# 治療後疾病狀態評估-Observation Treatment Assessment TWPAS - 臺灣健保事前審查實作指引 v1.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **治療後疾病狀態評估-Observation Treatment Assessment TWPAS**

## Resource Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS 

| | |
| :--- | :--- |
| *Official URL*:https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas | *Version*:1.1.0 |
| Active as of 2025-12-17 | *Computable Name*:ObservationTreatmentAssessmentTWPAS |

 
此治療後疾病狀態評估-Observation Treatment Assessment TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現事前審查中結果資訊之治療後疾病狀態評估 

**Usages:**

* Use this Profile: [免疫製劑事前審查-Bundle Immunologic Aagent TWPAS](StructureDefinition-Bundle-immunologic-agent-twpas.md) and [癌藥事前審查-Bundle TWPAS](StructureDefinition-Bundle-twpas.md)
* Refer to this Profile: [免疫製劑事前審查-Claim Immunologic Aagent TWPAS](StructureDefinition-Claim-immunologic-agent-twpas.md) and [癌藥事前審查-Claim TWPAS](StructureDefinition-Claim-twpas.md)
* Examples for this Profile: [Observation/obs-tx-min](Observation-obs-tx-min.md)
* CapabilityStatements using this Profile: [臺灣事前審查-用戶端(TWPAS Client)](CapabilityStatement-CapabilityStatementTWPASClient.md) and [臺灣事前審查-伺服端(TWPAS Server)](CapabilityStatement-CapabilityStatementTWPASServer.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/tw.gov.mohw.nhi.pas|current/StructureDefinition/Observation-tx-assessment-twpas)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-Observation-tx-assessment-twpas.csv), [Excel](StructureDefinition-Observation-tx-assessment-twpas.xlsx), [Schematron](StructureDefinition-Observation-tx-assessment-twpas.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "Observation-tx-assessment-twpas",
  "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas",
  "version" : "1.1.0",
  "name" : "ObservationTreatmentAssessmentTWPAS",
  "title" : "治療後疾病狀態評估-Observation Treatment Assessment TWPAS",
  "status" : "active",
  "date" : "2025-12-17T10:01:26+00:00",
  "publisher" : "衛生福利部中央健康保險署",
  "contact" : [
    {
      "name" : "衛生福利部中央健康保險署",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nhi.gov.tw"
        }
      ]
    }
  ],
  "description" : "此治療後疾病狀態評估-Observation Treatment Assessment TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現事前審查中結果資訊之治療後疾病狀態評估",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.org/attributebinding",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "constraint" : [
          {
            "key" : "nhi-tx-ast-value",
            "severity" : "error",
            "human" : "若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。",
            "expression" : "((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) =  'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))",
            "source" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas"
          }
        ]
      },
      {
        "id" : "Observation.meta",
        "path" : "Observation.meta",
        "min" : 1
      },
      {
        "id" : "Observation.meta.profile",
        "path" : "Observation.meta.profile",
        "min" : 1,
        "max" : "1",
        "patternCanonical" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas"
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "short" : "治療後疾病狀態評估項目",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tx-ast"
        }
      },
      {
        "id" : "Observation.code.coding",
        "path" : "Observation.code.coding",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.code.coding.code",
        "path" : "Observation.code.coding.code",
        "min" : 1
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "short" : "治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。",
        "min" : 1,
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "short" : "治療後疾病狀態評估結果",
        "min" : 1,
        "type" : [
          {
            "code" : "string"
          }
        ],
        "mustSupport" : true
      }
    ]
  }
}

```
