實驗室報告-DiagnosticReport TB Reporting - 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

Resource Profile: 實驗室報告-DiagnosticReport TB Reporting

Official URL: https://tb.cdc.gov.tw/tb/StructureDefinition/DiagnosticReport-tb-reporting				Version: 0.1.0
Active as of 2026-10-28				Computable Name: DiagnosticReportReporting

此實驗室報告-DiagnosticReport TB Reporting Profile說明本IG如何進一步定義FHIR的DiagnosticReport Resource以呈現TB實驗室報告

Usages:

Use this Profile: 檢驗通報-Bundle TB Reporting
Refer to this Profile: 檢驗通報訊息-MessageHeader TB Reporting
Examples for this Profile: DiagnosticReport/report
CapabilityStatements using this Profile: 臺灣結核病-用戶端(TB Client) and 臺灣結核病-伺服端(TB 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..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.status	This element is a modifier element. 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 (extensions allowed)
DiagnosticReport.code	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: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "11502-2" } ] }`
DiagnosticReport.subject	This element is included in summaries.	1..1	Reference(病人資訊-Patient TB)	病人資訊
DiagnosticReport.specimen	This element must be supported.	1..1	Reference(檢驗通報檢體-Specimen TB Reporting)	Specimens this report is based on
DiagnosticReport.result		0..*	Reference(塗片報告-Observation Smear \| MGIT培養結果報告-Observation MGIT \| L-J培養結果報告-Observation LJ \| 菌種鑑定報告-Observation Identify \| 一線藥敏-Observation Drug Sensitive 1 \| 二線藥敏-Observation Drug Sensitive 2 \| 痰檢體病原體分生檢測報告-Observation Sputum PCR \| IGRA報告-Observation IGRA \| Xpert MTBC報告-Observation Xpert MTBC \| Xpert RMP報告-Observation Xpert RMP \| 分生一線藥物報告-Observation Genotype \| 分生二線藥物報告-Observation Moleculex)	塗片報告/MGIT培養結果報告/L-J培養結果報告/菌種鑑定報告/一線藥敏報告/二線藥敏報告/痰檢體病原體分生檢測報告/IGRA報告/Xpert RMP報告/分生一線藥物報告/分生二線藥物報告
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()`

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
DiagnosticReport.status		1..1	code	registered \| partial \| preliminary \| final + Required Pattern: final (extensions allowed)
DiagnosticReport.code		1..1	CodeableConcept	Name/Code for this diagnostic report Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "11502-2" } ] }`
DiagnosticReport.subject		1..1	Reference(病人資訊-Patient TB)	病人資訊
DiagnosticReport.specimen	This element must be supported.	1..1	Reference(檢驗通報檢體-Specimen TB Reporting)	Specimens this report is based on
DiagnosticReport.result		0..*	Reference(塗片報告-Observation Smear \| MGIT培養結果報告-Observation MGIT \| L-J培養結果報告-Observation LJ \| 菌種鑑定報告-Observation Identify \| 一線藥敏-Observation Drug Sensitive 1 \| 二線藥敏-Observation Drug Sensitive 2 \| 痰檢體病原體分生檢測報告-Observation Sputum PCR \| IGRA報告-Observation IGRA \| Xpert MTBC報告-Observation Xpert MTBC \| Xpert RMP報告-Observation Xpert RMP \| 分生一線藥物報告-Observation Genotype \| 分生二線藥物報告-Observation Moleculex)	塗片報告/MGIT培養結果報告/L-J培養結果報告/菌種鑑定報告/一線藥敏報告/二線藥敏報告/痰檢體病原體分生檢測報告/IGRA報告/Xpert RMP報告/分生一線藥物報告/分生二線藥物報告
Documentation for this format

Description & Constraints Filter:

DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports

DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact

DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource

DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

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.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 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. 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 (extensions allowed)

DiagnosticReport.category This element is included in summaries. 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

code

1..1

CodeableConcept

Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11502-2"
    }
  ]
}

DiagnosticReport.subject This element is included in summaries. 1..1 Reference(病人資訊-Patient TB) 病人資訊

DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) Health care event when test ordered

DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report

DiagnosticReport.effective[x].effectiveDateTime dateTime

DiagnosticReport.effective[x].effectivePeriod Period

DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made

DiagnosticReport.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service

DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter

DiagnosticReport.specimen This element must be supported. 1..1 Reference(檢驗通報檢體-Specimen TB Reporting) Specimens this report is based on

DiagnosticReport.imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report

DiagnosticReport.media 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. 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 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()`

This structure is derived from DiagnosticReport

Summary

Mandatory: 2 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.status	This element is a modifier element. 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 (extensions allowed)
DiagnosticReport.code	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: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "11502-2" } ] }`
DiagnosticReport.subject	This element is included in summaries.	1..1	Reference(病人資訊-Patient TB)	病人資訊
DiagnosticReport.specimen	This element must be supported.	1..1	Reference(檢驗通報檢體-Specimen TB Reporting)	Specimens this report is based on
DiagnosticReport.result		0..*	Reference(塗片報告-Observation Smear \| MGIT培養結果報告-Observation MGIT \| L-J培養結果報告-Observation LJ \| 菌種鑑定報告-Observation Identify \| 一線藥敏-Observation Drug Sensitive 1 \| 二線藥敏-Observation Drug Sensitive 2 \| 痰檢體病原體分生檢測報告-Observation Sputum PCR \| IGRA報告-Observation IGRA \| Xpert MTBC報告-Observation Xpert MTBC \| Xpert RMP報告-Observation Xpert RMP \| 分生一線藥物報告-Observation Genotype \| 分生二線藥物報告-Observation Moleculex)	塗片報告/MGIT培養結果報告/L-J培養結果報告/菌種鑑定報告/一線藥敏報告/二線藥敏報告/痰檢體病原體分生檢測報告/IGRA報告/Xpert RMP報告/分生一線藥物報告/分生二線藥物報告
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()`

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
DiagnosticReport.status		1..1	code	registered \| partial \| preliminary \| final + Required Pattern: final (extensions allowed)
DiagnosticReport.code		1..1	CodeableConcept	Name/Code for this diagnostic report Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "11502-2" } ] }`
DiagnosticReport.subject		1..1	Reference(病人資訊-Patient TB)	病人資訊
DiagnosticReport.specimen	This element must be supported.	1..1	Reference(檢驗通報檢體-Specimen TB Reporting)	Specimens this report is based on
DiagnosticReport.result		0..*	Reference(塗片報告-Observation Smear \| MGIT培養結果報告-Observation MGIT \| L-J培養結果報告-Observation LJ \| 菌種鑑定報告-Observation Identify \| 一線藥敏-Observation Drug Sensitive 1 \| 二線藥敏-Observation Drug Sensitive 2 \| 痰檢體病原體分生檢測報告-Observation Sputum PCR \| IGRA報告-Observation IGRA \| Xpert MTBC報告-Observation Xpert MTBC \| Xpert RMP報告-Observation Xpert RMP \| 分生一線藥物報告-Observation Genotype \| 分生二線藥物報告-Observation Moleculex)	塗片報告/MGIT培養結果報告/L-J培養結果報告/菌種鑑定報告/一線藥敏報告/二線藥敏報告/痰檢體病原體分生檢測報告/IGRA報告/Xpert RMP報告/分生一線藥物報告/分生二線藥物報告
Documentation for this format

Snapshot View

Description & Constraints Filter:

DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports

DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact

DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource

DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

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 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.category This element is included in summaries. 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

code

1..1

CodeableConcept

Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "11502-2"
    }
  ]
}