全國性預防接種資訊系統實作指引, published by 衛福部疾病管制署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hyweb-cdc/niis/ and changes regularly. See the Directory of published versions

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

Resource Profile: 檢驗報告(DiagnosticReport Reporting NIIS)

此檢驗報告(DiagnosticReport Reporting NIIS)Profile 說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport)Profile以呈現全國性預防接種資訊之檢驗報告。

Usages:

• Use this Profile: 合約院所上傳檢驗報告(Bundle Request Reporting NIIS) and CDC回覆合約院所上傳/修改/刪除(Bundle Response NIIS)
• Examples for this Profile: DiagnosticReport/diagnosticreport-id-min, DiagnosticReport/diagnosticreport-passport-min and DiagnosticReport/diagnosticreport-residentNumber-min
• CapabilityStatements using this Profile: 全國性預防接種資訊登錄與上傳-用戶端(NIIS Client) and 全國性預防接種資訊登錄與上傳-伺服端(NIIS 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..*	TWCoreDiagnosticReport	診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	資料key(該筆資料於院所資料庫中之唯一值)
DiagnosticReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	【此欄位為FHIR必填欄位】 Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼 Required Pattern: final (extensions allowed)
DiagnosticReport.category	S This element must be supported.	0..*	CodeableConceptTW	服務類別 Binding: DiagnosticServiceSectionCodes (extensible): 診斷報告分類；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
DiagnosticReport.code	S This element must be supported.	1..1	CodeableConceptTW	此診斷報告的名稱／代碼 Binding: LOINCCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
DiagnosticReport.code.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
DiagnosticReport.code.Slices for coding.coding:TWNIISObsType	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	檢驗類型，1＝德國麻疹檢驗結果｜2＝孕婦 B 肝產檢結果｜3＝麻疹檢驗結果。 Binding: CDC-NIIS系統-檢驗類型值集 (required)
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	個案編號，流水號從 1 開始
DiagnosticReport.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(個案資料(Patient Reporting NIIS))	【此欄位為FHIR必填欄位】
DiagnosticReport.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		與臨床相關的時間／報告的時段
DiagnosticReport.effective[x].effectiveDateTime			dateTime S This target must be supported.
DiagnosticReport.effective[x].effectivePeriod			Period
DiagnosticReport.issued	S This element must be supported. Σ This element is included in summaries.	0..1	instant	此版本完成的日期時間
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(合約院所(Organization Hosp Reporting NIIS))	合約院所
DiagnosticReport.Slices for result	S This element must be supported.	1..*	Reference(TW Core Observation Laboratory Result)	檢驗檢查 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for result.result:HBsAg	S This element must be supported.	0..1	Reference(HBsAg檢驗檢查(Observation HBsAg Reporting NIIS))	HBsAg 檢驗結果
DiagnosticReport.Slices for result.result:HBeAg	S This element must be supported.	0..1	Reference(HBeAg檢驗檢查(Observation HBeAg Reporting NIIS))	HBeAg 檢驗結果
DiagnosticReport.Slices for result.result:MRAntibody	S This element must be supported.	0..1	Reference(麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS))	麻疹／德國麻疹抗體檢驗結果
DiagnosticReport.conclusion	S This element must be supported.	0..1	string	檢驗結果的臨床結論（解釋）
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	extensible	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code.​coding:TWNIISObsType	Base	required	CDC-NIIS系統-檢驗類型值集	📦2026-08-15	This IG

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()

This structure is derived from TWCoreDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			TWCoreDiagnosticReport
DiagnosticReport.identifier	S This element must be supported.	1..1	Identifier	資料key(該筆資料於院所資料庫中之唯一值)
DiagnosticReport.status		1..1	code	【此欄位為FHIR必填欄位】 Required Pattern: final (extensions allowed)
DiagnosticReport.code
DiagnosticReport.code.coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
DiagnosticReport.code.Slices for coding				Content/Rules for all slices
DiagnosticReport.code.Slices for coding.coding:LOINCObservationCode		0..0		LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TWLaboratoryCategory		0..0		此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TW2021ICD10PCS		0..0		此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS		0..0		此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TWNIISObsType	S This element must be supported.	1..1	Coding	檢驗類型，1＝德國麻疹檢驗結果｜2＝孕婦 B 肝產檢結果｜3＝麻疹檢驗結果。 Binding: CDC-NIIS系統-檢驗類型值集 (required)
DiagnosticReport.code.text		1..1	string	個案編號，流水號從 1 開始
DiagnosticReport.subject		1..1	Reference(個案資料(Patient Reporting NIIS))	【此欄位為FHIR必填欄位】
DiagnosticReport.performer		0..*	Reference(合約院所(Organization Hosp Reporting NIIS))	合約院所
DiagnosticReport.Slices for result		1..*	Reference(TW Core Observation Laboratory Result)	檢驗檢查 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for result.result:HBsAg	S This element must be supported.	0..1	Reference(HBsAg檢驗檢查(Observation HBsAg Reporting NIIS))	HBsAg 檢驗結果
DiagnosticReport.Slices for result.result:HBeAg	S This element must be supported.	0..1	Reference(HBeAg檢驗檢查(Observation HBeAg Reporting NIIS))	HBeAg 檢驗結果
DiagnosticReport.Slices for result.result:MRAntibody	S This element must be supported.	0..1	Reference(麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS))	麻疹／德國麻疹抗體檢驗結果
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.code.​coding:TWNIISObsType	Base	required	CDC-NIIS系統-檢驗類型值集	📦2026-08-15	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	TWCoreDiagnosticReport	診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的DiagnosticReport紀錄，通常又稱為邏輯性ID。
DiagnosticReport.meta	Σ This element is included in summaries.	0..1	Meta	此DiagnosticReport Resource的metadata
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
DiagnosticReport.language		0..1	code	用以表述DiagnosticReport 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
DiagnosticReport.text		0..1	Narrative	DiagnosticReport 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
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	資料key(該筆資料於院所資料庫中之唯一值)
DiagnosticReport.basedOn		0..*	Reference(TW Core CarePlan | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	此報告是基於什麼服務的請求
DiagnosticReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	【此欄位為FHIR必填欄位】 Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼 Required Pattern: final (extensions allowed)
DiagnosticReport.category	S This element must be supported.	0..*	CodeableConceptTW	服務類別 Binding: DiagnosticServiceSectionCodes (extensible): 診斷報告分類；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
DiagnosticReport.code	S This element must be supported.	1..1	CodeableConceptTW	此診斷報告的名稱／代碼 Binding: LOINCCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
DiagnosticReport.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
DiagnosticReport.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
DiagnosticReport.code.Slices for coding.coding:TWNIISObsType	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	檢驗類型，1＝德國麻疹檢驗結果｜2＝孕婦 B 肝產檢結果｜3＝麻疹檢驗結果。 Binding: CDC-NIIS系統-檢驗類型值集 (required)
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	個案編號，流水號從 1 開始
DiagnosticReport.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(個案資料(Patient Reporting NIIS))	【此欄位為FHIR必填欄位】
DiagnosticReport.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	請求檢驗時的健康照護事件
DiagnosticReport.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		與臨床相關的時間／報告的時段
DiagnosticReport.effective[x].effectiveDateTime			dateTime S This target must be supported.
DiagnosticReport.effective[x].effectivePeriod			Period
DiagnosticReport.issued	S This element must be supported. Σ This element is included in summaries.	0..1	instant	此版本完成的日期時間
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(合約院所(Organization Hosp Reporting NIIS))	合約院所
DiagnosticReport.resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam)	主要結果的解釋者
DiagnosticReport.specimen		0..*	Reference(Specimen)	此報告所依據的檢體
DiagnosticReport.Slices for result	S This element must be supported.	1..*	Reference(TW Core Observation Laboratory Result)	檢驗檢查 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for result.result:HBsAg	S This element must be supported.	0..1	Reference(HBsAg檢驗檢查(Observation HBsAg Reporting NIIS))	HBsAg 檢驗結果
DiagnosticReport.Slices for result.result:HBeAg	S This element must be supported.	0..1	Reference(HBeAg檢驗檢查(Observation HBeAg Reporting NIIS))	HBeAg 檢驗結果
DiagnosticReport.Slices for result.result:MRAntibody	S This element must be supported.	0..1	Reference(麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS))	麻疹／德國麻疹抗體檢驗結果
DiagnosticReport.imagingStudy		0..*	Reference(TW Core ImagingStudy)	參照至與診斷報告相關的成像之全部細節
DiagnosticReport.media	Σ This element is included in summaries.	0..*	BackboneElement	與此報告相關的關鍵影像
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	關於影像的意見（例如：解釋）。
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(TW Core Media)	參照的影像來源
DiagnosticReport.conclusion	S This element must be supported.	0..1	string	檢驗結果的臨床結論（解釋）
DiagnosticReport.conclusionCode		0..*	CodeableConceptTW	檢驗結果的臨床結論的代碼；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Binding: SNOMEDCTClinicalFindings (extensible)
DiagnosticReport.presentedForm		0..*	Attachment	已發佈的整個報告
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	extensible	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code.​coding:TWNIISObsType	Base	required	CDC-NIIS系統-檢驗類型值集	📦2026-08-15	This IG
DiagnosticReport.conclusionCode	Base	extensible	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()

This structure is derived from TWCoreDiagnosticReport

Summary

Mandatory: 5 elements
Must-Support: 5 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• 個案資料(Patient Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/patient-reporting-niis)
• 合約院所(Organization Hosp Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/organization-hosp-reporting-niis)
• HBsAg檢驗檢查(Observation HBsAg Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/observation-hBsAg-reporting-niis)
• HBeAg檢驗檢查(Observation HBeAg Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/observation-HBeAg-reporting-niis)
• 麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/observation-MRAntibody-reporting-niis)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of DiagnosticReport.result

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	TWCoreDiagnosticReport	診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	資料key(該筆資料於院所資料庫中之唯一值)
DiagnosticReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	【此欄位為FHIR必填欄位】 Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼 Required Pattern: final (extensions allowed)
DiagnosticReport.category	S This element must be supported.	0..*	CodeableConceptTW	服務類別 Binding: DiagnosticServiceSectionCodes (extensible): 診斷報告分類；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
DiagnosticReport.code	S This element must be supported.	1..1	CodeableConceptTW	此診斷報告的名稱／代碼 Binding: LOINCCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
DiagnosticReport.code.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
DiagnosticReport.code.Slices for coding.coding:TWNIISObsType	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	檢驗類型，1＝德國麻疹檢驗結果｜2＝孕婦 B 肝產檢結果｜3＝麻疹檢驗結果。 Binding: CDC-NIIS系統-檢驗類型值集 (required)
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	個案編號，流水號從 1 開始
DiagnosticReport.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(個案資料(Patient Reporting NIIS))	【此欄位為FHIR必填欄位】
DiagnosticReport.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		與臨床相關的時間／報告的時段
DiagnosticReport.effective[x].effectiveDateTime			dateTime S This target must be supported.
DiagnosticReport.effective[x].effectivePeriod			Period
DiagnosticReport.issued	S This element must be supported. Σ This element is included in summaries.	0..1	instant	此版本完成的日期時間
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(合約院所(Organization Hosp Reporting NIIS))	合約院所
DiagnosticReport.Slices for result	S This element must be supported.	1..*	Reference(TW Core Observation Laboratory Result)	檢驗檢查 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for result.result:HBsAg	S This element must be supported.	0..1	Reference(HBsAg檢驗檢查(Observation HBsAg Reporting NIIS))	HBsAg 檢驗結果
DiagnosticReport.Slices for result.result:HBeAg	S This element must be supported.	0..1	Reference(HBeAg檢驗檢查(Observation HBeAg Reporting NIIS))	HBeAg 檢驗結果
DiagnosticReport.Slices for result.result:MRAntibody	S This element must be supported.	0..1	Reference(麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS))	麻疹／德國麻疹抗體檢驗結果
DiagnosticReport.conclusion	S This element must be supported.	0..1	string	檢驗結果的臨床結論（解釋）
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	DiagnosticReportStatus	📍4.0.1	FHIR Std.
DiagnosticReport.category	Base	extensible	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code.​coding:TWNIISObsType	Base	required	CDC-NIIS系統-檢驗類型值集	📦2026-08-15	This IG

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()

Differential View

This structure is derived from TWCoreDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			TWCoreDiagnosticReport
DiagnosticReport.identifier	S This element must be supported.	1..1	Identifier	資料key(該筆資料於院所資料庫中之唯一值)
DiagnosticReport.status		1..1	code	【此欄位為FHIR必填欄位】 Required Pattern: final (extensions allowed)
DiagnosticReport.code
DiagnosticReport.code.coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
DiagnosticReport.code.Slices for coding				Content/Rules for all slices
DiagnosticReport.code.Slices for coding.coding:LOINCObservationCode		0..0		LOINC®為Regenstrief Institute, Inc.維護的檢驗事件描述代碼，可免費使用，可優先選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TWLaboratoryCategory		0..0		此為中央健康保險署(NHI)維護之醫療服務給付項目-檢驗相關代碼，主要針對申報使用，更新頻率相對頻繁，可免費使用，可依情境選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TW2021ICD10PCS		0..0		此為臺灣健保署2021年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TW2023ICD10PCS		0..0		此為臺灣健保署2023年中文版ICD-10-PCS，可免費使用，可依情境選用此代碼。
DiagnosticReport.code.Slices for coding.coding:TWNIISObsType	S This element must be supported.	1..1	Coding	檢驗類型，1＝德國麻疹檢驗結果｜2＝孕婦 B 肝產檢結果｜3＝麻疹檢驗結果。 Binding: CDC-NIIS系統-檢驗類型值集 (required)
DiagnosticReport.code.text		1..1	string	個案編號，流水號從 1 開始
DiagnosticReport.subject		1..1	Reference(個案資料(Patient Reporting NIIS))	【此欄位為FHIR必填欄位】
DiagnosticReport.performer		0..*	Reference(合約院所(Organization Hosp Reporting NIIS))	合約院所
DiagnosticReport.Slices for result		1..*	Reference(TW Core Observation Laboratory Result)	檢驗檢查 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for result.result:HBsAg	S This element must be supported.	0..1	Reference(HBsAg檢驗檢查(Observation HBsAg Reporting NIIS))	HBsAg 檢驗結果
DiagnosticReport.Slices for result.result:HBeAg	S This element must be supported.	0..1	Reference(HBeAg檢驗檢查(Observation HBeAg Reporting NIIS))	HBeAg 檢驗結果
DiagnosticReport.Slices for result.result:MRAntibody	S This element must be supported.	0..1	Reference(麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS))	麻疹／德國麻疹抗體檢驗結果
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.code.​coding:TWNIISObsType	Base	required	CDC-NIIS系統-檢驗類型值集	📦2026-08-15	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	TWCoreDiagnosticReport	診斷報告—由請求資訊、不可被中斷的一個或一系列結果（atomic results）、影像、解釋以及格式化報告所組成。
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的DiagnosticReport紀錄，通常又稱為邏輯性ID。
DiagnosticReport.meta	Σ This element is included in summaries.	0..1	Meta	此DiagnosticReport Resource的metadata
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
DiagnosticReport.language		0..1	code	用以表述DiagnosticReport 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
DiagnosticReport.text		0..1	Narrative	DiagnosticReport 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
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	資料key(該筆資料於院所資料庫中之唯一值)
DiagnosticReport.basedOn		0..*	Reference(TW Core CarePlan | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	此報告是基於什麼服務的請求
DiagnosticReport.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	【此欄位為FHIR必填欄位】 Binding: DiagnosticReportStatus (required): 診斷報告狀態；應填入所綁定值集中的其中一個代碼 Required Pattern: final (extensions allowed)
DiagnosticReport.category	S This element must be supported.	0..*	CodeableConceptTW	服務類別 Binding: DiagnosticServiceSectionCodes (extensible): 診斷報告分類；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
DiagnosticReport.code	S This element must be supported.	1..1	CodeableConceptTW	此診斷報告的名稱／代碼 Binding: LOINCCodes (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
DiagnosticReport.code.id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
DiagnosticReport.code.extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
DiagnosticReport.code.Slices for coding	S This element must be supported.	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼 Slice: Unordered, Open by pattern:$this
DiagnosticReport.code.Slices for coding.coding:TWNIISObsType	S This element must be supported. Σ This element is included in summaries.	1..1	Coding	檢驗類型，1＝德國麻疹檢驗結果｜2＝孕婦 B 肝產檢結果｜3＝麻疹檢驗結果。 Binding: CDC-NIIS系統-檢驗類型值集 (required)
DiagnosticReport.code.text	S This element must be supported. Σ This element is included in summaries.	1..1	string	個案編號，流水號從 1 開始
DiagnosticReport.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(個案資料(Patient Reporting NIIS))	【此欄位為FHIR必填欄位】
DiagnosticReport.encounter	Σ This element is included in summaries.	0..1	Reference(TW Core Encounter)	請求檢驗時的健康照護事件
DiagnosticReport.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		與臨床相關的時間／報告的時段
DiagnosticReport.effective[x].effectiveDateTime			dateTime S This target must be supported.
DiagnosticReport.effective[x].effectivePeriod			Period
DiagnosticReport.issued	S This element must be supported. Σ This element is included in summaries.	0..1	instant	此版本完成的日期時間
DiagnosticReport.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(合約院所(Organization Hosp Reporting NIIS))	合約院所
DiagnosticReport.resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam)	主要結果的解釋者
DiagnosticReport.specimen		0..*	Reference(Specimen)	此報告所依據的檢體
DiagnosticReport.Slices for result	S This element must be supported.	1..*	Reference(TW Core Observation Laboratory Result)	檢驗檢查 Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for result.result:HBsAg	S This element must be supported.	0..1	Reference(HBsAg檢驗檢查(Observation HBsAg Reporting NIIS))	HBsAg 檢驗結果
DiagnosticReport.Slices for result.result:HBeAg	S This element must be supported.	0..1	Reference(HBeAg檢驗檢查(Observation HBeAg Reporting NIIS))	HBeAg 檢驗結果
DiagnosticReport.Slices for result.result:MRAntibody	S This element must be supported.	0..1	Reference(麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS))	麻疹／德國麻疹抗體檢驗結果
DiagnosticReport.imagingStudy		0..*	Reference(TW Core ImagingStudy)	參照至與診斷報告相關的成像之全部細節
DiagnosticReport.media	Σ This element is included in summaries.	0..*	BackboneElement	與此報告相關的關鍵影像
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	關於影像的意見（例如：解釋）。
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(TW Core Media)	參照的影像來源
DiagnosticReport.conclusion	S This element must be supported.	0..1	string	檢驗結果的臨床結論（解釋）
DiagnosticReport.conclusionCode		0..*	CodeableConceptTW	檢驗結果的臨床結論的代碼；應填入所綁定值集值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。 Binding: SNOMEDCTClinicalFindings (extensible)
DiagnosticReport.presentedForm		0..*	Attachment	已發佈的整個報告
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	extensible	Diagnostic Service Section Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code	Base	preferred	LOINC Codes	📦4.0.1	FHIR Std.
DiagnosticReport.code.​coding:TWNIISObsType	Base	required	CDC-NIIS系統-檢驗類型值集	📦2026-08-15	This IG
DiagnosticReport.conclusionCode	Base	extensible	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()

This structure is derived from TWCoreDiagnosticReport

Summary

Mandatory: 5 elements
Must-Support: 5 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

• 個案資料(Patient Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/patient-reporting-niis)
• 合約院所(Organization Hosp Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/organization-hosp-reporting-niis)
• HBsAg檢驗檢查(Observation HBsAg Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/observation-hBsAg-reporting-niis)
• HBeAg檢驗檢查(Observation HBeAg Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/observation-HBeAg-reporting-niis)
• 麻疹／德國麻疹抗體檢驗檢查(Observation MRAntibody Reporting NIIS) (https://twniis.cdc.gov.tw/twniis/StructureDefinition/observation-MRAntibody-reporting-niis)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of DiagnosticReport.result

Other representations of profile: CSV, Excel, Schematron