description: 此臺灣核心-診斷報告(TW Core DiagnosticReport) Profile說明本IG如何進一步定義FHIR的DiagnosticReport Resource以呈現診斷報告。 package_name: tw.gov.mohw.twcore derivation: constraint name: TWCoreDiagnosticReport type: DiagnosticReport elements: category: type: CodeableConcept short: 服務類別 binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-service-sections'} mustSupport: true index: 8 conclusionCode: type: CodeableConcept short: 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: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/clinical-findings'} index: 39 conclusion: {short: 檢驗結果的臨床結論(解釋), mustSupport: true, index: 38} meta: {short: 此DiagnosticReport Resource的metadata, index: 1} encounter: type: Reference short: 請求檢驗時的健康照護事件 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Encounter-twcore'] index: 24 specimen: {short: 此報告所依據的檢體, index: 32} implicitRules: {short: 創建此內容所依據的一組規則, index: 2} effectiveDateTime: {short: 與臨床相關的時間/報告的時段, type: dateTime, mustSupport: true, choiceOf: effective, index: 27} resultsInterpreter: type: Reference short: 主要結果的解釋者 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore'] index: 31 status: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1'} mustSupport: true index: 7 result: short: 檢驗檢查 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore'] type: Reference mustSupport: true index: 33 language: short: 用以表述DiagnosticReport Resource內容的語言。 binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/languages'} index: 3 effective: short: 與臨床相關的時間/報告的時段 mustSupport: true choices: [effectiveDateTime, effectivePeriod] index: 26 id: {short: 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。, index: 0} code: type: CodeableConcept short: 此診斷報告的名稱/代碼 binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'} mustSupport: true index: 9 elements: coding: index: 10 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: LOINCObservationCode: match: {} schema: short: 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。 binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-observation-code'} mustSupport: true index: 11 elements: system: pattern: {type: Uri, value: 'http://loinc.org'} mustSupport: true index: 12 code: {mustSupport: true, index: 13} required: [code] TWLaboratoryCategory: match: {} schema: short: 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。 binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/laboratory-category-tw'} mustSupport: true index: 14 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw'} mustSupport: true index: 15 code: {mustSupport: true, index: 16} required: [code] TW2021ICD10PCS: match: {} schema: short: 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。 binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2021-tw'} mustSupport: true index: 17 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2021-tw'} mustSupport: true index: 18 code: {mustSupport: true, index: 19} required: [code] TW2023ICD10PCS: match: {} schema: short: 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。 binding: {strength: required, valueSet: 'https://twcore.mohw.gov.tw/ig/twcore/ValueSet/icd-10-pcs-2023-tw'} mustSupport: true index: 20 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-pcs-2023-tw'} mustSupport: true index: 21 code: {mustSupport: true, index: 22} required: [code] identifier: {short: 報告的業務用識別碼, index: 5} issued: {short: 此版本完成的日期時間, mustSupport: true, index: 29} presentedForm: {short: 已發佈的整個報告, index: 40} basedOn: type: Reference short: 此報告是基於什麼服務的請求 refers: ['http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CarePlan-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ServiceRequest-twcore'] index: 6 imagingStudy: type: Reference short: 參照至與診斷報告相關的成像之全部細節 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ImagingStudy-twcore'] index: 34 media: short: 與此報告相關的關鍵影像 index: 35 elements: comment: {short: 關於影像的意見(例如:解釋)。, index: 36} link: type: Reference short: 參照的影像來源 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Media-twcore'] index: 37 subject: short: 報告的對象—通常但不總是病人 refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Location-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore'] type: Reference mustSupport: true index: 23 performer: short: 對診斷服務負責者 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CareTeam-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/PractitionerRole-twcore'] type: Reference mustSupport: true index: 30 effectivePeriod: {short: 與臨床相關的時間/報告的時段, type: Period, mustSupport: true, choiceOf: effective, index: 28} text: {short: DiagnosticReport Resource之內容摘要以供人閱讀, index: 4} package_version: 0.3.0 class: profile kind: resource url: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport version: 0.3.0 required: [subject]