全國性預防接種資訊登錄與上傳實作指引
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全國性預防接種資訊登錄與上傳實作指引, published by 衛福部疾病管制署. This guide is not an authorized publication; it is the continuous build for version 0.0.1 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

Resource Profile: 檢驗報告（DiagnosticReport Reporting NIIS)

Official URL: https://twniis.cdc.gov.tw/twniis/StructureDefinition/diagnosticReport-reporting-niis Version: 0.0.1
Active as of 2026-09-03 Computable Name: DiagnosticReportingNIIS

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:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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。
... 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 1..1 Identifier 資料key(該筆資料於院所資料庫中之唯一值)
... category S 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。
... code S 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。
.... Slices for coding S 1..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TWNIISObsType S 1..1 CodingTW 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)
.... text SΣ 1..1 string 個案編號，流水號從 1 開始
... subject SΣ 1..1 Reference(個案資料（Patient Reporting NIIS）) 【此欄位為FHIR必填欄位】
... effective[x] SΣ 0..1 與臨床相關的時間／報告的時段
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(合約院所（Organization Hosp Reporting NIIS）) 合約院所
... Slices for result S 1..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
Slice: Unordered, Open by profile:resolve()
.... result:HBsAg S 0..1 Reference(HBsAg檢驗檢查（Observation HBsAg Reporting NIIS）) HBsAg 檢驗結果
.... result:HBeAg S 0..1 Reference(HBeAg檢驗檢查（Observation HBeAg Reporting NIIS）) HBeAg 檢驗結果
.... result:HepBAntibody S 0..1 Reference(HepBAntibody檢驗檢查（Observation HepBAntibody Reporting NIIS）) HepBAntibody 檢驗結果
... conclusion S 0..1 string 檢驗結果的臨床結論（解釋）

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport TWCoreDiagnosticReport
... identifier S 1..1 Identifier 資料key(該筆資料於院所資料庫中之唯一值)
... status 1..1 code 【此欄位為FHIR必填欄位】
Required Pattern: final
... code
.... coding 1..* CodingTW 由專門術語系統（terminology system）定義的代碼
.... Slices for coding Content/Rules for all slices
..... 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。
..... 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。
..... 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。
..... 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。
..... coding:TWNIISObsType S 1..1 CodingTW 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)
.... text 1..1 string 個案編號，流水號從 1 開始
... performer 0..* Reference(合約院所（Organization Hosp Reporting NIIS）) 合約院所
... Slices for result 1..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
Slice: Unordered, Open by profile:resolve()
.... result:HBsAg S 0..1 Reference(HBsAg檢驗檢查（Observation HBsAg Reporting NIIS）) HBsAg 檢驗結果
.... result:HBeAg S 0..1 Reference(HBeAg檢驗檢查（Observation HBeAg Reporting NIIS）) HBeAg 檢驗結果
.... result:HepBAntibody S 0..1 Reference(HepBAntibody檢驗檢查（Observation HepBAntibody Reporting NIIS）) HepBAntibody 檢驗結果

doco 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
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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。
... id Σ 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。
... meta Σ 0..1 Meta 此DiagnosticReport Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier 資料key(該筆資料於院所資料庫中之唯一值)
... 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
... status ?!SΣ 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
... category S 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。
... code S 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。
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 1..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TWNIISObsType S 1..1 CodingTW 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)
.... text SΣ 1..1 string 個案編號，流水號從 1 開始
... subject SΣ 1..1 Reference(個案資料（Patient Reporting NIIS）) 【此欄位為FHIR必填欄位】
... encounter Σ 0..1 Reference(TW Core Encounter) 請求檢驗時的健康照護事件
... effective[x] SΣ 0..1 與臨床相關的時間／報告的時段
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(合約院所（Organization Hosp Reporting NIIS）) 合約院所
... resultsInterpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam) 主要結果的解釋者
... specimen 0..* Reference(Specimen) 此報告所依據的檢體
... Slices for result S 1..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
Slice: Unordered, Open by profile:resolve()
.... result:HBsAg S 0..1 Reference(HBsAg檢驗檢查（Observation HBsAg Reporting NIIS）) HBsAg 檢驗結果
.... result:HBeAg S 0..1 Reference(HBeAg檢驗檢查（Observation HBeAg Reporting NIIS）) HBeAg 檢驗結果
.... result:HepBAntibody S 0..1 Reference(HepBAntibody檢驗檢查（Observation HepBAntibody Reporting NIIS）) HepBAntibody 檢驗結果
... imagingStudy 0..* Reference(TW Core ImagingStudy) 參照至與診斷報告相關的成像之全部細節
... media Σ 0..* BackboneElement 與此報告相關的關鍵影像
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string 關於影像的意見（例如：解釋）。
.... link Σ 1..1 Reference(TW Core Media) 參照的影像來源
... conclusion S 0..1 string 檢驗結果的臨床結論（解釋）
... 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)
... presentedForm 0..* Attachment 已發佈的整個報告

doco 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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。
... 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 1..1 Identifier 資料key(該筆資料於院所資料庫中之唯一值)
... category S 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。
... code S 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。
.... Slices for coding S 1..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TWNIISObsType S 1..1 CodingTW 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)
.... text SΣ 1..1 string 個案編號，流水號從 1 開始
... subject SΣ 1..1 Reference(個案資料（Patient Reporting NIIS）) 【此欄位為FHIR必填欄位】
... effective[x] SΣ 0..1 與臨床相關的時間／報告的時段
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(合約院所（Organization Hosp Reporting NIIS）) 合約院所
... Slices for result S 1..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
Slice: Unordered, Open by profile:resolve()
.... result:HBsAg S 0..1 Reference(HBsAg檢驗檢查（Observation HBsAg Reporting NIIS）) HBsAg 檢驗結果
.... result:HBeAg S 0..1 Reference(HBeAg檢驗檢查（Observation HBeAg Reporting NIIS）) HBeAg 檢驗結果
.... result:HepBAntibody S 0..1 Reference(HepBAntibody檢驗檢查（Observation HepBAntibody Reporting NIIS）) HepBAntibody 檢驗結果
... conclusion S 0..1 string 檢驗結果的臨床結論（解釋）

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport TWCoreDiagnosticReport
... identifier S 1..1 Identifier 資料key(該筆資料於院所資料庫中之唯一值)
... status 1..1 code 【此欄位為FHIR必填欄位】
Required Pattern: final
... code
.... coding 1..* CodingTW 由專門術語系統（terminology system）定義的代碼
.... Slices for coding Content/Rules for all slices
..... 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。
..... 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。
..... 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。
..... 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。
..... coding:TWNIISObsType S 1..1 CodingTW 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)
.... text 1..1 string 個案編號，流水號從 1 開始
... performer 0..* Reference(合約院所（Organization Hosp Reporting NIIS）) 合約院所
... Slices for result 1..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
Slice: Unordered, Open by profile:resolve()
.... result:HBsAg S 0..1 Reference(HBsAg檢驗檢查（Observation HBsAg Reporting NIIS）) HBsAg 檢驗結果
.... result:HBeAg S 0..1 Reference(HBeAg檢驗檢查（Observation HBeAg Reporting NIIS）) HBeAg 檢驗結果
.... result:HepBAntibody S 0..1 Reference(HepBAntibody檢驗檢查（Observation HepBAntibody Reporting NIIS）) HepBAntibody 檢驗結果

doco 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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。
... id Σ 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。
... meta Σ 0..1 Meta 此DiagnosticReport Resource的metadata
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 1..1 Identifier 資料key(該筆資料於院所資料庫中之唯一值)
... 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
... status ?!SΣ 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
... category S 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。
... code S 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。
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... Slices for coding S 1..* CodingTW 由專門術語系統（terminology system）定義的代碼
Slice: Unordered, Open by pattern:$this
..... coding:TWNIISObsType S 1..1 CodingTW 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)
.... text SΣ 1..1 string 個案編號，流水號從 1 開始
... subject SΣ 1..1 Reference(個案資料（Patient Reporting NIIS）) 【此欄位為FHIR必填欄位】
... encounter Σ 0..1 Reference(TW Core Encounter) 請求檢驗時的健康照護事件
... effective[x] SΣ 0..1 與臨床相關的時間／報告的時段
.... effectiveDateTime dateTime S
.... effectivePeriod Period
... issued SΣ 0..1 instant 此版本完成的日期時間
... performer SΣ 0..* Reference(合約院所（Organization Hosp Reporting NIIS）) 合約院所
... resultsInterpreter Σ 0..* Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | TW Core CareTeam) 主要結果的解釋者
... specimen 0..* Reference(Specimen) 此報告所依據的檢體
... Slices for result S 1..* Reference(TW Core Observation Laboratory Result) 檢驗檢查
Slice: Unordered, Open by profile:resolve()
.... result:HBsAg S 0..1 Reference(HBsAg檢驗檢查（Observation HBsAg Reporting NIIS）) HBsAg 檢驗結果
.... result:HBeAg S 0..1 Reference(HBeAg檢驗檢查（Observation HBeAg Reporting NIIS）) HBeAg 檢驗結果
.... result:HepBAntibody S 0..1 Reference(HepBAntibody檢驗檢查（Observation HepBAntibody Reporting NIIS）) HepBAntibody 檢驗結果
... imagingStudy 0..* Reference(TW Core ImagingStudy) 參照至與診斷報告相關的成像之全部細節
... media Σ 0..* BackboneElement 與此報告相關的關鍵影像
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string 關於影像的意見（例如：解釋）。
.... link Σ 1..1 Reference(TW Core Media) 參照的影像來源
... conclusion S 0..1 string 檢驗結果的臨床結論（解釋）
... 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)
... presentedForm 0..* Attachment 已發佈的整個報告

doco 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()

 

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