傳染病通報系統實作指引, published by 衛福部疾病管制署. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-nidrs/nidrs/ and changes regularly. See the Directory of published versions

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

Resource Profile: 診斷報告-DiagnosticReport NIDRS

此診斷報告-DiagnosticReport NIDRS Profile說明本IG如何進一步定義 FHIR 的 DiagnosticReport Resource 以呈現診斷報告

Usages:

• Use this Profile: 傳染病通報-Bundle NIDRS
• Refer to this Profile: 通報訊息-MessageHeader NIDRS
• Examples for this Profile: DiagnosticReport/diaRep
• CapabilityStatements using this Profile: 傳染病通報系統-用戶端 and 傳染病通報系統-伺服端

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	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: nidrs-date-diagnose-reported, nidrs-date-reported-phb
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for extension.extension:phbReceivedDay	S This element must be supported.	1..1	(Complex)	衛生局收到日 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
DiagnosticReport.Slices for extension.extension:phbReceivedDay.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:phbReceivedDay.url		1..1	uri	"https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay"
DiagnosticReport.Slices for extension.extension:phbReceivedDay.value[x]	C	0..1	dateTime	衛生局收到日 Constraints: nidrs-date
DiagnosticReport.Slices for extension.extension:note	S This element must be supported.	0..1	string	備註，新增通報時可填寫，修改通報時不可填寫。 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
DiagnosticReport.Slices for extension.extension:modifiedReason	S This element must be supported.	0..1	string	修改原因，修改通報時必填，新增通報時不可填寫 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
DiagnosticReport.code.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.code.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.code.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
DiagnosticReport.code.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.text		0..1	string	Plain text representation of the concept
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(個案資料-Patient NIDRS)	個案資料
DiagnosticReport.encounter	Σ This element is included in summaries.	1..1	Reference(病患動向與通報疾病-Encounter NIDRS)	Health care event when test ordered
DiagnosticReport.effective[x]	Σ This element is included in summaries. C	1..1	dateTime	診斷日期 Constraints: nidrs-date
DiagnosticReport.issued	Σ This element is included in summaries. C	1..1	instant	報告日期。「報告日期」欄位填入值僅可為該通報單建檔日起算往前31天內(含)之日期。 Constraints: nidrs-date, nidrs-date-reported
DiagnosticReport.performer	Σ This element is included in summaries.	1..1	Reference(醫師-Practitioner NIDRS)	診斷醫師
DiagnosticReport.result		2..*	Reference(職業-Observation Occupation | 旅遊史-Observation Travel History | 動物接觸史-Observation Animal Exposure | 暴露史-Observation Explore History)	流行病學資料（職業/旅遊史/動物接觸史/暴露史）
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
nidrs-date	error	DiagnosticReport.extension:phbReceivedDay.value[x], DiagnosticReport.effective[x], DiagnosticReport.issued	日期若有值，不得為未來日期。	$this <= now()
nidrs-date-diagnose-reported	error	DiagnosticReport	診斷日期(effectiveDateTime)不得晚於報告日期(issued)。	effective.ofType(dateTime).toString().substring(0, 10) <= issued.toString().substring(0, 10)
nidrs-date-reported	error	DiagnosticReport.issued	報告日期(issued)僅可為通報單建檔日起算往前31天內（含）之日期。	$this >= today() - 31 days and $this <= today()
nidrs-date-reported-phb	error	DiagnosticReport	報告日期(issued)不得晚於衛生局收到日(extension[phbReceivedDay])。	issued.toString().substring(0, 10) <= extension.where(url = 'https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay').value.ofType(dateTime).toString().substring(0, 10)

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: nidrs-date-diagnose-reported, nidrs-date-reported-phb
DiagnosticReport.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for extension.extension:phbReceivedDay	S This element must be supported.	1..1	(Complex)	衛生局收到日 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
DiagnosticReport.Slices for extension.extension:phbReceivedDay.value[x]	C	0..1	dateTime	衛生局收到日 Constraints: nidrs-date
DiagnosticReport.Slices for extension.extension:note	S This element must be supported.	0..1	string	備註，新增通報時可填寫，修改通報時不可填寫。 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
DiagnosticReport.Slices for extension.extension:modifiedReason	S This element must be supported.	0..1	string	修改原因，修改通報時必填，新增通報時不可填寫 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason
DiagnosticReport.status		1..1	code	registered | partial | preliminary | final + Required Pattern: final
DiagnosticReport.code		1..1	CodeableConcept	Name/Code for this diagnostic report Required Pattern: At least the following
DiagnosticReport.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
DiagnosticReport.subject		1..1	Reference(個案資料-Patient NIDRS)	個案資料
DiagnosticReport.encounter		1..1	Reference(病患動向與通報疾病-Encounter NIDRS)	Health care event when test ordered
DiagnosticReport.effective[x]	C	1..1	dateTime	診斷日期 Constraints: nidrs-date
DiagnosticReport.issued	C	1..1	instant	報告日期。「報告日期」欄位填入值僅可為該通報單建檔日起算往前31天內(含)之日期。 Constraints: nidrs-date, nidrs-date-reported
DiagnosticReport.performer		1..1	Reference(醫師-Practitioner NIDRS)	診斷醫師
DiagnosticReport.result		2..*	Reference(職業-Observation Occupation | 旅遊史-Observation Travel History | 動物接觸史-Observation Animal Exposure | 暴露史-Observation Explore History)	流行病學資料（職業/旅遊史/動物接觸史/暴露史）
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
nidrs-date	error	DiagnosticReport.extension:phbReceivedDay.value[x], DiagnosticReport.effective[x], DiagnosticReport.issued	日期若有值，不得為未來日期。	$this <= now()
nidrs-date-diagnose-reported	error	DiagnosticReport	診斷日期(effectiveDateTime)不得晚於報告日期(issued)。	effective.ofType(dateTime).toString().substring(0, 10) <= issued.toString().substring(0, 10)
nidrs-date-reported	error	DiagnosticReport.issued	報告日期(issued)僅可為通報單建檔日起算往前31天內（含）之日期。	$this >= today() - 31 days and $this <= today()
nidrs-date-reported-phb	error	DiagnosticReport	報告日期(issued)不得晚於衛生局收到日(extension[phbReceivedDay])。	issued.toString().substring(0, 10) <= extension.where(url = 'https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay').value.ofType(dateTime).toString().substring(0, 10)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: nidrs-date-diagnose-reported, nidrs-date-reported-phb
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DiagnosticReport.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for extension.extension:phbReceivedDay	S This element must be supported.	1..1	(Complex)	衛生局收到日 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
DiagnosticReport.Slices for extension.extension:phbReceivedDay.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:phbReceivedDay.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:phbReceivedDay.url		1..1	uri	"https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay"
DiagnosticReport.Slices for extension.extension:phbReceivedDay.value[x]	C	0..1	dateTime	衛生局收到日 Constraints: nidrs-date
DiagnosticReport.Slices for extension.extension:note	S This element must be supported.	0..1	string	備註，新增通報時可填寫，修改通報時不可填寫。 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
DiagnosticReport.Slices for extension.extension:modifiedReason	S This element must be supported.	0..1	string	修改原因，修改通報時必填，新增通報時不可填寫 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier for report
DiagnosticReport.basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
DiagnosticReport.category	Σ This element is included in summaries.	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
DiagnosticReport.code.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.code.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.code.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
DiagnosticReport.code.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.text		0..1	string	Plain text representation of the concept
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(個案資料-Patient NIDRS)	個案資料
DiagnosticReport.encounter	Σ This element is included in summaries.	1..1	Reference(病患動向與通報疾病-Encounter NIDRS)	Health care event when test ordered
DiagnosticReport.effective[x]	Σ This element is included in summaries. C	1..1	dateTime	診斷日期 Constraints: nidrs-date
DiagnosticReport.issued	Σ This element is included in summaries. C	1..1	instant	報告日期。「報告日期」欄位填入值僅可為該通報單建檔日起算往前31天內(含)之日期。 Constraints: nidrs-date, nidrs-date-reported
DiagnosticReport.performer	Σ This element is included in summaries.	1..1	Reference(醫師-Practitioner NIDRS)	診斷醫師
DiagnosticReport.resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
DiagnosticReport.specimen		0..*	Reference(Specimen)	Specimens this report is based on
DiagnosticReport.result		2..*	Reference(職業-Observation Occupation | 旅遊史-Observation Travel History | 動物接觸史-Observation Animal Exposure | 暴露史-Observation Explore History)	流行病學資料（職業/旅遊史/動物接觸史/暴露史）
DiagnosticReport.imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
DiagnosticReport.media	Σ This element is included in summaries.	0..*	BackboneElement	Key images associated with this report
DiagnosticReport.media.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.media.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment		0..1	string	Comment about the image (e.g. explanation)
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(Media)	Reference to the image source
DiagnosticReport.conclusion		0..1	string	Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
nidrs-date	error	DiagnosticReport.extension:phbReceivedDay.value[x], DiagnosticReport.effective[x], DiagnosticReport.issued	日期若有值，不得為未來日期。	$this <= now()
nidrs-date-diagnose-reported	error	DiagnosticReport	診斷日期(effectiveDateTime)不得晚於報告日期(issued)。	effective.ofType(dateTime).toString().substring(0, 10) <= issued.toString().substring(0, 10)
nidrs-date-reported	error	DiagnosticReport.issued	報告日期(issued)僅可為通報單建檔日起算往前31天內（含）之日期。	$this >= today() - 31 days and $this <= today()
nidrs-date-reported-phb	error	DiagnosticReport	報告日期(issued)不得晚於衛生局收到日(extension[phbReceivedDay])。	issued.toString().substring(0, 10) <= extension.where(url = 'https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay').value.ofType(dateTime).toString().substring(0, 10)

This structure is derived from DiagnosticReport

Summary

Mandatory: 7 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 個案資料-Patient NIDRS (https://cdc.gov.tw/nidrs/StructureDefinition/Patient-NIDRS)
• 病患動向與通報疾病-Encounter NIDRS (https://cdc.gov.tw/nidrs/StructureDefinition/Encounter-NIDRS)
• 醫師-Practitioner NIDRS (https://cdc.gov.tw/nidrs/StructureDefinition/Practitioner-NIDRS)
• 職業-Observation Occupation (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-occupation)
• 旅遊史-Observation Travel History (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-travel-history)
• 動物接觸史-Observation Animal Exposure (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-animal-exposure)
• 暴露史-Observation Explore History (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-explore-history)

Extensions

This structure refers to these extensions:

• https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
• https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
• https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: nidrs-date-diagnose-reported, nidrs-date-reported-phb
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for extension.extension:phbReceivedDay	S This element must be supported.	1..1	(Complex)	衛生局收到日 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
DiagnosticReport.Slices for extension.extension:phbReceivedDay.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:phbReceivedDay.url		1..1	uri	"https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay"
DiagnosticReport.Slices for extension.extension:phbReceivedDay.value[x]	C	0..1	dateTime	衛生局收到日 Constraints: nidrs-date
DiagnosticReport.Slices for extension.extension:note	S This element must be supported.	0..1	string	備註，新增通報時可填寫，修改通報時不可填寫。 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
DiagnosticReport.Slices for extension.extension:modifiedReason	S This element must be supported.	0..1	string	修改原因，修改通報時必填，新增通報時不可填寫 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
DiagnosticReport.code.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.code.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.code.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
DiagnosticReport.code.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.text		0..1	string	Plain text representation of the concept
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(個案資料-Patient NIDRS)	個案資料
DiagnosticReport.encounter	Σ This element is included in summaries.	1..1	Reference(病患動向與通報疾病-Encounter NIDRS)	Health care event when test ordered
DiagnosticReport.effective[x]	Σ This element is included in summaries. C	1..1	dateTime	診斷日期 Constraints: nidrs-date
DiagnosticReport.issued	Σ This element is included in summaries. C	1..1	instant	報告日期。「報告日期」欄位填入值僅可為該通報單建檔日起算往前31天內(含)之日期。 Constraints: nidrs-date, nidrs-date-reported
DiagnosticReport.performer	Σ This element is included in summaries.	1..1	Reference(醫師-Practitioner NIDRS)	診斷醫師
DiagnosticReport.result		2..*	Reference(職業-Observation Occupation | 旅遊史-Observation Travel History | 動物接觸史-Observation Animal Exposure | 暴露史-Observation Explore History)	流行病學資料（職業/旅遊史/動物接觸史/暴露史）
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
nidrs-date	error	DiagnosticReport.extension:phbReceivedDay.value[x], DiagnosticReport.effective[x], DiagnosticReport.issued	日期若有值，不得為未來日期。	$this <= now()
nidrs-date-diagnose-reported	error	DiagnosticReport	診斷日期(effectiveDateTime)不得晚於報告日期(issued)。	effective.ofType(dateTime).toString().substring(0, 10) <= issued.toString().substring(0, 10)
nidrs-date-reported	error	DiagnosticReport.issued	報告日期(issued)僅可為通報單建檔日起算往前31天內（含）之日期。	$this >= today() - 31 days and $this <= today()
nidrs-date-reported-phb	error	DiagnosticReport	報告日期(issued)不得晚於衛生局收到日(extension[phbReceivedDay])。	issued.toString().substring(0, 10) <= extension.where(url = 'https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay').value.ofType(dateTime).toString().substring(0, 10)

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: nidrs-date-diagnose-reported, nidrs-date-reported-phb
DiagnosticReport.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for extension.extension:phbReceivedDay	S This element must be supported.	1..1	(Complex)	衛生局收到日 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
DiagnosticReport.Slices for extension.extension:phbReceivedDay.value[x]	C	0..1	dateTime	衛生局收到日 Constraints: nidrs-date
DiagnosticReport.Slices for extension.extension:note	S This element must be supported.	0..1	string	備註，新增通報時可填寫，修改通報時不可填寫。 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
DiagnosticReport.Slices for extension.extension:modifiedReason	S This element must be supported.	0..1	string	修改原因，修改通報時必填，新增通報時不可填寫 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason
DiagnosticReport.status		1..1	code	registered | partial | preliminary | final + Required Pattern: final
DiagnosticReport.code		1..1	CodeableConcept	Name/Code for this diagnostic report Required Pattern: At least the following
DiagnosticReport.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
DiagnosticReport.subject		1..1	Reference(個案資料-Patient NIDRS)	個案資料
DiagnosticReport.encounter		1..1	Reference(病患動向與通報疾病-Encounter NIDRS)	Health care event when test ordered
DiagnosticReport.effective[x]	C	1..1	dateTime	診斷日期 Constraints: nidrs-date
DiagnosticReport.issued	C	1..1	instant	報告日期。「報告日期」欄位填入值僅可為該通報單建檔日起算往前31天內(含)之日期。 Constraints: nidrs-date, nidrs-date-reported
DiagnosticReport.performer		1..1	Reference(醫師-Practitioner NIDRS)	診斷醫師
DiagnosticReport.result		2..*	Reference(職業-Observation Occupation | 旅遊史-Observation Travel History | 動物接觸史-Observation Animal Exposure | 暴露史-Observation Explore History)	流行病學資料（職業/旅遊史/動物接觸史/暴露史）
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
nidrs-date	error	DiagnosticReport.extension:phbReceivedDay.value[x], DiagnosticReport.effective[x], DiagnosticReport.issued	日期若有值，不得為未來日期。	$this <= now()
nidrs-date-diagnose-reported	error	DiagnosticReport	診斷日期(effectiveDateTime)不得晚於報告日期(issued)。	effective.ofType(dateTime).toString().substring(0, 10) <= issued.toString().substring(0, 10)
nidrs-date-reported	error	DiagnosticReport.issued	報告日期(issued)僅可為通報單建檔日起算往前31天內（含）之日期。	$this >= today() - 31 days and $this <= today()
nidrs-date-reported-phb	error	DiagnosticReport	報告日期(issued)不得晚於衛生局收到日(extension[phbReceivedDay])。	issued.toString().substring(0, 10) <= extension.where(url = 'https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay').value.ofType(dateTime).toString().substring(0, 10)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: nidrs-date-diagnose-reported, nidrs-date-reported-phb
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DiagnosticReport.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for extension.extension:phbReceivedDay	S This element must be supported.	1..1	(Complex)	衛生局收到日 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
DiagnosticReport.Slices for extension.extension:phbReceivedDay.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:phbReceivedDay.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:phbReceivedDay.url		1..1	uri	"https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay"
DiagnosticReport.Slices for extension.extension:phbReceivedDay.value[x]	C	0..1	dateTime	衛生局收到日 Constraints: nidrs-date
DiagnosticReport.Slices for extension.extension:note	S This element must be supported.	0..1	string	備註，新增通報時可填寫，修改通報時不可填寫。 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
DiagnosticReport.Slices for extension.extension:modifiedReason	S This element must be supported.	0..1	string	修改原因，修改通報時必填，新增通報時不可填寫 URL: https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifier for report
DiagnosticReport.basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Required Pattern: final
DiagnosticReport.category	Σ This element is included in summaries.	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
DiagnosticReport.code.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.code.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.code.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.code.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.code.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.code.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11502-2
DiagnosticReport.code.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.code.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.code.text		0..1	string	Plain text representation of the concept
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(個案資料-Patient NIDRS)	個案資料
DiagnosticReport.encounter	Σ This element is included in summaries.	1..1	Reference(病患動向與通報疾病-Encounter NIDRS)	Health care event when test ordered
DiagnosticReport.effective[x]	Σ This element is included in summaries. C	1..1	dateTime	診斷日期 Constraints: nidrs-date
DiagnosticReport.issued	Σ This element is included in summaries. C	1..1	instant	報告日期。「報告日期」欄位填入值僅可為該通報單建檔日起算往前31天內(含)之日期。 Constraints: nidrs-date, nidrs-date-reported
DiagnosticReport.performer	Σ This element is included in summaries.	1..1	Reference(醫師-Practitioner NIDRS)	診斷醫師
DiagnosticReport.resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
DiagnosticReport.specimen		0..*	Reference(Specimen)	Specimens this report is based on
DiagnosticReport.result		2..*	Reference(職業-Observation Occupation | 旅遊史-Observation Travel History | 動物接觸史-Observation Animal Exposure | 暴露史-Observation Explore History)	流行病學資料（職業/旅遊史/動物接觸史/暴露史）
DiagnosticReport.imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
DiagnosticReport.media	Σ This element is included in summaries.	0..*	BackboneElement	Key images associated with this report
DiagnosticReport.media.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.media.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment		0..1	string	Comment about the image (e.g. explanation)
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(Media)	Reference to the image source
DiagnosticReport.conclusion		0..1	string	Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
nidrs-date	error	DiagnosticReport.extension:phbReceivedDay.value[x], DiagnosticReport.effective[x], DiagnosticReport.issued	日期若有值，不得為未來日期。	$this <= now()
nidrs-date-diagnose-reported	error	DiagnosticReport	診斷日期(effectiveDateTime)不得晚於報告日期(issued)。	effective.ofType(dateTime).toString().substring(0, 10) <= issued.toString().substring(0, 10)
nidrs-date-reported	error	DiagnosticReport.issued	報告日期(issued)僅可為通報單建檔日起算往前31天內（含）之日期。	$this >= today() - 31 days and $this <= today()
nidrs-date-reported-phb	error	DiagnosticReport	報告日期(issued)不得晚於衛生局收到日(extension[phbReceivedDay])。	issued.toString().substring(0, 10) <= extension.where(url = 'https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay').value.ofType(dateTime).toString().substring(0, 10)

This structure is derived from DiagnosticReport

Summary

Mandatory: 7 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 個案資料-Patient NIDRS (https://cdc.gov.tw/nidrs/StructureDefinition/Patient-NIDRS)
• 病患動向與通報疾病-Encounter NIDRS (https://cdc.gov.tw/nidrs/StructureDefinition/Encounter-NIDRS)
• 醫師-Practitioner NIDRS (https://cdc.gov.tw/nidrs/StructureDefinition/Practitioner-NIDRS)
• 職業-Observation Occupation (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-occupation)
• 旅遊史-Observation Travel History (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-travel-history)
• 動物接觸史-Observation Animal Exposure (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-animal-exposure)
• 暴露史-Observation Explore History (https://cdc.gov.tw/nidrs/StructureDefinition/Observation-explore-history)

Extensions

This structure refers to these extensions:

• https://cdc.gov.tw/nidrs/StructureDefinition/extension-phbReceivedDay
• https://cdc.gov.tw/nidrs/StructureDefinition/extension-note
• https://cdc.gov.tw/nidrs/StructureDefinition/extension-modifiedReason

Other representations of profile: CSV, Excel, Schematron