description: 此基因資訊-Observation Diagnostic TWPAS Profile說明本IG如何進一步定義FHIR的Observation Resource以呈現癌藥事前審查之基因資訊 package_name: tw.gov.mohw.nhi.pas derivation: constraint name: ObservationDiagnosticTWPAS type: Observation elements: category: short: 因FHIR設計而需必填 index: 0 elements: coding: index: 1 elements: system: pattern: {type: uri, value: 'https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type'} type: uri index: 2 code: pattern: {type: code, value: geneInfo} type: code index: 3 required: [coding] derivedFrom: type: Reference short: 基因報告 mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas'] index: 28 interpretation: {short: 基因臨床判讀結果，醫師判讀結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, index: 25} method: short: 基因檢測方法 binding: {strength: extensible, valueSet: 'http://loinc.org/vs/LL4048-6'} mustSupport: true index: 26 valueTime: {type: time, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 22} specimen: type: Reference short: 基因檢測檢體類型 mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas'] index: 27 valueQuantity: {type: Quantity, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 14} value: short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。 mustSupport: true choices: [valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueInteger, valueRange, valueRatio, valueSampledData, valueTime, valueDateTime, valuePeriod] index: 13 valueString: {type: string, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 16} valueRatio: {type: Ratio, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 20} valueBoolean: {type: boolean, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 17} valueDateTime: {type: dateTime, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 23} component: index: 29 slicing: rules: closed discriminator: - {path: code.coding.system, type: pattern} min: null slices: gene-test-code: match: code: coding: {system: 'http://loinc.org'} schema: short: 基因檢測代碼 mustSupport: true array: true index: 30 elements: code: binding: {strength: extensible, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/gene-test-code'} mustSupport: true index: 31 elements: coding: index: 32 elements: system: pattern: {type: uri, value: 'http://loinc.org'} type: uri index: 33 required: [system] required: [coding] value: mustSupport: true choices: [] index: 35 interpretation: short: 基因突變類型 binding: {strength: extensible, valueSet: 'https://nhicore.nhi.gov.tw/pas/ValueSet/dna-change-type'} constraint: pas-1: {human: text、coding擇一填寫。, source: 'https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas', severity: error, expression: text.exists() xor coding.exists()} mustSupport: true index: 36 elements: coding: index: 37 elements: code: {short: 'LA6692-3: Deletion | LA6686-5: Duplication | LA6687-3: Insertion | LA6688-1: Insertion/Deletion | LA6689-9: Inversion | LA6690-7: Substitution | 101397-8: Copy number variation analysis Sequencing Doc (Bld/Tiss) | 81695-9: MSI Ca spec-Imp | 94077-5: TMB Tumor-Imp | O55-2: Delins', index: 38} required: [code] text: {short: 基因突變類型。若無合適代碼，可使用此欄位以文字呈現。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, index: 39} required: [value] valueSampledData: {type: SampledData, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 21} effectiveDateTime: {type: dateTime, short: 基因檢測日期, mustSupport: true, choiceOf: effective, index: 10} effective: short: 基因檢測日期 mustSupport: true choices: [effectiveDateTime] index: 9 code: elements: coding: index: 4 elements: system: pattern: {type: uri, value: 'http://loinc.org'} type: uri index: 5 code: mustSupport: true pattern: {type: code, value: 69548-6} type: code index: 6 required: [code] required: [coding] valueCodeableConcept: {type: CodeableConcept, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 15} valuePeriod: {type: Period, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 24} valueRange: {type: Range, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 19} valueInteger: {type: integer, short: 基因檢測分析結果。請勿將醫事機構名稱、病人及醫師姓名等資訊列入結果中上傳，且不得包含HTML或XML等語法。, mustSupport: true, choiceOf: value, index: 18} subject: type: Reference mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas'] index: 7 performer: type: Reference short: 基因檢測機構，衛福部公告名冊或LDTs核定函上之「案件編號」。 mustSupport: true refers: ['https://nhicore.nhi.gov.tw/pas/StructureDefinition/Organization-genetic-testing-twpas'] index: 11 package_version: 1.0.4 class: profile kind: resource url: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.0.4 required: [category, effective, effectiveDateTime, method, performer, specimen, subject, value, valueBoolean, valueCodeableConcept, valueDateTime, valueInteger, valuePeriod, valueQuantity, valueRange, valueRatio, valueSampledData, valueString, valueTime]