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: 基因檢測檢體-Specimen TWPAS

此基因檢測檢體-Specimen TWPAS Profile說明本IG如何進一步定義臺灣核心-檢體(TW Core Specimen) Profile以呈現癌藥事前審查中基因資訊之檢測檢體相關內容

Usages:

• Use this Profile: 事前審查-Bundle TWPAS
• Refer to this Profile: 基因資訊-Observation Diagnostic TWPAS
• Examples for this Profile: Specimen/spe-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
Specimen		0..*	TWCoreSpecimen	用於分析的檢體
meta	Σ	1..1	Meta	此Specimen Resource的metadata
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	檢體的外部識別碼
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): 檢體的可取得性；應填入所綁定值集中的其中一個代碼。
type	S	1..1	CodeableConceptTW	基因檢測檢體類型 Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
receivedTime	SΣ	1..1	dateTime	基因檢測日期
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 From the FHIR Standard
Specimen.type	required	SpecimenType https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Specimen	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	Specimen	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	Specimen	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Specimen	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 TWCoreSpecimen

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen			TWCoreSpecimen
meta		1..1	Meta	此Specimen Resource的metadata
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas
type		1..1	CodeableConceptTW	基因檢測檢體類型 Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
subject		1..1	Reference(病人資訊-Patient TWPAS)	檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
receivedTime	S	1..1	dateTime	基因檢測日期
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type	required	SpecimenType https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	TWCoreSpecimen	用於分析的檢體
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Specimen紀錄，通常又稱為邏輯性ID。
meta	Σ	1..1	Meta	此Specimen Resource的metadata
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/Specimen-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	創建此內容所依據的一組規則
language		0..1	code	用以表述Specimen Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Specimen Resource之內容摘要以供人閱讀 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	SΣ	0..*	Identifier	檢體的外部識別碼
accessionIdentifier	Σ	0..1	Identifier	實驗室指定的識別碼
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): 檢體的可取得性；應填入所綁定值集中的其中一個代碼。
type	S	1..1	CodeableConceptTW	基因檢測檢體類型 Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
receivedTime	SΣ	1..1	dateTime	基因檢測日期
parent		0..*	Reference(TW Core Specimen)	此檢體的來源檢體
request		0..*	Reference(TW Core ServiceRequest)	採集檢體的原因
collection		0..1	BackboneElement	採集細節
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
collector	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	誰採集了檢體
collected[x]	Σ	0..1		採集檢體的時間
collectedDateTime			dateTime
collectedPeriod			Period
duration	Σ	0..1	Duration	採集檢體需要多長時間
quantity		0..1	SimpleQuantity	採集檢體的數量
method		0..1	CodeableConceptTW	用於執行檢體採集的技術 Binding: FHIRSpecimenCollectionMethod (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
bodySite		0..1	CodeableConceptTW	解剖採集部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
fastingStatus[x]	Σ	0..1		病人是否禁食/禁飲料，或禁食/禁飲料多長時間 Binding: hl7VS-relevantClincialInformation (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
fastingStatusCodeableConcept			CodeableConcept(CodeableConceptTW)
fastingStatusDuration			Duration
processing		0..*	BackboneElement	處理和處理步驟細節
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
description		0..1	string	程序的文字描述
procedure		0..1	CodeableConceptTW	表明應用於檢體的處理步驟 Binding: SpecimenProcessingProcedure (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
additive		0..*	Reference(Substance)	處理步驟中使用的物質
time[x]		0..1		檢體處理的日期和時間
timeDateTime			dateTime
timePeriod			Period
container		0..*	BackboneElement	檢體的直接容器（試管/玻片等）
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
identifier	Σ	0..*	Identifier	容器的ID
description		0..1	string	容器的文字說明
type		0..1	CodeableConceptTW	與檢體直接相關的容器類型 Binding: SpecimenContainerType (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
capacity		0..1	SimpleQuantity	容器的體積或大小
specimenQuantity		0..1	SimpleQuantity	容器內的檢體量
Slices for additive[x]		0..1		與容器相關的添加劑 Slice: Unordered, Open by type:$this Binding: hl7VS-additivePreservative (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: hl7VS-additivePreservative (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
condition		0..*	CodeableConceptTW	檢體狀態 Binding: hl7VS-specimenCondition (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
note		0..*	Annotation	評論或意見
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Specimen.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 From the FHIR Standard
Specimen.type	required	SpecimenType https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type From this IG
Specimen.collection.method	extensible	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method From the FHIR Standard
Specimen.collection.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure From the FHIR Standard
Specimen.container.type	extensible	SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-type From the FHIR Standard
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371
Specimen.container.additive[x]:additiveCodeableConcept	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371
Specimen.condition	extensible	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Specimen	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	Specimen	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	Specimen	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Specimen	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 TWCoreSpecimen

Summary

Mandatory: 4 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	TWCoreSpecimen	用於分析的檢體
meta	Σ	1..1	Meta	此Specimen Resource的metadata
profile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	檢體的外部識別碼
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): 檢體的可取得性；應填入所綁定值集中的其中一個代碼。
type	S	1..1	CodeableConceptTW	基因檢測檢體類型 Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
receivedTime	SΣ	1..1	dateTime	基因檢測日期
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 From the FHIR Standard
Specimen.type	required	SpecimenType https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Specimen	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	Specimen	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	Specimen	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Specimen	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 TWCoreSpecimen

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen			TWCoreSpecimen
meta		1..1	Meta	此Specimen Resource的metadata
profile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Required Pattern: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas
type		1..1	CodeableConceptTW	基因檢測檢體類型 Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
subject		1..1	Reference(病人資訊-Patient TWPAS)	檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
receivedTime	S	1..1	dateTime	基因檢測日期
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type	required	SpecimenType https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	TWCoreSpecimen	用於分析的檢體
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Specimen紀錄，通常又稱為邏輯性ID。
meta	Σ	1..1	Meta	此Specimen Resource的metadata
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/Specimen-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	創建此內容所依據的一組規則
language		0..1	code	用以表述Specimen Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	Specimen Resource之內容摘要以供人閱讀 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	SΣ	0..*	Identifier	檢體的外部識別碼
accessionIdentifier	Σ	0..1	Identifier	實驗室指定的識別碼
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): 檢體的可取得性；應填入所綁定值集中的其中一個代碼。
type	S	1..1	CodeableConceptTW	基因檢測檢體類型 Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
subject	SΣ	1..1	Reference(病人資訊-Patient TWPAS)	檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
receivedTime	SΣ	1..1	dateTime	基因檢測日期
parent		0..*	Reference(TW Core Specimen)	此檢體的來源檢體
request		0..*	Reference(TW Core ServiceRequest)	採集檢體的原因
collection		0..1	BackboneElement	採集細節
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
collector	Σ	0..1	Reference(TW Core Practitioner | TW Core PractitionerRole)	誰採集了檢體
collected[x]	Σ	0..1		採集檢體的時間
collectedDateTime			dateTime
collectedPeriod			Period
duration	Σ	0..1	Duration	採集檢體需要多長時間
quantity		0..1	SimpleQuantity	採集檢體的數量
method		0..1	CodeableConceptTW	用於執行檢體採集的技術 Binding: FHIRSpecimenCollectionMethod (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
bodySite		0..1	CodeableConceptTW	解剖採集部位 Binding: SNOMEDCTBodyStructures (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
fastingStatus[x]	Σ	0..1		病人是否禁食/禁飲料，或禁食/禁飲料多長時間 Binding: hl7VS-relevantClincialInformation (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
fastingStatusCodeableConcept			CodeableConcept(CodeableConceptTW)
fastingStatusDuration			Duration
processing		0..*	BackboneElement	處理和處理步驟細節
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
description		0..1	string	程序的文字描述
procedure		0..1	CodeableConceptTW	表明應用於檢體的處理步驟 Binding: SpecimenProcessingProcedure (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
additive		0..*	Reference(Substance)	處理步驟中使用的物質
time[x]		0..1		檢體處理的日期和時間
timeDateTime			dateTime
timePeriod			Period
container		0..*	BackboneElement	檢體的直接容器（試管/玻片等）
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
identifier	Σ	0..*	Identifier	容器的ID
description		0..1	string	容器的文字說明
type		0..1	CodeableConceptTW	與檢體直接相關的容器類型 Binding: SpecimenContainerType (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
capacity		0..1	SimpleQuantity	容器的體積或大小
specimenQuantity		0..1	SimpleQuantity	容器內的檢體量
Slices for additive[x]		0..1		與容器相關的添加劑 Slice: Unordered, Open by type:$this Binding: hl7VS-additivePreservative (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveCodeableConcept		0..1	CodeableConceptTW	概念（Concept）— 參照一個專門術語或只是文字表述 Binding: hl7VS-additivePreservative (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
condition		0..*	CodeableConceptTW	檢體狀態 Binding: hl7VS-specimenCondition (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
note		0..*	Annotation	評論或意見
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Specimen.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 From the FHIR Standard
Specimen.type	required	SpecimenType https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type From this IG
Specimen.collection.method	extensible	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method From the FHIR Standard
Specimen.collection.bodySite	extensible	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure From the FHIR Standard
Specimen.container.type	extensible	SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-type From the FHIR Standard
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371
Specimen.container.additive[x]:additiveCodeableConcept	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371
Specimen.condition	extensible	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Specimen	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	Specimen	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	Specimen	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Specimen	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 TWCoreSpecimen

Summary

Mandatory: 4 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)

Other representations of profile: CSV, Excel, Schematron