reference(病人資訊-Patient TWPAS) | The subject of the report - usually, but not always, the patient | |
| effective[x] |
1..1 | dateTime | 報告日期，YYYY-MM-DD | |
| performer |
1..1 | Reference(醫事人員-Practitioner TWPAS) | 檢查報告醫師 | |
| conclusion |
1..1 | string | 報告結果-文數字，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。 | |
| presentedForm |
C | 0..* | Attachment | 報告結果-MIMEType Constraints: UploadContent |
| contentType |
1..1 | code | Mime type of the content, with charset etc. | |
| url |
1..1 | url | 檢查報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf | |
| title |
0..1 | string | 檢查報告名稱 | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code | Base | extensible | LOINC-健保事前審查-報告類型值集 | 📦1.2.8 | This IG |
| 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('.')
|
| speType | error | DiagnosticReport.code | 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 |
(coding.exists(code='47526-9')) implies (text.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
1..1 | Meta | Metadata about the resource | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
0..1 | id | Version specific identifier | |||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | |||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||
| tag |
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". | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for report | |||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||
| category |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: examinationReport | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
C | 1..1 | CodeableConcept | 報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`及`66121-5`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: speType | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | 檢體種類 | |||||
| subject |
1..1 | Reference(病人資訊-Patient TWPAS) | The subject of the report - usually, but not always, the patient | |||||
| encounter |
0..1 | Reference(Encounter) | Health care event when test ordered | |||||
| effective[x] |
1..1 | dateTime | 報告日期，YYYY-MM-DD | |||||
| issued |
0..1 | instant | DateTime this version was made | |||||
| performer |
1..1 | Reference(醫事人員-Practitioner TWPAS) | 檢查報告醫師 | |||||
| resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..* | Reference(Observation) | Observations | |||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
0..* | BackboneElement | Key images associated with this report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
1..1 | Reference(Media) | Reference to the image source | |||||
| conclusion |
1..1 | string | 報告結果-文數字，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。 | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
C | 0..* | Attachment | 報告結果-MIMEType Constraints: UploadContent | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
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 | |||||
| language |
0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | |||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
1..1 | url | 檢查報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf | |||||
| size |
0..1 | unsignedInt | Number of bytes of content (if url provided) | |||||
| hash |
0..1 | base64Binary | Hash of the data (sha-1, base64ed) | |||||
| title |
0..1 | string | 檢查報告名稱 Example General: Official Corporate Logo | |||||
| creation |
0..1 | dateTime | Date attachment was first created | |||||
| Documentation for this format | ||||||||
| 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 | extensible | LOINC-健保事前審查-報告類型值集 | 📦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. |
| 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()
|
| speType | error | DiagnosticReport.code | 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 |
(coding.exists(code='47526-9')) implies (text.exists())
|
This structure is derived from DiagnosticReport
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| meta |
1..1 | Meta | Metadata about the resource | |
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |
| category |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: examinationReport | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| code |
C | 1..1 | CodeableConcept | 報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`及`66121-5`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: speType |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 檢體種類 | |
| subject |
1..1 | Reference(病人資訊-Patient TWPAS) | The subject of the report - usually, but not always, the patient | |
| effective[x] |
1..1 | dateTime | 報告日期，YYYY-MM-DD | |
| performer |
1..1 | Reference(醫事人員-Practitioner TWPAS) | 檢查報告醫師 | |
| conclusion |
1..1 | string | 報告結果-文數字，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。 | |
| presentedForm |
C | 0..* | Attachment | 報告結果-MIMEType Constraints: UploadContent |
| contentType |
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 | |
| url |
1..1 | url | 檢查報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf | |
| title |
0..1 | string | 檢查報告名稱 Example General: Official Corporate Logo | |
| Documentation for this format | ||||
| 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 | extensible | LOINC-健保事前審查-報告類型值集 | 📦1.2.8 | This IG |
| DiagnosticReport.presentedForm.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| 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()
|
| speType | error | DiagnosticReport.code | 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 |
(coding.exists(code='47526-9')) implies (text.exists())
|
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReport | |||
| meta |
1..1 | Meta | Metadata about the resource | |
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | |
| category |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: examinationReport | |
| code |
C | 1..1 | CodeableConcept | 報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`及`66121-5`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: speType |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | 檢體種類 | |
| subject |
1..1 | Reference(病人資訊-Patient TWPAS) | The subject of the report - usually, but not always, the patient | |
| effective[x] |
1..1 | dateTime | 報告日期，YYYY-MM-DD | |
| performer |
1..1 | Reference(醫事人員-Practitioner TWPAS) | 檢查報告醫師 | |
| conclusion |
1..1 | string | 報告結果-文數字，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。 | |
| presentedForm |
C | 0..* | Attachment | 報告結果-MIMEType Constraints: UploadContent |
| contentType |
1..1 | code | Mime type of the content, with charset etc. | |
| url |
1..1 | url | 檢查報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf | |
| title |
0..1 | string | 檢查報告名稱 | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code | Base | extensible | LOINC-健保事前審查-報告類型值集 | 📦1.2.8 | This IG |
| 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('.')
|
| speType | error | DiagnosticReport.code | 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 |
(coding.exists(code='47526-9')) implies (text.exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
1..1 | Meta | Metadata about the resource | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
0..1 | id | Version specific identifier | |||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | |||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||
| tag |
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". | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business identifier for report | |||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||
| category |
1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: examinationReport | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
C | 1..1 | CodeableConcept | 報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`及`66121-5`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 Constraints: speType | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | 檢體種類 | |||||
| subject |
1..1 | Reference(病人資訊-Patient TWPAS) | The subject of the report - usually, but not always, the patient | |||||
| encounter |
0..1 | Reference(Encounter) | Health care event when test ordered | |||||
| effective[x] |
1..1 | dateTime | 報告日期，YYYY-MM-DD | |||||
| issued |
0..1 | instant | DateTime this version was made | |||||
| performer |
1..1 | Reference(醫事人員-Practitioner TWPAS) | 檢查報告醫師 | |||||
| resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..* | Reference(Observation) | Observations | |||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
0..* | BackboneElement | Key images associated with this report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
1..1 | Reference(Media) | Reference to the image source | |||||
| conclusion |
1..1 | string | 報告結果-文數字，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。 | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
C | 0..* | Attachment | 報告結果-MIMEType Constraints: UploadContent | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
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 | |||||
| language |
0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | |||||
| data |
0..1 | base64Binary | Data inline, base64ed | |||||
| url |
1..1 | url | 檢查報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf | |||||
| size |
0..1 | unsignedInt | Number of bytes of content (if url provided) | |||||
| hash |
0..1 | base64Binary | Hash of the data (sha-1, base64ed) | |||||
| title |
0..1 | string | 檢查報告名稱 Example General: Official Corporate Logo | |||||
| creation |
0..1 | dateTime | Date attachment was first created | |||||
| Documentation for this format | ||||||||
| 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 | extensible | LOINC-健保事前審查-報告類型值集 | 📦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. |
| 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()
|
| speType | error | DiagnosticReport.code | 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 |
(coding.exists(code='47526-9')) implies (text.exists())
|
This structure is derived from DiagnosticReport
Other representations of profile: CSV, Excel, Schematron