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    Packages
    tw.gov.mohw.twcore@0.3.1
    https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore
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: 0.3.1
class: profile
kind: resource
url: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 0.3.1
required: [subject]