臺灣次世代基因定序檢測實作指引
1.0.0 - STU1.0.0
臺灣次世代基因定序檢測實作指引
1.0.0 - STU1.0.0
This page is part of the 臺灣次世代基因定序檢測實作指引 (v1.0.0: STU1.0.0) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Composition_com-nos-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-twngs.html\">基因定序檢測證明文件-Composition TWNGSS Profile</a></p></div><p><b>狀態</b>：Final <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://hl7.org/fhir/composition-status\">CompositionStatus</a>#final)</span></p><p><b>申報類別</b>：送核 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-apply-type.html\">NHI-申報類別</a>#1)</span></p><p><b>案件分類</b>：西醫慢性病 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"CodeSystem-nhi-case-classification.html\">NHI-案件分類</a>#04)</span></p><p><b>申報日期</b>：2024-07-25</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>醫事機構</b>：<a href=\"Organization-org-hosp-min.html\">Organization/org-hosp-min</a></p><blockquote><p>相關證明文件</p><p><b>基因定序檢測報告</b>：<a href=\"DiagnosticReport-dia-nos-min.html\">DiagnosticReport/dia-nos-min</a></p><p><b>疾病資訊</b>：<a href=\"Condition-con-nos-min.html\">Condition/con-nos-min</a></p><p><b>基因檢測機構</b>：<a href=\"Organization-org-gene-min.html\">Organization/org-gene-min</a></p><p><b>基因檢測檢體</b>：<a href=\"Specimen-spe-min.html\">Specimen/spe-min</a></p><p><b>基因檢測裝置</b>：<a href=\"Device-dev-min.html\">Device/dev-min</a></p><p><b>基因報告</b>：<a href=\"DocumentReference-doc-nos-min.html\">DocumentReference/doc-nos-min</a></p><p><b>基因資訊</b>：<a href=\"Observation-obs-nos-min.html\">Observation/obs-nos-min</a></p><p><b>基因定序檢測申請項目</b>：<a href=\"ServiceRequest-serReq-min.html\">ServiceRequest/serReq-min</a></p></blockquote></div>"
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"title" : "Lung non-small cell lung carcinoma (NOS) 基因檢測報告之證明文件",
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"effectiveDateTime" : "2024-07-20",
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"fullUrl" : "https://nhicore.nhi.gov.tw/ngs/Condition/con-nos-min",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Condition_con-nos-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Condition-twngs.html\">基因定序檢測報告之疾病資訊-Condition TWNGS</a></p></div><p><b>臨床狀態</b>：Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-clinical\">ConditionClinicalStatusCodes</a>#active)</span></p><p><b>驗證狀態</b>：Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-ver-status\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>病情、問題或診斷分類</b>：Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://terminology.hl7.org/CodeSystem/condition-category\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>病情、問題或診斷識別</b>：未明示側性支氣管或肺惡性腫瘤 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"https://twcore.mohw.gov.tw/ig/twcore/CodeSystem/icd-10-cm-2023-tw\">臺灣2023年中文版ICD-10-CM</a>#C34.90)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>診斷日期</b>：2024-07-10</p><p><b>申請理由</b>：病患診斷為非小細胞肺癌（NOS 類型），現於腦部發現轉移病灶，擬進行癌症相關基因檢測以評估是否具有標靶治療或免疫治療標的。申請進行多基因 panel 定序檢測，包含 TP53 等常見肺癌相關突變，以利後續治療規劃與藥物選擇。</p></div>"
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"text" : "病患診斷為非小細胞肺癌（NOS 類型），現於腦部發現轉移病灶，擬進行癌症相關基因檢測以評估是否具有標靶治療或免疫治療標的。申請進行多基因 panel 定序檢測，包含 TP53 等常見肺癌相關突變，以利後續治療規劃與藥物選擇。"
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"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Patient_pat-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient-twngs.html\">病人資訊-Patient TWNGS</a></p></div><blockquote><p><b>病歷號</b>：National Person Identifier <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#NNxxx）</span><br/><b>身分證字號（official）</b>：A123456789 （http://www.moi.gov.tw）</p></blockquote><blockquote><p><b>病歷號</b>：Medical record number <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">Identifier Type Codes</a>#MR）</span><br/><b>病歷號（official）</b>：123456 （https://tpech.gov.taipei）</p></blockquote><p><b>姓名（usual）</b>：王大明</p><p><b>性別</b>：男</p><p><b>出生日期</b>：2001-01-01</p></div>"
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"system" : "http://www.moi.gov.tw",
"value" : "A123456789"
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"system" : "https://tpech.gov.taipei",
"value" : "123456"
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"name" : [
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"text" : "王大明"
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"gender" : "male",
"birthDate" : "2001-01-01"
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},
{
"fullUrl" : "https://nhicore.nhi.gov.tw/ngs/Organization/org-hosp-min",
"resource" : {
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"id" : "org-hosp-min",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-hosp-min\"> </a><h3><b>醫事機構</b></h3><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-twngs.html\">機構-Organization TWNGS</a></p></div><p><b>機構名稱</b>：佛教慈濟醫療財團法人花蓮慈濟醫院</p><p><b>識別碼型別</b>：Provider number<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://terminology.hl7.org/CodeSystem/v2-0203\">IdentifierType</a>#PRN）</span><br/><b>機構代碼（official）</b>：1145010010 (https://nhicore.nhi.gov.tw/ngs/CodeSystem/organization-identifier-tw)</p><p><b>機構種類</b>：Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">( <a href=\"http://hl7.org/fhir/R4/codesystem-organization-type.html\">OrganizationType</a>#prov)</span></p></div>"
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"value" : "1145010010"
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"name" : "佛教慈濟醫療財團法人花蓮慈濟醫院"
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{
"fullUrl" : "https://nhicore.nhi.gov.tw/ngs/Organization/org-gene-min",
"resource" : {
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"id" : "org-gene-min",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-gene-min\"> </a><h3><b>基因檢測機構</b></h3><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization-gene-twngs.html\">基因檢測機構-Organization Genetic Testing TWNGS</a></p></div><p><b>機構代碼</b>：2023LDTB0002 (https://dep.mohw.gov.tw)</p></div>"
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"identifier" : [
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"fullUrl" : "https://nhicore.nhi.gov.tw/ngs/Specimen/spe-min",
"resource" : {
"resourceType" : "Specimen",
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><a name=\"Specimen_spe-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Specimen-twngs.html\">基因檢測檢體-Specimen TWNGS</a></p></div><p><b>檢體病理編號</b>：123-4567</p><p><b>檢體類型</b>：Blood<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC-基因檢測檢體類型值集</a>#LP7057-5)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>檢體採檢日期</b>：2024-05-06T09:00:00.000Z</p></div>"
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{
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"resource" : {
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"id" : "dev-min",
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{
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"resource" : {
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"meta" : {
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4;\r\n border-radius: 5px; line-height: 60%\"><a name=\"DocumentReference_doc-nos-min\"> </a><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-DocumentReference-twngs.html\">文件參照-DocumentReference TWNGS</a></p></div><p><b>狀態</b>：current</p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a> "王大明"</p><p><b>基因報告(application/pdf)</b>：file://GenReport01.pdf</p><p><b>基因報告名稱</b>：Lung non-small cell lung carcinoma (NOS) 基因檢測</p></div>"
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},
{
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