臺灣健保癌症用藥事前審查實作指引, published by 衛生福利部中央健康保險署. This guide is not an authorized publication; it is the continuous build for version 1.0.8 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TWNHIFHIR/pas/ and changes regularly. See the Directory of published versions

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

Resource Profile: 檢查報告-DiagnosticReport TWPAS

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以呈現癌藥事前審查中疾病資訊之檢查報告

Usages:

• Use this Profile: 事前審查-Bundle TWPAS
• Refer to this Profile: 事前審查-Claim TWPAS
• Examples for this Profile: DiagnosticReport/diaRep-min
• CapabilityStatements using this Profile: 臺灣癌藥事前審查-用戶端(TWPAS Client) and 臺灣癌藥事前審查-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
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	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
coding		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
coding	Σ	1..1	Coding	Code defined by a terminology system
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`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	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system
text	Σ	0..1	string	檢體種類
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
conclusion	S	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	SC	0..*	Attachment	報告結果-MIMEType Constraints: UploadContent
contentType	SΣ	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	SΣ	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	SΣ	0..1	string	檢查報告名稱 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	Pattern Value: examinationReport http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type From this IG
DiagnosticReport.presentedForm.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')
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: Bindings Constraints Obligations
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..*	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
coding		1..1	Coding	Code defined by a terminology system
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`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]	S	1..1	dateTime	報告日期，YYYY-MM-DD
performer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
conclusion	S	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	SC	0..*	Attachment	報告結果-MIMEType Constraints: UploadContent
contentType	S	1..1	code	Mime type of the content, with charset etc.
url	S	1..1	url	檢查報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
title	S	0..1	string	檢查報告名稱
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')
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: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	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	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding
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	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	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
coding		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
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	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`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	Σ	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	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	檢體種類
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
resultsInterpreter	Σ	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	Σ	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	S	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	SC	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	SΣ	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	Σ	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
data		0..1	base64Binary	Data inline, base64ed
url	SΣ	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	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	0..1	string	檢查報告名稱 Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
DiagnosticReport.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	Pattern Value: examinationReport http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type From this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')
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

Summary

Mandatory: 11 elements(2 nested mandatory elements)
Must-Support: 7 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)

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
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	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
coding		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
coding	Σ	1..1	Coding	Code defined by a terminology system
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`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	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system
text	Σ	0..1	string	檢體種類
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
conclusion	S	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	SC	0..*	Attachment	報告結果-MIMEType Constraints: UploadContent
contentType	SΣ	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	SΣ	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	SΣ	0..1	string	檢查報告名稱 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	Pattern Value: examinationReport http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type From this IG
DiagnosticReport.presentedForm.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')
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: Bindings Constraints Obligations
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..*	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
coding		1..1	Coding	Code defined by a terminology system
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`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]	S	1..1	dateTime	報告日期，YYYY-MM-DD
performer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
conclusion	S	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	SC	0..*	Attachment	報告結果-MIMEType Constraints: UploadContent
contentType	S	1..1	code	Mime type of the content, with charset etc.
url	S	1..1	url	檢查報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
title	S	0..1	string	檢查報告名稱
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')
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: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	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	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding
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	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	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
coding		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
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	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`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	Σ	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	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	檢體種類
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
resultsInterpreter	Σ	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	Σ	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	S	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	SC	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	SΣ	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	Σ	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
data		0..1	base64Binary	Data inline, base64ed
url	SΣ	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	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	0..1	string	檢查報告名稱 Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
DiagnosticReport.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	Pattern Value: examinationReport http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type From this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
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}$')
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

Summary

Mandatory: 11 elements(2 nested mandatory elements)
Must-Support: 7 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)

Other representations of profile: CSV, Excel, Schematron