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 [[*FMM1*](http://build.fhir.org/versions.html#maturity)] \n\n- 2023/8/25異動說明： \n category改為slice，否則實作無法自定義欄位以綁定代碼。 package_name: tw.gov.mohw.twcore derivation: constraint name: TWCoreDiagnosticReport type: DiagnosticReport elements: category: short: 服務類別 type: CodeableConcept mustSupport: true binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-service-sections'} index: 11 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: DiagnosticServiceSectionCodes: match: coding: - {code: LAB, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'} schema: type: CodeableConcept mustSupport: true pattern: type: CodeableConcept value: coding: - {code: LAB, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'} index: 12 min: 0 max: 1 conclusionCode: type: CodeableConcept short: 檢驗結果的臨床結論的代碼，此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/clinical-findings'} index: 40 conclusion: {short: 檢驗結果的臨床結論（解釋）, mustSupport: true, index: 39} 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: 22 specimen: {short: 此報告所依據的檢體, index: 30} implicitRules: {short: 創建此內容所依據的一組規則, index: 2} extension: {short: 擴充的資料項目, index: 6} contained: {short: 內嵌的（contained）、行內的Resources, index: 5} effectiveDateTime: {short: 與臨床相關的時間／報告的時段, type: dateTime, mustSupport: true, choiceOf: effective, index: 25} resultsInterpreter: type: Reference short: 主要結果的解釋者 refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore'] index: 29 status: binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1'} mustSupport: true index: 10 result: short: 檢驗檢查 refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-laboratoryResult-twcore'] type: Reference mustSupport: true index: 31 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: 24 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/report-codes'} mustSupport: true index: 13 elements: coding: index: 14 slicing: rules: open discriminator: - {path: system, type: pattern} min: null slices: LOINCObservationCode: match: {system: 'http://loinc.org'} 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: 15 elements: system: pattern: {type: Uri, value: 'http://loinc.org'} mustSupport: true index: 16 code: {mustSupport: true, index: 17} required: [system, code] TWLaboratoryCategory: match: {system: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw'} 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: 18 elements: system: pattern: {type: Uri, value: 'https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/medical-service-payment-tw'} mustSupport: true index: 19 code: {mustSupport: true, index: 20} required: [system, code] identifier: {short: 報告的業務用識別碼, index: 8} issued: {short: 此版本完成的日期時間, mustSupport: true, index: 27} presentedForm: {short: 已發佈的整個報告, index: 41} basedOn: type: Reference short: 此報告是基於什麼服務的請求 refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/MedicationRequest-twcore'] index: 9 imagingStudy: {short: 參照至與診斷報告相關的成像之全部細節, index: 32} media: short: 與此報告相關的關鍵影像 index: 33 elements: id: {short: 唯一可識別ID，以供資料項目間相互參照。, index: 34} extension: {short: 擴充的資料項目, index: 35} modifierExtension: {short: 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。, index: 36} comment: {short: 關於影像的意見（例如：解釋）。, index: 37} link: {short: 參照的影像來源, index: 38} extensions: {} subject: type: Reference short: 報告的對象—通常但不總是病人 mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Location', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Patient-twcore'] index: 21 modifierExtension: {short: 此擴充的資料項目可能會完全修正或改變其他資料項目的意涵，需特別留意。, index: 7} performer: short: 對診斷服務負責者 refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore', 'https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Practitioner-twcore'] type: Reference mustSupport: true index: 28 effectivePeriod: {short: 與臨床相關的時間／報告的時段, type: Period, mustSupport: true, choiceOf: effective, index: 26} text: {short: DiagnosticReport Resource之內容摘要以供人閱讀, mustSupport: true, index: 4} package_version: 0.1.1 extensions: {} class: profile kind: resource url: https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/DiagnosticReport-twcore base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport version: 0.1.1