檢驗通報 - 臺灣結核病實作指引 v0.1.0

臺灣結核病實作指引, 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/omnifhir/tb/ and changes regularly. See the Directory of published versions

Example Bundle: 檢驗通報

Profile: 檢驗通報-Bundle TB Reporting

Bundle reporting of type message

Entry 1 - fullUrl = https://tb.cdc.gov.tw/tb/MessageHeader/message-reporting

Resource MessageHeader:

Profile: 檢驗通報訊息-MessageHeader TB Reporting
event: CDC-訊息事件: reporting (檢驗通報)
sender: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
source
focus: Diagnostic Report for 'Laboratory report' for '->王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))'

Entry 2 - fullUrl = https://tb.cdc.gov.tw/tb/DiagnosticReport/report

Resource DiagnosticReport:

Profile: 實驗室報告-DiagnosticReport TB Reporting
Laboratory report
Subject 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
Report Details
Code Value Flags Note Relevant Time Reported
塗片報告陰性 Final 2026-01-01 08:36:48+0800
MGIT培養結果報告陰性 Final 2026-01-23
L-J培養結果報告陰性 Final 2026-02-09
M.tuberculosis MTBC Final 2026-01-01 08:36:48+0800
一線藥敏報告 Final
一線藥敏備註

2026-03-10 10:45:00+0800
二線藥敏報告 Final
二線藥敏備註

2026-03-16 10:45:00+0800
痰檢體病原體分生檢測報告無法判定 Final
痰檢體病原體分生檢測結果備註

2026-02-13
IGRA報告陰性 Final
IGRA備註

2026-01-13 2026-01-13 17:00:00+0800
Xpert MTBC報告 MTBC陽性 Final 2026-02-04
Xpert RMP報告敏感 Final 2026-02-04
分生一線藥物報告 Final 2026-02-14
分生二線藥物報告 Final 2026-02-18

Entry 3 - fullUrl = https://tb.cdc.gov.tw/tb/Patient/example

Resource Patient:

Profile: 檢驗通報病人資訊-Patient TB
識別碼型別：National Person Identifier （ Identifier Type Codes#NNxxx）
身分證字號（official）：A123456789 （http://www.moi.gov.tw）
識別碼型別：Health Card Number （ Identifier Type Codes#HC）
健保卡序號（official）：0000111122223333 （https://www.nhi.gov.tw）
姓名（usual）：王大明
性別：男
出生日期：1996-01-01

Entry 4 - fullUrl = https://tb.cdc.gov.tw/tb/Organization/hosp

Resource Organization:

醫事機構
Profile: 醫事機構-Organization TB
識別碼型別：Provider number（ IdentifierType#PRN）
機構代碼（official）：0401180014 (https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/organization-identifier-tw)
機構種類：Healthcare Provider ( OrganizationType#prov)

Entry 5 - fullUrl = https://tb.cdc.gov.tw/tb/Specimen/sampled

Resource Specimen:

Profile: 檢驗通報檢體-Specimen TB Reporting
identifier: S52131004218
accessionIdentifier: S52131004218
type: 其他
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
receivedTime: 2026-01-01 08:36:48+0800
Collections
- Collected[x]
* 2025-12-31

Entry 6 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/smear

Resource Observation:

Profile: 塗片報告-Observation Smear
status: Final
category: Laboratory
code: 塗片報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-01-01 08:36:48+0800
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: 陰性
method: 螢光

Entry 7 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/mgit

Resource Observation:

Profile: MGIT培養結果報告-Observation MGIT
status: Final
category: Laboratory
code: MGIT培養結果報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-01-23
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: 陰性

Entry 8 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/lj

Resource Observation:

Profile: L-J培養結果報告-Observation LJ
status: Final
category: Laboratory
code: L-J培養結果報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-02-09
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: 陰性

Entry 9 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/identify

Resource Observation:

Profile: 菌種鑑定報告-Observation Identify
status: Final
category: Laboratory
code: M.tuberculosis
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-01-01 08:36:48+0800
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: MTBC
method: ICT鑑定

Entry 10 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/drug-sensitive-1

Resource Observation:

Profile: 一線藥敏-Observation Drug Sensitive 1
status: Final
category: Laboratory
code: 一線藥敏報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-03-10 10:45:00+0800
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
note:
一線藥敏備註

method: Abbott RealTime MTB RIF/INH
component
code: 一線藥敏-高濃度Isoniazid
value: 敏感
component
code: 一線藥敏-低濃度Isoniazid
value: 敏感
component
code: 一線藥敏-高濃度Ethambutol
value: 敏感
component
code: 一線藥敏-低濃度Ethambutol
value: 敏感
component
code: 一線藥敏-高濃度Streptomycin
value: 敏感
component
code: 一線藥敏-低濃度Streptomycin
value: 敏感
component
code: 一線藥敏-Rifampin
value: 敏感
component
code: 一線藥敏-Pyrazinamide
value: 敏感
component
code: 其他一線藥敏
value: 敏感

Entry 11 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/drug-sensitive-2

Resource Observation:

Profile: 二線藥敏-Observation Drug Sensitive 2
status: Final
category: Laboratory
code: 二線藥敏報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-03-16 10:45:00+0800
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
note:
二線藥敏備註

method: Genotype MTBDRsl
component
code: 二線藥敏-高濃度Kanamycin
value: 敏感
component
code: 二線藥敏-低濃度Kanamycin
value: 敏感
component
code: 二線藥敏-Ofloxacin
value: 敏感
component
code: 二線藥敏-Ethionamide
value: 敏感
component
code: 二線藥敏-p-aminosalicylicacid
value: 敏感
component
code: 二線藥敏-Rifabutin
value: 敏感
component
code: 二線藥敏-Capreomycin
value: 敏感
component
code: 二線藥敏-Ciprofloxacin
value: 敏感
component
code: 二線藥敏-Moxifloxacin
value: 敏感
component
code: 二線藥敏-Gatifloxacin
value: 敏感
component
code: 二線藥敏-Levofloxacin
value: 敏感
component
code: 二線藥敏-Amikacin
value: 敏感
component
code: 二線藥敏-Prothionamide
value: 敏感
component
code: 二線藥敏-Cycloserine
value: 敏感
component
code: 二線藥敏-Terizidone
value: 敏感
component
code: 二線藥敏-Thioacetazone
value: 敏感
component
code: 二線藥敏-Enviomycin
value: 敏感
component
code: 其他二線藥敏
value: 敏感

Entry 12 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/sputum-pcr

Resource Observation:

Profile: 痰檢體病原體分生檢測報告-Observation Sputum PCR
status: Final
category: Laboratory
code: 痰檢體病原體分生檢測報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-02-13
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: 無法判定
note:
痰檢體病原體分生檢測結果備註

Entry 13 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/igra

Resource Observation:

Profile: IGRA報告-Observation IGRA
status: Final
category: Laboratory
code: IGRA報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-01-13
issued: 2026-01-13 17:00:00+0800
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: 陰性
note:
IGRA備註

component
code: IGRA_QFT_NIL報告
value: 0.06
component
code: IGRA_TB_ANTIGEN報告
value: 0.1
component
code: IGRA_TB1_ANTIGEN報告
value: 0.31
component
code: IGRA_TB2_ANTIGEN報告
value: 0.32
component
code: IGRA_MITOGEN報告
value: 6.94

Entry 14 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/xpert-mtbc

Resource Observation:

Profile: Xpert MTBC報告-Observation Xpert MTBC
status: Final
category: Laboratory
code: Xpert MTBC報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-02-04
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: MTBC陽性

Entry 15 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/xpert-rmp

Resource Observation:

Profile: Xpert RMP報告-Observation Xpert RMP
status: Final
category: Laboratory
code: Xpert RMP報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-02-04
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
value: 敏感

Entry 16 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/genotype

Resource Observation:

Profile: 分生一線藥物報告-Observation Genotype
status: Final
category: Laboratory
code: 分生一線藥物報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-02-14
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
component
code: MTBC
value: 無法判定
component
code: RMP
value: 無法判定
component
code: INH
value: 無法判定

Entry 17 - fullUrl = https://tb.cdc.gov.tw/tb/Observation/moleculex

Resource Observation:

Profile: 分生二線藥物報告-Observation Moleculex
status: Final
category: Laboratory
code: 分生二線藥物報告
subject: 王大明 Male, DoB: 1996-01-01 ( Health Card Number (use: official, ))
effective: 2026-02-18
performer: Organization: identifier = Provider number (use: official, ); type = Healthcare Provider
component
code: FLQ
value: 無法判定
component
code: KM
value: 無法判定
component
code: AMK
value: 無法判定
component
code: CM
value: 無法判定
component
code: ETH
value: 無法判定
component
code: PZA
value: 無法判定